Get unlimited digital access to baltimoresun.com. $0.99 for 4 weeks.
News Opinion Op-Eds

Health disparity persists [Commentary]

Nearly half a century has passed since Rev. Martin Luther King Jr. famously said, "Of all the forms of inequality, injustice in health care is the most shocking and inhumane." Yet decades later, only modest progress has been made to reduce the pervasive racial and ethnic health disparities that exist in this country — and we don't have to look far to see the effects.

According to the Maryland Department of Health and Mental Hygiene, in 2010, African Americans represented 62 percent of adults and adolescents living in Baltimore City, yet they accounted for 85 percent of HIV cases. And across the state, African Americans were 10.9 times more likely than whites to die from HIV/AIDS. Between 2006 and 2010, the rate of diabetes among African Americans aged 65 years and older in Maryland was 32.2 percent — compared to only 17.3 percent for their white counterparts. During the same time period, African Americans also had higher rates of diagnosed hypertension, obesity and kidney disease than non-Hispanic whites.

Maryland's Hispanic population also bears the heavy burden of inequalities in health care. In 2010, the HIV rate for Hispanics, while significantly lower than for African Americans, was still 3.6 times higher than for non-Hispanic whites. And at 29.1 percent, the rate of diabetes among Hispanics was only marginally lower than for African Americans.

Meanwhile, between 2006 and 2010, African Americans were nearly two times more likely than whites to be unable to afford to see a doctor and more than twice as likely to be without health insurance. And compared to whites, Hispanics were more than three times as likely to be unable to afford to see a doctor and more than five times as likely to be without health insurance. These steep health disparities among African Americans and Hispanics in Maryland provide a grim snapshot of a widespread problem with devastating implications for the growing minority populations in this country.

April marks National Minority Health Month — a critical opportunity to highlight the persistent health inequities that lurk under the radar of the majority in this country while furtively working to hinder social justice. But the work to eliminate health disparities in this country must remain a national priority year-round, not just during April. The cost of inaction — both moral and economic — is truly staggering.

A recent study from the Program for Research on Men's Health in the Johns Hopkins Center for Health Disparities Solutions offers a big-picture view of this issue. The study looked at the economic impact of health disparities among U.S. men and estimated that these disparities cost the economy more than $450 billion between 2006 and 2009.

According to the study, African American men incurred the vast majority of these costs — a total of $341.8 billion in excess medical costs due to health inequalities. That mind-boggling number is the sum of the direct medical expenditures attributable to health disparities over the four-year period ($24.2 billion) and the indirect costs associated with lower worker productivity due to illness and premature death ($317.6 billion over the four-year period). The study calculated these costs for African American, Asian, Hispanic and white men, and found that African American men incurred 100 percent of the direct medical costs due to health disparities and 72 percent of the indirect costs over the four-year period. According to the study, Hispanic men incurred an additional $115 billion in indirect costs due to health disparities, and Asian men incurred another $3.6 billion in indirect costs due to health disparities over the four-year period.

King's oft-quoted words, first spoken nearly 50 years ago, stand as a stark reminder of how far we still have to go to eliminate the vast health inequities in this country. Certainly, some progress has been made — for example, the landmark Affordable Care Act, while still in the nascent stages of implementation, contains important provisions to reduce racial and ethnic health disparities. But relief can't come soon enough for the individuals and families who shoulder the burden of these inequities.

Dr. Roland J. Thorpe Jr. is an assistant professor in the Department of Health, Behavior and Society at the Johns Hopkins Bloomberg School of Public Health and Director of the Program for Research on Men's Health at the Johns Hopkins Center for Health Disparities Solutions. This article is written in a personal capacity and is independent of his affiliation with Johns Hopkins University. His email is rthorpe@jhsph.edu

To respond to this commentary, send an email to talkback@baltimoresun.com. Please include your name and contact information.

Copyright © 2015, The Baltimore Sun
Related Content
  • Health disparities costing black, Hispanic men, study says
    Health disparities costing black, Hispanic men, study says

    Black and Hispanic men are shouldering more medical costs because of health inequalities and they, their families and society are suffering from the burden, according to a new study from Johns Hopkins University's Bloomberg School of Public Health.

  • Reject the proposed merger of Exelon and Pepco
    Reject the proposed merger of Exelon and Pepco

    Since 2008, University Park Community Solar LLC has attempted to make community solar more feasible for other Marylanders, through the organizing and building of one of the first community solar projects in the nation and through our efforts to provide information and free technical...

  • From now on, she walks to school
    From now on, she walks to school

    Since there have been parents and kids, each generation has struggled to understand the other. To me, it appears that children today are much less accountable and have fewer responsibilities than I did growing up. One of our kids is an over-achieving, motivated 17-year-old girl. All of her...

  • No bees? No food.
    No bees? No food.

    The honey bees are in trouble. Since 2006, beekeepers have reported average hive losses of 30 percent or higher each year. In 2012, Maryland beekeepers lost nearly 50 percent of their hives.

  • Hogan's phosphorus regulations reflect the nation's best science
    Hogan's phosphorus regulations reflect the nation's best science

    There seems to be a great deal of confusion about what Gov. Larry Hogan's Agriculture Phosphorus Initiative really contains, and I would like to clearly state the facts about how we plan to address phosphorus.

  • A code to teach by
    A code to teach by

    Do you remember your first favorite teacher? I do. She made me feel like I could do anything and that I was destined to make a contribution to this world. I mattered in her class. It would not be until almost 20 years later that I would truly understand what made her great.

Comments
Loading