Life, Liberty, & Happiness

Thoughts on Health Equity in America

Health equity is a vital issue in the United States, which refers to the absence of avoidable and unfair disparities in health outcomes among different groups. While the United States has made significant progress in improving health outcomes, several factors continue to impact health equity. In this article, we will discuss the state of health equity in the United States, factors that impact health equity, and the consequences of inequity in health care.

State of Health Equity in the United States

Despite having one of the most advanced health care systems in the world, the United States still faces significant health disparities. According to a 2017 report by the Centers for DiseaseControl and Prevention (CDC), health disparities in the United States persist based on race, ethnicity, socioeconomic status, and geographic location. For example, African Americans and Hispanic Americans are more likely to have poor health outcomes compared to White Americans. The CDC report also highlights that individuals with lower levels of education and income, as well as those living in rural areas, are also more likely to experience health disparities.

In addition to race and socioeconomic status, other factors that impact health equity include access to health care, housing, food security, and environmental conditions. For example, individuals living in neighborhoods with poor environmental conditions, such as air pollution or toxic waste, are more likely to experience adverse health outcomes, such as respiratory illnesses and cancer.

Factors that Impact Health Equity

1. Race and Ethnicity: There are significant racial and ethnic disparities in health outcomes. For example, African Americans have higher rates of heart disease, stroke, and diabetes than White Americans.

2. Socioeconomic Status: Individuals with lower levels of education and income are more likely to experience poor health outcomes.

3. Access to Health Care: Lack of access to affordable and quality health care can impact health outcomes. Individuals without health insurance are less likely to receive preventive care and are more likely to delay or forgo necessary medical care.

4. Housing: Poor housing conditions, such as mold, lead paint, and pests, can impact health outcomes, such as asthma and other respiratory illnesses.

5. Food Insecurity: Lack of access to healthy and affordable food can impact health outcomes, such as malnutrition, obesity, and diabetes.

6. Environmental Conditions: Exposure to environmental hazards, such as air pollution and toxic waste, can impact health outcomes, such as respiratory illnesses and cancer.

Consequences of Inequity in Health Care

The consequences of health inequities can be severe, both for individuals and society as a whole. According to the WorldHealth Organization, health inequities can lead to:

1. Poor health outcomes: Individuals who experience health disparities are more likely to have poor health outcomes, including shorter lifespans and lower quality of life.

2. Lost productivity: Health disparities can lead to lost productivity, as individuals who are sicker are less able to work.

3. Increased health care costs: Health disparities can lead to increased health care costs, as individuals who experience disparities aremore likely to require expensive medical care.

4. Social and economic costs: Health disparities can lead to social and economic costs, including lost income and reduced economic growth.

What is Being Done to Address Health Inequity in the United States?

There are several initiatives and policies aimed at addressing health equity in the United States. The following are some of the policies and initiatives.

TheAffordable Care Act (ACA). The ACA, also known as Obamacare, was enacted in 2010 to expand access to health care in the United States. The ACA expanded access to health care by providing subsidies to make health insurance more affordable and expanding Medicaid coverage to low-income individuals. TheACA also includes provisions aimed at reducing health disparities, such as the creation of the National Institute on Minority Health and Health Disparities.The ACA also prohibits insurance companies from denying coverage based on pre-existing conditions.

HealthyPeople 2030. Healthy People is a set of national objectives for improving health and reducing health disparities in the United States. Healthy People 2030 is the latest version, and it includes 355 objectives that cover a range of health topics, including social determinants of health, such as access to healthcare, education, and safe housing. The objectives are organized into 26 topic areas, and they provide a roadmap for improving health and reducing health disparities in the United States.

NationalInstitutes of Health (NIH). The National Institutes of Health (NIH) is the largest public funder of biomedical research in the world. The NIH funds research on a wide range of health issues, including health disparities. TheNIH has several initiatives aimed at addressing health disparities, such as theMinority Health and Health Disparities Research Training Program. The program provides training to students and researchers from underrepresented minority groups.

Racial and Ethnic Approaches to CommunityHealth (REACH): REACH is a national program funded by the Centers for Disease Control and Prevention (CDC) to address health disparities in racial and ethnic minority communities. The program works with community-based organizations to implement evidence-based interventions that address the root causes of health disparities


Research has shown that addressing health equity is critical to improving overall health outcomes in the United States.According to a 2017 report by the National Academies of Sciences, Engineering, and Medicine, achieving health equity is a matter of social justice and is essential to advancing the health and well-being of all individuals in theUnited States.

About Dr. Michael Burcham

Michael is an executive coach, entrepreneur, investor, and strategist with 30 years of experience leading investor-backed, high-growth organizations.

“I built and sold a $40M company with Dr. Burcham as my mentor. This is the thing: if you EVER get the opportunity to learn from this man, from that moment forward, you’ll list him as one of the most influential people in your life, even if you live to be 90. And, you’ll know how lucky you were to have that opportunity and you’ll immediately say YES to any chance to be in his presence again—his wisdom is that impactful.”

Sherry Stewart Deutschmann

Former CEO, Letter Logic

“If you are looking for a trusted mentor and coach for yourself or your leadership team, I highly recommend Michael Burcham. He has worked with me as my executive coach for well over a decade now. Our conversations and his feedback have helped me sharpen my critical thinking skills. He’s a trusted advisor that I can confidentially speak with about any issue—and I know I’ll get valued feedback. I highly recommend him.”

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CEO, Asset Living

“Dr. Burcham’s depth and breadth of experience makes even the most ADD entrepreneurial leader sit up and take notes! His coaching skills bring out the ‘best you’ possible. He selflessly shares the good, the bad, and the ugly—leaving you with an authentic and moving experience sure to spur action and professional growth!”

Julie Lenzer

Director, U.S. Department of Commerce


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