Press for the immediate passage of the Healthcare Equality and Accountability Act of 2003 sponsored by The Congressional Black Caucus, The Congressional Hispanic Caucus, The Congressional Asian Pacific American Caucus and The Native American Caucus. This bill is a road map to making America a healthier nation and I will follow it.
Create the post of Assistant Secretary for Minority Health within the Department of Health and Human Services. The job of the Assistant Secretary for Minority Health would be to not only coordinate all of the federal government's initiatives to eliminate racial health disparities in health, but to remind all Americans that it's their fight, too.
Providing Affordable, Quality Health Care for All Americans
Today, 14 percent of white Americans lack health insurance, but the uninsurance rate among minority Americans has soared to 31 percent. We know that, absent health coverage, the uninsured are less likely to visit doctors and take advantage of the opportunities that insurance provides for preventive care and the diagnosis of illnesses when they're most easily treatable. For lack of health coverage, the uninsured often rely on expensive and ineffective hospital emergency rooms for routine care and are less likely to seek out specialized care when it is required.
The cost of caring for the uninsured, much of it uncompensated, has led many health care providers to abandon minority communities entirely and placed a crushing financial burden on the few which remain.
We have a moral responsibility to do better. And we can.
My plan to extend health insurance to all Americans is based on the lessons I learned as a practicing physician and as a governor. My plan offers health insurance to all uninsured Americans, at well under half the cost of President Bush’s tax cuts. The plan is built on four components:
Start by covering children: The plan calls for extending current programs to every child and young adult under 25 up to three times the poverty level. It will also require employer health plans to extend coverage to dependents up to age 25.
Expand to Families: For those at lower income levels, extend current programs for children to include parents up to 185 percent of the poverty level. For those above that level, allow them to buy into a health plan similar to the plan for government employees, while providing tax credits to keep insurance affordable.
Support Small Businesses: Help small businesses afford coverage by letting them buy into the federal employee look-alike program at reasonable rates.
Send a Message to Large Companies: Without any mandates, the government can still send a strong signal to larger businesses that could afford to but don’t provide coverage by limiting their tax deductions and their government contracts.
My plan is ambitious, but realistic, targeted, and affordable. To extend affordable insurance to all Americans, it takes a consensus-based approach that builds on existing systems and that can pass Congress. It avoids mandates that would create firestorms of opposition and make it impossible to get a plan through Congress.
Training a New Generation of Minority Health Care Professionals
African-American physicians are nearly six times more likely to treat black patients than doctors who aren't and more willing to practice in minority communities and care for Medicaid recipients. But today only 3.9 percent of U.S. physicians are black. Helping minority Americans into health professions isn't only a matter of righting past wrongs, but essential to protecting public health. The Association of American Medical Colleges points out that African Americans, Latinos, and Native Americans account for more than 25 percent of our population, but only 14 percent of medical school matriculants. America must do better. We must:
Strengthen affirmative action in higher education.
Expand federal support for Historically Black Colleges and Universities (HBCUs) and other minority serving institutions and increase financial aid for minority students training for health care professions.
Promote "pipeline programs" that foster interest in science and health professions among public school students.
Offer incentives to health profession schools and other graduate training programs to recruit additional minority faculty.
Require accreditation bodies to include more minorities to assure better oversight of health profession schools and graduate training programs.
Support creation of joint labor-management "career ladder" initiatives to train less skilled health care workers for careers in patient care and medical technology.
Require newly trained physicians and other health professionals to be proficient in a language in addition to English and be trained in cultural competency as a condition for their certification and re-certification.
Expanding Research on Minority Health
President Clinton's creation of the National Center on Minority Health and Health Disparities was a milestone in the cause of public health. We must make certain that it does not become an achievement to rest on, but one on which we build.
As President, I'll see to it that decisions related to minority health are based on sound medical science, not politics. We must:
Report health data available to our public health systems related to race and ethnicity on a current basis not several years late.
Demand clinical trials of medical treatments reflect America's racial and ethnic diversity.
Support health promotion and disease prevention programs including physical education for kindergarten through 12th grade in order to reverse the epidemic of obesity.
Require businesses to fully disclose information on hazardous materials they use — and dump — in minority communities.
Invest in state and local public health departments and other agencies that have frontline responsibilities for tracking and responding to disease threats and other health hazards.
Fighting Back Against HIV/AIDS
HIV/AIDS poses an imminent threat to the lives of millions of Americans, particularly in minority communities. Yet, instead of waging war against this disease, President Bush has gone AWOL. As a physician, I know the importance of prevention and early treatment for medical conditions and as President I will not stand silent while this epidemic continues to claim victims. We must:
Increase funding for care and treatment especially for AIDS related complications.
Promote sensible and comprehensive prevention efforts including the use of condoms, needle exchange programs, accessible testing and progressive education on safe behaviors.
Support research and development of more effective medicines that are less toxic, easier to take, and less expensive.
Renew the fight against AIDS worldwide by fully supporting the needs of the vital Global Fund and urging other nations to do the same.
Restore America's role as a leader in the fight against HIV/AIDS by appointing key Cabinet and Sub-Cabinet officials who are knowledgeable about and committed to destigmatizing HIV.
Increase and improve access to mental health and substance abuse treatment to prevent people with mental illness and substance abuse problems from being imprisoned and abandoned — the Los Angeles jail now treats more patients than any psychiatric hospital in the country — this must change.
Expand funding for minority health initiatives and Ryan White programs to further the domestic war on HIV/AIDS.
Immigrant health
Legal Immigrants are currently denied many federal government benefits. They are currently subject to a five-year prohibition on access to federal Medicaid and the State Children’s Health Insurance Program (SCHIP). As a result, hard working, tax paying legal immigrants have no safety net when they fall temporarily on hard times and have little access to preventive medicine. This not only affects the immigrants who are directly harmed, it has a ripple effect on the entire society. The federal government must step up to the plate and assist states in providing critical social services to those people legally living, working, and raising their families in our country. At a minimum, we must pass:
The "Immigrant Children’s Health Improvement Act" (ICHIA), which would allow states the option of allowing legal immigrant children and pregnant women to apply for Medicaid and SCHIP.
Honoring Our Nation's Promise to American Indians and Alaska Natives
The health crisis facing American Indians and Alaska Natives is unique, severe and one the federal government must bear ultimate responsibility for creating. Over the course of the last decade death rates for American Indians and Alaska Natives from diabetes, cancer, suicide and injuries rose significantly, yet the Indian Health Service — the only source of health care for many American Indians and Native Alaskans — has lacked the capacity to respond. As President, I will:
Provide incentives necessary for mid-career health professionals and medical to serve as primary care providers on reservations and at urban health clinics serving Native Americans and Alaska natives.
Support the bipartisan effort to elevate the position of Director of the Indian Health Service within the Department of Health and Human Services to Assistant Secretary for Indian Health
Significantly increase funding for the Indian Health Service.
Expand research and public education on health issues of particular concern to American Indians and Alaska Natives, including HIV/AIDS, suicide, substance abuse, diabetes, heart disease, fetal alcohol syndrome and domestic violence.
http://www.deanforamerica.com/site/cg/index.html?type=page&pagename=policy_statement_health_racialdisparities