Racism in our everyday lives. Causing psychosocial stress, ⬆️ our risk of CVD. Racism in health care that makes what should be routine prenatal care harmful & counterproductive.
The idea that Black women are ‘more likely to get deadlier forms of breast cancer’ is possibly conflating the problems of foregone/delayed care, lack of a usual source of care, & resulting delays in dc, which mean that BW are often dx’d at more advanced stages.
The financing of care is one thing, but if other means of rationing care remain (e.g. rationing by geography, via the historic site locations of market-based health care), then inequities will remain.
If we do not address housing, employment, & wage discrimination, we will not achieve health equity.
If we do not address environmental racism, we will not achieve health equity.
Ask any practitioner who treats patients who live in toxic environments, who are deprived of access to basic potable water & sanitation, let alone housing.
It’s a reminder of the bigger picture. Healthcare will not fix the effects of structural racism.
But no to false claims that UHC is a panacea for adverse & inequitable health outcomes known to be linked with racism- via stress pathways, medical mistrust, or historical rationing of care by employment status, environment racism...