A community mobilizes to end medical apartheid

Maxine Golub1, Neil Calman, Charmaine Ruddock

  • 1Institute for Family Health--Bronx Health REACH/NY CEED, USA.

Insights

A civil rights complaint was filed alleging discrimination in healthcare access for people of color. Community mobilization efforts aim to achieve health equality despite ongoing challenges.

Area of Science:

  • Health equity research
  • Public health policy
  • Civil rights in healthcare

Background:

  • People of color experience poorer health outcomes compared to White individuals, often due to restricted access to quality specialty care.
  • Disparities in healthcare access are a significant public health concern, particularly impacting minority populations.

Purpose of the Study:

  • To detail the circumstances leading to the Bronx Health REACH coalition filing a civil rights complaint.
  • To address allegations of racial and payer status discrimination by three New York City academic medical centers.

Main Methods:

  • Filing a civil rights complaint with the New York State Office of the Attorney General.
  • Alleging violations of Title VI of the Civil Rights Act of 1964, the Hill-Burton Act, and New York State and City human rights laws.

Main Results:

  • Community mobilization has increased public awareness of disparate care impacts.
  • The coalition's commitment to health equality has been strengthened.
  • Support has been garnered from numerous city and state legislators.

Conclusions:

  • Addressing complex systemic health problems requires collaboration between community groups and experts.
  • Achieving health equality is a long-term endeavor demanding perseverance and strategic advocacy.
Abstract

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