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The health equity mandate.

Wendy Netter Epstein

Journal of Law and the Biosciences

|January 20, 2022

Summary

This summary is machine-generated.

Health inequity, driven by structural inequality and racism, leads to poorer health outcomes and premature deaths for people of color and the poor. A new federal health equity mandate is proposed to drive collaborative reform and address these disparities.

Keywords:

collaboratives health inequity legal mandate pandemic social determinants structural racism

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Area of Science:

Public Health
Health Policy
Sociology of Health

Background:

Significant health disparities exist, with people of color and lower socioeconomic groups experiencing shorter lifespans and poorer health.
These inequities are exacerbated by structural inequality and racism, as dramatically highlighted by the COVID-19 pandemic.
Existing discussions and research on health inequity have not yielded substantial progress in remediation.

Purpose of the Study:

To analyze the reasons why health inequity has remained an intractable problem.
To propose a novel regulatory approach to accelerate progress in addressing healthcare inequities.

Main Methods:

Analysis of the healthcare system's structure to identify barriers to progress.
Drawing inspiration from successful regulatory models like the Health Insurance Portability and Accountability Act (HIPAA) and the Clean Air Act.
Proposing a federal health equity mandate grounded in democratic experimentalism and cooperative federalism.

Main Results:

No single actor within the current healthcare system possesses both the incentive and the means to drive significant progress.
The healthcare system alone cannot solve the complex issue of health inequity.
A collaborative approach involving federal, state, local, public, and private entities is necessary.

Conclusions:

A federal health equity mandate, incorporating funding and penalties, can incentivize collaboration across diverse entities.
This mandate, inspired by successful environmental and health privacy legislation, offers a pathway to address systemic healthcare inequities.
Implementing such a mandate is crucial to initiate the remediation of healthcare disparities in the USA.