医疗补助和SNAP提前公平,但有时有隐藏的种族和种族障碍
1Leighton Ku (lku@gwu.edu), George Washington University, Washington, D.C.
Health affairs (Project Hope)
|October 2, 2023
概括
像医疗补助和补充营养援助计划这样的政府计划旨在减少健康和营养差异. 然而,某些行政政策不知不觉地制造了障碍,促进了种族和民族不平等,尽管它们的原始目标.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 医疗补助和补充营养援助计划 (SNAP) 是为了解决贫困和减少健康和营养差异而建立的.
- 这些计划旨在改善获得医疗保健和粮食安全的机会,特别是在边缘化社区.
研究的目的:
- 评估医疗补助和SNAP当前政策与促进种族和种族平等的最初目标相一致的程度.
- 确定可能无意中加剧现有差距的具体政策机制.
主要方法:
- 在Medicaid和SNAP中对行政和资格标准的政策分析.
- 审查诸如工作要求,移民覆盖和医疗补助扩展等政策对健康和营养平等的影响.
主要成果:
- 虽然医疗补助和SNAP缩小了一些差异,但某些政策是实现充分种族和民族平等的障碍.
- 行政政策 (例如,工作要求) 和覆盖决策 (例如,移民资格,医疗补助扩展) 可能会造成意想不到的障碍.
- 这些政策驱动的障碍有助于在获得医疗保健和粮食安全方面造成种族和民族差异.
结论:
- 尽管没有明确提到种族或种族,但主要社会福利计划中的某些政策可能会破坏公平的目标.
- 对行政和资格政策进行重新评估和改革是必要的,以确保医疗补助和SNAP有效地促进,而不是阻碍种族和民族平等.
- 解决这些政策造成的障碍对于实现这些重要公共卫生计划的基本目标至关重要.
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