Disparities in
health care must be addressed
By LINDSEY
GRAHAM Guest
columnist
February is Black History Month. The recent passing of Coretta
Scott King and Rosa Parks give us an opportunity to reflect upon
lives well-lived. They were pioneers of the civil rights movement
who stood as two of the most persuasive voices in America heralding
equality for all. Mrs. King and Mrs. Parks have rightfully earned
their places in history as great American heroes.
This month is also a good time to reassess our state’s progress
and recommit to closing the gap on inequities that continue to this
day. Inequality takes on many forms. In South Carolina and
nationally, one of the most alarming inequalities is the health and
health care disparities that affect our nation’s minorities and, in
particular, African-Americans.
The overall health status of our state is poor. But most
unsettling are the countless studies that establish that within our
state, African-Americans live sicker and die younger than other
populations.
Blacks are more likely to have a stroke or die from a stroke than
whites. Some reports place the prevalence of diabetes among blacks
to be about 70 percent higher than among whites. In South Carolina,
blacks are more than twice as likely as their white counterparts to
die because of diabetes. Also, blacks are more likely to die because
of heart disease and cancer.
Why do these disparities exist? The rural nature of our state
makes it tough for some who may have limited access to
transportation. Other factors are related to diet, cultural
differences, education, heredity and income levels. And in some
cases, it’s a problem of having adequate access to health care.
These are just a few of the many reasons that make this such a
difficult issue to solve.
In this age of medical and technological advances, such gaps in
health should not exist. Gov. Mark Sanford has also repeatedly
argued that health care disparities affecting our minority
populations, particularly in rural and underserved areas of the
state, can no longer be treated with a one-size-fits-all
solution.
Action is required to improve three important areas that
contribute to widening disparities among minority groups. The rural
nature of South Carolina’s population is an impediment to outreach
programs that we must also overcome:
• Health education — communicating
health-related information across geographic, income, racial and
ethnic divides.
• Access to and availability of
health care facilities and resources.
• Continued community-based
participatory research.
The governor and Mrs. Sanford’s initiative, Healthy South
Carolina Challenge, is providing motivation and guidance to help
community outreach groups and rural health centers aggressively
pursue solutions. Healthy South Carolina has partnered with the AME
church’s Health-E-AME program to educate and promote healthy
lifestyle changes among minority populations. It is imperative that
we spend dollars wisely to increase awareness of health care
disparities among not only the public, but also health care
providers, insurance companies and policy makers.
Faith-based health centers are leading the way in bringing health
care resources to the people. These programs provide information
regarding blood pressure and cholesterol screenings, diabetes tests
and health and nutrition seminars.
Community health centers throughout our state provide medical
homes to help identify, monitor and control chronic, often
life-threatening conditions. Additionally, programs are under way to
recruit individuals from economically and geographically
disadvantaged areas into medical fields. Many will return to serve
their respective home areas. Providing people with continuity of
medical supervision and preventative care will help drive medical
costs down.
South Carolina is fortunate to have research universities and
colleges dedicated to eradicating disease and eliminating
disparities among all populations. They each bring a unique
perspective to outcome-based research. Concentrations range from
eliminating health disparities to eradicating diseases. Our
community health centers also provide a valuable network of hands-on
medical personnel to feed back to our universities and colleges
conducting research to ensure that data is current and goals are on
target.
Providing our citizens with quality health care and eliminating
disparities among minorities is one of the biggest challenges facing
our state and nation, but I truly believe that with all of us
working together we can have a positive impact on the negative
numbers that have ranked our state one of the “unhealthiest states.”
A great start this month is the First Annual Community Health
Awareness Day set for 9 a.m. to 2 p.m. today at the William Jennings
Bryan Dorn VA Medical Center in Columbia. There will be free
screenings for a variety of health issues and activities for
kids.
I support the governor’s Healthy South Carolina Challenge and
urge to you visit its Web site, http://www.healthysc.gov/, for
information about events in your area and tips to help you daily in
your quest for healthy living.
Mr. Graham is South Carolina’s senior senator. |