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Stacie B. Dusetzina, PhD
Health in the US is inequitable. Racial and ethnic minority populations, most notably those who identify as Black or African American, Hispanic or Latino, and Native American, American Indian, or Alaska Native, have more chronic disease,
1 worse self-reported health status,
2 and worse health outcomes than White individuals.
3 An increasing body of evidence points to access to care, quality of care, and social determinants of health, including the direct effects of racism and disadvantage, as playing key roles.
These issues are complex, but not intractable. Many of the circumstances that have led to the deep inequities observed in the US can be traced to either the intended or unintended consequences of policy decisions, and therefore those inequities can and should be addressed with policy solutions. In this Viewpoint we outline actions that the incoming federal administration could consider as they relate to access, quality, and social determinants o
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