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Single-Payer Reform and Rural Health in the United States: Lessons from Our Northern Neighbor
Abstract
Single-payer health reform has secured its place in the mainstream American health policy debate, yet its implications for particular subpopulations or sectors of care remain understudied. Amidst many unanswered questions from policymakers and political pundits, rural health has emerged as one such area. This article explores rural Canada’s five-decade-long experience with a national publicly funded health insurance program as a valuable opportunity for cross-national learning. During March 2020, I conducted 13 semi-structured, elite stakeholder interviews with government officials, academic researchers, rural hospital executives, public health association leaders, rural health administrators, and representatives from provincial medical, hospital, and physician associations in Ontario. I found that a single-payer model confers notable advantages over a market-based model, includ
Essential workers worry they are being left behind as other groups are prioritized for vaccines
By Deanna Pan Globe Staff,Updated March 9, 2021, 7:56 p.m.
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Adrian Ventura, executive director of Centro Comunitario de Trabajadores, is deeply worried about how the COVID-19 vaccines will reach New Bedford s fish house workers.Erin Clark/Globe Staff
NEW BEDFORD â A year ago, they were hailed as heroes, risking their lives for little pay in supermarkets, warehouses, and food-processing plants so Americans could stay well-fed and fully stocked during the deadliest pandemic in a century.
But now many essential workers, despite bearing an outsize burden of coronavirus infections, worry they have been forgotten in the rush to vaccinate an eager populace against COVID-19, as the state and federal government continually reprioritize who should have access to the coveted doses.
Exposing some deep flaws in our healthcare system: Communities of color, which have borne the brunt of the Covid-19 pandemic in the United States, have also received a smaller share of available vaccines. The vaccination rate for Black Americans is half that of white people, and the gap for Hispanic people is even larger, according to a New York Times analysis of