As the nation marks one year since the landmark health reform law was enacted, the law is showing a great deal of promise for improving the health status of African Americans and other people of color, according to the Joint Center for Political and Economic Studies.

“Our research and policy analysis has found that if the Patient Protection and Affordable Care Act (ACA) is properly implemented and funded, it will reduce the racial and ethnic health inequities that are present among all age groups in our country,” said Ralph B. Everett, the Joint Center’s President and CEO.

This article was previously available at The Washington Informer.

It's well documented that African Americans and other ethnic minorities have disproportionately higher rates of poor health, including infant mortality and most chronic conditions — heart disease, stroke, cancer, HIV/AIDS, asthma and diabetes, among others. Racial differences in health have persisted for so long that they're largely seen as a standard fact of life, even though, truth is, these differences are avoidable. So when President Barack Obama tasked Congress with sending a health care reform bill to his desk in 2009, the Congressional Black Caucus saw a huge opportunity.

"We'd already introduced a bill called the Health Equity and Accountability Act for the past several Congresses, so our work on this issue started long before the health care reform debate started," Virgin Islands Rep. Donna Christensen told The Root. In response to the president's charge, the CBC members promptly accelerated their efforts to tackle health disparities. They conferred with the National Medical Association and other black health groups, developed benchmarks that they wanted to see in the bill, formed a united front with other ethnic congressional caucuses and met on three occasions with President Obama.

---

While the health care reform law achieves a number of important steps to start eliminating racial difference in health quality, it also falls short, say policy experts. Brian Smedley, vice president for the Health Policy Institute at the Joint Center for Political and Economic Studies, underscores Christensen's argument that ZIP code determines a person's health more than genetic code. He argues that the law doesn't put enough resources behind community-based prevention to tackle the reasons that African Americans get so sick in the first place.

"Health care coverage and clinical prevention screenings are important, but they're not the root causes of health inequities. When you look across the gamut of diseases that people of color disproportionately suffer from, at their root are inequitable neighborhood conditions," Smedley told The Root, echoing the problems of abundant fast-food retailers, environmental injustice and a lack of access to outdoor recreational facilities in many low-income neighborhoods of color. He proposes that federal agencies, such as the Environmental Protection Agency and the Department of Housing and Urban Development, collaborate to make neighborhoods healthier.

Read more at National Public Radio.

Racial/ethnic disparities in health and health care in the United States are persistent and well documented. Communities of color fare far worse than their white counterparts across a range of health indicators: life expectancy, infant mortality, prevalence of chronic diseases, self-rated health status, insurance coverage, and many others. As the nation’s population continues to become increasingly diverse—people of color are projected to comprise 54% of the U.S. population by 2050 and more than half of U.S. children by 2023— these disparities are likely to grow if left unaddressed. Recent health care reform legislation, while not a panacea for eliminating health disparities, offers an important first step and an unprecedented opportunity to improve health equity in the United States.

Available in PDF Format Only.

To download this publication, click the file icon below.

The Director of the Joint Center’s Health Policy Institute, Dr. Brian D. Smedley, discusses the health implications of an Obama administration and the challenges to health care reform in trying economic times.