Social and economic inequality Poor healthcare Look at

Social and economic inequality- Poor healthcare Look at these two logos. What do you think each of them are? What do they represent?

Today we will… • Identify groups who face health inequalities in the USA. • Examine why some groups are more likely to suffer health related inequalities than others Success Criteria • I will be able to explain the health inequalities that exist in the USA. • I will be able to describe what Medicaid and Medicare are. • I will be able to identify Obama’s planned reform.

Health • Selected health statistics by ethnic group Infant mortality rates (per 1, 000 births) 2009 Whites Blacks Hispanics Asians Native Amer. 5. 76 13. 63 6. 01 4. 89 8. 06 In basic terms, infant mortality rates for Black and Hispanic Americans are higher than for white Americans which suggests that whites (and Asians) have better health. • https: //www. youtube. com/watch? v=AODAk-acc. Vc 3

Black and Hispanic children are Blacks and Hispanics are 3 less likely to visit the doctor; times more likely to have no roughly 7. 3 million children without medical insurance cover. insurance – most are Black of Hispanic African American women are more likely African Americans to die in childages 35 -64 years Health Problems are 50% more birth than any likely to have high other group. Faced by Black and blood pressure than whites Obesity: 30% of Blacks and 25% of Hispanics are obese. Hispanic Americans. Linked to drug abuse is the incidence of AIDS. This is on the increase. Drug and gang related problems mean Blacks and Hispanics are more likely to die from guns and drugs.

Health Insurance • The USA does not have a National Health Service like Britain. • In Britain the money for the NHS is taken directly from everyone’s wages each month. • In the USA people have to take out private health insurance for themselves or their families What health issues exist in the USA?

Why are there Inequalities? • There were 49. 9 million uninsured Americans in 2010 making up 16. 3% of the total population. • In 2017, the figure had dropped but was still high – approximately 8% of Americans were uninsured accounting for 28 million Americans. • It is estimated that 26. 9% of people earning less than $25, 000 a year were uninsured. • Many people may be unemployed and therefore do not get cover from an employer. • Not all employers provide insurance.

Percentage of adults aged 18 – 64 who were uninsured 2010 – June 2017 Although there have been clear improvements in the number of people getting health insurance in the past 7 years it is clear that inequality still exists in healthcare regarding race: Hispanics and African Americans are still more likely to be uninsured.

Lack of routine care – health problems may not be detected before they become serious People with no insurance are more likely to die before seeking medical help than an insured person. What are the consequences of not having health insurance in the USA? Debt which can lead to poverty – with the average cost of medical care without insurance extremely high, the impact is often very great financially Inability to work leading to poverty… causing further issues as unable to obtain health insurance

1. Describe, in detail, two causes of social inequality in the USA. 6 One cause of social inequality in the USA is. . This causes inequality because… For example,

Homework Questions – Due Monday 16 th September 1. Explain, in detail, why some groups of people are poorly represented in the government of the world power you have studied. Give a maximum of two reasons in your answer. In your answer you must state the world power you have studied. 6 2. Explain, in detail, the purpose of two main political institutions of the government of a world power you have studied. In your answer you should state the world power you have studied. 6

I can • I can explain the health inequalities that exist in the USA. • I can describe what Medicaid and Medicare are. • I can identify Obama’s planned reform.