Hillary's Healthcare Plan Will Help African Americans

Cross-posted from DailyKos

Yesterday I posted a diary with information on how Hillary's new healthcare plan (The American Health Choices Plan ) will help women get the care they need.  The campaign's releasing a series of reports on how this plan will help various constituencies, and I thought we'd focus on how it'll help African Americans today.

Make the jump with me to learn more...

Hillary's campaign just released THIS REPORT yesterday and I thought it was worth sharing and discussing here.  First, a bit of the intro from the report...

Clinton Health Plan Will Provide Quality Health Care and Coverage for All African Americans
Clinton Health Plan Will Reduce Health Disparities

ARLINGTON, VA - Millions of African Americans will benefit from the American Health Choices Plan released this week by Senator Hillary Clinton. The Democratic presidential candidate's health plan provides comprehensive health care for all Americans, reduces health care costs for working families and strengthens the safety net for low income Americans. Under the plan, 7.7 million African Americans without health insurance will receive high quality, affordable care.

Senator Clinton's health plan will vastly improve access to preventive measures that slow the onset of diseases, as well as allow millions of African Americans access to better medical care. African Americans suffer disproportionately from chronic illnesses, such as diabetes certain cancers and heart disease.

"My plan will address health disparities by providing preventive, affordable, high quality care for all African Americans," said Hillary Clinton.

Under the American Health Choices Plan, tax credits will be available to help working families cover healthcare costs and insurance companies will no longer be permitted to deny coverage for a pre-existing or genetic condition. For people who change jobs, under the Clinton plan they will not lose their healthcare coverage.

Now what follows focuses a bit on the plan overall, but I found the statistics and numbers (ok I'm a bit of a geek where numbers go) pretty interesting - shocking even...

The following report is one in a series that the campaign will release to demonstrate how Clinton's American Health Choices Plan will impact various communities.

The American Health Choices Plan:
Ensuring African Americans Get the Care They Need

Guaranteed Health Care Coverage for All African Americans

If you are one of the seven million seven hundred thousand African Americans without health insurance, this plan will provide high quality health care coverage at a cost you can afford. You will be able to buy into the same health insurance program Members of Congress receive, which includes plans that cover prevention services that significantly increase the chance of catching diseases early, as well as mental health services and dental care in most cases. You will also have access to a new public option like Medicare.

If you are one of the 18.4 million African Americans with employer-sponsored coverage, this plan will provide you with more security, and allow you to pay less and receive higher quality coverage. You will no longer have to worry about losing your coverage if you change jobs, and you will not be denied coverage based on a pre-existing or genetic condition. Insurance companies will have to renew each plan at an affordable price. Coverage will also be portable for those who change jobs, but want to maintain the same plan through the new menu of health choices.

If you are part of the 45 percent of African American children or the 19 percent of African American adults participating in the Children's Health Insurance Program or Medicaid, this plan will fix the holes in the safety net to ensure that you receive affordable, quality care. Public hospitals and community health centers will also continue to receive support to serve vulnerable populations. Twenty five percent of African American men are uninsured and 21 percent do not have a usual source of health insurance, in part, because they are not eligible for Medicaid. This plan will expand Medicaid eligibility to childless adults.

Universal Coverage: Our Best Weapon Against Racial Health Disparities. Senator Clinton's plan to ensure universal health coverage is vital to closing the disturbing racial and ethnic health disparities that are pervasive throughout our health care system. On virtually every measure of health and well-being, African Americans fare worse than whites. African Americans are less likely to have health insurance, receive lower quality care, are more likely to have many chronic diseases and injuries, and are more likely to die prematurely.

The infant mortality and disease-related mortality rates are almost twice as high for African Americans as they are for whites (13.6 vs. 5.7 and 49.2 vs. 23, respectively).
African Americans are twice as likely as whites to have diabetes.
African Americans develop cancer at a higher rate than any other racial or ethnic group. African Americans have the highest cancer death rate than any other racial or ethnic group.
The AIDS case rate is ten times higher among Black Americans that whites (68.7 out of every 100,000 vs. 6.9 for whites).
African Americans are less likely to be diagnosed as having depression and, once diagnosed, less likely to receive antidepressants and more likely to receive cheaper, less effective medications.
Blacks are more likely to die of heart disease than any other racial or ethnic group.
About one-third (36%) of African American adults visited an emergency room for a condition that could have been treated by a regular doctor if one had been available, compared to 19% of Hispanics and whites.
African American men have the highest death rate of any racial or ethnic group.

While many factors, such as the environment, contribute to the disparities in health outcomes, no factor matters more than access to health insurance. Health disparities mirror disparities in coverage: one fifth of African-Americans are uninsured compared with one in ten whites, and one quarter of African American men lacked health insurance in 2005.

Lower Cost and Better Care for African American Families and Businesses

In addition to tacking these coverage gaps, Senator Clinton's plan will offer improved quality and lower costs for the millions of African American families who are under-insured today.

Closing the Quality Gap - Among African Americans who have insurance, it's likely to be lower quality. Only half of black women have employer-based health care compared with two thirds of white women. Nearly a third of African American women experience gaps in their health care coverage over the course of a year compared with less than a quarter of white women. Because of barriers to quality private coverage, African Americans are also more likely to rely on public programs. Close to twenty percent of non-elderly African Americans are enrolled in Medicaid. Forty-five percent of African American children participate in Medicaid - twice the rate of Medicaid coverage of white children. By offering new quality healthcare choices to all Americans, while strengthening our public programs like Medicaid and SCHIP, Senator Clinton's plan will work to close these quality gaps.

Affordable Coverage - Premiums have skyrocketed over the last several years - nearly double since 2000 while incomes have remained stagnant and disparities between African Americans and whites persist. The average income in African American households today is roughly $31,900 compared with $50,700 for whites. In order to ensure that quality health care is affordable, Hillary's plan creates a premium affordability tax credit that will ensure that no family has to choose between the mortgage and their healthcare bills. [Working families will receive a refundable tax credit to help them afford high-quality health coverage.

Eliminate Racial and Ethnic Disparities in Health Care - In 2003, the Agency for Healthcare Research and Quality (AHRQ) found "that racial, ethnic and socioeconomic disparities are national problems that affect health care at all points in the process, at all sites of care, and for all medical conditions - in fact, disparities are pervasive in our health care system." Hillary's plan requires the development and testing of quality measures for use by doctors, hospitals, nursing homes and other providers targeted at eliminating racial and ethnic disparities in health care. It directs the Department of Health and Human Services (HHS) to develop a uniform reporting format for the collection of quality information on race and ethnicity, so that we can know the full extent of the problem and measure our progress in addressing it. It provides $50 million in federal funding for the development of culturally and linguistically competent clinical care programs, to ensure that our healthcare providers can communicate with their patients and have training and skills to fully understand and respect cultural differences in the patients they serve. The plan addresses diversity and cultural competency in the healthcare workforce by providing opportunities and incentives to encourage greater diversity in our health care workforce through recruitment initiatives, scholarships and loan-forgiveness programs.

Support for Small Businesses - The American Health Choices Plan recognizes the important role small businesses play in generating new jobs, particularly among African Americans. Small businesses have created 80% of new jobs since 1990. Between 1997 and 2004, the number of small businesses owned by African American women grew by 33% and employment at those firms grew by 50%. The number owned by African American men rose 29% between 1997 and 2002, according to a study by the Small Business Administration. Yet because small businesses employ fewer people and have less purchasing power, health insurance tends to be more expensive for small businesses and fewer are able to make this benefit available. Under this plan, small businesses who provide high quality health insurance will receive a significant tax credit (e.g. covering 50 percent of premiums). This will increase the competitiveness of small businesses and expand access to employer-based health coverage for African Americans.

Better Care for the Chronically Ill - The American Health Choices Plan will promote innovative chronic care management programs to help those with diabetes, heart disease, cancer, and more, which are more prevalent among African Americans. The American Health Choices Plan will ensure higher quality and better coordination of care by using state-of-the-art chronic care coordination models and innovative models, such as "medical homes," within federally-funded programs to provide care for Americans afflicted with these costly, multi-faceted illnesses. According to a recent study from the Commonwealth Fund, a delivery system such as the "medical home" model of care shows great promise for eliminating racial disparities. This plan also creates a new Best Practices Institute, which will work as a partnership between the private sector and the already existing Agency for Healthcare Research and Quality to fund research on the effectiveness of alternative treatments such as pharmaceuticals, medical devices, and surgeries.

A Focus on Prevention - Only half of recommended clinical preventive services are provided to adults and less than half of adults had their doctors provide them advice on weight, nutrition, or exercise. Only 38 percent of adults receive recommended colorectal screening. Hypertension contributes to 35 percent of all heart disease and dramatically increases the risk of stroke, yet only one in three people with this condition know it, despite simple, proven screening tests. African Americans are at the highest risk for hypertension of any ethnic or racial group. The American Health Choices Plan requires coverage of preventive services that experts agree are proven and effective.

I usually have more to add to these diaries, but since I'm not an African American I won't presume to know how badly the community is hurt by our current health care system (sic).  I only know that - given Hillary's dedication to improving the lives of America's children, her voting record and the initiatives she's proposed as a Senator, her experience in trying to reform our broken system in the `90s and the lessons she's learned from that experience, and her willingness and ability to work with all parties to this effort, she is the one person who'll actually make it happen this time.

Here we have the right plan, and the right person to get the job done.

Ok, as an aside I'd like to invite everyone to check out our recently launched blog, HillarysBloggers.com, a place for adults to come together to discuss Hillary's historic run for the White House, her past accomplishments, and her plans for fixing what Dubbya broke these last 6 & a half years.

Consider this your official invitation - please join us.

Tags: 2008 elections, African Americans, Health care, Hillary Clinton, president (all tags)

Comments

19 Comments

Tips?

Busy week eh?

Ok have at it - but please be respectful of each other and share thoughtful and insightful comments.

Yeah yeah I know - Ok try this... be NICE! ;

by alegre 2007-09-19 01:01PM | 0 recs
Edwards' health care plan

provides for universal coverage and contains many of the same provisions you highlighted.

I trust Edwards more to fight for universal coverage. I think Hillary is more likely to cave to the corporate interests that profit from the current system.

by desmoinesdem 2007-09-19 03:20PM | 0 recs
Two diaries in a row?

This is double-posted. Please delete one of the diaries.

by clarkent 2007-09-19 01:06PM | 0 recs
Didn't Realize the First One Went Up

Got an error message (server went down) when I first tried to post this and hit publish or reload when the server came back up.

The first one's been deleted - thanks for calling this to my attention.

by alegre 2007-09-19 01:17PM | 0 recs
Re: Didn't Realize the First One Went Up

Who the hell said it did?  You've become a caricature.

by bookgrl 2007-09-19 01:34PM | 0 recs
Why single out one group?

Isn't her plan to help EVERYONE?  What is up with this?

by iamready 2007-09-19 01:45PM | 0 recs
It's the Second in A Series of Reports

on verious constituencies.  If you'd read my diary you would have noticed that I linked a diary I did yesterday on her report re the benefits to women.

And they've just come out with one regarding the gaps in care for Hispanics, and how Hillary's plan will help close those gaps.

by alegre 2007-09-19 07:16PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

I too have a problem breaking the Health Care Choices plan down into racial benefits. If Hillary doesn't put out a detailed report for all racial groups in America this sort of thing becomes nothing more than pandering for votes. The sense I got from her speech and webcast is that this plan is for ALL Americans. Frankly I am tired of the politics that divide us based upon race, gender or sexual preference. What's next: How Hillary's Health Care Choices plan helps homo and bi sexual Americans? Or transgendered Americans? What about Native Americans that suffer some of the worst health and health benefit deficiencies? Where does it end.

Enough of the pandering. Bring on more details as to how this plan will benefit ALL Americans and let it be something that brings us together as a nation.

by DoIT 2007-09-19 01:53PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

It's not pandering when your competitors are sayong they are the best on african american issues you have to address the needs of african american voters.  But, she's done this for several groups, including women.  There are huge disparities in health outcomes abd health care acces particularly for african american women.  I see nothing wrong with addressing real needs of subsets of voters.

by bookgrl 2007-09-19 02:07PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

But your argument boils down to: Because our competitors are pandering we have to pander to. It may be ok with you (and probably lots of other folks) but it isn't with me.

by DoIT 2007-09-19 02:13PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

Ah, no, you have to let people know that you see their issues.  There is nothing wrong with that.  Ever read the book "Race Matters" by Cornell West?  Race matters in this country.  Pretending it doesn't won't change anything.  Hillary has told older group's how her plans will help their communities, women, latino's rural voters, black voters*there's alot of overlap their). I don't think that's pandering.  I think that's responsible.  If someone goes out of their way to say no one cares more about your issues than I do, well, I think you have to respond to that.  Pandering, IMO, is lip service.  Not noting actual statistics and addressing them.

by bookgrl 2007-09-19 02:17PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

You apparently look at this as a political person. I don't. I view it as an American citizen. Also as an American citizen that watched my grandmother cut back on the medicine she needed to be without pain because she couldn't afford to take it. And someone whose mother was so confused by the Medicare prescription drug benefit that she didn't apply for any of them. And someone that has had to endure serious pain because insurance companies refused to cover a "pre-existing" condition. And I am also one of the 47 million Americans that has no health care insurance. NONE! So I think I have a right to state my opinions.

No, I have not read the book you mention. Perhaps race matters to some but it means very little to me. I approach other people as a human being, not as some white guy. And I get along with almost everyone except racists, bigots, fascists, republicans and complete frickin idiots quite well. In my opinion people use race to separate and segregate themselves from one another. There are indeed physical differences between us but in all actually they are minor differences that people blow way out of proportion. I am a die hard aging hippie. That is how I view the world and how I interact with others. I still believe in Dr. King's dream and I do my best everyday to live it.

As I have stated many times, I am just a citizen. And indeed I see things much differently than political operatives. But at least my interests and opinions are honest and not lockstep on message zombie speak.

by DoIT 2007-09-19 02:57PM | 0 recs
Race matters in america. Outcomes

show enormous disparities.  Why should we pretend it doesn't?  That's the worst kind of political correctness.  I'm not seeing this as a "political person".  I see this as an american citizen.  Hillary is addressing older people, latino's, women, all sorts of groups who traditionally disseminate information among themselves.  I can't for the life of me think of why anyone would be bothered by that.  Pandering isn't backed up with statistics and solutions.    

by bookgrl 2007-09-19 03:04PM | 0 recs
Re: Race matters in america. Outcomes

Linking me with political correctness is silly. If anything I am unconstrained by such idiocy. I don't know that I could say the same about you. But I am not interested in arguing with you. In your universe you and Hillary are right about everything under the sun. I support her but I don't worship her.

by DoIT 2007-09-19 11:32PM | 0 recs
Re: Hillary's Healthcare Plan Will Help Everyone

You know, this has absolutely nothing to do with you or anyone else personally.  This has to do with actual disparities that exsist in out health care system and indeed our health outcomes.

by bookgrl 2007-09-19 03:06PM | 0 recs
Umm... She IS Putting Out Reports re Other Groups

I have a feeling I'm going to have to type this out a lot in this thread so maybe I should just copy & paste in repeating it...

It's the second in a series of reports on verious constituencies.  If you'd read my diary you would have noticed that I linked a diary I did yesterday on her report re the benefits to women.

And they've just come out with one regarding the gaps in care for Hispanics, and how Hillary's plan will help close those gaps.


by alegre 2007-09-19 07:19PM | 0 recs
Did ANY of You Read My Diary?

I mean actually read it?

If you did you would have seen this...

Yesterday I posted a diary with information on how Hillary's new healthcare plan (The American Health Choices Plan ) will help women get the care they need.  The campaign's releasing a series of reports on how this plan will help various constituencies, and I thought we'd focus on how it'll help African Americans today.

and this...

The following report is one in a series that the campaign will release to demonstrate how Clinton's American Health Choices Plan will impact various communities.

Hullo????

by alegre 2007-09-19 07:23PM | 0 recs
Re: Did ANY of You Read My Diary?

Don't get fooled.

Hillary has a healthcare plan to help African Americans?
After her husband sign many laws (yes, he didn't VETO) that sent blacks massively to prisons instead of building schools?

By the way, her plan will never pass because she is very polarizing.  

Her plan is a political stunt to get some votes and complain later that republicans didn't want us to have any Universal healthcare plan. This is exactly what lobbyists want.

by win 2007-09-19 07:29PM | 0 recs
Re: Did ANY of You Read My Diary?

You act as if someone, anyone that disagrees with you is a dumb ass. The attitude is enough to make any reasonable person turn off from what you are saying and distance themselves from your candidate. Learn to respect others and other points of view. It is a healthy practice. Good for the soul and personal growth.

by DoIT 2007-09-19 11:36PM | 0 recs

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