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Minorities and the Uninsured at Greatest Risk of Suffering Malpractice

BY Christopher D. Bernard
July 27, 2011

Consumers of health care in the United States run a significant risk of being injured or killed by medical malpractice. More than a dozen years ago the Institute of Medicine reported that as many as 98,000 people die each year as a result of medical errors. Linda T. Kohn, Janet M. Corrigan and Molly S. Donaldson, eds., 2000, To Err Is Human: Building a Safer Health System. Washington, DC, National Academy Press. A far greater number, estimated at about one million per year, is injured each year by medical errors. Id. More recent data shows that little, if any, progress has been made in improving patient safety. Medical mistakes are still the sixth leading cause of death in this country. See Centers for Disease Control and Prevention, www.cdc.gov/nchs/fastats/lcod.htm. But these numbers tell only part of the story, because when it comes to quality of medical care in the United States, all patients are not treated equally. Minorities, poor people and those without private insurance are more likely to receive substandard care and to suffer the consequences.

Minority Patient Health Care: Statistics Tell the Story

Since 2003, the Agency for Healthcare Research and Quality (AHRQ), a branch of the Department of Health and Human Services (HHS), has been collecting and publishing data on the quality of health care in America, and disparities in the delivery of that health care. The 2010 reports, released at the end of February of this year, reveal the scope and magnitude of the problem of substandard care for minority, low-income and uninsured patients (www.ahrq.gov/qual/qrdr10.htm). They show that there has been very little, if any, progress in closing the gap. “The reports indicate that few disparities in quality of care are getting smaller, and almost no disparities in access to care are getting smaller. Overall, blacks, American Indians and Alaska natives received worse care than Whites for about 40 percent of core measures. Asians received worse care than Whites for about 20 percent of core measures. And Hispanics received worse care than Whites for about 60 percent of core measures. Poor people received worse care than high-income people for about 80 percent of core measures.” AHRQ Press release, Feb. 28, 2011, www.ahrq.gov/news/press/pr2011/qrdr10pr.htm.

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