Health-care sector is an integral component of American economy. Employing 11 percent of people, this industry accounts for an important share of both government spending and consumer expenses.

Still, African Americans face many health care obstacles that disproportionately impede their wellbeing. These include high insurance premiums, gaps in coverage and poor outcomes.


Cost of healthcare is a growing concern in America. Since 2001, health insurance premiums have more than doubled – outpacing inflation by far. While some of this growth can be attributed to technological advancement and chronic disease prevalence rates, others can be linked to provider costs which have experienced three times greater increases than overall spending on health-care spending. According to Health Care Cost Institute studies provider prices have seen tripled increases.

This rapid increase in healthcare costs is cause for grave alarm, not only because it restricts access to care for those without coverage but also because its rising cost puts strain on other essential government functions, including education, infrastructure development and research and development. When healthcare costs rise they must be covered either through higher taxes or cuts to other programs – or both will occur simultaneously.

High health-care costs might seem justified when they result in better population health outcomes; unfortunately, that isn’t the case. When compared with other wealthy nations on various metrics, we rank lower on life expectancy, access and out-of-pocket expenditures than them.

Some of this gap can be explained by Americans’ high usage, but most of it reflects high prices. While other goods and services benefit from competition and market forces that drive prices down to reflect production costs while satisfying consumer demand, health-care markets remain especially opaque, which allows providers to charge substantially higher than in other markets while remaining financially solvent.

As hospitals become larger and more powerful in certain communities, consolidations of healthcare providers lead to monopoly-like pricing structures that prevent normal downward price pressures from operating effectively – as such, U.S. citizens pay over twice as much for health care per capita compared to citizens from other nations.

Healthcare costs can be a strain for families. Four in 10 adults report entering debt to pay medical bills, with Black and Hispanic adults, parents, those living on low incomes and uninsured individuals being particularly likely to fall behind on payments for health expenses. Many unsecured debts arise through using credit cards or loans from family/friends in order to cover medical bills.


Health care costs account for an outsized share of household income. They depress wages and limit job availability; sap wealth that could otherwise support family budgets or investments in community assets; drive up housing and food costs, as well as increasing education and retirement costs for families.

People without health insurance face additional ramifications when receiving care; often incurring unmanageable medical bills when doing so. Without health coverage, they may delay necessary care until emergency rooms open their doors – diverting scarce resources away from other hospital systems in need. This has far-reaching repercussions for patients and communities in general; its impact being particularly devastating among Black Americans who remain two times more likely than other groups to remain uninsured despite expanded coverage programs and insurance market reforms implemented under the Affordable Care Act.

Though the United States boasts an advanced, private health care system, it cannot be considered free market in any meaningful sense. Market distortions result from rent-seeking and monopoly power as well as flaws in health insurance designs and other markets.

Many Americans view our health care system as unequal. Certain communities spend far more on health care than others even after accounting for differences in age and sex; this disparity stems largely from structural inequities and biases which hinder access to the latest scientific advancements, preventive services and effective diagnosis and treatment options.

Poorer communities may find it harder than their wealthier counterparts to access care when they need it, particularly rural and urban settings. Racial minorities also face greater difficulty accessing quality healthcare providers due to low rates of access and higher prevalence of chronic diseases.

Many individuals feel as if the system is failing them, yet efforts are being undertaken to address their concerns. Some initiatives aim to lower drug prices by mandating manufacturers negotiate directly with insurers while pharmacists inform customers when paying cash may provide better value than going through insurance plans.


The Centers for Disease Control and Prevention reports that high-quality healthcare plays an integral part in helping people live longer, healthier lives. Interventions like lowering costs, expanding insurance coverage and using telehealth to expand access can improve access. Education, prevention and social support services also play important roles. A healthy community can better weather crises – for instance a well-stocked pantry may assist families during an economic downturn; also healthy children attend more days per year at school while their healthy parents can be more productive at work. If you want to learn more about the healthiest states in the U.S. there are a lot of data about it online.

Health-related expenses account for an important share of economic expenditure, but are one of the least evenly distributed forms of spending. Only 3 percent of total health expenditures come from lower half populations while 22 percent come from top 1 percent individuals.

Even in such a wealthy nation as the United States, many residents cannot afford the care they require. A variety of factors contribute to this problem, including rural and low-income communities lacking affordable healthcare options; rural residents lack adequate access to primary care physicians; more than 7,000 primary care shortage areas exist nationwide while over 6, 000 dental shortage areas do as well as 5, 500 mental health shortage areas.

Community health centers are providing an effective solution for these challenges. These federally funded organizations offer medical, dental and behavioral healthcare options for communities with limited resources as well as educational programs to better inform residents on how best to meet their healthcare needs.

American communities can improve healthcare by having access to the latest research on preventive practices, from immunizations to lifestyle modifications. Public health officials promote these initiatives among both healthcare providers and members of the general public – and often provide funds that enable communities to implement them successfully.

The United States has long relied on research and data to advance public health and wellbeing, such as through the CDC’s Prevention Research Centers (PRC) program that uses research alongside implementation to reduce chronic disease mortality rates and disability; creating healthier communities while decreasing healthcare costs simultaneously.


United States healthcare spending consumes a large share of national income and government budgets, coming second only to military expenditure in terms of percentage of GDP spent, but even this number belies the fact that Americans pay more for poorer health outcomes compared with other rich countries (Papanicolas, Woskie & Jha 2018). Furthermore, we experience high rates of morbidity and mortality among people of color due to structural barriers within healthcare delivery as well as discrimination experienced daily – contributing further to poor outcomes for many communities living here.

Community-based health programs are invaluable resources for people without access to traditional medical services and those at greater risk for chronic illnesses or conditions. Such initiatives often partner with local political systems, social work agencies, schools and schools in coordinating disease prevention programs; providing education on healthy lifestyle choices and screening/treatment services; as well as conducting public outreach through radio broadcasts, billboards or social media posts.

Even with increased access to health insurance provided by the Affordable Care Act and a surge in enrollment during COVID-19 pandemic, people of color continue to face an increased risk of uninsurance due to multiple factors including difficulty in navigating insurance marketplaces and enrollment policies and limited community-based support resources. Rural areas also suffer due to limited provider accessibility; similarly people living with a disability face additional obstacles when accessing care due to any limitations caused by their condition.

Health inequities that persist are frequently tied to wider inequalities in socioeconomic status, education and housing; disparities are particularly challenging for those already facing multiple inequities, making equity an essential element of federal health-care policies and programs. The Biden Administration has made health equity one of its top priorities with several executive orders that establish health equity as part of federal policies and programs.