Reframing the Racial Disparities Issue for State Governments

Deborah A. Stone

37 citations0/0 files storedJournal of Health Politics Policy and Law

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Health disparities and outcomes Healthcare Policy and Management Public Health Policies and Education

Abstract

Although racial and ethnic disparities in health have been on the federal government's agenda since 1985, no policy reforms have significantly reduced disparities. The question arises whether states can effectively address this issue without waiting for solutions from the national government. The purpose of this article is to propose ways of reframing the disparities issue that might give state policy makers more leverage and might strengthen political will to address the issue. I suggest a moral frame based on a concept of distributive justice in which medical care must be distributed according to need. I explain the rationales for such a frame and consider its strategic advantages and disadvantages. In the last section, I suggest some policies based on this framing that are within the power of state legislatures.

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References

2000Framing Processes and Social Movements: An Overview and Assessment 2000Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model 1996Effects of Race and Income on Mortality and Use of Services among Medicare Beneficiaries 2002Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care 1984The Disabled State 2003The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care 1989How Citizens Think about National Issues: A Matter of Responsibility 2000Racial and Ethnic Differences in Preventable Hospitalizations across 10 States

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2014From Policy “Frames” to “Framing”2011Who Deserves Health Care? The Effects of Causal Attributions and Group Cues on Public Attitudes About Responsibility for Health Care Costs 2010Playing Fair: Fairness Beliefs and Health Policy Preferences in the United States 2012Changes in Racial-Ethnic Disparities in Use and Adequacy of Mental Health Care in the United States, 1990–2003 2014

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