Check it out, Eberly.
The health care institutions know that they themselves are problematic institutions!
And so they try to address the problem of "Health Disparities."
Our Commitment to Reducing Disparities in Health Care
Impact of Racial and Ethnic Disparities in Health Care
History of Racial and Ethnic Equality Chairman's Initiative
Data Collection Methods / Analytical Tools and Output
Putting the Data to Work
Awards and Recognition
Health equity means helping people be the healthiest they can be. It also means getting rid of inequalities, or unfair differences, in how people are given health care. These inequalities are also known as health disparities.
Health disparities can be based on a person's:
NCQA, which is the national quality accreditation body for health plans, offers a sort of certification called a "distinction" in multicultural health care:
NCQA Distinction in Multicultural Health Care identifies organizations - health plans, MCOs, MBHOs, wellness and population health organizations and others - that lead the market in providing culturally and linguistically sensitive services, and working to reduce health care disparities.
But, that's just one set of institutions.
Here's another: The fifty states.
An example of a real-world thing a state government could do to try to reduce health disparities is, hopefully obviously, Medicaid Expansion:
Medicaid Expansion Helps Address Health Disparities
How the Affordable Care Act Has Narrowed Racial and Ethnic Disparities in Access to Health Care
Medicaid Expansion May Close Racial Health Disparities, Care Gaps
Now, when a State government doesn't go for Medicare Expansion, which as I'm sure you're aware is only a handful of Red states, you probably wouldn't agree that decision was motivated by racism...
But maybe you can agree that by not expanding Medicare it perpetuates that State's "problematic institution."
(Just google the stuff if those links don't survive the trip to Publish Comment. Health care companies have ------ webmasters and let all kinds of crap in their URLs that you'd never see from a normal commercial business that relies on customers being able to access their websites.)