Document Type

Journal Article

Publication Date



New England Journal of Medicine


Volume 361

Inclusive Pages



Emergent Care; Access to Health Care; Hospitals; Disparities; Quality Improvement


Members of minority groups have higher rates of disease, poorer health, and more limited access to care than their white counterparts. They account for half of the uninsured population and 58% of the low-income uninsured population. Even when they have coverage, minority patients are at risk for receiving lower-quality medical and surgical care than white patients. The factors underlying these inequities are complex and go far beyond the health care system,but any meaningful reform must, at a minimum, confront disparities in care. Health care reform provides a unique opportunity to reversea legacy of inequality in health and health care. This chance should not be squandered.

Open Access


Included in

Health Policy Commons



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