The Social Injustice Issue of Health Care

Introduction

Health care is an important and timely issue that reflects various forms of social injustice in the United States. The challenge of ensuring equal and equitable access to health care, respect for human dignity and diversity in health care provision, and mutual interdependence in health care systems, is a societal responsibility that requires critical examination. The principles of Equality and Equity in Opportunity, Respect for Human Dignity and Diversity, and Mutual Interdependence, which are foundational to the field of human relations, provide a lens through which this examination can occur. These principles are deeply embedded within human rights and the social justice ethos, and they also inform the ways in which health care systems should ideally function. This paper examines and discusses how health care disparities in the United States violate these principles, shedding light on the systemic social injustices inherent in the health care system. In doing so, it also emphasizes the imperative of addressing these disparities in the pursuit of social justice.

The Three Human Relations Principles

Equality and Equity in Opportunity

The principle of equality and equity in opportunity is founded on the ideal that all individuals, irrespective of their socio-economic background, race, or gender, should have the same level of access to opportunities. This principle is essential to any discussion of human rights and social justice, as it asserts that disparities in access to resources and opportunities are indicative of systemic inequities that need to be rectified (Marmot, 2005).

By the same token, equality refers to giving everyone the same resources, and equity involves distributing resources based on the needs of the recipients. Both concepts are crucial in promoting social justice and eliminating disparities (Braveman, 2014).

Respect for Human Dignity and Diversity

The principle of respect for human dignity and diversity is a cornerstone of human rights and social justice. It affirms the inherent worth and intrinsic value of every person, regardless of their race, ethnicity, religion, socio-economic status, or other characteristic. This principle originates from the Universal Declaration of Human Rights (1948), which posits that all human beings are born free and equal in dignity and rights. Respecting diversity involves acknowledging and valuing the differences among people, understanding that these differences enrich our humanity rather than detract from it (Banks, 2004).

Mutual Interdependence

Mutual interdependence implies that the wellbeing of each individual is connected to the wellbeing of others, and one's actions can significantly affect others. It asserts that society functions optimally when individuals recognize their interconnectedness and act in ways that promote collective wellbeing. This principle has roots in many philosophical and sociological theories, including systems theory, which posits that all elements of a system are interconnected and changes in one part of the system can impact the entire system (Bronfenbrenner, 1979). In the context of social justice, recognizing mutual interdependence can lead to policies and practices that promote collective wellbeing rather than individual gain.

Health Care Injustice

Inequality and Inequity in Access

The principle of equality and equity in opportunity forms the cornerstone of a just society. It advocates for every individual to have equal and equitable access to opportunities, including health care. However, the United States' health care system exhibits persistent disparities that significantly violate this principle. Despite the enactment of progressive legislations, such as the Affordable Care Act (ACA), inequalities and inequities in health care access remain rife.

The ACA was intended to increase health insurance coverage and improve access to health services for all individuals. While it expanded access for many, significant disparities persist. Insurance coverage does not automatically translate into equality of access to health care. Not all health insurance plans are created equal, with many offering varying degrees of coverage. As a result, insured individuals may still face barriers to accessing necessary health care due to high deductibles, copayments, and out-of-pocket expenses. This situation is particularly dire for low-income individuals and families who may struggle to afford these additional costs, thus facing inequity in access to health care.

Racial and ethnic disparities further exacerbate this issue. Studies have consistently found that racial and ethnic minorities, specifically Black and Hispanic Americans, have lower rates of health insurance coverage and access to care compared to their white counterparts (Artiga & Orgera, 2020). These disparities extend beyond insurance coverage, impacting the quality of care received, the outcomes of care, and the likelihood of receiving preventive services (Institute of Medicine, 2003).

Such disparities reflect systematic inequalities that extend beyond health care. They can be attributed to a complex interplay of factors including, but not limited to, socio-economic status, education level, geographical location, and systemic racism. These factors create barriers to accessing health care, leading to disparities in health outcomes and revealing a clear lack of equity and equality in health care opportunities.

In essence, the current health care system in the United States is marked by significant disparities that violate the principle of equality and equity in opportunity. This violation necessitates urgent rectification to advance social justice and ensure all individuals receive the health care they need to thrive.

Disrespect for Human Dignity and Diversity

The principle of respect for human dignity and diversity is vital in all aspects of life, including health care. It underscores the inherent worth of every individual and the necessity to honor and value the diverse characteristics that each person brings. However, the health care system in the United States, to a significant degree, has been shown to neglect this principle.

Evidence from numerous studies suggests that not all groups...…but are intertwined with racism, sexism, and other forms of discrimination. Addressing these disparities requires acknowledging and tackling these overlapping systems of discrimination.

Social Determinants of Health

The sociological perspective highlights the importance of social determinants of health conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes. Health disparities are symptomatic of broader social inequalities. By addressing the social determinants of health, we can promote social justice and reduce health disparities (Marmot, 2005).

Collective Responsibility and Social Solidarity

From the sociological perspective, society is a collective, and its health reflects the well-being of all its members. This ties into the principle of mutual interdependence. The health of the entire society is undermined when some of its members suffer from poor health due to systemic disparities. Addressing these disparities is a step towards enhancing social solidarity and realizing the ideal of collective responsibility for societal health (Link & Phelan, 1995).

Viewing health care disparities through a sociological lens underscores the structural and systemic nature of these issues. Addressing these disparities is thus a critical step towards social justice, involving the reshaping of societal structures, tackling intersectional discrimination, addressing social determinants of health, and fostering social solidarity. It is through such efforts that we can ensure a more equitable health care system for all members of society.

Conclusion

The systemic health disparities that exist within the United States' health care system represent a clear violation of the principles of Equality and Equity in Opportunity, Respect for Human Dignity and Diversity, and Mutual Interdependence. These violations are not just issues of public health or economic efficiency; they are matters of social justice. Social justice demands that all individuals, regardless of their socioeconomic, racial, or ethnic background, have fair and equitable access to resources, opportunities, and health care. Addressing these disparities is imperative for several reasons: First, access to health care is a fundamental human right. Ensuring every individual has access to the care they need, regardless of their circumstances, is essential to upholding these rights. Moreover, the pervasive inequalities and inequities in health care not only harm those who are disadvantaged but also undermine the principle of equality that is fundamental to a just society. Addressing these disparities will ensure everyone has a fair opportunity to attain their full health potential. Additionally, health care disparities reflect a disregard for the principle of Respect for Human Dignity and Diversity. Ensuring that every individual, regardless of their race or ethnicity, receives the same quality of care is a crucial step towards honoring diversity and maintaining human dignity. And, finally, health care disparities highlight a lack of acknowledgement of our interconnectedness. For these reasons, the…