By Paul G. Rogers (auth.), Joan H. Marks (eds.)
The roles of either the shopper and the health and wellbeing recommend specialist became more and more major in to day's weather of "rationed" healthiness care. it kind of feels transparent that the well timed alternate of rules between pro wellbeing and fitness care advocates is critical if we're to house the complicated difficulties of a technologically complex so ciety trying to ration its heath care in a very humane means. towards this sort of well timed trade, the 1st Confer ence on Advocacy in health and wellbeing Care used to be prepared via the future health Advocacy software of Sarah Lawrence collage and lately held. Advocacy in overall healthiness Care: the facility of a Silent Constituency is the lawsuits of the convention and may, we think, significantly expand our efforts to proportion either the issues and strategies that powerful sufferer advocacy includes. by no means sooner than has the difficulty of advocating for particular inhabitants teams by means of combining the assets of shoppers and pros been the particular concentration of 1 quantity. This booklet discusses the ability of such an alignment and describes particular organizational innovations which have been potent in bringing approximately adjustments within the supply procedure. the ultimate component to the publication, "Questions, Com ments and Answers," offers a variety of subject matters of certain curiosity that surfaced through the open disc- vii viii Preface sion on the final convention consultation. The reviews have been forthright of their feedback of public coverage, and the power of the argument underscored the power of the co alition among execs and consumers.
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Extra resources for Advocacy in Health Care: The Power of a Silent Constituency
Figure 2 on life expectancy compares whites and minorities; Fig. 0,----- - - - - - - - - - - - - - - - - - - - - - , --I- - ...... ~ 10~--- ----------~-~=7~--~ U 0: W a. ------------ --------- --------. 'IR Fig. 4. Percent of live births in US with no prenatal care (by race). spect to maternal mortality; and Fig. 4 compares whites and blacks. The point I am makng is that our data base for ethnic comparisons in health is faulty. There is no rational common denominator for separate minority groups, which is indicative of the lack of importance of these data to statisticians, even at the federal level.
_........................... - ... -.... ::..... _-_ ... ';,; -"'- ... -,,::t--O7~ 7~ 7~ 7~ ,6 7~ 7~ 7~ YEAR Fig. 3. Maternal mortality (whites and all others). " Even though maternal mortality has been decreasing for both groups since 1960, "all other women" have a maternal mortality rate of almost three times that of white women. Figure 4 compares whites and blacks with respect to the percent of live births in the US with no prenatal care or care only during the third trimester. Again, the percent of black women delivering babies with inadequate prenatal care is in considerable excess, being about twice that of white women.
The increased supply of doctors in one of the reasons that health-care costs continue to rise at a far faster rate than the rest of the economic indicators. Unless we address this issue, we will hear a great many more discussions of rationing health-care for the patients whose interest all advocates represent. 14 David Axelrod Rationing Health Care Before discussing rationing health care, we must first talk about the rationalizing of our health-care system to ensure that the resources will be there for the patients.
Advocacy in Health Care: The Power of a Silent Constituency by Paul G. Rogers (auth.), Joan H. Marks (eds.)