Rice M F, Jones W
Health Policy. 1985;5(3):207-21. doi: 10.1016/0168-8510(85)90087-9.
In the U.S.A. serious differences in the health status between black and white citizens continue to exist. Black Americans are less healthy and receive less health care than while Americans. The discrimination is examined as a civil rights issue with focus on both the policy and judicial perspectives of the application of Title VI of the Civil Rights Act of 1964 and the implementative effects of the Hill-Burton Act of 1946. The application, and compliance and enforcement, of civil rights to health care is complicated by a captivity process involving Federal agencies, by corporate medical rights emphasizing a business approach to health care, and by a liberal pluralistic political arena in which certain influential groups prevail over others. In order for black health status and care to improve in the U.S.A., blacks must continue to utilize the judicial system to seek redress of health care inequities. Second, they must utilize their demonstrated political power to demand better treatment from the medical establishment.
在美国，黑人和白人公民的健康状况仍存在严重差异。美国黑人比白人健康状况更差，获得的医疗保健也更少。这种歧视被作为一个民权问题来审视，重点关注1964年《民权法案》第六章的政策和司法视角以及1946年《希尔-伯顿法案》的实施效果。民权在医疗保健方面的应用、遵守和执行因涉及联邦机构的俘获过程、强调医疗保健商业方法的企业医疗权利以及某些有影响力的群体比其他群体更占优势的自由多元政治舞台而变得复杂。为了改善美国黑人的健康状况和医疗保健，黑人必须继续利用司法系统寻求医疗保健不平等的补救。其次，他们必须利用已展现出的政治权力要求医疗机构给予更好的待遇。
