Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA.
Med Care. 2014 Oct;52(10 Suppl 3):S71-5. doi: 10.1097/MLR.0000000000000216.
This commentary builds on work examining the impacts of racism on health to identify parallels and intersections with regard to able-ism and health. The "Cliff Analogy" framework for distinguishing between five levels of health intervention is used to sort the Healthy People 2020 goals on Disability and Health along an array from medical care to addressing the social determinants of equity. Parallels between racism and able-ism as systems of power, similarities and differences between "race" and disability status as axes of inequity, intersections of "race" and disability status in individuals and in communities, and the promise of convergent strength between the anti-racism community and the disability rights community are highlighted. With health equity defined as assurance of the conditions for optimal health for all people, it is noted that achieving health equity requires valuing all individuals and populations equally, recognizing and rectifying historical injustices, and providing resources according to need.
本评论借鉴了关于种族主义对健康影响的研究,以确定与能力主义和健康相关的相似之处和交集。使用“悬崖类比”框架来区分五个层次的健康干预措施,以便根据从医疗保健到解决公平的社会决定因素的一系列措施,对《2020 年健康人》残疾和健康目标进行分类。强调了种族主义和能力主义作为权力体系之间的相似之处,“种族”和残疾状况作为不平等的轴线之间的异同,个人和社区中“种族”和残疾状况的交集,以及反种族主义社区和残疾权利社区之间收敛力量的潜力。由于健康公平被定义为确保所有人都能获得最佳健康的条件,因此需要注意的是,实现健康公平需要平等地重视所有个人和群体,承认和纠正历史上的不公正,并根据需要提供资源。