Leighton Ku (
Health Aff (Millwood). 2023 Oct;42(10):1347-1350. doi: 10.1377/hlthaff.2023.00994.
Medicaid and the Supplemental Nutrition Assistance Program were developed during the Civil Rights era to help poor people and reduce racial and ethnic differences in health care access and food security. Although the two programs have succeeded in narrowing health and nutrition disparities, certain policies hinder goals of racial and ethnic equity, even though they do not explicitly mention race or ethnicity. These policies, including administrative policies (such as work requirements) and more basic decisions about whether to cover immigrants or expand Medicaid, can create barriers that promote racial and ethnic disparities, contrary to the programs' underlying goals.
医疗补助计划和补充营养援助计划是在民权时代制定的，旨在帮助贫困人口，减少医疗保健机会和食品安全方面的种族和民族差异。尽管这两个计划成功地缩小了健康和营养方面的差距，但某些政策阻碍了实现种族和族裔公平的目标，尽管这些政策并未明确提及种族或族裔。这些政策包括行政政策（如工作要求）以及关于是否覆盖移民或扩大医疗补助计划的更基本决策，可能会造成障碍，从而加剧种族和民族差异，这与这些计划的基本目标背道而驰。
