
But why should that be, if the overall quality of medical care is improving, as shown in the earlier study? There are many possible reasons. More often than whites, African-Americans find they cannot afford expensive medications, such as cholesterol-lowering statins. Their communities tend to have more limited options for exercising and eating right. Those problems don’t lend themselves to quick fixes. [...]
The findings apparently weren’t due to explicit racism. Everyone in the minority-dominated neighborhoods—white, black, Hispanic and Asian—tended to give their health lower marks. “It relates to the poverty level, the quality of food, the quality of life, the quality of health care,” says Borrell. “In poorer areas, there are fewer green spaces to play in, fewer shops selling fresh fruits and vegetables, more cigarette ads. We’re not blaming the victim. We’re blaming the social structure.”
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