Sample Healthcare Paper on Health Care Disparities and Social Implications

Identification of health Disparities

The case represents the elderly population, Henry Williams, who suffer O2 nasal cannula after retirement from the Transit Department. The patient perceives social and economic changes that have adversely affected his health as well as mental wellbeing of his wife. Health care disparities entail differences that manifest in specific groups to the extent of limiting full health potential; thus, increasing disease burden mortality rate (Baciu et al., 2017). The retirement subjected the patient into the challenge of widening disparity in access to healthcare and insufficient health coverage. The economic and social problems build on the increased cost of health care that demand out of pocket expenses. Sadly, the patient has lost his loved one and the only son who would be providing social support and financial support. The patient proves insufficient insurance cover by showing doubt on the ability to pay the cost of admission to the hospital.

Impact of the Disparities to the Patient’s Health Care

Health care disparity is elemental in the fact that his wife has not been treated for a long time while the health needs of the patient continue to accumulate and unmet. The patient is already suffering from high blood pressure and cholesterol. These conditions pose the patient to the risks of coronary heart disease. Cholesterol variability is an independent factor for a possible death from cardiovascular diseases (Messerli et al., 2017). Despite the patient claiming continuous use of blood pressure and cholesterol pills he still suffers conditions that demand critical care. Besides, the patient lives with his wife despite having psychological problems. If they had access to health care, they would have outdoor care provider to offer psychiatric services. Most probably, the patient has not been attending clinical checkups. At the same time the family has no access to apartments that provide nursing care. Indeed, a qualified nurse has to volunteer to care for the patient’s wife since they do not have insurance plans to cover for mental care expenses. As a result, the wife continues suffering mental illness that increases anxiety and frustration to the patient. The medical support might not be provided adequately since the patient seems to worry about its inadequacy.

The implication of the Disparity to the Society and Individuals

Ineffective health care management is a threat to individual patients and society. Relatively, the disparity in health care access reduces the quality of life and life expectancy for the patients.  When this situation affects the aged, it implies disproportion in health care facilities. Health care is a human right, and high cost beyond ability of the elderly is a social injustice in the health sector. From a broader perspective, the aged from minority groups suffer more from health care access disparity compared to the whites. For example, an African American might have the same insurance cover with the whites but continues to suffer inadequate medication. Therefore, access to quality health care is bound to socio-economic differences founded on racial identity. In health care financing, increase in cost affects disadvantaged groups more than the general population since they have to spend more on insurance (Yamada et al., 2015). The retired individuals have lower income than the young and working individuals, which makes them more venerable to health care access and insurance disparities.

Possible Solution to the Disparities

Improving the situation requires policymakers to develop implement policies after assessing multiple factors that will enhance access and affordability of health care. The aged population has lower income, and their insurance plans might not cater to all of their needs that are housing, health, and lifestyle. The most appropriate is to establish structural intervention that by reforming policies to eliminate health care disparities based on conditions in which people are born, work and age (Brown et al., 2019). In this case, the patients suffer financial challenges since he lacked an effective saving plan before retirement. The government has a role of ensuring that employment plans cater to the future of employees by having a sound retirement plan. Savings at old age would be source of income to cover lifestyle, housing, and health care.

Relating Patient to Relevant Health People 2020 (HP 202o) Goals

The condition of the patient is a concern for the HP 2020, which focuses on addressing high priority health issues. The first goal for HP 2020 is to achieve equity, eliminate disparities, and improve health care for all groups (Abu-Saad, Avni & Kalter-Leibovici, 2018). Health care disparity is bound to low socioeconomic status of the patient. Second HP 2020 aims at promoting quality of life, health development and health behaviors across all life stages (Abu-Saad, Avni & Kalter-Leibovici, 2018). The patient encounters health care disparities since he is among the aged with low income.

Impact and Implication of HP 2020 Goals to the Patient

The patient is considered venerable to health care disparities and might be prioritized in extension of affordable health care. The plan provides for an opportunity to offer social support to the aged since it considers health care as life concern despite the age. These changes will be achieved if the federal government implement patient-based policy formulation system in health care to identify the challenges encountered by the individuals. Also, the federal government should collaborate with private sector in collection of data and extension of services in overreaching these goals.

The patient encounters social and financial challenges that extend to health care disparities. As a result, the insurance and access to health care services are insufficient to the extent of accelerating worsening if his health condition. The desperation has contributed to development of mental illness by the wife. The government has a role in initiating structural intervention to eliminate the disparities from the basis. HP 2020 would affect the patient positively since it sets goals that cater for the aged. The cost of health care services would decrease due to effective insurance plans. However, the government should collaborate with the private sector and implement health care policies through patient-based perspective.



Abu-Saad, K., Avni, S., & Kalter-Leibovici, O. (2018). Health disparities monitoring in the US:        lessons for monitoring efforts in Israel and other countries. Israel Journal of health policy          research7(1), 14.

Baciu, A., Negussie, Y., Geller, A., Weinstein, J. N., & National Academies of Sciences, Engineering, and Medicine. (2017). The State of Health Disparities in the United States. In Communities in Action: Pathways to Health Equity. National Academies Press (US).

Brown, A. F., Ma, G. X., Miranda, J., Eng, E., Castille, D., Brockie, T., … & Trinh-Shevrin, C. (2019). Structural interventions to reduce and eliminate health disparities. American journal of public health109(S1), S72-S78.

Messerli, F. H., Fischer, U., Rimoldi, S. F., & Bangalore, S. (2017). Hypertension control and cardiovascular disease. The Lancet389 (10065), 153.

Ng, J. H., Ward, L. M., Shea, M., Hart, L., Guerino, P., & Scholle, S. H. (2019). Explaining the Relationship Between Minority Group Status and Health Disparities: A Review of Selected Concepts. Health Equity3(1), 47-60.

Yamada, T., Chen, C. C., Murata, C., Hirai, H., Ojima, T., & Kondo, K. (2015). Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. International journal of environmental research and public health12(2), 1745-1772.