Introduction: An Overview of the US Healthcare System and US Health Disparities at the Beginning of the Twenty-First Century
The health of the citizens of the USA improved in many ways during the twentieth century with advances in public health practices, expansion of the scientific basis of medicine, and improvements in the training of America’s health professionals. Average life expectancy at birth increased from 47.3 years in 1900 to 77 years in 2000. Smallpox was eliminated from the world with a worldwide comprehensive vaccination initiative. By 1982, poliomyelitis had been eliminated from the western hemisphere, although a few foci of this viral disease remain in the developing world. Many other infectious diseases, which were prevalent in the USA in 1900, are much less frequent today, such as tuberculosis, pneumonia, diphtheria, and others.
KeywordsRheumatic Fever Minority Student Average Life Expectancy Health Reform Public Health Practice
- 1.MacDorman M, Mathews T. Recent trends in infant mortality in the United States. CDC National Center for Health Statistics 2008. http://www.cdc.gov/nchs/data/databriefs/db09.pdf. Accessed 4 June 2010.
- 2.Smedley BD, Stith AY, Nelson AR. Unequal treatment: confronting ethnic and racial disparities in health care. Washington, DC: The National Academic Press; 2003.Google Scholar
- 4.Association of Academic Health Centers. Out of order out of time: the state of the nation’s health workforce. Washington, DC: Association of Academic Health Centers; 2008.Google Scholar
- 5.The Josiah Macy Foundation. Revisiting the Medical Educational Mission at a time of expansion. Washington, DC: The Josiah Macy Foundation; 2009.Google Scholar
- 6.U.S. Census Bureau. An older and more diverse nation by midcentury. 2008. http://www.census.gov/Press-Release/www/releases/archives/population/012496.html. Accessed October 22, 2008.
- 7.Sullivan Commission on Diversity in the Health Workforce. Missing persons: minorities in the health professions. Washington, DC: Sullivan Commission on Diversity in the Health Workforce; 2004.Google Scholar