Barriers to health equity in the United States of America: can they be overcome?

Abstract Health equity—defined by the Centers for Disease Control and Prevention as " the state in which everyone has a fair and just opportunity to attain their highest level of health—” represents one of the most critical issues facing modern societies. While seemingly an increasing focus of...

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Main Author: Allen M. Chen
Format: Article
Language:English
Published: BMC 2025-02-01
Series:International Journal for Equity in Health
Subjects:
Online Access:https://doi.org/10.1186/s12939-025-02401-w
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author Allen M. Chen
author_facet Allen M. Chen
author_sort Allen M. Chen
collection DOAJ
description Abstract Health equity—defined by the Centers for Disease Control and Prevention as " the state in which everyone has a fair and just opportunity to attain their highest level of health—” represents one of the most critical issues facing modern societies. While seemingly an increasing focus of policymakers in recent years, this concept is hardly a novel one. In 1948, the inaugural Constitution of the newly founded World Health Organization clearly stated that “the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” Yet nearly a century later, it is arguable how much progress society has made in achieving health equity, particularly in the United States of America where numerous factors at both the level of the individual and population contribute to significant complexity with respect to healthcare access and delivery. The purpose of this review is to thus outline the barriers to health equity so that thoughtful discourse can be promoted to create a more even playing field for the lives of the disadvantaged and underserved in the future.
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spelling doaj-art-1fb35b855a9a40f98b5c3fa9be6f782e2025-02-09T12:26:11ZengBMCInternational Journal for Equity in Health1475-92762025-02-012411710.1186/s12939-025-02401-wBarriers to health equity in the United States of America: can they be overcome?Allen M. Chen0Department of Radiation Oncology, University of California, Irvine, Chao Family Comprehensive Cancer CenterAbstract Health equity—defined by the Centers for Disease Control and Prevention as " the state in which everyone has a fair and just opportunity to attain their highest level of health—” represents one of the most critical issues facing modern societies. While seemingly an increasing focus of policymakers in recent years, this concept is hardly a novel one. In 1948, the inaugural Constitution of the newly founded World Health Organization clearly stated that “the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” Yet nearly a century later, it is arguable how much progress society has made in achieving health equity, particularly in the United States of America where numerous factors at both the level of the individual and population contribute to significant complexity with respect to healthcare access and delivery. The purpose of this review is to thus outline the barriers to health equity so that thoughtful discourse can be promoted to create a more even playing field for the lives of the disadvantaged and underserved in the future.https://doi.org/10.1186/s12939-025-02401-wEquityBarriersHealth policySocial determinantsInclusion
spellingShingle Allen M. Chen
Barriers to health equity in the United States of America: can they be overcome?
International Journal for Equity in Health
Equity
Barriers
Health policy
Social determinants
Inclusion
title Barriers to health equity in the United States of America: can they be overcome?
title_full Barriers to health equity in the United States of America: can they be overcome?
title_fullStr Barriers to health equity in the United States of America: can they be overcome?
title_full_unstemmed Barriers to health equity in the United States of America: can they be overcome?
title_short Barriers to health equity in the United States of America: can they be overcome?
title_sort barriers to health equity in the united states of america can they be overcome
topic Equity
Barriers
Health policy
Social determinants
Inclusion
url https://doi.org/10.1186/s12939-025-02401-w
work_keys_str_mv AT allenmchen barrierstohealthequityintheunitedstatesofamericacantheybeovercome