Gulf South health care systems are failing to equally serve people of color, study says

A pharmacist at The Delta Health Center in Mound Bayou, Mississippi talks with a patient about medicine that is sitting on top of a pharmacy counter.

A pharmacist at The Delta Health Center in Mound Bayou, Mississippi talks with a patient about medicine, June 3, 2021.

Shalina Chatlani, Gulf States Newsroom

Health care systems across the United States are failing to equitably serve people of color. But, according to a new analysis, Mississippi, Louisiana, and Alabama are among the states with the worst health outcomes for people of color — Black and Latinx residents, in particular.

The report, which is a state-by-state scoreboard of racial and ethnic disparities in health care, comes from research and grant foundation Commonwealth Fund. Researchers considered indicators like health outcomes, health care access and quality of health care services to come up with a score for each state.

The report also looked at how health systems are serving five different racial and ethnic groups in a majority of states across the country: Black, White, American Indian/Alaska Native, Asian American and Native Hawaiian/Pacific Islander, and Hispanic/Latinx.

Researchers found that even in states that have better performing health systems, racial and ethnic disparities persist in terms of health outcomes and access.

Mississippi, Alabama and Louisiana, however, are seeing worse health outcomes and access in all residents than in other states, with Latinx and Black residents facing even more barriers within those states to quality health care. As a result, these states are also seeing larger gaps in health care outcomes and access across racial groups than most other states.

“The [health care] experience of Black individuals in those three states is worse than the experiences of Black people in other states. For example, worse than in New York, Washington, and Virginia,” said David Radley, a co-author of the report. “Even within the state of Louisiana, which is a [Medicaid] expansion state we still see big inequities in the health care experience of Black individuals and of Latinx individuals relative to the experience of white individuals.”

Researchers found that across the region, Black people and American Indian/Alaska Natives are more likely than white people in most other states to die early in life from conditions that would have been treatable if they had access to high-quality health care. Black women are also more likely than white women to be diagnosed with cancer at later stages and to die as a result of that.

A woman walks through the dental clinic at The Delta Health Center in Mound Bayou, Mississippi.

Shalina Chatlani,Gulf States Newsroom
A woman walks through the dental clinic at The Delta Health Center in Mound Bayou, Mississippi, June 3, 2021.

While some of these inequities can be tied to factors like low income and political challenges, such as a failure to expand Medicaid, experts say that lack of social services and racial biases are also to blame.

“People of color are less likely to receive preventative health services irrespective of income, neighborhood, illness or insurance type, and often more likely to receive lower-quality care,” said Laurie Zephyrin, a co-author of the report.

The study authors say state leaders can help reduce inequities by encouraging affordable and comprehensive health insurance options to be available, strengthening primary care options, lowering administrative burdens for patients and investing in social services.

Editor’s note: The Commonwealth Fund supports health equity coverage, but the Gulf States Newsroom operates independently from it.

This story was produced by the Gulf States Newsroom, a collaboration between Mississippi Public Broadcasting, WBHM in Birmingham, Alabama, WWNO in New Orleans and NPR.


The landmark Voting Rights Act faces further dismantling in case from Alabama

The law is once again on the chopping block ­— this time on the question of how state legislatures may draw congressional district lines when the state's voters are racially polarized.

Gulf States rank at the bottom for climate-adapted housing. Organizers want to change that.

As natural disasters and extreme weather become more frequent in the Gulf South, a new report hopes to be a road map to providing more climate-adapted housing.

How Dr. Emily Fortney is using her clinical psychology work to help pregnant people

Suicide is a leading cause of death in women, and mood and anxiety disorders make perinatal risks more complicated. Dr. Fortney’s work is focused on this issue.

Regions Bank to refund $141M for illegal overdraft fees

The Consumer Financial Protection Bureau found that between 2018 and 2021, Regions was charging overdraft fees on some ATM withdrawals as well as some debit card purchases, even after the bank told the customers they had enough funds to cover the transactions.

Jackson’s water crisis put new attention on its longstanding lead contamination issue

Jackson’s water issues echo infrastructure struggles across the Gulf South, resulting in nearly 1,800 lawsuits over the past year and attention from the EPA.

Birmingham councilors allege promises broken but city still renews Via contract

Under the contract, the city will pay the Via ridesharing service up to $2.64 million per year to provide transit services.

More Front Page Coverage