![]() ![]() The report also breaks down state rankings for access to reproductive care as more than a dozen states enacted abortion bans. The nation must “invest in the maternal health care workforce,” including OBGYN practitioners, midwifery and doula care, said Zephyrin. Hispanic women’s rates also surged from 18 to 28 deaths per 100,000 white women’s rates went from 18 to 26.6, and Asian American, Native Hawaiian and Pacific Islanders’ rates went from 13.6 to 18.8 per 100,000. Similarly, Black women’s deaths rose from 55 to about 70 deaths per 100,000. Maternal death rates for American Indian and Alaska Native women more than doubled from 2020 to 2021, rising from about 48 to 118 deaths per 100,000. ![]() Maternal deaths surged for all women during the pandemic, but disproportionately among women of color as communities across the nation lose maternal health care. When we design a health care system that focuses on people that are most marginalized, that improves health care delivery and outcomes for all,” she said. “As we think about any intervention, we truly have to center equity. Laurie Zephyrin, senior vice president of advancing health equity at the Commonwealth Fund, said public and health policy changes must prioritize equity. South Dakota had the highest rate of preventable deaths for Indigenous people Washington, D.C., saw the highest rate for Black people and New Mexico, for Hispanic people. People of color experienced higher death rates amid COVID-19, and Black, American Indian and Alaska Native people had the highest rates of preventable deaths from treatable causes.Īlong with Hispanic people, Black and Indigenous people saw the largest drops in life expectancy, driven by structural inequities and systemic racism. “There are wide disparities between lower incomes people and higher income people in nearly all these states," she added. “Expanding their Medicaid programs would be the first step toward improving their health system performance,” Sara Collins, vice president of health care coverage and access at the Commonwealth Fund, said in a media briefing. Rates of uninsured adults were also highest in states that didn’t adopt Medicaid expansion. Six of the 10 lowest ranking states did not expand Medicaid eligibility programs. The states scoring the lowest were Mississippi, West Virginia, Oklahoma, Texas and Arkansas. The top five states with the highest overall health system scores include Massachusetts, Hawaii, New Hampshire, Rhode Island and Vermont. The Commonwealth Fund’s 2023 Scorecard on State Health System Performance ranked states based on health care access and affordability, reproductive health care access and outcomes, premature death rates, medical debt and other factors between 20, amid the COVID-19 pandemic. A new report sheds light on glaring disparities and preventable deaths in the U.S., finding surges in deaths from treatable causes, gaps in maternal health care and inequities in health care access. ![]()
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