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(IOM)report,UnequalTreatment-AHAHomePage
May 4, 2009
President Barack Obama
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500
Dear Mr. President:
The undersigned organizations applaud you for making health care reform a top priority in
light of the many challenges facing our nation. We share your commitment to reforming our
nation’s health care system and are encouraged by the promise that an improved system holds
for everyone. However for health reform to truly succeed, every person – regardless of race
or ethnicity – must be afforded equal access to quality care. Therefore, we believe it is
critically important that health reform include a comprehensive set of principles
designed to eliminate the health disparity gap that exists for racial and ethnic minorities.
In 2007, the U.S. Census Bureau estimated that nearly one-third of Americans identified
themselves as a racial or ethnic minority. By 2050, the Census Bureau projects the proportion
will grow to nearly half of all Americans. The ground-breaking 2003 Institute of Medicine
(IOM) report, Unequal Treatment, demonstrated that minority populations have been left
behind in access to timely, quality health care services and positive health outcomes. And
while the most recent Agency for Healthcare Research and Quality National Healthcare
Disparities Report showed some progress in reducing disparities, the overall picture remains
the same – the gaps in access to care and quality of care continue to grow.
As your administration and Congress consider fundamental reform of our nation’s health care
system, now is the appropriate time to ensure the delivery of quality, cost effective care for
minority populations and implement measures that will improve cultural competency and
language access to health services, eliminate barriers to health care, and build a more diverse
health care workforce. The undersigned organizations agree upon the following three
priorities as essential to eliminating the
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