CLASP Identifies Federal Policies Contributing to Racial and Ethnic Health Inequities

CLASP submitted a comment to the National Academies of Science, Engineering and Medicine about federal policies that contribute to racial and ethnic health inequities. The first section of the comment highlights federal urban renewal policies (1930s to 1970s), disinvestment from public housing (1960s to present) as two federal housing policies that, over the course of several decades, have worsened racial health inequities. Both policies intensified residential segregation, and, as a result, saddled Black, brown, and immigrant communities with the negative health outcomes associated with displacement, environmental hazards, substandard housing. The second section outlines the health inequities resulting from administrative burdens in federal benefit programs, using Medicaid as an example. Lastly, the third section discusses how preventive health services are covered differently by the Medicaid program than by Medicare or private insurers, and the racially inequitable health outcomes that results from this policy decision. The federal policies identified and their proposed policy solutions are by no means exhaustive.