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United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico.

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Title: United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico.
Authors: McSorley, Anna-Michelle Marie, Rivera-González, Alexandra C., Mercado, Damaris Lopez, Pagán, José A., Purtle, Jonathan, Ortega, Alexander N.
Source: American Journal of Public Health. 2024 Suppl6, Vol. 114, pS478-S484. 7p.
Subjects: Federal government of the United States, Policy sciences, Health policy, Chronic diseases, Parity (Obstetrics), Health equity, Medicaid, Natural disasters
Geographic Terms: Puerto Rico, United States
Abstract (English): Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico's deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniquely devastating, decades of inequitable US federal policy practices have fueled the persistence of health inequities in the territory. Here we demonstrate how existing health and health care inequities in Puerto Rico have been exacerbated by compounding disasters but are rooted in the differential treatment of the territory under US federal policies. Specifically, we focus on the unequal US Federal Emergency Management Agency response to disasters in the territory, the lack of parity in federal Medicaid funding for Puerto Rico, and Puerto Rico's limited political power as a territory of the United States. We also provide empirically supported policy recommendations aimed at reducing health and health care inequities in the often-forgotten US territory of Puerto Rico. (Am J Public Health. 2024;114(S6):S478–S484. https://doi.org/10.2105/AJPH.2024.307585) [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Puerto Rico, un territorio de los Estados Unidos desde el 1898, ha experimentado recientemente un aumento en la frecuencia e intensidad de desastres naturales y emergencias de salud pública. En 2022, el huracán Fiona se convirtió en la tormenta más reciente en atraer la atención de los medios y traer a la luz las condiciones deterioradas en Puerto Rico, incluyendo fallos en infraestructura, escasez de proveedores de cuidado médico y altos niveles de condiciones crónicas de salud. Aunque eventos recientes han sido particularmente devastadores, las décadas de prácticas de política federal desiguales han creado continuas inequidades de salud en Puerto Rico. Aquí demostramos cómo las inequidades existentes en salud y cuidado médico en Puerto Rico han sido exacerbadas por los recientes desastres, pero tienen su origen en el trato diferenciado del territorio bajo las políticas federales de los Estados Unidos. Específicamente, nos centramos en la respuesta desigual de la Agencia Federal para el Manejo de Emergencias (FEMA, por sus siglas en inglés) a los desastres en el territorio, la falta de paridad en el financiamiento federal de Medicaid para Puerto Rico y el poder político limitado de Puerto Rico como territorio de los Estados Unidos. También proveemos recomendaciones de políticas respaldadas empíricamente que van destinadas a reducir las inequidades en salud y cuidado médico en el territorio estadounidense de Puerto Rico. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico.
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  Data: <searchLink fieldCode="AR" term="%22McSorley%2C+Anna-Michelle+Marie%22">McSorley, Anna-Michelle Marie</searchLink><br /><searchLink fieldCode="AR" term="%22Rivera-González%2C+Alexandra+C%2E%22">Rivera-González, Alexandra C.</searchLink><br /><searchLink fieldCode="AR" term="%22Mercado%2C+Damaris+Lopez%22">Mercado, Damaris Lopez</searchLink><br /><searchLink fieldCode="AR" term="%22Pagán%2C+José+A%2E%22">Pagán, José A.</searchLink><br /><searchLink fieldCode="AR" term="%22Purtle%2C+Jonathan%22">Purtle, Jonathan</searchLink><br /><searchLink fieldCode="AR" term="%22Ortega%2C+Alexander+N%2E%22">Ortega, Alexander N.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. 2024 Suppl6, Vol. 114, pS478-S484. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Federal+government+of+the+United+States%22">Federal government of the United States</searchLink><br /><searchLink fieldCode="DE" term="%22Policy+sciences%22">Policy sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Parity+%28Obstetrics%29%22">Parity (Obstetrics)</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Natural+disasters%22">Natural disasters</searchLink>
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– Name: Abstract
  Label: Abstract (English)
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  Data: Puerto Rico, a territory of the United States since 1898, has recently experienced an increasing frequency and intensity of natural disasters and public health emergencies. In 2022, Hurricane Fiona became the latest storm to attract media attention and cast a light on Puerto Rico's deteriorating conditions, including infrastructural failings, health care provider shortages, and high levels of chronic illness. Although recent events have been uniquely devastating, decades of inequitable US federal policy practices have fueled the persistence of health inequities in the territory. Here we demonstrate how existing health and health care inequities in Puerto Rico have been exacerbated by compounding disasters but are rooted in the differential treatment of the territory under US federal policies. Specifically, we focus on the unequal US Federal Emergency Management Agency response to disasters in the territory, the lack of parity in federal Medicaid funding for Puerto Rico, and Puerto Rico's limited political power as a territory of the United States. We also provide empirically supported policy recommendations aimed at reducing health and health care inequities in the often-forgotten US territory of Puerto Rico. (Am J Public Health. 2024;114(S6):S478–S484. https://doi.org/10.2105/AJPH.2024.307585) [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Puerto Rico, un territorio de los Estados Unidos desde el 1898, ha experimentado recientemente un aumento en la frecuencia e intensidad de desastres naturales y emergencias de salud pública. En 2022, el huracán Fiona se convirtió en la tormenta más reciente en atraer la atención de los medios y traer a la luz las condiciones deterioradas en Puerto Rico, incluyendo fallos en infraestructura, escasez de proveedores de cuidado médico y altos niveles de condiciones crónicas de salud. Aunque eventos recientes han sido particularmente devastadores, las décadas de prácticas de política federal desiguales han creado continuas inequidades de salud en Puerto Rico. Aquí demostramos cómo las inequidades existentes en salud y cuidado médico en Puerto Rico han sido exacerbadas por los recientes desastres, pero tienen su origen en el trato diferenciado del territorio bajo las políticas federales de los Estados Unidos. Específicamente, nos centramos en la respuesta desigual de la Agencia Federal para el Manejo de Emergencias (FEMA, por sus siglas en inglés) a los desastres en el territorio, la falta de paridad en el financiamiento federal de Medicaid para Puerto Rico y el poder político limitado de Puerto Rico como territorio de los Estados Unidos. También proveemos recomendaciones de políticas respaldadas empíricamente que van destinadas a reducir las inequidades en salud y cuidado médico en el territorio estadounidense de Puerto Rico. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2024.307585
    Languages:
      – Code: eng
        Text: English
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        StartPage: S478
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      – SubjectFull: Policy sciences
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      – SubjectFull: Health policy
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      – SubjectFull: Parity (Obstetrics)
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      – SubjectFull: Health equity
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      – SubjectFull: Natural disasters
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      – SubjectFull: Puerto Rico
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      – SubjectFull: United States
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      – TitleFull: United States Federal Policies Contributing to Health and Health Care Inequities in Puerto Rico.
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              Text: 2024 Suppl6
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