4.5 Article

Have Almost Fifty Years Of Disability Civil Rights Laws Achieved Equitable Care?

Journal

HEALTH AFFAIRS
Volume 41, Issue 10, Pages 1371-1378

Publisher

PROJECT HOPE
DOI: 10.1377/hlthaff.2022.00413

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Funding

  1. Community Living, Department of Health and Human Services [90RTHF0001]

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Despite the existence of laws prohibiting discrimination against disabled Americans in healthcare, they still face disparities in health and healthcare. This article examines disability inequities in six areas and suggests the ratification of the United Nations Convention on the Rights of Persons with Disabilities as a solution to improve their health and dignity and support their full participation in the community.
For almost fifty years, federal civil rights laws such as Section (ADA) of 1990 and the ADA Amendments Act of 2008, and Section 1557 and other provisions of the 2010 Patient Protection and Affordable Care Act have prohibited discrimination against Americans with disabilities, including in health care. Despite these laws, disabled Americans continue to experience disparities in health and health care, from preventive care to home and community-based services. In its 2022 Health Equity highlighted some of these disparities and recommended remedies. To explore these concerns, this article examines disability inequities and potential solutions within six areas. It concludes by recommending the ratification of the 2006 United Nations Convention on the Rights of Persons with Disabilities to reinvigorate US efforts to maximize the health and dignity of disabled Americans and support their full participation in the community.

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