In the New York Times article “A Grim Breast Cancer Milestone for Black Women” Tara Parker discusses the “dubious milestone” African American women have recently reached. According to the American Cancer Society the incidence of breast cancer among black women is now equal to that of their white counterparts. This is troublesome for the women of the African American community because statistically they are more likely to die from breast cancer. Now that the incidence rate in African American women has gone up it is expected to broaden the mortality gap between black and white women.
What changes have occurred in recent years that have led to more black women being diagnosed with breast cancer? Could it just be that early diagnosis is allowing doctors to recognize more cases?
While, early diagnosis is discussed as a contributing factor it is not enough to explain this great of a raise in the trends. It is rather obesity and a change in reproductive patterns that is increasing the risk of breast cancer in black women. So this explains why black women are being diagnosed, but does not explain the higher mortality rate. Parker attributes this to several factors including the lack of availability of that black women have to quality health care compared to white women. In addition to the fact that black women are more likely to be diagnosed with triple negative breast cancer, a form of the disease which has a worse prognosis than estrogen-receptor positive disease, the most treatable form of breast cancer; more commonly found in white women.
This disturbing statistic that projects that African American women are 70 percent more likely to die from breast cancer than white women speaks to on going inequalities in our health care system. Why is it than in 2015 race still plays a role in the quality of care that a person receives? I believe that these disparities date back to policies and the lack there of in previous decades and gives us reason to modify our health care system so that it benefits everyone equally. Because the perpetuation of the current United States health care system will continue to indirectly kill black women.
Just because black women lack the insurance coverage and access that their white counterparts have to seek and pay for quality treatment does not mean that they should continue to suffer more. This also speaks to the lack of standardization of care in the United States. The only way to fix the system so that race does not continue to be a determining factor in the quality of treatment is equalization of our hospitals, medical schools, insurance policies, pharmaceutical research studies and medical facilities across the board.
The inequalities in our health care system stem from social and economic policies that have failed to equalize the social and economic statuses of communities, neighborhoods, and cities across the nation. To start enacting change we need to start on a small scale and then work our way up from there. At the community level African American women need to be more informed about breast cancer, how it could potentially affect them and ways to seek preventative care. At state and possibly federal levels universal coverage plans need to be enacted so that lack of insurance is not a death sentence. People who lack insurance turn life saving treatments and even preventative care down everyday and this should not be the case. Until the health care system is equalized, the mortality gap between black in white women will continue to widen; because the system we have now is not operating in favor of black women, but against them.
http://well.blogs.nytimes.com/2015/10/29/a-grim-breast-cancer-milestone-for-black-women/?_r=0