regarding New Yorkers and Health care

contrasting with physicians as of 1996 data, would have better recent data,
but the AAMC stopped publishing it

Awareness
from my site and various AAMC Data
http://www.unmc.edu/Community/ruralmeded/awareness.htm   if the table does
not go across


The leaders that we choose for the nation must be aware of the wide range
of populations and their specific needs for care. The physicians that we
are selecting are increasingly less likely to choose careers of service to
the underserved.  More importantly, they are less likely to understand the
critical issues involved in health access. URM is an older term for Black,
Mexican American, Native American, and Puerto Rican medical students within
the 50 states and these populations have about half the income of White and
Asian populations when considering those applying to medical school. In
2003 the income distributions for all in the US indicated money income of
$55,000 for Asian, $48,000 for White, and about $33,000 for the others
indicated.


See also Service Orientation  and Rural Interested Senior Medical Students
1995 for common ground in awareness, socioeconomics, empathy, and potential
for better physician quality by closer shared ties with patients.


 According to AAMC data reported in Minorities in Medicine XI reports (from
the 1996 Matriculating Student Questionnaire)


|----------------------------+-----------+------+-----------+--------------+----------+--------------|
|  Statement and percentage  |Low Income | All  |High Income|  Low Income  |All NonURM| High Income  |
|     strongly agreeing      |    URM    | URM  |    URM    |    NonURM    |          |    NonURM    |
|----------------------------+-----------+------+-----------+--------------+----------+--------------|
|Access to care is still a   |    77     |  78  |    73%    |      60      |    56    |      57      |
|problem                     |           |      |           |              |          |              |
|----------------------------+-----------+------+-----------+--------------+----------+--------------|
|Everyone is entitled to     |           |  83  |           |              |    66    |              |
|adequate care               |           |      |           |              |          |              |
|----------------------------+-----------+------+-----------+--------------+----------+--------------|
|Physicians can influence    |           |  67  |           |              |    56    |              |
|health promotion disease    |           |      |           |              |          |              |
|prevention                  |           |      |           |              |          |              |
|----------------------------+-----------+------+-----------+--------------+----------+--------------|
|Physicians are obligated to |           |  55  |           |              |    45    |              |
|care for the poor           |           |      |           |              |          |              |
|----------------------------+-----------+------+-----------+--------------+----------+--------------|





Origins matter. Humble origins may assist in serving others.


Elite origins may make it difficult to lead responsibly, especially without
accountability.


The numbers on access to care are income-related with lower income level
students more likely to recognize the problems and nonURM the least likely
of all to recognize the problem. These are the White and Asian students
that represent the groups most likely to be admitted and to some degree the
URMs of higher income as well. Birth origin studies indicate that the
physicians born in the lowest income counties were also the most likely to
choose careers involving the care of the underserved, rural and urban.
Rural Interested Senior Medical Students have the highest level of service
orientation and share the lower income origins of many inner city URM
students. Empathy, awareness, service orientation, and other
characteristics may well be related to origins outside of the elite
students that capture 70% of medical school positions, just like they
capture 74% of the top 146 college positions (Carnevale and Rose)


the numbers are likely no different for lawyers and other professionals and
class may make more difference with social distance contributing also


 Robert C. Bowman, M.D.    [log in to unmask]

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