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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 17 Feb 2004 19:29:22 -0500
Content-Type:
text/plain
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Here is a followup on the item that was circulated last week:
---------------------------------------------------------------------------

Thompson: Editing Health Report Was Wrong

By MARK SHERMAN, Associated Press Writer

WASHINGTON - Health and Human Services Secretary Tommy Thompson said
Tuesday that his department was wrong to edit a report about health care
for minorities to downplay serious problems and emphasize improvements.

Responding to criticism from Democratic lawmakers, Thompson said the
report, issued in December, would be released in its original form
calling health care disparities pervasive "national problems."

"There was a mistake made and it's going to be rectified," Thompson said
at a hearing of the House Ways and Means Committee on the president's
2005 budget proposal.

Democrats protested the changes to Thompson after they obtained the
original draft report. The final version eliminated the conclusion that
unequal care for minorities is a national problem, the Democrats said in
a letter to Thompson.

The word "disparity" was used more than 30 times in the "key findings"
section of the draft's executive summary, they said. It appeared just
twice in the final version.

The department conducted the study as part of a congressional requirement
to review health care treatment provided to women, children, minorities
and the poor.

The report found a higher death rate for cancer among blacks and
low-income Americans in its review of the nation's health care system. It
also said those groups are less likely to be screened for certain cancers
and less likely to avail themselves of other preventive services.

Thompson issued a statement upon the report's December release, saying it
shows areas in which the nation has improved health care, "but more
importantly, it shows us where we have more work to do and how we can
make sure that all Americans benefit from scientific advances and
technological innovations."

Thompson said he did not rewrite the edited portions, assigning the blame
to unnamed officials who "took it upon themselves that felt they were
doing the right thing."

The Democrats said political appointees cleared the edited version.

___

On the Net:

 DHHS reports: http://www.qualitytools.ahrq.gov

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