The United States spends more on healthcare than any other high-income country, yet we have some of the worst population health outcomes. Our health care system is designed in such a way that racial and ethnic disparities are inevitable, and the differences are extreme: the life expectancy difference between white women and black men is over a decade. How can we fix the system to ensure health care equity for all? 

A new National Academies report called Ending Unequal Treatment: Strategies to Achieve Equitable Health Care and Optimal Health for All tackles this question. Building on a 2003 report on racial and ethnic disparities in healthcare, the new report finds that little progress has been made in closing those equity gaps over the past two decades.

On this episode, host Sara Frueh talks to Georges Benjamin, cochair of the report committee and executive director of the American Public Health Association. They discuss how the health care system creates disparities and how we can fix them. 

Resources: 

• Read the National Academies reports on health care inequality: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (2003), and Ending Unequal Treatment: Strategies to Achieve Equitable Health Care and Optimal Health for All (2024)