Discusses disparity in health, social determinants of health, discrimination in health care and elements of a model state act.

1. Eliminating Racial Discrimination in Health Care A Model for State Civil Rights Law Vernellia R. Randall Professor of Law The University of Dayton School of Law

2. Inequality is Killing Us.

3. Life Expectancy 2007 World Health Organization and 2007 Health, United States Males Females 1 Iceland 79 28 United Kingdom 76 31 Cuba 75 31 White American Male 75 36 Chile 74 48 Barbados 71 55 Bahamas 70 61 Jamaica 70 62 Black American Male 69 1 Japan 86 30 United Kingdom 81 35 Cuba 80 35 White American female 80 42 Barbados 78 47 Panama 78 51 Bosnia and Herzegovina 77 58 Bahamas 76 63 Black American female 76

4. Low Birth Weight Newborns (percent) 1 Niue 0 2 Tonga 0 5 Korea 4 5 Sweden 4 24 Belize 6 43 White Americans 7 48 Bahamas 7 88 Rwanda 9 110 Ghana 11 124 Uganda 12 126 Black Americans 13 Infant Mortality Rate 1 Iceland 2 4 Japan 3 13 Switzerland 4 31 United Kingdom 5 34 Cuba 6 34 White American 6 48 Barbados 10 55 Bulgaria 12 62 Bosnia 13 66 Black American 14

5. Social Determinants of Health and Health Care

9. Discrimination in Health Care

10. Defining Racism Racism Is any action or attitude, conscious or unconscious, that subordinates an individual or group based on skin color or race. It can be enacted individually or institutionally. Institutional Racism : A system of procedures, practices and patterns whose effect is to perpetuate and maintain the power, influence and well-being of one group over another.

15. Essential Elements of an Effective 21 st Anti-discrimination Law

18. Racial Discrimination and Health Care in the 21st Century W.E.B. Dubois said that “the problem of the 20 th century was the problem of the color line.” That color line was overt and legally enforced. Here at the beginning of the 21 st century, the problem of the color line continues - but now it is institutionally and structurally enforced. In the absence of laws, policies, practices and reparations that address institutional racism and discrimination, the problem of color line in health care will continue for another hundred years.

19. Contact Information Vernellia R. Randall The University of Dayton School of Law 300 College Park Dayton, OH 45469-2772 Email: randall@udayton.edu

20. A Health Care Community Discussion : Health Care Reform and Eliminating Racial Health Care Disparities President-elect Obama has requested communities to conduct discussions and provide input into the health care reform effort. This meeting will be focused on a racial health care disparities, a topic that can often be overlooked. It is possible to assure ability to pay without necessarily assuring access to quality care. The discussion will focus on how to assure more than economic access to quality of care, particularly, how to eliminate racial disparities in health care. Date: Tuesday, December 30, 2008 Time: 4:00 PM - 6:00 PM EST After registering you will receive a confirmation email containing information about joining the Webinar. Space is limited. Reserve your Webinar seat now at: https://www2.gotomeeting.com/register/568746707