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Policy adjustments like the introduction of the Medicare prescription drug benefit in 2006 and a serious enlargement of Medicaid eligibility in 2014 performed important roles. At the identical time, spending on discretionary programs like education and analysis and development have decreased as a share of GDP . The possibility that some health care providers may hold explicit stereotypes is typically recommended by a number of studies during which physicians were found to view their black patients extra negatively than white sufferers (Finucane and Carrese, 1990; van Ryn and Burke, 2000). Some differences in high quality of care may reflect the particular institutions and health care suppliers on which minorities depend. Regardless of insurance protection, blacks and Hispanics are nearly twice as probably as whites to obtain care from a hospital-based supplier . In specific, they are nearly 1.6 occasions extra probably than whites to be treated at safety-net city hospitals.

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