Dr. Selwyn M. Vickers, Opinion contributor Published 12:01 p.m. ET April 10, 2020 | Updated 1:41 p.m. ET April 10, 2020Coronavirus exposes just how profoundly health care access and health outcomes are linked with employment and income. It’s a crisis within a crisis.A national crisis magnifies disparities and inequities in our society. While anyone can be infected by the CoV-SARS-2 virus, the effects of the ongoing pandemic — including the responses from our government and our health care system — do not impact everyone equally. We believe the COVID-19 pandemic is radically exacerbating the deadly consequences of racial and socioeconomic disparities in health and health care in America, creating a crisis within a crisis. We are seeing mounting evidence of pronounced disparities in early reports of how African-Americans are weathering the pandemic. In Michigan and Illinois, more than 40% of deaths are among African Americans, who make up just 14% and 15% of their populations, respectively. In Louisiana, African Americans represent 70% of deaths, but account for only 33% of the state’s population.These alarming outcomes are in large part the result of longstanding inequities in an array of health determinants, including limited access to health care (especially primary care), and limited access to affordable


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