Racial and ethnic disparities in the health care system have long impeded our nation’s health and well-being. For everyone in the U.S. to achieve their full potential—and for our nation to achieve its full potential—we must ensure equitable access to high-quality health care. This report presents an anti-racist re-imagining of the Medicaid and CHIP programs that actively reckons with the racist history of health care coverage. The report offers recommendations to advance racial equity in Medicaid and CHIP. It also provides principles to guide anti-racist policy transformations that center program participants and their communities.
Millions of people living in the U.S. territories—including American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands—are often excluded from federal statistical data collection. This contributes to a significant racial justice issue. Without comprehensive data, policymakers and researchers cannot fully understand the socio-economic challenges faced by all U.S. residents, including people living in the territories, who are disproportionately people of color. This blog—originally published by the Leadership Conference on Civil and Human Rights—highlights the disparities in data collection between the U.S. territories and the rest of the U.S., the need for collecting high-quality data in U.S. territories, and the negative implications of analyzing an incomplete portrait of the nation.
The U.S. cannot fully understand itself as a nation and the needs of its people without timely, complete, and accurate statistics on all of its citizens and residents. However, millions of U.S. citizens and residents living in the U.S. territories are not included in many key government data collection efforts and publications. These data disparities undermine the ability of policymakers and researchers to understand national and local challenges, including the unique risks posed by the climate emergency and pervasive social and economic inequalities. This brief—published jointly with Equally American—analyzes the implications of inadequate data collection in the U.S. territories and recommends steps federal policymakers can take to improve the timeliness and accuracy of data and understand the social, environmental, and economic challenges residents of U.S. territories face.
The United States must improve its data collection efforts in order to ensure equitable representation of American Indian and Alaska Native (AI/AN) populations. Inequitable data have deep and pervasive impacts on American social, political, and economic systems. The current lack of accurate, reliable, and sufficiently detailed data risks making AI/AN peoples invisible to policymakers and reinforcing existing dynamics of marginalization. This report explores the history of AI/AN data in federal data collections, describes some nuances of working with AI/AN population data, and highlights the undercounting and underrepresentation of AI/AN populations in federal data collections. It also recommends proposed changes to data collection to increase equitable representation for AI/AN populations, which must be done in consultation with Tribal Nations in accordance with tribal sovereignty.
An America where no one experiences poverty is possible. Already, the U.S. has programs with the potential to make this vision a reality, including programs that provide cash assistance, like Temporary Assistance for Needy Families (TANF). The current TANF program provides very little cash assistance and is marked by stark racial disparities, but it has the potential to reduce child poverty, increase economic security, and advance racial equity. This report offers a vision for an anti-racist approach to the TANF program, with new statutory goals and policy recommendations to advance racial justice.