Expanding medicare could reduce racial health disparities

Racial and ethnic disparities in access to health insurance and care are greatly reduced when Americans turn 65 and are eligible for Medicare, according to a new study published by _JAMA,_

the _Journal of the American Medical Association_. The research, conducted by the Yale School of Public Health, reviewed Centers for Disease Control and Prevention (CDC) data from 2.4

million Americans ages 51 to 79. Their analysis found that insurance coverage for Latinos rose from 77 percent to 91 percent at age 65 and for Blacks it went from 86 percent to nearly 96

percent. Among White Americans, coverage increased by a much smaller percentage — from 92 percent to nearly 99 percent. "Our findings also suggest that expanding Medicare may be a

viable means to reduce racial and ethnic disparities and advance health equity by closing coverage gaps across the U.S.,” the report says. Americans must be 65 or have a disability to be

eligible for Medicare, although there have been proposals to lower the age to 60. The study also found that while states with high levels of disparity between white and Black populations

were economically, politically and geographically diverse, states that showed the most disparity in coverage between whites and Hispanics were concentrated in the South. "Racial and

ethnic disparities were not eliminated by Medicare,” the authors say, “supporting the view that disparities are shaped not only by policy decisions but also other social determinants of

health, such as structural racism, that persist among elderly individuals." _Dena Bunis covers Medicare, health care, health policy and Congress. She also writes the Medicare Made Easy

column for the _AARP Bulletin_. An award-winning journalist, Bunis spent decades working for metropolitan daily newspapers, including as Washington bureau chief for the _Orange County

Register_ and as a health policy and workplace writer for _Newsday_._