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Healthcare Workforce Should Reflect Diversity |
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Wednesday, 21 November 2007 |
Healthcare Workforce Should Reflect Diversity
 Hardy Brown According to a study conducted by the University of California at San Francisco's Center for the Health Professions we have a shortage in all categories in our workforce of healthcare workers period. The problem is a dire shortage in inner cities and rural areas of the state. This is a double whammy for Blacks, Hispanics and the poor of California. The California Wellness Foundation is seeking solutions to this dilemma but in my opinion is not putting their wealth of financial resources into funding agencies nor organizations that can help bring relief to this problem. Now in defense of the foundation, they are contracting with the Young Communication Group to do some outreach through the Black Media to the tune of just over $75,000 for the entire state. None of the other foundations, like Kaiser Permanente, Catholic Healthcare West, Sutter Health and California Endowment who say they are concerned about the topic are doing that with the Black community. They are, however, spending money with each other to talk about us and our problems. In one of the Wellness funded reports, it points out that 51 of our 58 counties are impacted with a shortage of at least one understaffed healthcare profession. And to bring it closer to us in the Inland Empire, Riverside and San Bernardino Counties, are on that list. And, you have known for years that we have the lowest college going rate in the state, so it's no surprise that we're on the list. Now we also know from demographic reports that we are the fastest growing counties in the state for the Black population with our need being the greatest for more healthcare workers. With this challenge we should have a greater interest and need to start developing a strategy to have a healthcare workforce that reflects the diversity of those who will need it.
One of the identified solutions is to recruit a workforce from the communities in the greatest need. The report states that people have a tendency to return, if the opportunity presents itself, to their own community if the pay, environment, facilities, housing, and continuing education are offered as in other communities. The University of California system has recognized that some way must be found to increase our enrollment into the existing schools of medicine, pharmacy and nursing. A way must also be found to increase Black student access to the proper science and math curriculum in our public schools. In another report released by UCLA this past week on the achievement gap of Blacks in California; they point out that Black students do not have access to the courses required for college in science or math. According to the California Basic Education Data System "African American students are less likely than their white and Asian counterparts to have access to college preparatory courses". They also found that even when they do have the curriculum the teachers are not qualified to teach them. They found this to be true in 107 of the high schools of which one half of the states Black students attend. On October 28th 2007 Governor Arnold Schwarzenegger signed into law AB428 authored by Wilmer Amina Carter of Rialto which require the districts to notify the students and parents on the status of their A-G requirement courses. These are the courses student take in preparation for our college system. Without these courses they cannot enter any of California's public universities of which Blacks pay taxes to keep open. Students from other countries have full access, but pay no taxes. Now all of the blame cannot be placed at the door of the policy makers, we too must become more aggressive and engaged with the system and increase the educational attainment of our young people. I know it is difficult with all of the things going against us including the Ward Connerly's of the world who want to remove all requirements for entrance that is racially motivated. The UCLA report clearly documents that race is a factor when it comes to Blacks, Hispanics and Native American Indians in California.
When you add to all of this the other component of healthcare coverage you can see our community is being treated like a third world country.
We must ask our local school boards to establish health care career magnet schools starting in kindergarten straight through graduation. The Dr. Howard Inghram Elementary School in San Bernardino was re-opened as such but has been discontinued. They even had a partnership with the program Community Hospital located across the street. The United Nurses Association of California even adopted the school as a project. During one of their open school sessions the student dressed as physicians and other allied health care workers which they learned about at the hospital. They had healthy food snacks which they learned from the dieticians at the hospitals. Now rumors float that the hospital will close and the health care careers have been replaced by an environmental focus, that is also important, but the district has some already. This school is located in the heart of the Black and Latino community. Now I do not have to tell any of you the salaries healthcare workers make. It is not below the poverty level.
I am saying to the Secretary of Education, State Superintendent of Education, California School Board of Education, local School Boards of Education, Book Manufacturers of California, Governor of California, Senate and Assembly of California, Health Care providers of California, Health Care Insurers of California, Hospitals in California, Educational Institutional of higher learning in California, parents and students in California, we have a problem that exists today but can be resolved if we tackle it with determination. It will not be solved by going out of the country and bringing in workers; you have done this in the past and it created language and cultural issues in the workforce and with patients.
We cannot point fingers but must place them around the plow and start plowing. Now after a Black, Latino or Native American Indian parent reads these reports you might ask yourself these questions: If I motivate my child to the point of seeking a career in the healthcare field, will the proper science and math classes be there? Will qualified teachers teach them? Will the university admit them? Will the major employers hire them? If they go into business of their own will the financial institutions give them a loan to start the business? Will there be office space in the neighborhood where the patients live? Will they be able to get insurance for the business? Even though you might have these questions you will still need to motivate your child.
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May 2008 |
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