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AIAN individuals experience significant health disparities compared to their White counterparts. People who identified as AIAN alone have shorter life expectancies (70.1 vs 78.4 years at birth), higher rates of chronic diseases, and higher rates of suicide deaths and substance use disorder.
Due to a combination of lower coverage rates, additional access barriers, and historical and ongoing discrimination, AIAN people continue to face significant disparities in health and health care.
This analysis examines how people of color fare compared to White people across 64 measures of health, health care, and social determinants of health using the most recent data available from federal surveys and administrative sets as well as the 2023 KFF Survey on Racism, Discrimination, and Health.
Data show that children’s vaccination rates, including MMR and seasonal flu vaccines, have declined in recent years largely due to decreases in vaccinations among White and Asian children. At the same time, and despite the declines among White and Asian children, Black and AIAN children remain least likely to have received recommended childhood vaccinations and the MMR vaccine specifically.
This issue brief provides an overview of Executive Order (EO) 14224 designating English as the official language of the United States and its potential implications for multilingual resources, including data on the shares of individuals with LEP across different socioeconomic characteristics based on KFF analysis of 2023 American Community Survey (ACS) data.
As climate change-related disasters worsen, the federal government’s shrinking of emergency and disaster preparedness support to state and local governments may leave millions of people vulnerable and unable to recover from natural disasters.
This Health Policy 101 chapter provides an overview of racial and ethnic disparities in health and health care and the factors that drive them, including the role of historical events and social and economic factors. It discusses why addressing disparities is important for health and economic prosperity, reviews recent federal policy actions that may impact disparities, and outlines future considerations.
Between 1999 and 2023, the number of heat-related deaths in the U.S. increased by 117%. KFF analysis of data from the Centers for Disease Control and Prevention shows that American Indian or Alaska Native and Black people are at higher risk of experiencing a heat-related death compared to their White counterparts. Estimates suggest that heat events in the U.S result in approximately $1 billion in excess health care costs each year. If left unaddressed, climate change could cost the U.S. economy approximately $14.5 trillion over the next fifty years.
There were gains in coverage across most racial and ethnic groups between 2019 and 2023 after several years of rising uninsured rates during the first Trump administration. The coverage gains between 2019 and 2023 were largely driven by increases in Medicaid coverage, reflecting policies to stabilize and expand access to affordable coverage that were implemented during the COVID-19 pandemic.
In October 2024, the Centers for Medicare and Medicaid Services (CMS) approved the first ever Section 1115 waiver demonstration amendments that would allow Medicaid and CHIP coverage of traditional health care practices for American Indian or Alaska Native (AIAN) people in Arizona, California, New Mexico, and Oregon. This Waiver Watch reviews disparities in health and health care for AIAN people and summarizes the key features of the approved waivers.
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