The accumulation of politics, policies and suburban flight has concentrated poverty and segregated races in measures unlike any other U.S. city. For example, Chicago has black communities with such high poverty, concentrated segregation and disadvantages that no white communities in Chicago can be used for comparison. My patient makes decisions for her health and health care through the lens of this poverty and segregation. How can we replace entire hips and knees, but not make sure individuals have access to the basic medications that prevent heart failure exacerbation? How can we create complex health systems but not meet simple needs?
How have we managed to develop some of the most complex healthcare treatments around, yet failed to provide the most basic healthcare services to our country’s most vulnerable? Thomas Fisher, M.D., M.P.H explores how inequality and segregation come to bear on Chicagoans’ health.