Critical approaches to Spanish heritage language (SHL) pedagogy have called for more meaningful engagement with heritage language communities (Leeman, 2005). In a recent survey, furthermore, SHL students expressed a desire for more community-based activities in SHL curricula (Beaudrie, Ducar, & Relano-Pastor, 2009). This paper reports on the…

Legislation during the past three decades has gradually drawn Indian Health Service (IHS)-funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal…

Literature reviews show that there are 3 alternative models of the determinants of the utilization of health services: (1) unequal access; (2) culture of poverty; and, (3) cultural and social psychological differences related to ethnicity and SES. On the basis of data gathered in Los Angeles, implications of findings for pluralism in the…

The findings of the Citizen's Board of Inquiry are that: (1) hunger and malnutrition affect millions of Americans and are increasing in severity each year; (2) infant deaths, organic brain damage, retarded growth and learning rates, increased vulnerability to disease, withdrawal, apathy, alienation, frustration, and violence result from hunger and…

The statements of a number of public witnesses, along with those of two Reagan Administration witnesses, are included in this transcript of a Senate hearing which convened to consider the Federal role in providing access to health care for the economically disadvantaged. According to an opening statement by Senator Robert Dole, the purpose of the…

This study reveals a common opinion regarding the importance of adequate health care at reasonable cost for all citizens, that it is a political issue. (JB)

Presents information on who gets medical care and what the needs for medical care are. A proposal for a National Health Service for mothers and children and what services this should include is presented along with other recommendations for reform. [Available from American Public Health Association, Inc., 1015 Eighteenth Street, N.W. Washington,…

Casts doubts on the current belief that poverty leads to less medical care, and results in diminished health. Holds that level of education is a causal factor in individual health status and medical care utilization; the observed correlation between income and medical deprivation appears to be a consequence of education's relationship with both…

Discusses the disparity in health care delivery for whites and blacks as a result of racial prejudice. Presents statistics showing that: (1) black workers are more likely to be exposed to job hazards; and (2) black children make greater use of health care when racial barriers are reduced. (KH)

THE YOUTH OF RURAL AMERICA ARE NOT AFFORDED EQUAL EDUCATIONAL OPPORTUNITIES, ARE ECONOMICALLY DISADVANTAGED, EXPERIENCE INADEQUATE MEDICAL SERVICES, AND FAIL IN GENERAL TO REALIZE THE ADVANTAGES OF THEIR CITY COUNTERPARTS. THESE CONDITIONS FACING RURAL YOUTH ARE NOT CONFINED TO ANY SINGLE AREA OF THE COUNTRY, BUT ARE WIDESPREAD ENOUGH THAT THEY…

Intended primarily for state and local health and education staff, the guide considers using the school setting as one resource in the Early Periodic Screening Diagnosis and Treatment (EPSDT) Program. Chapter I introduces the EPSDT program and describes its services to Medicaid eligible children. The chapter also sets forth school health goals as…

Presents survey data on low-income elderly people. Examined sociocultural and quality-of-life variables as they affected use of health care and transportation services. More than half of respondents did not receive medical care despite reporting multiple symptoms. Most participants relied upon public transportation to obtain health services. (RJM)

The cost effectiveness of an attempt to identify new clients eligible for Medicaid was evaluated. Most poor clients served by the health department were ineligible, and most potentially eligible clients did not complete the application process. The exercise cost twice as much staff time as the department could have recouped. (SLD)

THE RURAL POPULATION HAS BEEN SHIFTING TOWARD THE URBAN CENTERS OF OUR COUNTRY. SOME EVIDENCE INDICATES A REVERSAL OF THIS SITUATION IN THE NEAR FUTURE. INDUSTRY IS MOVING AWAY FROM THE CITIES TO AVOID WATER POLLUTION, TRAFFIC CONGESTION, AND HIGHER OPERATIONAL COSTS. PLANNED CITIES WHICH INCLUDE COMPREHENSIVE HEALTH PLANS ARE BEING CONSTRUCTED IN…

Many Americans do not have access to adequate medical care. Previous research on this problem focuses primarily on individual-level determinants of access such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed medical care, however, has not received much attention. We…