Empire State Medical Association Recommendations to Help Eliminate Racial and Ethnic Disparities in Health in New York

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• Enact legislation to ensure mandatory cultural competency for all physicians and health-care workers in New York State.
• Eliminate health maintenance organizations. HMO concepts of referral use and capitation discourage the physician-patient encounter and delay and decrease­ access to health care, resulting in the closing of many hospitals and physician offices in New York. 
• Enact legislation to make health care a basic human right, not a privilege.
• Ban alcohol and tobacco ads in New York City.
• Create and enhance preventive public service announcements and public health education protocols.

• Repeal the New York Medicaid cuts for health care for patients with dual eligibility with Medicare.
• Provide special tax breaks—such as no property tax on home or office and a 50 percent discount on state and city taxes—for physicians who open their primary practices in poorer, underserved neighborhoods.
• Implement tort reform with caps on malpractice awards.
• Ensure that all local New York medical schools and hospitals immediately enforce nondiscriminatory laws by recruiting underrepresented Black and Hispanic
physicians, medical students and health personnel.