Social Determinants & Social Context
Census data show many Texans live in rural areas far from hospitals, limiting access to care before illness even occurs. This is a ___stream factor.
What is an upstream factor?
Under the upstream vs downstream framework, Texas’ lack of Medicaid expansion limits access to ________ care, increasing reliance on emergency treatment.
What is preventive or upstream care?
•How does Texas compare with the average U.S. wealth disparity as measured by the Gini Coefficient?
Texas is among the top 20% of most unequal states, above the national average.
Texas has one of the highest uninsured rates in the U.S., limiting access to care.
What is a lack of health insurance
This Texas based district is recognized as the largest medical complex in the world.
What is the Texas Medical Center
Under fundamental cause theory, neighborhoods in Texas with limited access to grocery stores but high access to fast food are called ________, which contribute to unequal diet related health outcomes.
What are food deserts?
Under Morone’s moral framing, Texas’ decision not to expand Medicaid reflects a focus on ______ responsibility over collective responsibility.
Under the upstream vs downstream framework, reduced federal and state funding in Texas puts financial strain on rural hospitals, leading to fewer services before illness occurs. This is an example of an ________ cause.
What is an upstream cause?
Many rural Texans much travel long distances to reach hospitals or specialists
What are geographic barriers
As the largest medical complex in the world the Texas Medical Center sees over 10 million of these encounters every year.
What are patient encounters
Under fundamental cause theory, lack of transportation in rural Texas limits access to healthcare, showing how this broader category of conditions shapes health outcomes.
What are social determinants of health?
Under the upstream vs downstream framework, restricting access to reproductive services in Texas shifts care toward later stage ________ interventions rather than early prevention.
What are downstream interventions?
Where does Texas rank in unemployment rates?
What is ---in the middle (top 25 states)
Low-income populations in Texas experience worse health outcomes due to limited resources
What is socioeconomic inequality
While Texas leads in many fields it is specifically recognized in research and innovation for this field of medicine.
What is cardiac care
Under the upstream vs downstream framework, many workers in Texas industries such as construction, oil and gas, and service jobs experience low job control and high stress, which negatively impacts health before illness occurs. This reflects an ________ factor.
What is an upstream factor?
Under Morone’s moral framing, Texas policies that restrict Medicaid eligibility and reproductive healthcare access reflect a Puritan framework that determines who is ________ of receiving care.
What is deserving?
Why does Texas have limited funding for public spending?
The state does not collect a personal income tax
State policies restricting reproductive healthcare limit access for many Texans
What are policy-driven healthcare restrictions
Texas is currently using record breaking funds to build new facilities for this specific type of healthcare.
What is Mental or Behavioral Health
Under fundamental cause theory, living in high crime neighborhoods in Texas increases chronic stress and negatively impacts long term health. This is an example of ________ shaping health.
What are social determinants of health?
Under moral framing, Texas’ decision not to expand ________ under the Affordable Care Act reflects a prioritization of individual responsibility over collective healthcare access.
What is Medicaid?
Considering Fundamental Cause Theory at the “middle stream” level, why do poor neighborhoods in Texas not achieve the same health outcomes as wealthier neighborhoods?
What is---- residents may lack access to the newest medications, distrust the healthcare system, or be unable to take time off work for appointments, even if insured.
Undocumented immigrants in Texas often face barriers to public healthcare programs
What are exclusions based on immigration status
Texas is experiencing a boom in these two scientific sectors which could have grown.
What is Life Sciences and Biotech