This Issue Brief, based on an April 2003 Issue Dialogue, calls on grantmakers to take a leadership role in shaping the language access agenda to ensure that all individuals have equal access to quality health care. Sections include: recent immigration trends and demographic changes; the effect of language barriers on health outcomes and health care processes; laws and policies regarding the provision of language services to patients; strategies for improving language access; and roles for foundations in supporting improved language access, including examples of current activities.
Based on a November 2002 Issue Dialogue, this Issue Brief examines the nation's public health infrastructure and explores opportunities for grantmakers to strengthen and sustain this fragile and troubled system. The report provides and overview of the nation's public health system and its infrastructure weaknesses. It also discusses the challenges faced by state and local public health agencies as they struggle to maintain and improve the health of the public while simultaneously preparing for the possibility of bioterrorism. Finally, the report looks at foundation strategies to help buttress the public health system's infrastructure.