Health Equity and Social Justice

The Rapides Foundation is a health care legacy dating back to 1994. The foundation’s grantmaking focus has always addressed traditional health care and health promotion priorities. We have funded medical training and programs that help people get access to medication and launched programs that helped communities fund walking trails and playgrounds.

Many of us have been investigating and working to reduce health disparities for decades. And we have seen the trend lines like writing on the wall. An equation of the health decisions we each make, plus the environment in which we make them, has added up to a nation where we are not nearly as healthy as we could be.

In 2004 the Institute of Medicine (IOM) released a landmark report on the state of health literacy in the United States. That report, Health Literacy: A Prescription to End Confusion, pulled together a growing body of information indicating that health literacy deficits are both common – present in nearly half of the U.S. population – and damaging to individual health and well-being.

Large numbers of Americans experience higher rates of illness and premature death for reasons that go beyond access to health care, lifestyle choices, and genetics. And yet, according to the Centers for Disease Control and Prevention, the U.S. spends more than 90 percent of its health budget on downstream, individual medical care.