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Investing in Inclusion: How Health Philanthropy Can Prioritize the Needs and Perspectives of Individuals with Disabilities
One in five children in the United States has a special health care need requiring more than routine health services, and one in four adults report having a disability. As 70 million adults and 14.5 million children in the United States have a disability, the population impacted by issues in the aging out process and in the health care system more broadly is far from insignificant. Despite these numbers, disability-related grants represent just 2 percent of total philanthropic giving and are primarily directed towards services and supports that seek to fix or cure disabilities and perpetuate the ableist assumption that people with disabilities are unable to make decisions about their own care.
Merck Foundation: December 2024
Merck Foundation has launched a new initiative – the Collaborative for Equity in Cardiac Care to advance equitable access to high-quality, culturally responsive cardiac care for people living with heart conditions in underserved United States communities. The foundation is committing $17 million over five years to support the development and implementation of innovative, comprehensive programs for cardiac health care across the country as well as promote cross-sectoral collaborations to address barriers to care associated with social drivers of health.
Marin Community Foundation: October 2024
Episcopal Health Foundation’s (EHF) annual poll shows continuing health care affordability and access crisis in Texas. EHF’s poll found that 64 percent of Texans said they skipped or postponed some sort of health care because of the cost. That includes things like check-ups, treatments, tests, filling prescriptions, and dental care. That percentage is slightly down from the 68 percent who said they skipped care last year – the highest percentage in the six-year history of EHF’s poll.
Illinois Children’s Healthcare Foundation’s Persistent Journey toward Equity
Since 2019, the Illinois Children’s Healthcare Foundation (ILCHF) has embarked upon a journey of perspective transformation—challenging ourselves to know, think, and believe differently so we will decide, engage, and act more equitably. Through consistent commitment and action, our Board of Directors, leadership, and staff have moved equity, diversity, and inclusion (EDI) work beyond “box checking” activities, institutionalizing long-term, individual, organizational, community, and cultural changes.
Ending Girls’ Incarceration in California is Possible When We Listen to Young People and Invest in Their Healing
The United States leads the world in incarceration rates of women and girls—we account for only 4 percent of the world’s population of women and girls but 30 percent of women held in prison and jails. Many girls are incarcerated not because they pose a threat to the public but because of concerns for their own safety in the community—such as abusive home environments. California incarcerates more girls than any state other than Texas and can lead the way on ending girls’ incarceration nationwide.
Safeguarding Health Care Access for Transgender Communities
For decades, LGBTQ+ Americans have been at the forefront of powerful movements championing the freedom for all individuals to be themselves and pursue their dreams. This grassroots organizing has led to unprecedented public support for LGBTQ+ equality and increased visibility for transgender people within our society. However, despite growing acceptance, a dangerous political backlash threatens the progress made in securing health care access for transgender communities.
Reports and Publications
GIH Bulletin: January/February 2026
One year ago, as we were just one month into the new administration, I wrote that “At a moment when so much has been described as ‘unprecedented,’ and so much of what we value is being attacked, we need to ask ourselves as individuals, organizations, and a field, what do we stand for? What values do we hold, and what will we do and say to defend them?” Today, the answers to these questions are needed more urgently than ever.
GIH Bulletin: November/December 2025
GIH President and CEO, Cara V. James, delivered these remarks on Protecting the Freedom to Give at the closing of the 2025 Health Policy Exchange, in Arlington, Virginia.
Behavioral Health Strategies
GIH conducted a survey in late 2024 on funder engagement in behavioral health. This fact sheet, based on a sample of 139 health funders, summarizes the current trends, gaps, successes and challenges for funders. It also highlights philanthropy’s continued commitment to behavioral health while also signaling concern about the upcoming funding environment.