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Racial and Ethnic Kidney Transplant Disparities

Maria Kay Daley
Ohio Northern University

The social structure or class and socioeconomic status influence the person’s life changes, life choices, and life styles which limit the ability for black, Hispanics, and other ethnicities to receive pre-end stage nephrology treatment and living donor kidney transplant.  The bureaucratic system follows written rules and regulations that determine the patient’s eligibility for end stage nephrology and living donor kidney transplant.  Following the rules and regulations can cause inequality among racial/ethnic minorities in need of a kidney transplant.  Factors such as socioeconomic status, health insurance, biology, and access contribute to inequality.  The rules and regulations are not always followed which will cause inequality in kidney transplant patients.  The bureaucratic system has the ability to limit blacks, Hispanics, and other ethnicities from receiving pre-end stage nephrology treatment and living donor kidney transplant in the United States.  The long term effects of racial discrimination, both structurally and personally mediated, intentional and unintentional, are well established as causal factors for racial/ethnic differences in health outcomes in the United States and may contribute to the observed racial/ethnic differences in access to preemptive living donor transplantation. (Patzer 2013:1778).  Racial and ethnic kidney transplant disparities is an important social phenomenon to understand the influences of the social structure toward life-chances, life choices, life styles, and bureaucracy which cause racial and ethnic end stage nephrology treatment and living donor kidney transplant rates should be improved among blacks, Hispanics, and other ethnicities.