Journal entry: Members of ethnic cultural groups have been shown to have poorer health care outcomes than others in the U.S. population. In part, this is due to lack of access to care due to financial constraints. Even when members of these groups have health insurance, however, their health outcomes tend to be less favorable than among Caucasian members of the population with similar forms of healthcare coverage.

1. What other factors might be contributing to these differential outcomes?

2. Which of these factors arise out of ethnic cultures and which arise out of the dominant culture or the culture of the health care system?