Similar results have been obtained in Australia. The disparities occurred irrespective of disease type or type of procedure, appearing in the treatment of cancer, cardiovascular diseases and mental illness and in major interventions as well as routine procedures for common health problems. review of over 100 studies 1 on healthcare delivery reported that they were "struck by the consistency of findings" that "minorities are less likely than whites to receive needed services, including clinically necessary procedures" (p 2). The sneaking suspicion that the poorer health of racial and ethnic minorities is partly due to the fact that they actually receive poorer quality care has only recently attracted serious attention. In particular, reference is often made to increased exposure to environmental hazards, poorer diet, overcrowded housing and the effects of lower education levels on health literacy and health related attitudes and behaviours (e.g. Poverty is frequently invoked as a major causal factor. Explanations range from differences in genetic susceptibility to the experiences of dispossession and removal. In Australia, we are all too familiar with the extreme health disadvantage of Indigenous people. Among the most universal and persistent inequalities in health are those. It is the prejudices of good people that are so dangerous. Most people would not wish to imitate them – and so, such prejudices would not have much effect-except in exceptional times.
It is not only bad people who are prejudiced, that would not have such a strong effect.
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