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Issues & Insights a quarterly newsletter for AGM grant making members and nonprofit partners
June 2006

AGM Members and Partners

As we all know, the State of Massachusetts has passed sweeping health care reform legislation designed to greatly expand health coverage. But insurance doesn’t guarantee good health care. Evidence abounds that even in this medical Mecca, disparate care exists for minorities who have equal access to a physician and insurance. For example, the Boston Public Health Commission reports that asthma mortality rates for Hispanics/Latinos are more than four times higher than those for whites. Further, 12.7% of Asian adults reported being unable to afford to see a doctor when they needed one during the previous year, compared to 6.2% of whites. Black men’s mortality rates from prostrate cancer are almost twice as high as any other group and more than 10 times higher than those for Asian men. What does it take to close health care gaps resulting from ethnic, racial and other differences?

Momentum has been building on national and local fronts to reduce these disparities. In 2002, the Institute of Medicine, a nonprofit advisory unit of the National Academy of Sciences, published its influential report, “Unequal Treatment: Confronting Health Care Disparities.” Two years later, Governor Romney appointed the Legislative Commission on Racial & Ethnic Healthcare Disparities.

Meanwhile, local coalitions of public and private stakeholders have been testing new approaches that promise to bring the benefits of medical care to people who have been left out. Many engage patients and providers in community-based initiatives designed to improve health outcomes while lowering the long-term costs of care. As always, please contact AGM Communications Director Gail Pinkham with your feedback.
- Ron Ancrum, President, Associated Grant Makers

Headlines:
  • IN THIS ISSUE: Find out about the foundations working to prevent and manage diabetes. The foundations highlighted in this issue were all established in the past 6 years. Also, learn about the works of foundations that support oral health and what campaigns are being rolled-out to promote the cause.
  • Endowment for Health Fosters Best Practices in New Hampshire
  • Blue Cross Blue Shield Expands Culturally Competent Care
  • City of Boston Partners with Foundations and Care Providers to Close Health Gaps
  • Foundations Support Neighborhood-based Diabetes Care
  • Iacocca Foundation Invests in Diabetes Cure and Treatment
  • Oral Health: Initiatives Target the Most Vulnerable
  • Access to Dental Care: Miles to go in Massachusetts
  • Northeast Delta Dental: Educating Dental Hygienists
  • Associated Grant Makers

  • Endowment for Health Fosters Best Practices in New Hampshire

    Founded in 2000, the Endowment for Health has been working with health care providers and social service agencies to reduce social and cultural barriers to health for New Hampshire’s residents.
    Find the Facts: A Resource for New Hampshire Health Care Professionals


    Blue Cross Blue Shield Expands Culturally Competent Care

    Since its inception in 2001, the Blue Cross Blue Shield of Massachusetts Foundation has committed grants totaling $19 million to make health care accessible to the state’s uninsured and low-income residents. The Foundation conducts two complementary grant programs.


    City of Boston Partners with Foundations and Care Providers to Close Health Gaps

    The Boston Public Health Commission has identified higher disease incidence and poorer outcomes among the city’s racial and ethnic minorities, who are more likely to have high blood pressure, diabetes, HIV/AIDS, prostate cancer, asthma, and lead poisoning. Last June, the Commission launched its Disparities Project to improve access to medical care for Boson’s growing minority populations.


    Foundations Support Neighborhood-based Diabetes Care

    A diabetic pays a steep price for insufficient care: treatment gaps may result in the loss of vision, limbs or even life. But how does a community make complex, long-term diabetic regimens available to all? The Improving Diabetes Care Initiative of the Richard and Susan Smith Family Foundation and Paul and Phyllis Fireman Charitable Foundation supports innovations in prevention and disease management that have the potential to save both lives and money.


    Iacocca Foundation Invests in Diabetes Cure and Treatment

    The Iacocca Foundation was founded in 1984 by Lee Iacocca in memory of his late wife, Mary K. Iacocca, who died of diabetic complications in 1983. The Foundation funds innovative and promising research in an effort to cure diabetes. “Of the $21 million we have invested in research, about $19 million has gone to projects in Massachusetts,” says Dana Ball, executive director of the Foundation.


    Oral Health: Initiatives Target the Most Vulnerable

    By Bryan Spence, Interim Director, Oral Health Foundation
    Oral health is a critical component of health and wellness. Consequences of untreated dental decay include gum disease, oral cancer, chronic pain, work/school absenteeism, and low self esteem. Yet preventive dental care is unaffordable to many nationwide and in Massachusetts.
    Check out Watch Your Mouth campaign!


    Access to Dental Care: Miles to go in Massachusetts

    By Michelle Sanford, Manager of Community Relations and Dental Access, Massachusetts Dental Society
    In the last several years, the state has cut MassHealth (Medicaid) dental benefits for low-income families and individuals. As a result, many children are not receiving even basic dental care. And nearly 70 percent of children on MassHealth do not receive any dental care because of limited access to care providers.


    Northeast Delta Dental: Educating Dental Hygienists

    By Kathleen B. Walker, External Affairs Director, Northeast Delta Dental
    We support dental hygiene training in Maine, New Hampshire, and Vermont. We have two key objectives: increasing accessibility for affordable higher education in dental hygiene and increasing the number of dental health professionals in these states.


    Associated Grant Makers

    Associated Grant Makers (AGM) is a regional membership association of foundation staff and trustees, corporate grant makers, donors, and philanthropic advisory services. AGM supports the practice and expansion of effective philanthropic giving and builds connections with nonprofit leaders in Massachusetts and New Hampshire.


    IN THIS ISSUE: Find out about the foundations working to prevent and manage diabetes. The foundations highlighted in this issue were all established in the past 6 years. Also, learn about the works of foundations that support oral health and what campaigns are being rolled-out to promote the cause.

    Harvard Pilgrim Health Care Foundation: Catalyst of Coalitions
    Since 2001, the Harvard Pilgrim Healthcare Foundation has been working to remedy regional disparities in health care as a grantmaker, policy advocate, convener, and by serving as an educational resource to the health care community. "Our focus on health disparities began in 2001, following key informany surveys with community leaders...

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