Photo by Alia Malek/via Al Jazeera America
Photo by Alia Malek/via Al Jazeera America

Baltimore is the home base of one of the best hospital systems in the country. So why do so many city residents still get such sub-par healthcare?

A team of reporters spent months interviewing residents of West Baltimore about their experiences with and attitudes about the medical system. What they found was dismaying: Residentโ€™s of Freddie Grayโ€™s Sandtown-Winchester neighborhood regularly reported negative experiences at Baltimore hospitals and clinicsโ€“and, unsurprisingly, they also had low levels of trust for such institutions. The statistics affirm their pessimism. Sandtown-Winchester residents have an average life expectancy thatโ€™s 10 years lower than the national average.

NPR dug into some of the reasons behind the health disparity:

The gap is more than the cultural distance between lower-income African-Americans and the wealthier practitioners, often of other ethnicities, who treat them, although thatโ€™s a part, Wilson said. Itโ€™s about insurance that is still unstable, confusing and perceived as expensive despite the health lawโ€™s recent expansion of Medicaid for low-income patients.

Itโ€™s about a system that still treats too many residents in the most expensive way possible โ€” in crisis visits to the emergency room โ€” rather than keeping people healthy in the community. Itโ€™s about having too few primary care doctors addressing everyday needs to change that.

Itโ€™s about inadequate transportation to get to appointments and jail stays that cut patients off from family doctors. Itโ€™s about avoiding medical institutions often seen in the same light as the justice system that held Freddie Gray when he died: as biased, haughty and dangerous.

Read the whole story here.