Employment Implications of a Changing Health-Care System

The American health-care system has undergone rapid growth and structural change over the past 20 years. Because of the increase in expenditures flowing into the system, total employment in the industry has increased significantly. Along with total employment, the employment of black women has also grown. Unfortunately, however, black women continue to be concentrated in the lowest paying of the health occupations. Efforts to improve the occupational distribution of blacks in general and black women in particular are going to be more difficult in the future because of the dominance of cost containment as the nation's primary health policy goal.