The Fund supports several networks of state health policymakers to help identify, inspire, and inform policy leaders.
The Fund identifies and shares policy ideas and analysis on topics important to state health policymakers, particularly on issues related to state leadership, primary care, aging, and total costs of care.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
S1 1987 (Volume 65)
Douglas C. Ewbank
Back to The Milbank Quarterly
Most estimates of historical trends in mortality are imperfect, the more so when measuring relative improvements between races. Combining information from birth and death registration, slave records, and census data, gives a picture of uneven progress. Urban-rural and regional differences have diminished for all-but especially for whites-with sanitary, nutritional, and medical care improvements. By 1940 blacks in all parts of the country were experiencing mortality rates comparable to those that whites had experienced 20 years earlier. Persistent black-white mortality differentials undoubtedly relate to unequal educational, employment, and income determinants of access.
Author(s): Douglas C. Ewbank
Download the Article
Read on JSTOR
Volume 65, Issue S1 (pages 100–128)
Get the Latest from the Milbank Memorial Fund
The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.