Terminally ill patients who are minorities are less likely to choose hospice care than whites, according to a recent report..

In 2005, 82 percent of those receiving hospice care were white, while 7.5 percent identified themselves as black or African-American according to the National Hospice and Palliative Care Organization. This compares to the nation as a whole, where 75 percent of the country is white and 12 percent is black, according to the Census.

African-Americans seek hospice care less often due to cost, health insurance factors and a sense that they are being denied medical care on the basis of race, according to experts. According to John Radulovic of the National Hospice and Palliative Care Organization, "Some people think that if a doctor wants them to stay home and not come into the hospital, that the medical system isn't truly concerned about them."

Some hospices are trying to reach more African-American through church programs, since African-Americans look to their faith communities for support during serious illness, according to Radulovic.

Other hospice groups are trying to reach out to minority Hispanic commminties by providing Spanish-language materials.

While Anaia Bedford, wife of Emmy award winning photographer Ken Bedford, underwent chemotherapy and radiation for breast cancer, both Anaia and Ken conducted research and asked many questions of experts. According to what they learned, early detection, a healthy diet, exercise and a strong immune system are the keys to breast cancer survival and that "breast cancer awareness and education among African American and other minority women in general is vital because there is a lack of medical attention due to financial hardships, spousal rejection fears and being so terrified that the disease will take their lives."

Anaia felt that had she been diagnosed earlier, her chances of survival would have been greater. Anaia lost her struggle to survive breast cancer in 2004.

The Anaia Breast Cancer Awareness Program was founded by her family to increase breast cancer awareness and promote early detection in minority communities. As a tribute to Anaia and to educate women about breast cancer, an annual gala is hosted at the Galleria Marchetti in Chicago. This year's keynote speaker was Dancing with the Stars Vivica A. Fox. Governor Rod Blagojevich, Mayor Richard Daley, Angela Winbush, Phil Perry, Glenn Jones, Howard Hewett and jazz Sax Man Ray Silkman also attended the event.

Anaia believed "Knowledge is power, the more you know and understand will reduce many of the fears and myths you hear about breast cancer." Her family and friends are continuing the cause of raising breast cancer awareness Anais felt was important to surviving cancer. To learn more, visit the Anaia Breast Cancer Awareness Program.

Health care coverage for working Americans is like a brittle tree in a hard wind -- and the larger limbs are beginning to snap. Between the years 2000 to 2005, 6.8 million more people became uninsured according to the latest report from the U.S. Census Bureau's Housing and Household Economic Statistics Division. Current data estimates 46.6 million people are without health insurance coverage. As employer-based health insurance continues to fade, government programs are taking up the slack -- up to a point. But given the lack of funding, there is only so much that can be offered.

In a statement issued by the Center for American Progress, "These problems did not just happen: they resulted from flawed economic and health policies which force Americans to work more for less. When it returns after Labor Day, this Congress should act to mitigate these problems by passing a straightforward minimum wage increase and extend health funding for programs like the State Children's Health Insurance Program. Moreover, policy makers should recognize the need for major change, such as providing affordable health care to all Americans and taking action to address growing income inequality."

Some are calling for a government-based universal health care system that guarantees health care coverage for all Americans. Others are suggesting a mix of private and public health care coverage. What ever the solution, there certainly needs to be one.

We can start with a shift in perspective and change in expectation. If you are working full-time for a company, presumably your efforts are helping that company make a profit. Health insurance coverage should not be viewed as a luxury benefit, nor should the largest burden of health insurance premiums be shouldered by the employee whose earnings just meet living expenses. Yet, this is happening every day in this country. The hard wind continues to batter the brittle tree.

Personally, I am not sold on a government-run, government-backed universal health plan simply because I have covered too many horror stories about rationed care in other industrialized countries. It seems a combination of programs might be the solution but the government and our elected officials certainly need to be held accountable for implementing programs that insure all Americans.

American Public Health Association Georges Benjamin is quoted by United Press International as saying, ""This is the worst news we've had all year. Our nation is not secure if we're not healthy."