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There are many causes into why this is such and issue.

However the big ones we will discuss here are as follows:
1. Geographic Access
2. Poverty
3. High out of pocket costs

References:
Peters, D., Greg, A., Bloom, G., Walker, D., Brieger, W., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USAbInstitute of Development Studies, Sussex, United Kingdom, 1(1), 161-171. pubmed.ncbi.nlm.nih.gov. https://pubmed.ncbi.nlm.nih.gov/17954679/

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Most of the world today has zero access to healthcare what so ever. According to the World Health Organization, "At least half of the world’s population cannot obtain essential health services, according to a new report from the World Bank and WHO. " Each year health care is becoming more and more expensive causing regular households to struggle. Foreign countries are often found without the necessary health needs for its citizens. For those in foreign countries it has been like this without health care for centuries. They have adapted to this lifestyle and learned how others around them have. There are also so many people including some in the US who cannot afford normal healthcare for themselves and their family. "There are wide gaps in the availability of services in Sub-Saharan Africa and Southern Asia. In other regions, basic health care services such as family planning and infant immunization are becoming more available, but lack of financial protection means increasing financial distress for families as they pay for these services out of their own pockets. This is even a challenge in more affluent regions such as Eastern Asia, Latin America and Europe, where a growing number of people are spending at least 10 percent of their household budgets on out-of-pocket health expenses."

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Becker, Gay, and Edwina Newsom. “Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African Americans.” American Journal of Public Health, vol. 93, no. 5, 1 May 2003, pp. 742–748, www.ncbi.nlm.nih.gov/pmc/articles/PMC1447830/#:~:text=Low%20SES%20is%20an%20important.

Drake, T. (2023, February 27). Reimagining Global Health Financing: How Refocusing Health Aid at the Margin Could Strengthen Health Systems and Futureproof Aid Financial Flows. Center for Global Development. Retrieved September 19, 2023, from https://www.cgdev.org/publication/reimagining-global-health-financing-how-refocusing-health-aid-margin-could-strengthen

n.d. (2023, August 17). Key Global Health Positions and Officials in the U.S. Government | KFF. Retrieved September 19, 2023, from https://www.kff.org/global-health-policy/fact-sheet/key-u-s-government-agency-positions-and-officials-in-global-health-policy-related-areas/

n.d. (n.d, n.d n.d). Transportation Clipart Set Vector Art & Graphics | freevector.com. Free Vector Art & Graphics. Retrieved September 19, 2023, from https://www.freevector.com/transportation-clipart-set-30613

Nelson, H. (2020, November 6). New Network Promotes Access To Care, Mitigates Health Disparities. PatientEngagementHIT. Retrieved September 19, 2023, from https://patientengagementhit.com/news/new-network-promotes-access-to-care-mitigates-health-disparities

Peters, D., Greg, A., Bloom, G., Walker, D., Brieger, W., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USAb Institute of Development Studies, Sussex, United Kingdom, 1(1), 161-171. pubmed.ncbi.nlm.nih.gov.  https://pubmed.ncbi.nlm.nih.gov/17954679/

Sohn, Heeju. “Racial and Ethnic Disparities in Health Insurance Coverage: Dynamics of Gaining and Losing Coverage over the Life-Course.” Population Research and Policy Review, vol. 36, no. 2, 15 Oct. 2016, pp. 181–201, www.ncbi.nlm.nih.gov/pmc/articles/PMC5370590/,   https://doi.org/10.1007/s11113-016-9416-y.

“World Bank and WHO: Half the World Lacks Access to Essential Health Services, 100 Million Still Pushed into Extreme Poverty Because of Health Expenses.” World Health Organization, World Health Organization, www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses. Accessed 20 Sept. 2023.

World Health Organization. (2017, December 13). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. World Health Organization (WHO). Retrieved September 18, 2023, from https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses

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Partners in Health is an organization that strives to help individuals globally receive the quality care that they need. They treat their patients as family and does anything to make sure they get well and healthy
Two main goals:
bring the benefits of modern science to who's in need most
serve as an antidote to despair
Organization mission:
To be able to provide a better option for the poor in receiving healthcare

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Health leads is an organization that has big goals for the future in healthcare. They partner with others to address some systemic challenges. Some of these challenges include income inequality and racism.

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There are several organization but in this section we'll be focusing on
1. Partners in Health
2. Health Leads

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There are many organizations that were created to help alleviate this disparity. Having healthcare is very beneficial but can be very pricey for some. The end goal is to make sure more individuals have access to essential and more affordable healthcare

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Some areas may lack adequate healthcare in contrast to other places. Many individuals chose to not get any medical attention unless absolutely necessary if a healthcare institution is too far. Depending on where you might live, healthcare could be inaccessible, especially in rural areas where there aren't many options for transportation.

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Families and individuals with lower income often face difficulties when it comes to accessing healthcare services. “Low SES is an important determinant of access to health care. Persons with low incomes are more likely to be Medicaid recipients or uninsured, have poor-quality health care, and seek health care less often; when they do seek health care, it is more likely to be for an emergency.” (Becker et al., 2003)

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Racial and ethnic minorities are the main group that suffers the most from disparities in healthcare. These disparities can be linked to systematic racism and discrimination in the healthcare system. Majority of the time, minority groups usually do not have proper access to quality healthcare and encounter worse health outcomes because of this.

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“African American and Hispanic individuals in the United States are more likely to be uninsured throughout adulthood than non-Hispanic individuals (Kirby and Kaneda 2010). Without insurance, people face considerable barriers in receiving health services. Many health care providers require insurance coverage from their patients or charge a prohibitively high fee (Himmelstein et al. 2005; Institute of Medicine 2002; Kasper et al. 2000; Nelson et al. 1999; Zuekas & Weinick 1999)." (Sohn, 2016)

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There are several factors as to why there are so many disparities in healthcare.

The main ones we will be focusing on includes:
1. Race/Ethnicity
2. Socioeconomic Status
3. Geographic Location

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Disparities in healthcare insurance and healthcare in general have been around for as long as we have known. These disparities are influenced by several factors such as race, ethnicity, socioeconomic status, and location. Although they are not new, that is more reason for change to happen to accommodate these issues. These topics of matter should not determine an individual's access to healthcare or their own health outcomes.

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The problem is that according to the World Health Organization its averaged that at least half of the world's population outside of high income countries do not have access to essential healthcare. The people who do have access to that care do not have the funds to comfortably utilize it. (World Health Organization, 2017)

Reference:
World Health Organization. (2017, December 13). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. World Health Organization (WHO). Retrieved September 18, 2023, from https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses

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“Currently, 800 million people [around the world] spend at least 10 percent of their household budgets on health expenses for themselves, a sick child or other family member. For almost 100 million people these expenses are high enough to push them into extreme poverty, forcing them to survive on just $1.90 or less a day,” (World Health Organization, 2017).

Reference:
World Health Organization. (2017, December 13). World Bank and WHO: Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses. World Health Organization (WHO). Retrieved September 18, 2023, from https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-access-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because-of-health-expenses

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There is a direct correlation between how often patients seek care with how locationally accessible care is. Many will go without care if the nearest location is 30+ minutes away the US with the widespread use of cars. One can imagine it much worse in rural areas with a lack of transportation.

According to Johns Hopkins School of Public Health in the  study called Poverty and Access to Health Care in Developing Countries, "Good roads, [are] often a rarity in the poor areas of developing countries, [good roads] are required not only for people to go to health facilities but also for the easy distribution of drugs and other supplies to health facilities, for timely referrals in emergencies, and for better supervision of health workers," (Peters et al., 2008, #161-171).

This shows how something like not having reliable transportation can lead to someone going without care.

References:
n.d. (n.d, n.d n.d). Transportation Clipart Set Vector Art & Graphics | freevector.com. Free Vector Art & Graphics. Retrieved September 19, 2023, from https://www.freevector.com/transportation-clipart-set-30613
Peters, D., Greg, A., Bloom, G., Walker, D., Brieger, W., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USAbInstitute of Development Studies, Sussex, United Kingdom, 1(1), 161-171. pubmed.ncbi.nlm.nih.gov. https://pubmed.ncbi.nlm.nih.gov/17954679/

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The Johns Hopkins Study states that, "[...], the poorer the country, the larger the amount of total health spending that is out of pocket. On average, more than 60% of the meager spending in low-income countries is from out-of-pocket payments, compared with about 20% in high-income countries," (Peters et al., 2008, #161-171).

References
Nelson, H. (2020, November 6). New Network Promotes Access To Care, Mitigates Health Disparities. PatientEngagementHIT. Retrieved September 19, 2023, from https://patientengagementhit.com/news/new-network-promotes-access-to-care-mitigates-health-disparities

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Though in the United states have high health expenditures per capita. Many poor countries do not have that funds to support these expenditures.

The Johns Hopkins study further states, "At the national level, poorer countries tend to have less access to health services than wealthier ones. LMICs lower and middle income countries) account for 90% of the global burden of disease but for only 12% of global spending on health. High-income countries spend about 100 times more on health per capita than low-income countries," (Peters et al., 2008, #161-171).

References:
Peters, D., Greg, A., Bloom, G., Walker, D., Brieger, W., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USAbInstitute of Development Studies, Sussex, United Kingdom, 1(1), 161-171. pubmed.ncbi.nlm.nih.gov. https://pubmed.ncbi.nlm.nih.gov/17954679/

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This sets a high barriers to care meaning more patients go without life saving care.

Going without negatively affects the healthcare sector because more patients end up with worse condition which puts even more of a strain on the already fraught systems.

This can leads to higher levels of mortality and comorbidities.

Due to high costs of healthcare patients are unable to afford medications which worsens health conditions leading to more strain on the healthcare infrastructure in those countries.

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The graph depicts how many less hospital beds there are in LCMIC solely because of the fact that they do not have the financial resources to support. This leads to long wait times and less access to lifesaving care due to less bed being available.

References:
Peters, D., Greg, A., Bloom, G., Walker, D., Brieger, W., & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USAbInstitute of Development Studies, Sussex, United Kingdom, 1(1), 161-171. pubmed.ncbi.nlm.nih.gov. https://pubmed.ncbi.nlm.nih.gov/17954679/

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Injustice has a cure. Partners In Health. (n.d.). https://www.pih.org/#