Need to better use what already exist. Local data cannot afford to have big sample sizes, so it is crucial to have good quality data at the local level. With regards to developmental objectives in Healthy People 2010, it is difficult to collect quality data when the outcome is not clear. Data leadership is needed to educate the public of the potential and limitations of data. Racial data only shown for those with greatest disparities.
Latest data show many widening gaps.
Universal insurance cannot eliminate disparity because of effects of poverty.