Health is difficult to define or to be constrained as a cause and effect relationship. It’s impossible to say genetics or environment or nutrition or even health care is the sole factor that determines a person’s health. As thousands of failed and successful interventions have shown, because there is no one cause, there can be no one solution and this is one of the aspects that fascinates me about a career in medicine.
When my medical ethics professor discussed whether or not health care is “special,” my initial reaction was that was a ridiculous question to ask. Of course health care is special, a person’s health is a major factor in determining their ability to function, contribute to society and essentially allowing them to reach their full potential. Upon further thought, I realized if I were to support health care as “special,” my support couldn’t stop there. As I learned more about the impact education, socioeconomic status, discrimination, location and the myriad of other influences have on health outcomes, my interest continued to grow. My research increased my desire to be a physician and not only be able to interact with and help individual patients but also to play a part in the work happening around the world to widen the view of health care and to improve health through creative and novel measures. Last summer during a month-long Summer International Health Fellowship in Peru, I saw first hand how special health care is and how much of a privilege it is to
For decades, a person’s socioeconomic status or SES has affected the healthcare that people receive due to race and “wealth”. This problem has plagued American society because of these factors leading to many receiving inadequate healthcare. All of these factors for someone’s SES has changed a lot in the healthcare domain that is unfair to many who are not the “ideal”. Due to this the perception, experiences with healthcare waver and are different between the stages of these SES’s. No matter the status of a person they should receive the same amount of care, treatment, and closer.
The privilege memo and the community profile will allow for reflection on my own privilege, which will help in understanding how to communicate with those who cannot obtain the same opportunities as I can. This will build on my skill of sharing my thoughts with diverse audiences, expose me to dissimilar levels of health literacy, and improve my general knowledge of public health. The privilege memo will enable me to alter the way I connect with others so that I can be conscious of how I need to utilize my privilege to bring those who are in the minority to the same level. The community profile will provide a perspective of privilege and systemic oppression in health care. This information will alter the way I approach future interactions as a health care professional.
The American Medical Association (AMA) published a Code of Ethics for Physicians that includes a list of certain principles physicians should follow in order to be good physicians, practicing in an ethical fashion. This list, which was first adopted in June of 1957 and revised as recently as June of 2001, demonstrates some principles that are not universally accepted to be critical to the ethical practice of a physician. In particular, all physicians do not completely believe the claim that “A physician shall support access to medical care for all people” (Principles of Medical Ethics). Theorist, H. Tristam Engelhardt believes that the lack of access to care for some may be unfortunate, but it is not unfair and that this access does not need to be mandated, nor does believing it should be make you an ethical physician. In fact, Engelhardt supremely believes that by providing access of care to all, you will hurt certain patients that already have access to care, negating your function as a physician practicing beneficence. Engelhardt would retract this statement from the Principles of Ethics. However, this belief of and drive to implement access of care to all is critical to one’s job as a physician and it goes against core values of physicians to claim otherwise. Theorists such as Tom Beauchamp and Norman Daniels would agree that the universal access to health care is a critical component of the values physicians hold.
“Of all the forms of inequality, injustice in healthcare is the most shocking and inhumane” –Dr. Martin Luther King, Jr.
In this world and society many people are not treated with the right type of respect in the healthcare field. While they are not treated with respect it causes more problems in their daily lives because they are not getting the right treatment for their health problem. I believe that people shouldn’t be treated differently when it comes to healthcare conditions. Just because they are less educate, poor, and their race/culture is different shouldn’t mean anything.
During my fourth year in college, I enrolled in a course called Psychology of Health Disparities. My decision to enroll in this course stemmed from my experience as a medical assistant, and my duty involved working in clinical settings low socioeconomic status individuals (SES). Even though this class met only once a week, it deeply impacted the way I viewed the public health care system. Health disparities are particularly evident in the United States health care system, mostly because of factors like SES, race, and education as well. Not only did we explore the causes of these disparities, we focused on how individuals with lower incomes were affected. In the private clinic where I worked, most individuals were under health insurance by
Alabama ranks poorly on many health indicators. It is ranked 47th out of 50 in the nation in overall health; 43rd in cancer deaths, 2nd in deaths from cardiovascular disease and 3rd in the incidence of diabetes (Healthy People 2010). Also, Alabama is ranked 5th in the number of residents without health insurance. In my opinion, I believe the greatest challenge that these health disparities present is that very often socioeconomic status determines an individual’s health status. Growing up in Birmingham, Alabama, I witnessed many people in my community suffer from health issues because compared to other ethnic groups, African Americans, tend to be far less trusting of physicians and their medical advice. Notably, the distrust is rooted in pass corrupt cases, such as, the 40 year Tuskegee syphilis study and the case of Henrietta Lacks. The lack of minority representation in health professions is my motivation for pursuing a career in a health-related profession.
The U.S. healthcare has been dealing with disparities for centuries. These disparities can be racial, social, or economical. The disparities are easier to see when compared to other reference points, such as policies, procedure or protocol. Williams & Torrens, 2008 list several disparities when it comes to patient care, such as minorities are less likely to get diagnosed with cancer verses whites, patients with lower socioeconomic statuses are less likely to received diabetic services, and many more. In order to eliminate some there disparities it must first be recognized by others that it is a serious problem. These problems have been around for years; therefore the public must put pressure on the policymakers to promote change. In order
For my people and my culture, doctor is one of the best career choices one can think of. If one can get into a Medical School, especially outside the country, he/she is considered as the resident of the highest caste of the society in the future. What can we say; doctors are ones with high intelligence, higher budgets, and high dedication in sciences. They are heroes in the white lab coats that perform surgeries, and save lives. Those with high intelligence, but low budgets; or high budgets, but low intelligence and/or dedications, are not good enough to be the heroes for the sick people. They can still be part of the hospital system, not as the hero, but the hero’s helpers.
In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.
I realize that the most capable physicians can heal because they have been sick and are able to fix because of their own brokenness. In other words, adversity builds character and changes people for the better. In my case, my disadvantaged upbringing has made me a better person, son, father and potentially a better public servant. After my parents divorced in 2000, my mother and I moved to Little Rock, Arkansas where we struggled to get by. Enduring that hardship with her changed me from an early age. Some nights I stayed at my best friend’s apartment, because we had no electricity. In a sense, this deprivation allowed me to mature and understand that in life you must sacrifice for a larger
Health care is not a privilege. In fact, a good level and quality on healthcare should be an inalienable right for all people. Social class, status or economic situation shouldn’t dictate who live and enjoy of good health or who doesn’t. Healthcare in America should be universal, continuous, and affordable to all individuals and families. Although some of the states in the US are taking unilateral measures not to focus exclusively on the poor, but seeks to guarantee health access to any uninsured people, achieving universal coverage will require federal leadership and support, regardless of which strategy is adopted to achieve this
A sensitive topic in the United States today revolves around the issue of healthcare. Is health care a basic human right or is it just a privilege to those who are able to afford it? Health care in the United States is in desperate need of reform. The Affordable Care Act takes that stance that health care is in fact a basic human right and that everyone should have health insurance. When the term “basic human rights” is used, most people think of the right to life, liberty, and the pursuit of happiness. This doesn’t necessarily mean that people should be forced to sustain others’ lives, or that they have the responsibility to make others happy because they have a “right” to pursue happiness. You are born with these basics rights that no
Adopting a biomedical model of healthcare has proved useful. Under the umbrella of the biomedical model, research and healthcare options have flourished. For example, innovation regarding vaccine development, breast-feeding promotion, pneumonia medication and diarrhea treatments have created a world in which the number of small-children dying per year has never been lower. In addition to this, each year in North America, millions of people are cured of dangerous and potentially-fatal diseases through improvement in disease screening, treatment and preventative medicine. However, like all schools-of-thought, the biomedical approach to healthcare is not without its disadvantages. By inducing a singularity towards purely biological correlates, psychological, social, and environmental influences are not considered when making healthcare decisions. Factors such as coping
My passion for global health stems from my experiences as a child. Growing up as a child of Mexican immigrants to the United States, I had the opportunity to visit family members in southern Mexico every few years. While I savored reconnecting with relatives, my awareness of inequalities bolstered with each visit. My relatives live in rural areas where economic adversity is persistent and access to quality healthcare is sparse. Contrasting my relatives’ experiences and opportunities with my own exemplified to me how one’s life is shaped by economic conditions, healthcare access, education systems, and one’s birthplace.