Health is difficult to define and impossible to pin down as a cause and effect relationship. It’s impossible to say that genetics or environment or nutrition or even health care is the sole factor that determines a person’s health. As thousands of different 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 health care.
When the professor of my medical ethics class was discussing 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 that if I were to strongly support health care as “special,” my support couldn’t stop there. As I learned more about the impact that 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 change that’s happening around the world to look at health in the bigger picture. Last summer during a month-long Summer International Health Fellowship in Peru, I saw first hand just how special healthcare is and how much of a
Seven in ten deaths in the United States, are attributable to chronic disease (“Leading Causes” 1). These diseases are not on account of bacteria or viruses, which could be treated with an appropriate prescription or vaccine. Chronic conditions are developed through unhealthy lifestyles and behaviors such as a lack of exercise, poor nutrition, poor sleeping habits, and substance use (e.g. tobacco). Consequently, seven in ten of every death can be prevented with changes in lifestyle. The CDC states that these conditions, “are among the most common, costly, and preventable of all health problems” (“Chronic Disease” 1). Although these conditions have clear and definite causes (knowing the exact reason and “cure” for them), they are becoming more prevalent rather than domesticated. According to Wu and Green, “Between 2000 and 2030 the number of Americans with chronic conditions will increase by 37 percent, an increase of 46 million people” (1). This increase comes with an increase in health care costs: the CDC reported that the U.S. spent three trillion dollars on health care in 2014 (“Health Expenditures” 1). 86% of these costs was associated with these conditions (“Prevention” 1). Despite there being a range of causes of why patients make these choices, one issue that may be less familiar to others is the lack of knowledge in preventative medicine among health care professionals. Current training standards are not adequately educating or equipping health care professionals
“Of all the forms of inequality, injustice in healthcare is the most shocking and inhumane” –Dr. Martin Luther King, Jr.
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
The determinants of health are economic and social conditions that affect people’s health status. These influence the living and working conditions that impacts people’s everyday living condition. Factors such as the place and the environment we live in, genetics, educational level or work status and income, as well as friends and family are some of the aspects that affects our health condition. On the other hand, the people that have an access to good health care and have financial stability are less susceptible and are often less affected. (NANB, 2009)
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.
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.
Health care is one of the most controversial and discussed topics in the United States. This is mainly because of the enormous issues that surround this subject matter, such as the goal of creating a greater diversity in the medical professions, the goal to reduce health care disparities, and mainly to improve health care for all. In my personal experience this issues have affected me and my family very closely. As immigrants, I saw my parents struggle with the language, adapting to a new culture and even seeking healthcare. Health care disparities is an imminent issue that affects many of us, including me. On top of the financial struggle my parents faced as immigrants, they also faced the barrier of not being understood. I witnessed how my
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.
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.
Though the civil rights movement made substantial progress yet race remains a controlling factor in dictating who gets access to healthcare, the quality of care, and health insurance coverage. Because this stems from the supremacist belief that one race is superior, I would educate my patients, my colleagues, and my classmates on the importance of equity between all
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
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.
Developed at Rochester by Drs. George Engel and John Romano. This approach systematically examines biological, psychological and social factors and their interactions in understanding health, illness and healthcare delivery (University of Rochester Medical Centre, 2016).
Health care system is the organization of people, institutions and it resources to meet and deliver the health care needs of the targeted population (Welcome, M. O. (2011). Health care is delivered differently in every country and every individual wish for a better quality of care and health care system in their country. We always want to be in that position where we can make our own health care decisions without someone telling us what to do. The purpose of this paper is to discuss the health system of two countries such as Cuba and Nigeria by comparing their health care system, the system building block, goals or outcome and how the system impact individual’s right to healthcare.