Income Gaps: Preventionive Care And Nonpreventative Care

After watching the documentary Sick Around America, I have to say that it depressed me. I do not believe that everyone has equal access to healthcare in the United States. I believe with the Healthcare Reform things have improved slightly allowing more Americans to have the opportunity to have healthcare; however, there are those families who make slightly more than the cutoff bracket to receive the cheapest premiums through the government and then are forced to buy healthcare that is still too expensive, and if they do not have healthcare they will receive a large penalty. I believe a lot of families in the working and middle class populations will still have difficulty affording healthcare premiums. Also, just because families can pay the

Some of the issues regarding health disparities I have been exposed to living in middle class are, that many people are in need of health insurance, healthcare and employment. I made focus groups in one of the courses in my last semester and asked them questions about if discrimination exist in receiving quality of care? One of the African American participants gave a response: “The medical world reflects the real world.” Participants' also spoke about health care providers who make assumptions about their patients based on race or ethnicity. They also mentioned “As soon as they look at the patient and see if he is African American or Latino, they assume that he doesn't have insurance at all.’’ Some participants who were white, they did not have such experiences. I got to know both positive and negative aspects of that. They also felt that quality of health care services limited because of misperceptions and stereotypes, not the reality of who they are. One more instance, my friend experienced who is an African American-Black and suffering from diabetes and obesity. Due to her geographic location, she did not have access to fresh fruits and vegetables and therefore they tend to eat unhealthy food items. Many chronic and preventable diseases disproportionately affect ethnic

It is not just the poverty-stricken population that can’t afford insurance. The cost of U.S. health care and insurance is out of reach even for those who do not live in what we technically classify as “poverty”. By the 2003 Federal Poverty Guidelines, released by the U.S. Department of Health and Human services, poverty

The absence of low income health care benefits was also a policy affecting the families in the documentary. The health care system has been a historically broken system. People often rely on their employers for affordable health care coverage and companies often don’t offer it, or as we witnessed in the documentary, they cut hours to part time because they don’t want to (or in some cases can’t afford to) shell out the money for employee health insurance. Most people who are working minimum wage jobs, especially part time minimum wage jobs, certainly cannot afford high individual or family health insurance premiums, and hence are not maintaining their health. People earning minimum wage are often living in poverty and there is a direct link between poverty and the uninsured.

According to the Centers for Disease Control and Prevention, “health disparities are preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities” (CDC, 2017).  It  is easy to believe that control on overall health relies solely on making  a firm decision (the “right” decision" to lead a healthy lifestyle— by being active and eating a balanced-diet. There are other factors to be considered in evaluating and understanding health disparities: why people seem to be noncompliant? Or why people aren’t seeking medical attention in a timely manner?  In reading

Widening economic inequality in the United States is being accompanied by increasing health care disparity. While the health care system seeks to provide health care as a human right, it fails to do so often worsening the disparities (Dickman, Himmelstein, & Woolhandler, 2017). While health care today has made major strides, there are many people who are still suffering from health care system injustices. Of the people who are still uninsured a majority of them are in the middle-working class or those living in poverty. Poor Americans have less access to health care than wealthy Americans. The life expectancy gap between the rich and poor continues to widen. Health care in poor communities is too often neglected. This issue has been a trend in the United States for many years. In Abraham’s book, Mama might be better off dead these very same inequalities are evident for the Banes family. Because of these inequalities, preventive illness becomes life threatening causing care to then become extensive and even more expensive.

Health care has become a form of governmental oppression. There are little to no funding for preventative care as Shipler points out in his scathing review of the bureaucratic nightmare of merely staying healthy enough to go to school if you are poor (Shipler, 2004). America’s private health insurance industry makes it almost impossible for those of lesser financial means to have access to good health insurance (Shipler, 2004). Our economic state makes it impossibly expensive to eat healthy, let alone to practice healthy lifestyle habits that are not taught regularly. In addition, the health care providers themselves and those individuals with forced health care plans are faced with the enormous expenses of crooked insurance adjustors and giant malpractice insurance regimes (Shipler, 2004).

Despite the improvements made toward health reform, there are still problems that need to be address. There are still cost related access problems among insured adults, particularly among people with lower incomes. According to the Commonwealth Fund Biennial Health Insurance Survey of 2014, 33 percent of adults who had been insured all year with incomes under 200 percent of poverty and 25 percent with incomes above that level said they did not get needed care because of costs in the past 12 months (Collins et al., 2015). The high deductibles and cost sharing in both employer and individually purchased private plans lead many adults to delay or avoid needed care (Collins et al., 2015). Also there is still a large share of adults who were insured all year but still struggle to pay their medical bills. People with lower incomes reported these problems at the highest rates. One third (34%) of adults with incomes under 200 percent of poverty who were insured all year

Although the overall health of the United States population has improved, large disparities in terms of health outcome and access to healthcare exist between wealthier Americans and their “poorer counterparts primarily because of differences in education, behavior, and environment.” (Longest, 2015, p8). Access to health care and other services is associated with wealth, employment, education and power. Higher education, which translates to higher income, allows people to buy healthier food, live in safer, cleaner neighborhood and access the best healthcare possible. Power on the other hand permits people to secure health for themselves and their families, while others without power have limited or no access to the resources they need to be

Growing up, my dad always told me that we were the lucky ones. At the age of 15, he escaped from Vietnam, leaving with only the clothes on his back. Saigon fell to the north, sending people in a final desperate exodus. He would say “If the mines didn’t kill me, the bullets surely would. If the bullets didn’t kill me, drowning would and if drowning didn’t kill me, dehydration would.” In spite of the possibilities faced by thousands like him, my dad made it onto the US Navy ship. While my parents had escaped the war, we faced a different conflict in acclimation. My dad struggled to keep a job. We could barely afford rent, nevertheless see a doctor. For some people, “health disparities” can be described in terms of statistics and terms like “preventative care” and “optimizing accessibility”. For my family, “health disparities” was just a part of life in America. It was the uselessness I felt as I watched my dad work 80 hours a week at several minimum wage jobs just so my brother and I could focus on school. It was the frustration I felt spending hours in vain researching ways to ease my mother’s pain as she suffered from years of untreated stomach ulcers. It was the worry I felt knowing that, despite ranking among the top 10% of students in my high school class, I still could not afford to go to college. In spite of everything, I am one of the lucky ones as I was able to fully fund my college education in scholarships and grants. I am lucky because these experiences taught me

These situations that are coming into play have cause great impact in the Jamestown, NY area. People are being traumatized when they cannot received medical services that they used to receive before. Health insurance are taking another direction in which the vulnerable, poor population are paying a high price. These cause trauma into the daily lives of all these

The United States is plagued with stark health disparities across its communities (Institute of Medicine, 2013). Defined as the “variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups,” disparities describe the inequality of access to basic health services in America (HSRIC, 2016). Over the past decade, health reform has attempted to address this issue of health inequality by strategizing to insure more people and provide increased access to care.

Improving the health of the socially and economically disadvantaged is a major task. Many Americans are living with poor health because of their socioeconomic statuses and it has many negative effects on their long term health. Improving access to health care is not enough to help fix the lower death rates among low income families. Our social status in our economy has large effect on our lives including how we are able to live our lives and in tern it has large measurable effects on our health. San Antonio is no exception, in low income areas the mortality rates by diabetes are stunning and need to be changed in order to help improve the lives of so many people. In my essay I will be proposing a plan to help lower

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

The United States is world renowned for having the best health care if not the most accessible. Citizens have at their disposal a plethora of hospitals, physicians, and therapists to improve their well-being. Statistical data was taken back in 2010 under the Central Texas Region and studied health care coverage and income in regards to the community. The data displayed in the surveys heavily suggest that income/ health in general have a high correlation. The issue that arose with the given data imply that those who are on the lower end of the income spectrum subsequently have no health care coverage and poorer health than those with higher income. In any case with high correlation there are a number of factors influencing the statistical evidence, and in this case sociological barriers are present in regards of inequality and health care.