Remote areas have a decreasing amount of access to medical facilities. This can cause an unequal

A healthcare disparity is a limitation of healthcare availability, usually among a certain racial or socioeconomic demographic (Black, 2013). However, there are disparities that don’t have a specific demographic and affect the entirety of the United States, which are potentially most detrimental to the overall health of our country. One of those disparities is health literacy, or the exchange of complex information from the healthcare provider to the patient or client (Black, 2013). The lack of health literacy in America poses as a problem, especially with the chronically ill. Without proper knowledge of how to treat their illness and what to do when the disease process worsens or ameliorates can potentially cause millions of unnecessary hospitalizations,

As an oncologist at Grady Memorial, an inner-city hospital located in Atlanta, Dr. Brawley witnesses the disastrous effects of healthcare disparity first-hand. Healthcare disparities are vast differences in quality and access to care between socioeconomic classes. "health care disparities refer to differences in health and health care between population groups. Disparities occur across many dimensions, including race, ethnicity, socioeconomic status, age, location, gender, disability status, and sexual orientation "(KFF, 2016). As Brawley describes to us, Grady is a hospital that demonstrates health disparity at its worst. Brawley describes Grady as " a monument to racism, Racism is built into it, as is poverty, as is despair." (Brawley, 2011).

I believe a good thing about current health care in rural areas is The Royal Flying Doctors Service, which delivers primary health care and emergency services to those in rural areas (Flyingdoctor.org.au, 2015).

Ms. Sunshine recently had a myocardial infarction, with 90% of her one main artery occluded. She is a 54-year-old African American female who decided to travel from Denver to Boston to visit her son and new grandson. Prior to leaving Denver, Ms. Sunshine has been experiencing chest discomfort, dyspnea, fatigue, anxiety, and flu like symptoms. Her son Mitchell noticed his mother was in distress, he called for an ambulance and Ms. Sunshine was immediately taken to the local emergency room department.

People in underserved areas of the United States have higher rates of chronic disease than people in urban areas. They also have higher rates of certain types of cancer, from exposure to chemicals used in farming. A lot of rural patients who work as farmers or contractors or in family-owned businesses don’t have health insurance. Unemployment is also higher in less populated regions than in large cities.

‘Some counties don't have certain types of doctors” (Leonard 2). If an individual only has one insurer that supports that area, that insurer may not cover that doctor or hospital in that area, which can result to that individual driving far out of their area, just so they can see a doctor or get their medical treatment for a reasonable price. Individuals are also being limited with options because their insurers may see them as costly, and they could force the individual to go to under resourced hospitals (Goodnough 3). This shows that even if an individual does not live in a rural area and has plenty of options to choose from, they can still be limited in location because their medical treatment can be seen as too expensive, and the insurance company has to figure out a way to save money.

al., 2011). Health service accessibility by individuals in rural and remote areas is a problem central to both countries. Reports indicate that compared with metropolitan populations, non-metropolitan populations, in both Australia and the UK, experience poor access to health services (Watt, Franks, Sheldon, 1994, p. 16). As in the primary care sector of the UK, majority of the doctors in Australia are self-employed and reimbursed on a fee-for-service approach (Gillies, 2003, p. 77). GP’s are the initial point of contact for patients in both Australia and the UK. Additional specialist medical services such as physiotherapy and optometry are only available when patients are provided with a formal referral from their GPs (Piterman, Koritsas, 2005). Although the NHS is similar to the Australian health system in certain ways, both systems also possess some differences.

This issue highlights the distinction between services on offer within the rural districts and major cities of Australia.

Those who live in poorer communities often suffer from greater ill health while those living in deprived areas are often without access to the best health care. This lack of prevention stems from poor education often received in those areas and the culture that often permeates within them.

Secondly, a Position Statement from the Australian Medical Association points out various social determinants of health [standards and influences] for all Australians. For example: A persons’ socio-economic status will invariably be a defining foundation for an individuals’ state of health and wellbeing; stress – this can invariably due to psychological and social factors, and this can be damaging to the over-all health and wellbeing of a person; early causes i.e., teratogens. The influence of environmental agents can disturb the [healthy] development of a fetus (e.g., if the zygote is exposed to a teratogen, these factors can have a long-lasting effect on the cognitive development of a child (social and emotional), their family, and the ongoing health and welfare of mother and/ or carer. Furthermore, social inclusion or exclusion; the impact from people experiencing poverty will further disadvantage them from: seeking health care and consequently individuals/ families or communities become [more] susceptible to various diseases e.g., diabetes, obesity, cardiovascular disease [CVD], alcohol/ drug abuse and [other] psychosocial [issues], psychopathological disorders (e.g., depression, anxiety, schizophrenia, substance abuse, dementia and antisocial personality disorder); education – it is noted that people with lower levels of education have lower literacy skills, and this in part will also mean that a person is less likely to gain satisfactory employment, again, the

Social locations and societal makeup of neighborhoods and communities undoubtedly influences local incidence and perception of health and illness. The many ramifications of “social location” such as education level, poverty, and targeted institutional and social prejudice construct the fabric of the morbidity and mortality that we see in minority populations (the heterogeneous amalgam of race/ethnic, gender, sexual orientation, political, and economic minorities). Factors such as access to healthcare, health education, community cleanliness and pollution, willingness to seek care, and fear of discrimination can partially explain health care disparities as they relate to such populations. I think a good way to approach the topic of vulnerability

Living in a remote area has always been thought to have negative influences on the individual. There are 35 % of the total population in Australia living in rural area(Phillips, 2009).Rural areas in Australia and all over the world are not geographically isolated and disadvantaged only but also culturally and economically deprived which has great consequences on the health status of the population. The main two factors that have a major effect on rural health are socioeconomic status and cultural issues(Beard, Tomaska, Earnest, Summerhayes, & Morgan, 2009).

There are several factors responsible for this health disparity. Lack of screening test, and not follow up for disease. Living in the remote area is major barrier that prevent them getting access to the primary health care. There may be possibility that aboriginals can be neglected because of their race. Following culture is anther barrier that prevents the access of health. Lack of knowledge, superstation are very prevalent in the aboriginals. These all factors impact the

All across the United States, it has been found that low income families are faced with extreme disparities in both health care, and their health care outcomes, when paralleled with their financially stable counterparts. While a number of contributing factors have led to such disparities, the latest income trends from across the nation, in addition to both the recession and high rates of unemployment, have profoundly challenged the aptitude for those living with a low-income to access health insurance, obtain quality care, and attain an overall healthy lifestyle.

For example if someone were to live in a rural community they’re most likely to experience a significant downgrade in health support and services. The absence of factors including health promotion and self care messages and the imperial service increases rates in: easily treatable deaths, low mental and physical health and referral to medical practitioners. Those in urban settings are more likely to have a greater access to health services and exposure to solutions to poor health via media, advertisements