The Social Transformation Of American Medicine Chapter 4 Summary

The relationship between black patients and doctors has always been strained by the injustice done by doctors in history. One such example stated in the book is the Tuskegee syphilis studies: They recruited hundreds of African-American men with syphilis, then watched them die slow, painful, preventable deaths, even after they realized penicillin could cure them. …

In The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care (2009), the author of the book, T.R. Reid travels to industrialized democracies to discuss the different methods of health care delivery system used in these developed countries and compare them to the health care system of the United States. According to T.R. Reid (2009), “the thesis of this book is that we can find cost-effective ways to cover every American by borrowing ideas from foreign models of health care” (Reid, 2009, p. 11). This thesis illustrates that the American health care system can manage health care costs effectively and provide care to all by using some of the successful health care delivery models of foreign nations. The purpose of this book analysis is to discuss the four different health care models presented in this book and provide my prioritization or ranking of these models. This analysis also aims to investigate a case known as the Nikki White case described in this book and discuss the lessons learned from it. Furthermore, this analysis is going to provide my remarks on the, “An Apple a Day” comment relative to the Public Health Model. Lastly, in this book analysis, I will share my conclusion on the basic premise of the book along with my take away messages that I will remember into my future as a Public Health professional.

In doing so, he pays particularly close attention to black patients and their relations with health care policies and practices. Smedly maintains that blacks are not only the victims of, inpatient and outpatient treatment, racial policies, and other services but also the victims of its consequences. He argues that many health care administrators are agents to a system of inequality that support provider and administrator biases, geographical inequalities, and racial stereotypes (Smedly 2012).

The delivery of the U.S. healthcare system has changed drastically over the years from the inception of organized healthcare to today’s underdeveloped system. Prior to the 1920’s,

In 1964 Congress passed the Civil Rights Act in which Title VI specifically forbade the distribution of federal funds to organizations that practiced discrimination. Enforcement of Title VI was a major priority within the Johnson administration as they implemented the Medicare program (Reynolds, 1997). Despite a mandate of equal treatment, significant patterns of segregated health care utilization have remained to the present. In an analysis of Medicare beneficiaries, Bach and colleagues found that their was a small proportion of physicians – 22% - who provided the majority of visits - 80% - by black patients (Bach, Pham, Schrag, Tate, & Hargraves, 2004). This may represent a pattern of racial concordance, patients choosing providers of their own race, but the physicians seeing the majority of black patients did not the same resources available as those seeing the majority of white patients. Compared with physicians seeing the mostly white patients, physicians seeing mostly black patients were 33% less likely to report always having access to high quality specialists, and 40% less likely to report always having access to high quality diagnostic imaging. In short, black patients are using a different health system than white patients on average and the health system black patients are using has fewer resources (Bach, et al., 2004).

This case study is based on the Metrolina Health Center, which was started by Dr. Charles Warren. Williams and several medical colleagues with a $25,000 grant typically from the Department of Health and Human Services. Dr. Williams is the first African American to have services on this category of staff; Charlotte’s Memorial Hospital, which is undoubtedly the Charlotte’s largest hospital. The main concern of Dr. Williams is the health care needs of poor people in the area. He had always focused on making the word a better place, especially for the people who feel less fortunate. The doctor also went ahead with enlisting the aid of a local dentist, Dr. John murphy among other professionals including the director of the Sickle

The medical industrial complex (MIC) holds many influences in the care of women, especially poor marginalized women. MIC is simply a platform of the network among corporations that supply health care services and products to make money. Oparah and Bonaparte explain how the individual’s ability to pay determines the quality of care they receive (Oparah & Bonaparte, 2015, pg. 4). In relations to birthing, hospitals aren’t a place for an intimate connection between a woman that’s about to give birth and their newborns. It’s more of a time efficiency center where doctors (mainly white men) would purposely perform cesarean deliveries to not only save time, but to make a

Many years ago, an epileptic Hmong girl named Lia Lee entered a permanent vegetative state due to cross-cultural misunderstanding between her parents and her doctors. An author named Anne Fadiman documented this case and tried to untangle what exactly went wrong with the situation. Two key players in her narrative were Neil Ernst and Peggy Philp, the main doctors on Lia’s case. As Fadiman describes, “Neil and Peggy liked the Hmong, too, but they did not love them… [W]henever a patient crossed the compliance line, thus sabotaging their ability to be optimally effective doctors, cultural diversity ceased being a delicious spice and became a disagreeable obstacle.” (Fadiman 265) At first glance, this statement seems to implicate Neil and Peggy as morally blameworthy for a failure to be culturally sensitive enough. However, upon further inspection of the rest of the book, it becomes clear that Neil and Peggy’s failure to be more culturally sensitive to their Hmong patients was caused by structural issues in the American biomedical system. To prove this point, this paper will first present a background to Lia’s case, then discuss possibilities for assigning blame to Neil and Peggy, then show evidence for the structural issues in American biomedicine, before finally concluding.

This diagnoses of the flaws in our health care system must start with identifying and redefining the social constructs of America. In most other civilized nations, it is generally accepted that it is in the best interest of the public that every individual be

The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and

One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.

While today’s “patients [have] one thing going for them that Henrietta didn't: They [are] alive. And the dead have no right to privacy-even if part of them is still alive,” (Skloot 211) history’s ethical debate regarding medical racism remains a social issue. When patients experience racism, they may be unable to defend themselves if they are incapacitated by medical professionals. Due to patient negligence and bias, the health care provider’s poor treatment breaks the trust of minorities. As shown in the Tuskegee Syphilis Study and treatment of Henrietta Lacks, doctors and researchers have failed to inform the participants correctly. Both occurrences highlight medical racism because of the historical maltreatment of minority groups. Now, many

The main historical developments that have shaped the health care delivery system in the United States. Knowledge of the history of health care is essential for understanding the main characteristics of the system as it exists today. For example, the system’s historical foundations explain why health care delivery in the United States has been resistant to national health insurance, which has been adopted by Canada and most European nations. Traditionally held American cultural beliefs and values, technological advances, social changes, economic constraints, and political

Healthcare industry in United States has been an important industry for a long time. It is one such industry that has representation from both public sector and private sector. The current health care system is segregated and fragmented in America. Some states have very effective and efficient healthcare system while some states lack the desired infrastructure. The evolution of healthcare system in USA can be traced back to 1750. The period from 1750 to 1849 is termed as preindustrial period where the care of sick people was primarily handled by families (Brian, 2010). The period of 1850 to 1969 is termed as postindustrial period which reflects the growth of organized medicine and systematic healthcare delivery.

Healthcare in the contemporary United States emerges from a long and sordid history that began in the late 1800s when the fight for universal health care came on the heels of the formation of systems that ranged from rudimentary to comprehensive in various European countries including Germany, Norway, Britain, Russia, and the Netherlands (Palmer, 1999). Most of these programs were formed as “a means of maintaining incomes and buying political allegiance”, as conservative governments, primarily in Britain and Germany, worked to stem the flow of the burgeoning socialist and labor parties (Palmer, 1999). During this same time brought a greater transparency of the experiences of industry workers and the “nightmare” conditions they were enduring