Social Workplace Scenarios

In “The American Health Care Paradox”, Elizabeth H. Bradley and Lauren A. Taylor explore why the American health care system achieves mediocre results, despite spending a higher percentage of its gross domestic product than any other country in the world on health care. They explain that health care is more than just getting medical treatment, but there are social factors that affect a person 's health. The authors claim that more government spending on medical treatments is not the solution to the health care paradox, but we should focus more on social needs that have a greater impact on health. Case studies and interviews with physicians, other health care providers, and social service providers are used to support the authors’ claims. Though the authors do not explicitly state the path they believe the American health care system should follow, they give examples of foreign health care systems and domestic health care projects that may point in the right direction.

Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).

Situations like Maria’s have become fairly common here in the United States. In 2014, Pew research estimated that there are 11.3 million unauthorized immigrants in the United States (Krogstad & Passel). In 1986, the Emergency Medical Treatment and Active Labor Act (EMTALA) made it possible for unauthorized citizens to qualify for Emergency Medicaid. Moreover, any hospital which is eligible to receive Medicaid reimbursements is required to treat ANY patient with emergency medical treatment (Sultan). Prior to the Affordable Care Act (ACA), hospitals could also receive reimbursements for patients who those who needed non-emergent

What would it be like to come to a country and not understand anything about its health care system? To many this would be a very daunting task. Unfortunately, this is the scenario that the Lee family has to deal with in the book The Spirit Catches You and You Fall Down by Anne Fadiman. The Lee family, and the other thousands of Hmong immigrants, try to understand and navigate the complex and sometimes confusing health care system of the United States. As the book points out, the values and ideals of the Hmong culture and the United States health care system are not always the same and sometimes come into great conflict with each other. Lia Lee was unfortunately the person stuck in the middle of this great conflict.

The United States has had an immigration issue for many years that serves some people, practically enslaves others and causes many others to get angry. Of course, this issue concerns illegal immigration and legal Hispanic farm workers. The population who is best served by the influx of workers are the farms in the central valley of California and other areas that use these individuals to harvest crops. The workers in the United States illegally are in constant fear of being discovered, and they are often exploited because of their immigration status. Legal citizens are, in large part, angry with the situation because of the cost incurred by so many people entering the country and not contributing to the tax burden imposed on citizens of the country. The issue for this paper though is what type of healthcare women in this situation are getting, and whether it is sufficient. This paper contends that this population is underserved for many reasons, and this group was chosen for that reason. One solution is to develop a cultural competence by understanding the population's culture, how they see healthcare workers, and to determine what their healthcare needs are.

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.

Economic and political events relate to current trends in the human service field with the intentions of meeting the growing needs of people everywhere. High financing requirements provide clients with services in various areas, which are critical to their well-being. Unfortunately, this task is becoming harder by the day to contend with, and the client suffers when quality care is unavailable. According to “Human Services in a Time of Economic Crisis” (2009) “adding to the human services funding deficit, and constituting a second form of disinvestment, are a number of direct cuts made to these programs over the past several years.” The political relationship links

In 2010, ANA released a brief stating their stance on access to health care for both documented and undocumented immigrants residing in the states. In the brief, the group asserts that health care is a basic human right. They state that “immigrants, whether documented or not, should have access to quality health care including the opportunity to purchase insurance” (Godfrey, 2010). Undocumented immigrants do not seek medical assistance to manage chronic illness for fear of deportation and cost. This means their health status will continue to deteriorate and the cost to provide treatment will skyrocket. “Limiting adequate health care leads to increases in health care costs and possible health risks” (Godfrey, 2010). At this time, this population is only eligible to apply for charity care at local acute care facilities and one time only emergency Medicaid, burdening the taxpayer. Allowing people to purchase their own health insurance will lower the cost in health care (Godfrey,

In The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care, T.R. Reid, a Washington Post reporter and NPR commentator, compares the United States’ health care system to the systems of other industrialized democracies. In this journey, he analyzes costs, quality, and overall functioning of the different systems. Through his first hand experiences around the globe, Reid illustrates a variety of systems, emphasizing the changes America needs.

     Illegal immigrants usually hold jobs that have bad conditions and worse pay.  Oftentimes, these jobs are found in sectors such as agriculture, construction, food-handling and manufacturing (Dwyer).  Unfortunately for the illegal individuals who acquire these jobs, they have no access to comprehensive health care, though their line of work tends to demand it.  Although illegal immigrants are consequently strapped for cash, many of them will not visit primary care physicians for fear of being deported.  This sets up a vicious cycle: individuals get sick yet ignore the signs.  When illnesses get remarkably worse and are too severe to treat at doctors' offices, the individuals then go to emergency rooms, where the cost is considerably greater.  More often than not, the immigrants cannot afford to pay their hospital bills.  The cost is then covered by the medical institutions and tax-payer dollars (Wolf).  While some argue that illegal migrants do not

The issue with health care in the United States is similar to a domino effect. Each sociological factor such as race, ethnicity, socioeconomic status, and gender all inter twine. This domino effect occurs when one factor connects to another factor in which creates a cycle. This cycle involves inequality, discrimination, and unequal distribution of quality. According to multiple research and scholarly articles, the health care system displays many issues and flaws when it comes to the care and coverage for people depending on their social status.

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.

This topic and literature review will not encompass a hypothesis due to the purpose of this review which is to determine areas of improvement for the health issues facing this population. The use of this study is to explore and improve the negative stigmas associated with the individuals who are in desperate need of care to other healthcare professionals. Increased tolerance of the nation to cultural differences will improve health statuses for all by eliminating social stigmas and reducing the burden of illness for all.

It is well known that the United States is made up of several different cultures and the health care system delivers care to a very diverse population. However, depending on ones culture-receiving care may be a challenge at times. In this paper we are going to take a closer look at the culture of Hispanic Americans. The Hispanic population has grown to over 55 million residents with in the United States in 2015, with an estimated growth rate of 2.1% per year (Krogstad & Lopez, 2015). Making this minority group on of the fastest growing populations within the United States (DeNisco & Barker, 2016).

In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of