Chapter 10 of Laurie Kaye Abraham’s Mama Might Be Better Off Dead mainly discusses the spread of preventable illnesses and the possible reasons poor areas have low immunization rates. Child immunization clinics fail to reach poor children because they are overburdened with patients, leading to long wait times. These clinics often require doctors to give a complete physical before giving shots and do not track children’s immunization records. Little effort goes into case management, which could assist in ensuring that vulnerable populations come in for preventative care. The author condemns Medicaid as a culprit for these other factors since states curtail expenses by creating barriers for poor families that would benefit from its programs. The argument about the majority of Medicaid spending going to nursing-home care versus to care for poor children and women is compelling and upsetting. How could a program designed primarily for the protection of poor children and mothers neglect to provide families with preventative care? The author also briefly demonstrates in Chapter 11 how healthcare programs fail the poor. She mentions the high medical costs of antirejection drugs and how Medicare refuses to cover costs after a year. This is not a main argument of the chapter but an important one. The goal of Chapters 10 …show more content…
While the majority of the book critiques the healthcare system, Chapter 13 focuses more on key actions and personality traits that help Dr. Stone relate to patients. Although this noteworthy, compassionate physician attempts to develop an understanding of his patients’ values and goals, he still fails Mrs. Jackson by trying to retain cultural competency by tiptoeing around end-of-life decisions. Conversations about feeding tube placement and DNR orders could have minimized Mrs. Jackson’s unnecessary
In her personal essay, Dr. Grant writes that she learned that most cases involving her patients should not be only handled from a doctor’s point of view but also from personal experience that can help her relate to each patient regardless of their background; Dr. Grant was taught this lesson when she came face to face with a unique patient. Throughout her essay, Dr. Grant writes about how she came to contact with a patient she had nicknamed Mr. G. According to Dr. Grant, “Mr. G is the personification of the irate, belligerent patient that you always dread dealing with because he is usually implacable” (181). It is evident that Dr. Grant lets her position as a doctor greatly impact her judgement placed on her patients, this is supported as she nicknamed the current patient Mr.G . To deal with Mr. G, Dr. Grant resorts to using all the skills she
The one example of this that I found most relevant in the book is the situation of Armando. Armando was shot and the bullet lodged in the spinal canal. It caused enough damage to make him a paraplegic, but not enough to kill him. The ethics committee had decided that it was best to encompass a DNR because he had no health insurance, and his quality of life was not what it was before. When the doctors went to approve this with Armando, he denied the DNR and said that he wanted what ever was necessary to be done to him to save his life (Belkin p. 58-59). This made Cindy worried for the cost of keeping him alive was substantial. All the doctors and caretakers believed that he should be placed under DNR, however that was not what Armando wanted. The doctors believed that was the wrong decision. This correlates to what the quote was from the book on page 70; doctors can tend to be narrow-minded when it comes to the care of a patient. They believe that their course of action is the best and do not agree if the patient wants something different. This I have found is also true in my own personal experience with doctors. For example, when I was about 17 my wisdom teeth were growing in. I was in terrible pan from two of my wisdom teeth being impacted. My
Atul Gawande’s book, Being Mortal, focuses on end-of-life care for patients in the American healthcare system. Gawande includes evidence along with anecdotes from his own life surrounding his career as a surgeon and his role in helping family members navigate their own end-of-life decisions. Much of Gawande’s argument rests on the premise that while end-of-life care in the American healthcare system is heroic and equipped with the best possible advancements in medicine, it too often fails the patients it is supposed to help. A large part of Being Mortal focuses on the doctor-patient relationship (especially in the context of shared-decision making) and how we often fail to recognize the things that are most important for our elderly in their
The discussion about what palliative care really is was brought up and how there are so many different perspectives people can have with the idea of palliative or hospice care. The same idea pertained to physician assisted suicide and what really makes that right and wrong. The book then begins to talk about multiple stores that were similar to Kim and Amy’s. Cases that were similar were mentioned, such as the three nurses who worked for Veterans Affairs Medial Canter and how they all had high mortality rates during the times that they worked along with more cardiac related deaths that
In Rethinking Life and Death: The Collapse of Our Traditional Values, Peter Singer examines ethical dilemmas that confront us in the twentieth century by identifying inconsistencies between the theory and practice of ethics in medicine. With advancements in medical technology, we focus on the quality of patients’ lives. Singer believes that in this process, we have acknowledged a new set of values that conflicts with the doctrine of the sanctity of life.
In this paper, I examine the ways in which living in poverty negatively impacts the health of African-Americans, based on the ethnographic family history and study of health care policy recounted by Laurie Kaye Abraham in Mama Might Be Better Off Dead: The Failure of Health Care in Urban America. I will focus first on the barriers that poverty creates to health care on a structural and personal level. I will then discuss how the unique stresses of poverty construct specific behavioral and emotional patterns which reinforce systemic problems to exacerbate poor health outcomes.
In her 2014 article entitled “Why Are All the Cartoon Mothers Dead?”, author Sarah Boxer emphasizes her belief that the seemingly coincidental or harmless tendency to eliminate mothers from animated movies results in a cleverly incorporated patriarchy. Boxer’s article starts out by questioning the role of the dead-mother trope, mentioning the the overused plot device is dated back to ninth-century China. Moving on to the suspected reason for such a morbid plot device, Boxer claims that mothers are killed off in order for the father to take his position in the spotlight. The father now has the ability to come off as a charming, sensitive man capable of making mistakes while still being a good father. Boxer mentions the fact that animated movies
The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
Approximately two-thirds of the uninsured in our country live in low income families, approximately 8.5 million of those are uninsured low income women, thus making up 19 percent of the uninsured populatio...
One reason health care costs are increasing are due to an increase reliance on the emergency department (ED) where many medical conditions could have been prevented or directed to a low-cost health clinic for care. Not only does this take away human capital for people who have actual medical emergencies, but also wastes hospital resources where many of these visit are billed frequently to Medicare, Medicaid, and low-cost health insurance (Choudhry et al., 2007). This problem can be attributed to people who live under the poverty line that cannot afford healthcare or qualify for Medicare and Medicaid. According to the U.S. Census Bureau’s Income, Poverty, and Health Insurance Coverage in the United States: 2012 report, the official poverty rate was at a staggering 15.0 percent, or approximately 46.5 million people are in poverty with an income of less ...
“The only real nation is humanity” (Farmer 123). This quote represents a huge message that is received in, Tracy Kidder’s, Mountains Beyond Mountains. This book argues that universal healthcare is a right and not a privilege. Kidder’s book also shows the audience that every individual, no matter what the circumstances, is entitled to receive quality health care. In the book Kidder represents, Paul Farmer, a man who spends his entire life determined to improve the health care of impoverished areas around the world, namely Haiti, one of the poorest nations in the world. By doing this the audience learns of the horrible circumstances, and the lack of quality health care that nations like Haiti live with everyday, why every person has the right to healthcare no matter what, and how cost effectiveness should not determine whether or not these people get to live or die. Two texts that also argue this idea are Monte Leach’s “Ensuring Health Care as a Global Human Right,” and Darshak Sanghavi’s “Is it Cost Effective to Treat the World’s Poor.” Leach’s article is an interview with Benjamin Crème that illustrates why food, shelter, education, and healthcare are human rights that have to be available to everyone. He shares many of the same views on health care as Farmer, and the two also share similar solutions to this ongoing problem. Leach also talks about the rapidly growing aids epidemic, and how it must be stopped. Like farmer, he also argues that it is easier to prevent these diseases then to cure them. Furthermore, Sanghavi’s article represents many of the questions that people would ask about cost effectiveness. Yet similar to Farmer’s views, Sanghavi argues that letting the poor d...
One of the most prevalent and pervasive social issues in the United States today is the provision of equal access to health care for the impoverished. Far too many people live in conditions of poverty and struggle to find the means by which to meet their basic needs. For those without insurance, access to medical care is often preempted by other necessities. An unexpected medical expense can push this group further into poverty. Those who do have insurance may find themselves underinsured in the event of an emergency and unable to make the necessary co-payments. Alternatively, the insured’s provider may refuse to cover certain conditions. Besides the cost of adequate insurance and the booming cost of medical care, there are other factors that affect equal access to medical care for the impoverished. Among these are race, age, and geographic location. Poverty and the resulting inadequate medical care is a ubiquitous social problem that merits further discussion of the issue’s causes and implications.
Growing up I was the only one in my family with an olive skin tone who didn’t burn in the sun. Everyone always told me that I inherited my grandfather’s Cherokee Indian features. He never talked about his culture, so I have never associated myself with being Native American. Each Native American tribe has unique cultural beliefs and traditions that are passed down from generation to generation through storytelling. In my family, those traditions ended when my grandfather passed away. As an increasingly diverse country, it is important for nurses and health care providers to deliver culturally competent care. The purpose of this paper is to discuss Native American’s cultural beliefs related to end of life care and how health care providers can
One of the biggest issues an economically challenged community faces is adequate healthcare for the members within the community. All over the country, impoverished communities have become filthier which leads to the spread of diseases and sickness but the people in the community and the community itself does not have the money to pay for healthcare clinics or provide doctors for those who are ill. These clinics can also provide jobs and opportunities for many of the members in the community while providing the members with a place they can go for their medical needs. Even small things such as vaccinations, shots, medicines, are needed within communities but economically challenged communities can not afford to have these basic healthcare tools.