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Inequality in healthcare
Inequality in healthcare
Inequality in healthcare
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A Killer System I Call It Murder is a documentary about the troubling truth of Chicago’s Cook County Hospital-now closed. The main theme of the movie is how unjust the healthcare system is towards the very same people it was designed to help. It highlights just how difficult it is for uninsured and/or poor patients to get the needed and deserved quality care. The documentary also exposed the sickening reality of health disparity and how factors like low socio economic status can quite literally be the cause of death in some cases. I did not know the true extent of the prejudice and discrimination those low-income individuals and other vulnerable populations dealt with. I was shocked to see the discriminative behavior reach health professionals and be reinforced by the healthcare system. Patients can be denied treatment at a “premier” hospital for reasons like not having a green card, or being poor, and/or uninsured. If a patient was deemed unqualified to receive treatment at the premier hospital, they got transferred to a free hospital such as Cook County Hospital. This unethical treatment didn’t exclude patients in critical conditions; a person with serious bullet wounds can be turned down on the …show more content…
The fact that a hospital even has that kind of authoritative capacity to be able to turn somebody down on the spot is alarming. The movie even points out how it had become the norm for health professionals to take a gravely injured patient to a free hospital instead of the nearest one. It is as if the doctors have agreed that it is important to treat a dying patient, but not as important as completing the paperwork first. This practice of “transferring” patients has gone on for quite sometime in Chicago and can be held accountable for the death of many rejected patients who either died on their way to Cook County or soon after
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
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
The triage set up for evacuation didn’t give priority to critically diseased patients; instead many were euthanized by the exhausted medical and nursing crew. Unexpectedly, the rescue came to evacuate the entire hospital on the fifth day of the events. Fink ponders the legal consequences of the deadly choice to euthanize patients and the ethical issues surrounding euthanasia in health care setting during large scale disasters.
I believe that every citizen deserves good healthcare services regardless of his or her geographical area, income, or race. An underserved community is a community in which people are unable to obtain health care or have limited access to the health care system for different of reasons. These reasons include ethnic background, socioeconomic variables, lower salary in some areas, extreme weather, or other life circumstances that produces an uneven distribution of healthcare resources, including nurses. The individuals in underserved communities lack affordable comprehensive health insurance, have gaps in insurance, or are living in remote areas and unable to access care. Additionally, the lack of basic necessities such as money for food, medications,
Inequality continues to affect people in different communities around the globe. It is difficult for many to realize the severity and extreme reality of these situations because they are not given prominence in media and they are not seen as often around certain communities. That is why I believe there is such a huge importance in being aware and reading books such as Just Mercy. Growing up in a large African American and latino population while being caucasian, I felt as if I was much more aware of these issues as compared to those living in less diverse communities. To my surprise, there are always people in worse situations than one can imagine. In Bryan Stevenson’s book, Just Mercy, he brings attention to the history of the United States
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
Although authors Canning & Bowser wrote the article “Investing in Health to Improve the Wellbeing of the Disadvantaged” to oppose Marmot’s article “The Marmot Review,” their above quote also debate points raised by other public health researchers such as Brunner and Krieger. The quote states that the health disparities from different populations results from lack of access to quality and affordable healthcare. This is partially true, but as the analyses of Marmot & Brunner and Krieger suggest, social exclusion due to race and economic status, the population’s work and childhood environment, in addition to other social factors, lead to problems in the medical care system (Marmot 3). In other words, health gradient is not only an indication of health systems failing but is also a result
...d how these determinations effect a physician’s approach to various types of critically ill patients? These types of questions come in to play when one attempts to critically analyze the differences between the types of terminally ill patients and the subtle ethical/legal nuances between withholding and withdrawing treatment. According to a review by Larry Gostin and Robert Weir about Nancy Cruzan, “…courts examine the physician’s respect for the desires of the patient and the level of care administered. A rule forbidding physicians from discontinuing a treatment that could have been withheld initially will discourage doctors from attempting certain types of care and force them prematurely to allow a patient to die. Physicians must be free to exercise their best professional judgment, especially when facing the sensitive question of whether to administer treatment.”
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
According to the institute of Medicine (IOM), racism is a problem in the health care system, that is, the difference between the quality of health care received by minorities and non-minorities is due to racism. IOM is a nonprofit organization that advises the federal government and the public on science policy. It released a report that on average, minorities receive a lower quality of care, even when factors such as income and type of health insurance are accounted for. The report by IOM states that racial stereotypes and prejudice are the cause of the health care disparities. The article by IOM points ...
Lisa Keränen introduces us to her article through a discussion of the technicality (from both an actual technological and also an official standpoint) as it regards to the decision to end a humans’ life. Dr. Keränen uses a hospital as a ‘micro example’ of a much bigger point she is trying to get across to its reader. The hospital in question uses a patient worksheet form in order to let stakeholders (i.e: family members of patients and/or patients who are of sound mind) to know of the patients and their options allowed when the disease has progressed to a stage where it is certain that he or she cannot recover from. The worksheet offers options which the patient has to reduce their pain and the goal of Dr. Keränen article is to show how much a personal decision such as choosing death has now become an institutionalized
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
Faith Community Hospital, an organization who's mission statement is to promote health and well-being of the people in the communities. They serve through the extent of services provided in collaboration with the partners who share the same vision and values. Though the mission statement is the model that everyone should be following, everyone does not think the same about every issue. We all may face similar situation at one point in time but the end result may be different for each individual because we all have different values and beliefs. There are many differences between ethics, laws, beliefs, and oaths that all affect the decisions from patients to staff members. Some patients refuse to take medical services and there are staff members who refuse to provide certain services due to those value lines. Some of the staff members are caring so much for the patients that they sometimes take radical positions to respond to their well-beings. In these situations medical intervention can conflict with religious beliefs or personal moral convictions. Hospital pharmacists are even taking positions which they believe to be important such as filling uninsured prescriptions by accepting payments in installments. Staff members in ICU initiated Do Not Resuscitate procedures with out written orders. Doctors are putting patients first from various interpretations. In "right to die" situations the doctors seem to be getting too involved in compassion and passions with their patients. We need to stay focused on what our jobs are and what we are promoting which is to provide healthcare and its services to members of the communities. Counselors are also treating some of their clients with no authorization of the values and beliefs they have. On the other hand, there are some staff members within the hospital who refuse to serve patients unless they have confirmed insurance coverage. If a patient is to pass away because of unauthorized decisions, this can cause a stir with the media as well as with current or future patients in the community.
In 1986 and 1987 Cook County Hospital physicians published articles on patient “dumping” that was occurring in the Chicago area. Patient “dumping,” is when patients are denied medical services for economic reasons and are referred to or “dumped” to another hospital. Many patients that were being dumped at Cook County Hospital were unemployed or minorities that were unable to provide insurance or means to cover the costs of care provided. Many patients that were being transferred were not in stable condition and were at a higher chance of dying when transferred. Many patients were also missing consent to the transfer when they would arrive at the new facility. Something had to be done to stop and prevent the unnecessary and life-threatening
Personally Mediated Racism is present at the shelter when the males go to get access to healthcare. One of them was surprised and felt offended that the Community health center told him he was not able to get into the building for an appointment but he will have to wait until the mobile van can take care of him outside of the building. The guy who was looking for medical attention was surprised by this answer and shared with us that he felt discriminated because he had a criminal record. Community healthcare centers are supposed to help people without searching for a past, they are supposed to give the community the opportunity to receive the care they needed without criticizing or taking care of who they are treating. My collegues and I felt