Each populations do not have the means to obtain

Each patient has a different
experience in the healthcare system solely from the influence of race/ethnicity,
culture, socioeconomic status and doctor-patient interaction. Different
populations are met with health patterns that other groups aren’t exposed to. There’s
an absence of quality in their healthcare experience and their health outcomes
are controlled by educational attainment and socioeconomic status. In fact, socioeconomic
status controls the amount of health services an individual can obtain. For
instance disadvantaged populations do not have the means to obtain quality of
care such as health insurance and miss out on opportunities to better the
outcome of their health and met with the burden of illness. Besides this, culture
can delay healthcare delivery for patients and language and beliefs further
impact patient experience.

the United States it is
evident that the ongoing relationship between race and health stems from social
and individualized racism. Patients who are minorities are experiencing
increased rates of morality. For instance African Americans have high death
rates compared to non-Hispanic whites when it comes to the 10 of the 15 leading
causes of death. At the same time Hispanics and American Indians have higher
death rates of diabetes, liver cirrhosis and homicide in the united states as
compared to whites. Institutional prejudicial treatment reduces socioeconomic
achievement towards these groups, decreasing their path towards positive health
in the healthcare system. Setting groups apart through health care services produces
chronically ill conditions. The social treatment towards minorities slashes
assistance and because of this they experience illness quite more often due to
other inequity factors.

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to Williams reading Miles to Go Before We Sleep there are three points to consider for health
disparities and that is that income determines the amount of resources
available such as health services and associated follow ups. Secondly, health
is an outcome of low socioeconomic status during youth stages which makes it
clear of health differences of groups. Third, discrimination and racism can
further limit access to benefits and add existing stressors that affect health.
Also going to the doctors frequently can decrease the gap when early management
of disease is involved.

like Robert in the reading Mama might be better off dead : The
failure of health care in urban America
who are poor do not get much advantage in the healthcare system therefore they
experience a long life of illness. Often most of these patients
aren’t eligible for government sponsored insurance like Robert was because he
didn’t meet the requirements to obtain government sponsored insurance. The
absence of this security in terms of being insured put him into suffering with
kidney failure and put his family in a position of financial insecurity. There’s
the imbalance in socioeconomic status determining ones health, further making
it illness unavoidable. Even Roberts wife Jackie’s family members face the
burden of many illnesses.

Another factor
to also consider is the communication between doctors and patients making
illnesses prolong unnecessarily. Roberts doctor knew he had to follow up with
him about an issue with his kidneys but didn’t communicate that to him effectively
which later affected his well being and families financial status.  In other cases cultural barriers between non-western
families and western health care physicians influence patient experience in the
U.S. healthcare system. Consequences result from culture differences and the
direct impact it has on ones health as in the case of the Lee family in the
reading The
spirit catches you and you fall down : A Hmong child, her American doctors, and
the collision of two cultures by
Fadiman doctors couldn’t take Hmoung patients medical history and had to treat
their case in veterinary medicine. The patients case was treated as an animal since
patients like Lee’s couldn’t provide clear understanding of Lia’s symptoms
since they were illiterate. When
communication is unclear it can bring upon obstacles that are irreversible and
communication is a factor to consider when it comes to doctor patient
interactions. When western staff cannot grasp patient symptoms off the simple
fact that communication is an issue this then puts the patients health at risk
of associated illnesses or even death. Sometimes cultural practices can place
ones health in danger. With Lia Lee she has been experiencing epilepsy from
birth and this brought contradicting feels of pride and worry to Lia’s parents.
In the Hmong culture epilepsy is referred to as quag dab peg which is caused
spiritually where the soul has left the body and in order for the soul to come
back a shaman must work in order to bring the soul back to the body. Prior to Lia’s episodes of seizures the Lee’s blamed their
other child Yer for Lia’s condition because she slammed their apartment door to
hard. That is to say the Hmong cultural beliefs overpower Lia’s reality and
their cultural beliefs will later become damaging to Lia’s health and well
being. Hmong’s believe doctors help but Hmong faith has even more faith to
bring back the ‘lost soul’. The Lee’s failed to realize
that epilepsy is a brain disorder that causes seizures that cause many other
health problems like aspiration pneumonia in which Lia experienced from her
seizures. Lia’s primary doctors Neil and Philp didn’t understand the Lee’s
cultural faith and thought they were crazy because they weren’t providing Lia
with the correct dosages or would even missing dosages. In the case of the Lee’s, Lia’s epilepsy would’ve took a turn for the better if
their Hmong tradition didn’t have such an impact and as for the doctors if they
would’ve considered the patients viewpoint and let them add on their source of
effective medication to what’s already prescribed. Everyone would’ve been
on the same page and possibly the well-being of Lia’s condition would had
progressed instead of deteriorate. Doctors didn’t accept the Hmong idea behind
the soul. Through the consequences provided Lia was met in a sorrowful position.
The healthcare system should give understanding to patients with a different
culture because sometimes there is misunderstanding due to the lack of
adaptation to western culture. Western physicians should be opened to learning
to accommodate both practices if the end goal is to protect the well being of
the patient.

Patients can actively involve
themselves in the healthcare system. One way to approach this objective is to take
the HIV/AIDS patient health social movement approach to influence change within
healthcare. With a purpose to fight for patient rights, advancement in research and health
practices, further bring attention to different conditions and advocating for
funding for illnesses. In the article The
Construction of Lay Expertise: AIDS Activism and the Forging of Creditability
in the Reform of Clinical Trials by Steven Epstein HIV/AIDS lay experts who
educated themselves on the disease had influence over clinical trials treatment
targeted towards them. Taking this approach of learning every aspect of
specific illness leads to advancement of medical care, furthering ones health
and learning about other associated illnesses. Social health movements makes
the unaware more conscious to early detection and preventative measures to
train for self examination.

Patients in the United States
healthcare system various understanding to culture, resources and relationship
determines the outcome of health. It is evident that each race and ethnicity
experience health patterns that differentiate them from other groups. Most
importantly, learning about particular diseases can inhibit continuous health patterns that specific groups are exposed to. As a
matter of fact, high socioeconomic status speaks volumes in healthcare for
better health through which disadvantaged populations lack from. For example,
affluent groups have access to medical service and can count on preventative measures
resulting in decreased morality. In correspondence to what has been previously
mentioned healthcare delivery has strong effects on patient experience.