One major issue with barriers of effective communication is that the United States is the most ethnically and culturally diverse countries within the world. A lot of physicians and medical professionals come from different parts of the world and they have different cultural backgrounds. Within every interaction, cultural diversity can worsen commination issues. For instance, within several cultures, some of the people will hold back from being assertive or stimulating opinions more directly. Therefore, it is extremely hard for some nursed from such cultures to speak out if they see something that is just not right.
Race has become such a dominating aspect in society. The “All Lives Matter” Movements have brought to spotlight of the injustices of minorities and the division of our nation due to race. Even though companies today are promoting diversity and the transracial ideal by endorsing biracial athletes like Derek Jeter, racial undertones can be felt through the media coverage and advertisements we see every day. Therefore, the transracial ideal embodied by Derek Jeter is not attainable because race has become a defining characteristic through media exploitation and racial framing of minorities, as shown by Barry Bonds and the portrayal of Michael Vick and Ben Roethlisberger cases. Derek Jeter is a biracial baseball player for the New York Yankees.
Separate but Unequal: The Fight to End Desegregation Segregation is the act or practice of setting groups of people apart from each based on the pigment of their skin, which is unjust and immoral. A man needs food, water, shelter, and medicine, regardless if they are black or white. In the United States after the Civil War, American society was segregated. Segregation of public places such as restaurants, buses, and schools were allowed. The separating of black and white has caused many problems in society and these inequalities are still felt today.
Be aware, acknowledge and challenge my cultural assumptions/prejudices, be-liefs and values. By getting to know/learn about food, cultural celebrations, tradi-tions, language, dress, rituals is important in being culturally competent but NOT the only/most important part of being cultural competent. Most important part of be-ing cultural competent is ‘Managing Prejudices’ - all of us and everyone of us have some form/type of prejudice towards certain group of people (who are deemed different from us). Some people are uncomfortable with people who are skinny, have tattoos, have darker/lighter skin etc. Personally I find it difficult to work with people who have tattoos and it makes me ineffective in my deal-ings/interaction with them.
A common theme that has been discussed regarding the adversities that immigrants experience when arriving to the America are the social and cultural clashes between immigrants and citizens. What I find interesting is the conflicts pertaining to the health care system. Based on previous lectures, immigrants tend to mistrust the American healthcare system due to difference in medical remedies and the language spoken. I know first hand that my mother would perfer to have a Ghanaian physician, as opposed to the general white American doctor. Anne Fadiman wrote a successful award-winning book called, The Spirit Catches You and You Fall Down, which highlights how the cultural differences between the Hmong culture and American medicine jeopardized the health of a little girl named Lia Lee.
Cultural Competency Simply put, the United States is a diverse country. It is common knowledge that this a country founded upon immigration. Moreover, with the advancements in transportation and the growing trends toward globalization this course is more than likely to continue – barring any radical governmental intervention. That is why cultural competency is so vital, especially when it comes to healthcare. Because the sad fact is, not all ethnic groups receive the same level of care (Kittler, Sucher & Nelms, 2017).
Certain studies have shown a damaging correlation between racial groups and health problems, such as high blood pressure in African-Americans or low birth weight for Arab newborns after 9/11 (Gravlee, 52). These indications are imperative to understanding how race affects biology because both are impacted by societal, cultural, and environmental factors. The author also recognizes the impact that anthropologists had on past ideology, such as eugenics (Gravlee, 48), and how it has shaped racialized thinking in the modern world. Gravlee argues that skin color is a major factor in social processes (Gravlee, 52) and ultimately, it contributes to the cycle of inequality and unseen health problems in minorities (Gravlee, 48). In response to the pre-existing notions in both pop culture and academia, the author unifies both statements and states that race manifests itself in the person’s biology (Gravlee,
Despite the growing body of work that correlates disparate racial treatment and survival outcomes to the implicit biases of clinical practitioners, the majority of research on the root causes of racial health disparities has and continues to largely focus on individual and group-level socioeconomic status (SES), cultural attitudes, lifestyle and behavioral choices, as well as access to quality care and health insurance coverage. Clinically, epidemiological studies and comprehensive healthcare data assessments consistently show disparities in quality measures for socially disadvantaged ethnic and racial groups. Racial and ethnic differences in quality measures are most commonly noted in the areas of preventive care, experience of care, chronic
Ethnic disparities in health and health care impose costs on many parts of society, including individuals, families, communities, health care organizations, employers, health plans, and government agencies, including Medicare and Medicaid. These costs include direct expenses associated with the provision of care to a sicker and more disadvantaged population as well as indirect costs such as lost productivity, lost wages, absenteeism, family leave to deal with avoidable illnesses, and lower quality of life. For hospitals and clinics, language barriers may result in higher costs because of less efficient utilization of institutional resources. For example, an incomplete medical history truncated by a language barrier may lead a physician to compensate for possible deficiencies in the patient interview by obtaining more laboratory tests and other diagnostic evaluations. (Hampers et al., 1999).
Healthcare differences or disparities refer to the condition or state of unequal, unlikeness, and disproportion that is observed between people within a society with regard to access to healthcare services (Williams & Torrens, 2011). Such differences are caused by different demographics such as economic status, age, gender, color, and ethnicity. In the United States, such disparities have been witnessed since time immemorial. These differences mean that some people within the country do not have access to quality healthcare services whereas others have full access at all times. Some of these differences in access to healthcare in the country are discussed below.
When one thinks of racism, our minds thinks of African Americans or Hispanics and their history of being victims of racial hate in the past and today. We rarely even consider that Native American tribes of today if whether they experience the same type of racial and cultural hate. Living conditions on the reservations have been comparable to that of a third world nation. It is irrational to efficiently explain the many concerns that have added to the trials and tribulations that Native America faces today. The following evidences about the highest pressing matters of economics, health, and shelter gives a clue to what life was like for many of the first Americans.
Throughout history, countries have been facing challenges which their own citizens are not well informed of the issues. Individuals in the United States place the blame for the manners of society many times onto minorities, which become the scapegoats. Due to the misinformation from the media and other sources, the solutions which stem from these thoughts are often misleading. I want to be able to inform individuals about the problems which plague the United States, but also create solutions for them. I want to put the spotlight on issues which are often forgotten.