The Spirit Catches You and You Fall Down In the book, The Spirit Catches You and You Fall Down, Anne Fadiman explores the cultural collision between the Hmong Lee family and their American doctors. Along with the culture clash, the social stigma against the Hmong family brings to light a lot of the systematic, moral, and ethical issues that can arise in our healthcare. Ultimately, the combination of the cultural clash in medical perspectives, the underlying social stigma, the inadequate treatment, and the miscommunication hindered the proper diagnosis and recovery of led to the demise of the Hmong child. However, many of the problems could have been easily avoided or resolved with more patience, objectivity, and most importantly, cultural competence. Cross-cultural methods and approaches should be taken to accommodate for the diverse patient population in our communities.
According to Harvard Health, millions of Americans are not taking their “medications due to their high cost” (LeWine). Cost should not be the reason that people go without their medicine, something they need. Lack of medicine can lead to hospital trips and death. It is in this way that prescription drugs are similar to water. Those who take medicine are dependant on it, and absence of the drug can be disastrous, as lack of water is terrible for the body.
Therefore, a huge number of medical products companies may be going to bankrupt for lack of sick people someday, the government might legalize it for more people to be getting sick and rising up the medical product sales. So it would be legalizing disease. Take a moment to think about it. Is this the kind of world we want to live? Is this the kind of world we want our children growing up in?
This particular obstacle is important to improve because it causes patients medical issues to escalate to the point where it becomes deadly and it costs the hospital more money when the patient is admitted with severe and complicated conditions to treat such as a heart attack. The second obstacle of little to no access to a health care professional is important for the US healthcare system to improve because it causes patients with non-severe conditions to go to the emergency room because they have nowhere else to seek medical advice. Allowing easy access to informed medical professionals can cause less people to go to the hospital for colds or similar issues that can be treated elsewhere. If this issue is resolved it could save a drastic amount of money in the healthcare system that could be spent elsewhere. The third obstacle which is lack of preventative care causes patients conditions to escalate unnecessarily.
People love to watch television, listen to radio, or do things online whenever they can. When things are censored they tend to lose what made it be good for example explained by Sandra, “Meanwhile, they decided that extensive profanity in in the World War II film Saving Private Ryan was acceptable for air because omitting the expletives would ‘alter...the nature of the artistic work and diminish… the power, realism and immediacy of the film experience for viewers’’’ (Fulton 1). The film lost most of its liveliness due to the censorship regulations by the FCC after they fined PBS over documentary of Hip-Hop and R&B artists with swearing by the artists. Many artists have to re-write their lyrics for popular songs so they can be considered for public radio. Additionally, they sometimes have to add sound effects; such as, bleeps, or a pause to eliminate the profanity of the song on the radio.
This stops a womans ability to conceive all together and it is irreversible. [5, 2015] This is a surgically performed method for both men and woman. There is also a non-surgical method whereby it is a device that is places in the fallopian tubes and eventually causes them to shut. [5, 2015] Usefulness: This source is useful as it discusses the use, effectiveness and process of male and female sterilisation. The two forms of contraception that are discussed are drastic measures of contraception, this may not be a common contraception form amongst teenagers and therefore may not be influential in my research.
Without being diagnosed correctly, “7.5 percent of U.S children between the ages [of] 6 and 17 take medication for ‘emotional or behavioral difficulties’” (Insel). Overmedication is the inappropriate medical treatment that occurs when a patient is given or takes unnecessary or excessive medications. Many are wrongly diagnosed by doctors, or self-medicated. With every disorder comes an evaluation and many doctors do not evaluate their patients or their behavior, they get straight to medicating. Due to the scientific advancement in medication, many doctors become dependent on it “fixing” problems in patients such as diagnosing children with behavior disorders, medicating injured athletes, and healing the elderly.
Moreover if these individuals get access to the treatment, because they are poor, they might not have access to a balanced diet which needs to be taken with the pills and this ultimately worsens their health (Sen & Östlin, 2008). The criminalization of behaviour of people can actually limit access to public health services when this should not be the reality. For example with sex work there is a lot of stigma around it, and when women in this industry go to clinic to seek HIV treatment or any kind of contraception, they are usually rejected. When they fall pregnant, they are denied access to clinics that provide abortions and end up going into spaces that carry out unsafe abortions. In many different countries abortions and high maternal and child mortality rates constitute a serious public health problem.
This, in turn, becomes a mindset that encourages self-hatred and shame about something that cannot be changed or is dangerous to try (Utley and Darity134). Perpetuation this bias is present in schools, medicine, or areas of employment. Individuals with darker skin present deep self-esteem issues because of different treatment that is clear in day-to-day life. Through an interview conducted with a focus group about skin color and relationships, one interviewee spoke about her dark-skinned cousin: "during my cousin's puberty years her mother would take her to 100s of doctors for acne and to make her fair . .
“I had one case of a doctor who checked my pelvic area even though I was there for something completely unrelated,” said a transman in Kuala Lumpur called Ron (Zurairi par6). According to the report by international watchdog Human Rights Watch (HRW), the transgender community faces even more serious discrimination in government facilities, made worse by the fact that most of them have to turn to private healthcare (Zurairi par2). Although receiving care from private healthcare would allow transgender people to get a better treatment, but due to stigma institutional and discrimination, they are struggling even to afford the costly bill. Hence, poor health care access has been a huge problem for the transgender community in Malaysia; to get a sufficient and vital healthcare