By far this semester, this course has been my favorite. Through poignant articles surrounding the topics like the flaws surrounding the insurance market to lectures questions questioning my place in the socioeconomic sphere and its effects on my health to discussions regarding improvements to end-of-life care, I have learned a great deal regarding the United States healthcare system that has greatly affected my perceptions as a future practitioner of medicine. Prior to the course, my image of a doctor was based upon several misconceptions. For instance, I associated a doctor with a wise individual whom greatly aided people, and in return gained a deserved amount of respect, power, and wealth. It wasn’t until I took this course that I questioned how such wealth was received, the possible abuses of such power, and sacrifices and issues patients faced while receiving such care. My singular and almost conceited viewpoint thus expanded to a more empathetic and inclusive perspective.
A topic key to the development of my more patient-inclusive mindset was that of end-of-life care. Like the doctors in the videos shown, my thinking had always focused upon “saving” lives. However, following our discussion of nursing home and palliative care, I began to question the correctness of such a goal. What would be the point in expanding a life, if it only meant pain and misery until they faced another encounter with death? Would it not be better to allow them to a peaceful release, one not attributed with loneliness in a depressing hospital room but with the presence and care of loved ones? It was from these questions did I carve for myself a goal: to equilibrate the doctor-patient relationship as much as possible and ensure that, if the time called for it, the death of my patient be as peaceful as possible, especially if it were through their own choice to let go.