This class has taught me a lot about the different issues there are within healthcare. One of the most shocking things that I learned in this class is that our healthcare system is worse than other countries. Before entering this class, I knew that our healthcare system cost a lot more than it does in other countries but I thought that the cost would be balanced by excellent healthcare. It surprised me to hear that the United States has the worse healthcare in terms of age and infant mortality. It was frustrating to learn about what exactly the money is spent. Most of it is spent on hospital administration and that is frustrating because I feel like most of the money should be spent on research or towards the patient. Another interesting topic that interested me was the one on medical school’s curriculum and medical education. Right now I am planning to go to medical school and before this class I did not know too much about medical school. One thing that I was glad to learn is that medical schools are starting to change their curriculum. In the old curriculum, students would not get any clinical exposure until the third year of medical school and the first two years would be learning the basic science courses. I find this to be somewhat pointless because medical students have already learn the basics in high school and college. It was a relief to hear that students are now getting exposure starting from day 1 and that there is an integrated curriculum. I am glad I took this course because I have learned a lot of interesting things about the health field. I plan to go into the health field one day so it was good to learn about the health field before I went into it. Looking back, I am glad I took this class because I am now more informed than I was before about the issues surrounding healthcare. I hope that one day I could help fix the issues surrounding healthcare.
In lecture, she talked a lot about the different types of end of life care, specifically in America. I was curious about how other countries deal with end of life care. Do they handle end of life care better or worse than the United States? Can we learn a thing or two from how other countries deal with end of life care?
In the textbook, it states that “historically, nursing homes residents overwhelmingly were white” and that the “usage of nursing homes by African Americans and Hispanics increased significantly from 2000 to 2007.” This got me thinking about about the Asian population and I was wondering why aren’t there more Asians in nursing homes? I think the reason for this is because of the mindset that most Asians have. In Asian culture, family is very important, especially when it comes to elders. It is expected that children are suppose to take care of their parents themselves and not leave them in a stranger’s care.
In Zussman’s article about patients in the ICU, he explains two main reasons why patients seem to “vanish” in the ICU. The first is that a disease takes away a patient’s personhood. The second is that the doctors and nurses in the ICU do not care about a patient’s identity or character. He also explains how it is not the doctors’ fault because there are other serious matters at hand. Is there a way to fix these issues? Is it even possible to make a patient feel more like a person in the ICU?
Zussman also states that “medicine at its best – at its most heroic, its purest – is about physiology and physiology alone.” Would changing this mindset be the first step into improving the ICU for patients?
In Rosenberg’s text, The Rise of the Modern Hospital, it seems that technology is what drove the rise of hospitals. He explains how technology was able to provide better healthcare and this gives a reason for people to want to go to a hospital. People could not get these medical equipment in their offices or homes, the only available place was the hospital. Was technology the main force that drove the growth of hospitals? What were the other major factors that helped with the expansion of hospitals? Finally without the fancy medical technology/equipment, do you think hospitals would have grown the way it did? How would the growth of hospitals change?
In his article, “Wary of Mainstream Medicine, Immigrants Seek Remedies From Home,” Richard Shiffman talks about a store in New York called La 21 Division Botanica that sells different votice candles, herbal potions, and other remedies. It also talks about Ina Vandebroek, an ethnobotanist, who is conducting a study on emporiums that offer products that helps mend the body, mind, and soul. She is mainly focusing on Latino and Caribbean immigrants. She found that the Dominicans in New York use more than 200 plants species for medicinal purposes. La 21 Division Botanica would a lot of remedies that would help fix bladder problems, cleanse the kidney, ward off colds, and other issues. Continue reading “Immigrants Using Alternative Medicine”
After reading “Managing Emotions in Medical Schools,” I feel like there should be some sort of change to the Medical School’s curriculum. In this article it describes how students have dealt with their emotions using a variety of methods such as, changing the way they think about contact, finding humor in the situation, or avoiding contact at all. I can imagine how hard it for students to have to find out how to deal with their emotions. It also seems like if students cannot control their own emotions, then the treatment/healthcare they provide will not be as good as it could be. Continue reading “Adding a Course To Medical School’s Curriculum”
Gina Kolata wrote an article about the cost of dementia care and why it is so high compared to other diseases. According to the article, the three diseases that are the leading killers of Americans are heart disease, cancer, and dementia. Heart disease and cancer seems like they would be the most expensive diseases out of the three but dementia is the most expensive. The article states that “the average total cost of care for a person who died of heart disease over those five years was $287,038,” for a heart disease patient it was $175,136, and for a cancer patient it was $173,383. The reason the cost of dementia is so high is because “patients need caregivers to watch them, help with basic activities like eating, dressing, and bathing, and provide constant supervision to make sure they do not wander off or harm themselves” and these cost are not covered by Medicare. Medical cost also skyrocket when a dementia patient in a nursing home gets a fever or gets ill. The staff would call 911 and the patient would go to the hospital and there the patients may have complications. Going to the hospital and these complications makes medical cost rise. Finally Medicare covers medical services like office visits and acute care but it does not cover the cost of nursing homes or full-time care. Continue reading “The High Cost of Dementia”
In “Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications” by Phelan, et al, they talk about the theory of fundamental causes. One of the concepts of this theory is that greater resources will produce better healthcare and that inequalities in health and mortality will persist as long as resource inequalities exist. Continue reading “Impossible to Redistribute Resources?”
One thing that I found surprising is how our healthcare system compares to other countries’. The U.S. spends the most money on healthcare than any other country but our life expectancy and infant mortality rate is worst than every other well developed nation. I use to think that the U.S. had one of the best medical research centers and that our healthcare was one of the best in the world. One of the reasons I used to think that was because the United States is one of the most powerful nations in the world so consequently I thought that the healthcare system would be the best. Someone would think that with all the money the U.S. spends on healthcare, it would be the best in the world. Continue reading “Process Reflection 1”