health and healthcare

Seeing Patients

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Seeing Patients: Unconscious Bias in Health Care is a novel written by Augustus A. White III, M.D. Dr. White grew up in the segregated southern city of Memphis, Tennessee before the Civil Rights Act was passed. This novel tells the story of this orthopedic surgeon’s life and explores his encounters with racism.

Dr. White, or “Gus” as he went by as an adolescent, struggled with injustice his whole life. Whether he was facing them on his own account or watching it happen to someone else, it was occurring. A specific example of this is when Gus was trying to narrow down what colleges he wanted to apply to. He had his criteria of sports offered, good pre-med programs, and the last, “how did it treat Negroes?” This was an absurd criterion, but there was another aspect to this: Did the college even accept students of African American decent? Some colleges did not accept any Black students, while others operated on a quota system. This is an obvious injustice because even though an African American student may be just as qualified, if not more than a White student, they most likely cannot enroll in a school because of race.

Issues with power are seen throughout this book, most of them overlapping with injustices. The front flap, however, sums up the issues that Dr. White views in healthcare. It states, “The key to getting the very best medical care: be a white, straight, middle-class male.” While working as a scrub nurse one summer before he attended medical school, Augustus, witnessed a situation where a Black woman was powerless. She came to get a cancerous tumor removed by a white surgeon. The surgeon was disrespectful towards her before the surgery. During surgery, the woman was hemorrhaging, but the surgeon kept cutting and eventually let her die. There was no dignity involved. Had this been an unconscious or maybe even conscious bias of that surgeon? If the patient were a straight white male would the surgeon had explored another option?

This book certainly reminds me of works such as John Lewis’ March and MLK Jr.’s “Letter from Birmingham Jail.” There are many things related to civil rights because Dr. White grew up during this time. Dr. White, in his own way was contributing to the fight for civil rights. He held a lot of the “first” positions. That is, he was the first black American to accomplish things. Dr. White wants his readers to know about the biases in healthcare, but also to know about prejudices and racism of the past and present. This work certainly inspires conversation related to injustice, power, and identity.

The Punishing Price of Plan B

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By Mahima Vemuganti

Within this past week, I witnessed two of my close friends purchase Plan B.  As they were checking out, I couldn’t help but glance at the price tag- $49.99 before tax. As I was accompanying my friends, I couldn’t help but think back to my friend in high school who had to gamble with potential pregnancy because she couldn’t afford Plan B. 3 weeks later, we found out she was pregnant. My friends in college were able to handle a potentially disruptive situation because they had the privilege to afford to do so, unlike my friend back in high school. Plan B is a good example of systemic injustice because not everyone has equal means to obtain it.

The issue behind Plan B is similar to the injustices individuals experienced during the Civil Rights Movement. Minority groups are placed at a disadvantage from equal opportunity. From police brutality to the sanctions behind the imprisonment of Martin Luther King Jr. as described in Letter, and the availability/affordability to Plan B, systemic injustices encompass a variety of different scenarios.

In-store Emergency Contraception Pills (ECPs) cost anywhere from $40-$60. ECP’s found online, on the other hand, cost an average of $20. The discrepancy between in-store and online ECPs indicates that there is no reason for in-store prices to be as high as they are. Despite online ECPs costing lower than their in-store counterpart, they are less desirable as individuals run the risk of them not being delivered on time. Not to mention, it’s harder to keep the delivery inconspicuous, especially for minors.

https://www.huffpost.com/entry/heres-why-plan-b-costs-so_b_5785562?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAALnX0cCCQ3FhKcgsYt1ccJdZXz2dtUuA_v6MUtJifUp9LJ6fq9GXHtQMSJ4rKxM-4in47x7yuKPYKMT6vjDZrwyBWtkgZ5eZvIsiGWJzo4TvqYdr0pLMMr23eMSI_BzyZ2xAqeEFzeWlnEfNa05Hj3USoUw9nZkLqsDC2BYtD-9Y

Another issue we run into with ECPs is their availability. A 2018 study by the American Society for Emergency Contraception (ASEC) found that only 60% of drug stores carry ECPs. Of the ones that do carry them, 57% lock ECPs in a box, forcing the individual to seek out an employee for assistance.

https://www.motherjones.com/politics/2019/09/i-walked-10-miles-and-visited-13-stores-to-see-how-hard-it-is-to-get-emergency-contraception/

With its high cost and minimal supply at available drugstores, teens and individuals from low-income communities are placed at a greater disadvantage and run a higher risk of accidental pregnancy. While there are many other factors contributing to higher pregnancy rates within minority and low-income communities, the high cost of Plan B adds fuel to the fire. With a statistical correlation between teen pregnancy and poverty, the punishing price of Plan B further perpetuates this inequality.

Systemic Injustice Triggered by Coronavirus Virus in China (weng.156)

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By Xixiang Weng

Recently, the new coronavirus spread around the world and make thousands of people suffer. Wuhan is the first city where this virus mass outbreak and its residents are the people who suffer most from that. Unluckily, the virus is not the only thing to make them in trouble. Their identity of Wuhan’s resident also makes them face injustices.

Due to the fear of the virus, Chinese people in other provinces tend to be away from Wuhan people. For example, if you are a Wuhan people and you go to another province. People would think that you get no sense of responsibility since you make all the people under the risk of being infected. Besides, although Chinese officials claim that they have warned against the discrimination against Wuhan people, some policy they set up, such as restrict Wuhan people’s normal use of state road, shows the discrimination to Wuhan people. Some local governments even set up road blockage in the road to Wuhan, which makes many Wuhan people who work outside can’t meet their family during the Lunar New Year.                     The Chinese government set up road blockage in the road to Wuhan

Also, in some big city, such as Shanghai and Guangzhou, the local government order the neighborhood committee to encourage people to report the Wuhan’s resident or Wuhan returnees around them, so that they can send them back to Wuhan.

When Wuhan people are suffering from the virus, as their compatriot, we are supposed to try our best to help them go through that, however, some unreasonable policy Chinese government set and discrimination some Chinese people express make Wuhan people face so much injustice. The video below is an interview with a Wuhan people living in Beijing, she narrates can make us know more about the current situation of Wuhan people I describe above.

The injustice Wuhan people are facing reminds me of the “The Story of My Body”. People think Ortiz is “dirty” since her different physical looks and Puerto Rican identity (Ortiz 436). Similarly, Wuhan people are treated as “The Other” by their compatriots while they are suffering from the virus. In some Chinese people’s sight, Wuhan’s residents are already not their compatriot, but just the virus which needs to be segregated. This circumstance not only expresses some Chinese people and government’s unreasonable attitude of facing the plague, but also the systemic injustice Wuhan people are currently facing.

 

Work Cited

Gan, Nectar. “Outcasts in Their Own Country, the People of Wuhan Are the Unwanted Faces of China’s Coronavirus Outbreak.” Albany Herald, CNN, 15 Feb. 2020, www.albanyherald.com/news/world_nation/outcasts-in-their-own-country-the-people-of-wuhan-are/article_705d3409-4819-5f69-b4f7-cfc36424bd11.html.

Our Enemy Is the Virus, Not People from Hubei or Wuhan – YouTube, South China Morning Post, www.youtube.com/watch?v=IkdPFCStA38.

 

Corona Virus Discrimination

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By Emma Lykins

Currently, there are over 60 countries that have had outbreaks of the coronavirus and more than 90,000 people have been affected. Of that, 3,000 have died due to the virus, creating a global epidemic. Many countries have travel bans such as Italy, South Korea, and China. This disease is very harmful to infants and elderly people who already have weakened immune systems. There is currently no vaccine for coronavirus, however, they are trying to make one.

This past month we have been receiving lots of notices about the Corona Virus. OSU actually stopped all travel to and from China until March and they are making anyone who traveled there recently partake in a 10-day incubation to make sure they have not gotten the illness. The media and gossip make it seem as though all Asians are to blame for the spread of this disease. I had a student walk up to the front of the class and say he was not contagious because he was so afraid of what others would think of him. I think Americans are classifying Asians as the culprit for spreading the disease when in fact, diseases evolve on their own. It has been unfortunate that this virus started in Asia, but Asian’s should not be blamed for the spread of this virus because they did not intentionally spread it to be harmful to the public.

A lot of people are now saying that if you buy products from China then you will become sick with the coronavirus. This is another misconception that attacks Chinese businesses. You cannot get the coronavirus from buying a lot of international products. The virus does not stay alive for very long on services and is mainly transferred through sneezing and coughing.

The people in these countries are experiencing “Othering” as mentioned by de Beavouir. They are being alienated by society for the country having the first outbreak of the coronavirus. They are being treated differently by the world right now in order to prevent the spread of the disease, however, they shouldn’t have to be treated like an “other”. Their culture and ethnic group are being attacked for “spreading the disease” when in reality it was not their fault. Viruses are uncontrollable, the Chinese did not intend to spread it. The countries who have travel bans and Asians, in general, are being attacked for unnecessary reasons over a virus that was bound to eventually spread anyways.

https://www.nature.com/articles/d41586-020-00154-w

https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/2019-novel-coronavirus-myth-versus-fact

The Coronavirus and its Impact on Injustices (Morgan Marquez)

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Link: 

Within the past few months, the outbreak of the coronavirus has been a health concern especially in China where the majority or root of the outbreak has occurred. Ever since this spread of the virus, individuals have been taking precautions to ensure that the virus is contained, and that other people do not become infected. At Ohio State, there is a large population of students from China and other countries who have been wearing masks. This precaution is a part of the culture that is commonly used in order to prevent the spread of disease. However, there have been many instances of racial injustice toward these students. For example, it seems to be that the coronavirus is directly correlated to those from this culture and many individuals have avoided contact with these students if they are coughing, wearing a mask, or even just based on their ethnicity. This is an example of systemic injustice because it is a prejudiced belief that these students are more likely to be infected because they are from China or apart of the mask-wearing culture. On twitter, a student tweeted about a Chinese girl who was wearing a mask at the library. She wiped down her table and told this student that she did not have the disease and that it was safe for him to sit next to her and did so because she believed that the student was afraid of even just sitting next to her.

As of March 3, 2020, the Arnold Sports Festival has been cancelled for all spectators due to a fear of the threat of the coronavirus. As spectators are no longer allowed to attend the event, there are also less than 20 participants from other countries that will also not be allowed to compete. Competitors from China, South Korea, Italy, Iran, and Japan will not be allowed to compete because the coronavirus has had a serious impact in these countries. I believe that large cancellations like this play a role in contributing to the mass hysteria that has grown with the coronavirus and I think that it is going to continue to grow. The fear about this virus is causing people to take extreme precautionary measures and I think these actions will continue to contribute toward the systemic injustices toward individuals from these countries or those who ethnically represent the countries that have been hit the hardest with the coronavirus. Link: 

The outbreak of the coronavirus has caused people to “other” individuals who are wearing a mask or represent an ethnicity whose country has been hit the hardest with the virus. deBeauvoir states, “Thus it is that no group ever sets itself up as the One without at once setting up the Other…against itself. If three travelers chance to occupy the same compartment, that is enough to make vaguely hostile ‘others’ out of all the rest of the passengers on the train” (1). Americans and others have been cancelling trips, flights, and other travel plans and taking precautions. However, these precautions have tended to lead to injustices and othering against individuals due to a newly developed mass hysteria and fear.

Link: 

 

Limitations of Donating Blood for LGBTQ+ community members

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By James Schubert

Previously I had written about blood donations and the surveys that are required to be taken before donations can be accepted. In this survey there is a question directly regarding sexual interactions within the past year. One of the questions is specifically geared toward male donors and asks, “Have you had sexual contact with another male in the past 12 months.” I had heard about this from a friend who happens to be a homosexual and he said when answering the question, “yes”, he was immediately notified that he was unable to donate blood for that reason.

I see this as a form of systemic injustice because as a result of the 1980’s HIV/AIDS outbreak in the homosexual community this policy is biased and discriminatory toward the homosexual community. This is reflective of old statistics that to date have become outdated as there are treatments that halt the progression of HIV and there are also medicines that can be taken for pre-exposure such as PrEP. Another reason as to why I find this a systemic injustice toward the homosexual community is that regardless of sexual orientation, when blood is donated, it must be tested for various deficiencies such as iron deficiencies, blood disorders, and blood borne diseases.

I understand this question is a precautionary step to avoid any donations of contaminated blood. However, I find it discouraging to the homosexual male community that even though there are other ways in which it can be determined that blood is contaminated, organizations resort to asking a question geared specifically toward a certain group of people. From the story of my friend, he has told me that there is no exception to answering “yes” to this question. When questions like this are geared toward certain communities, especially when it is the definitive answer as to whether or not that group may participate in something as common as donating blood, it implies a bias against this group. As a homosexual friend, my friend has decided that he will not even consider participating in blood drives, donations, etc. as a result of this discrimination.

Below are is a picture of the questionnaire used for blood donations, you will see two questions (19 and 20) regarding males having sexual contact with other males. The link below is the LGBTQ+ donor policies and when scrolling to the MSM tab, the red cross explains the federal regulations and their understanding the impact that it has had on the LGBTQ+ community.

Donation eligibility requirements for LGBTQ+ community members