suffering the system: professional dominance, the uninsured, and the healthcare industry by:...
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Suffering the System: Professional Dominance, the Uninsured, and the Healthcare Industry
By: Stephanie Petty
Introduction
Working class: Among the poorest classes in most social class systems.
Professional dominance: Performing a role that is in high demand while making a relatively high-self profit for the services performed.
“The United States healthcare system is the third leading cause of death, after heart disease cancer.” Starfield (2000:483)
40 million people in the US without healthcare (2007)
Thesis
The purpose of this study on the working class and the poor, as it pertains to treatment and access to healthcare, is to explore the unspoken and/or hidden inequalities in the United States healthcare system. Specifically, this analysis examines the income and educational attainment of patients with regard to the quality of care received.
Previous Literature
Quality of Healthcare
-Dutton (1978)
-Nechas and Foley (1994)
-Frank-Green (2004)
Knowledge and Education
-Light (2000)
-Nechas and Foley (1994)
-Anspach (1993)
Social Construction Theory
Donileen Loseke (2003)
A social problem is not a stable category; rather its meaning is subjective.
Claimsmaking occurs when a person or a group of people attempt to persuade an audience that a particular problem exists.
“risk society”
Typifications help the audience understand the “typical” so that behavior or events outside the typical are identified as a social problem.
Methodology
Survey on access to healthcare and treatment by physicians
7 participants in the South Bend, IN community
Hope Rescue Mission and Chapin Street Health Clinic
Findings
Educational background varied amongst participants. 4 of the 7 participants were employed. All 7 participants were considered “working class” or
“poor.” All 7 participants seek medical attention approximately
every 3 months. Variance in timeliness of receiving medical attention.
Findings
Yes No Don’t knowDepends on the medical
problemDo you feel confident asking your doctor questions?
6/7 (85%) 1/7 (15%) 0/7 N/A
Do you think your doctor discusses all options for treatment?
4/7 (57%) 0/7 1/7 (15%) 2/7 (28%)
Do you fear challenging your doctor’s advice?
1/7 (15%) 6/7 (85%) 0/7 N/A
Do you have the option to change your primary doctor?
4/7 (57%) 1/7 (15%) 2/7 (28%) N/A
Making Ends Meet
The working class and poor populations are in high-risk, low-paying jobs.
The separation between hourly and salary-paying jobs.
Social mobility
The cost of treatment
Future Research
Surveying different geographic areas
Possibly interviewing or participant observation
Focusing more on race, age, gender, or ethnicity