Poverty, Education and Health Care Essay

Abstract Poverty and education play an important role in access to health care. A low socioeconomic status influences the health of people. This paper provides a general overview of how poverty and education determines access to health care. It provides a description of the consequences of poverty and education on health care accessibility. Finally it provides solutions as how to address the issue. The link between poverty, education and access to medical care has received considerable attention. Health influences all the activities of an individual. All societies are concerned with varying levels of health among their members. They are also concerned about marginalized sections of society have access to health care. Poverty and its effects on society People belonging to poor communities have poorer health outcomes. They have less access to primary care as compared with more affluent residents. They are also less likely to have health insurance and regular doctor. They are more likely to have chronic health problems. They are more likely to get hospitalized for conditions which can be detected and treated at an early stage. Despite an expansive public insurance program these health problems remain. At least 18 percent of Americans are without medical insurance. This means a total of 44 million are without health insurance out of a population of 300 million. An estimated 87 percent of people are covered by government or employee based health care insurance (Cutler, 2004). People with low socioeconomic status face many challenges in maintaining their health. They have a high mortality rate. They are more likely to be suffering from some disease. They have limited health care resources. They live in poor environmental situations. The United States has one of the world’s most impressive standards of living. At least 32 million Americans live below the poverty line. In addition to poor people an estimated 50 million people live in poverty like conditions. Health risk factors like smoking, obesity and sedentary lifestyle are found in poor Americans (Cutler, 2004). They have a higher prevalence of disability and chronic illness. They have a shorter life expectancy. Children belonging to poor families are more likely to be malnourished. Many poor Americans live in houses which have lead paint. This can cause growth problems in children. Poor people eat inexpensive food which is fatty and lacks important nutrients. Poor people cannot afford health insurance coverage. Patients postpone their medical care and they are more likely to go without prescription medicines. Low income workers are at the highest risk of being uninsured because they are ineligible for Medicaid coverage. They work in low wage jobs that do not offer insurance. They cannot afford the high premiums associated with health care insurance. The lack of a usual source of care is another barrier to seek adequate health care. The challenges associated with poverty create conditions that can diminish lifesavings, lower learning ability and reduce physical, mental and emotional well being. All of these factors are a threat to people’s health. Urban areas in the United States have many health care facilities. However poor people cannot make use of these services. The major challenge is the high cost of visiting doctors, medicine and hospital care. Social factors like language barriers and prejudice by providers also hinder the accessibility of health care by poor people. The government also faces challenges in trying spreading health education in poor communities. Health care services are vital for the survival and livelihood of poor people. Illness persists in poor people. It stops people from working and forces them to sell assets. They fall into debt and are lead into a vicious cycle of dependency and poverty. Failure to treat themselves leads to illness and disability. This further reduces the ability to work in poorer households. People living in rural areas are forced to bear high transport costs. This is difficult and expensive for them. The lack of local health centers in rural areas further hinders the ability of poor people to access adequate health care (Crichton, 1997). The huge time that takes for poor people to obtain treatment is one of the greatest barriers which they face. Time away from jobs results in lost income. Health services run by governments are usually inefficient and are characterized by neglect. The quality of service is low. There is shortage of staff. There is no proper medicine and equipment. In many countries there is no safe water to drink. In developing countries there are high costs to health care. Besides the official fees there are corrupt staff members who demand bribes and fees in return for ordinary services. These services can include registration, tests and being given medicine. They can also pressurize a sick person to make unnecessary visits to the hospital. Payment methods are not flexible in many developing countries. Payment usually has to be made in advance and in cash. This causes considerable hardship for poor people (Crichton, 1997). Â  Education and its effects on society Education also plays an important role in health care. Many people with low literacy cannot read and understand directions written on medications. They cannot complete medical consent forms. They have problems in accessing health care and dealing with health related issues. Health literacy is the ability to read and understand words and procedures related to health care. It consists of comprehension, communication and appropriate action. The direct effects of low health literacy are medication errors. The indirect issues can include insurance issues, accessibility to health care and poor health behavior (Shi, 2003). Low health literacy affects people of all ages, races, educational levels and social classes. It is driven by a variety of factors. It is a multidimensional issue. Understanding written materials has been part of extensive health literacy in the past few years. Sensitivity to culture has also become part of health literacy due to the diverse population of the world. Messages and images have to be tailored to meet the diverse beliefs and values of people. Health literacy is concerned with understanding the information necessary to manage health (Shi, 2003). It is estimated that at least 90 million people in the United States cannot read. The health of such people is at risk. Ethnic minority groups are also affected by low health literacy. Older patients, recent immigrants, people with chronic diseases and those with low income are also vulnerable to having low health literacy. Many people with average or strong literacy skills have found medical terminology and concepts confusing. There are many health consequences associated with a low literacy level. Research has found that at least one third of patients have health problems because of failure in taking prescription medication correctly. People with low health literacy cannot comply with prescribed treatments and self care routines. They also have a high rate of failure in seeking preventive care. They are more at risk for hospitalization. They lack the skills to successfully move in the complex healthcare system (Shi, 2003). Patients with low health literacy have glycemic control. They are also more likely to report eye problems caused by diabetes. The annual health care costs for individuals with low health literacy are five times higher than those with higher health literacy skills. People with low health literacy are more likely to use health care services. Additional health care expenditures result from low health literacy skills. People cannot feel part of the social structure. They are also vulnerable to anxiety and other mental disorders. They can also alienate other people. Research has also found that people with low literacy levels are more vulnerable to die. While federal and state lawmakers continue to debate about how to increase access to health care, some of them are thinking of reinsurance system which might be affordable for poor people. In order to understand the concept of insurance it is essential that policy makers understand the concepts, benefits and limits of reinsurance mechanism. Reforms in Health care Reinsurance in health care refers to risk transfer or risk pooling arrangements. These are designed to remove the barriers which low income workers and minorities face when accessing health care. Risk transfer arrangements can help in this matter but they cannot lower health care costs. Policy makers must design policies which encourage participation from insurers and remove incentives to transfer costs to taxpayers. Reinsurance is defined as an insurance company buying insurance itself. The primary insurer is protected against the rare set of circumstances which might produce losses that it cannot fund on its own. Property and casualty insurance are the areas where reinsurance has been successfully implemented. Companies working in these areas can take heavy losses due to natural disasters in a short time period. This induces insurers to buy reinsurance on the commercial market. Poor people cannot afford health insurance coverage. This directly affects their ability to access medical care. Patients postpone their medical care and they are more likely to go without prescription medicines. Low income workers are at the highest risk of being uninsured because they are ineligible for Medicaid coverage (Kling, 2004). Public health plays a vital role in countering the effects of poverty on health care. It also minimizes the disparities in health by income. Public health policies protect the health of the population. It also plays an important role in reducing contagious diseases and providing low cost health services to marginalized sections of society. There are many examples of public health functions. Immunizing babies, improving sanitation, combating sexually transmitted diseases, protecting the environment and containing tuberculosis are some of the public health functions. Public health focuses on reallocating resources to communities which have low incomes. The US government has a network of community health centers, public clinics, school based clinics and health clinics for low income workers, migrants, minorities and homeless people. The National Health Service Corps is an organization which provides services and places physicians in vulnerable communities. Public health services also focus on specific diseases like tuberculosis. They also increase immunization efforts against this disease. They provide services which improve the health of low income families. Neighborhoods are cleaned from lead paint, pollution control and nutrition programs are launched. Women and children are fed through special programs. Poor people with low income and education have poorer health outcomes. They have less access to primary care as compared with more affluent residents. They are also less likely to have health insurance and regular doctor. They are more likely to have chronic health problems (Kling, 2004). Medicaid is the largest public programs that have improved access to health care. It provides health services to low income population. It finances health and long term care insurance for over 40 million low income Americans. Before Medicaid the poor people were essentially without any medical care. They relied on charity of physicians and hospitals. Public hospitals and clinics were also visited by poor people. Medicaid has made health services available to poor people. It has improved their health status and access to quality care. It has also created satisfaction amongst the poor people. Uninsured poor people lag well behind those people who have coverage with Medicaid. People with Medicaid have even fared comparably with private insurance (Kling, 2004). Despite the fact that these programs offer valuable assistance to low income populations, the deficits in access and coverage faced by low income population cannot be easily overcome. Increase in income does produce a substantial contribution to removing health differentials. However this is the need for insurance coverage and support for community based resources to eliminate health disparities by income. Poverty is hazardous for the physical and mental well being of an individual. Low income and homeless people are poor physical functions. They have a high prevalence of health risk factors and chronic health conditions. They also are more vulnerable to depression and other mental disorders. Research has shown that people living in vulnerable communities have a higher rate of being diagnosed with mental disorders as compared with more affluent communities (Kling, 2004). There is a need for prevention, intervention and treatment of diseases for poor people. Welfare reform cannot succeed without taking into account the special health problems of poor people and children. Poverty is associated with depression and other symptoms. It contributes to depression. People with insufficient personal support have no assistance in raising children. They live under the chronic stress of having children but little money to support them. They are at a higher risk for depression. There is a strong link between single-parent status, responsibility for young children, social isolation, and lack of social supports as well as to poverty. Welfare recipients have many barriers towards employment. They have low skills, substance abuse, health limitation or children with chronic medical conditions. They have serious forms of barriers. They have also high level of distress. They seek help from general medical, specialized and human service sources. Poor people with low income and education have poorer health outcomes. They have less access to primary care as compared with more affluent residents. They are also less likely to have health insurance and regular doctor. They are more likely to have chronic health problems. They are more likely to get hospitalized for conditions which can be detected and treated at an early stage. Despite an expansive public insurance program these health problems remain. At least 18 percent of Americans are without medical insurance. This means a total of 44 million are without health insurance out of a population of 300 million. An estimated 87 percent of people are covered by government or employee based health care insurance. Rising health care costs have become unbearable in the world. This is a problem for poor people in the Western countries and the situation is even worse in developing countries. There is a need for reform in the health care system. Many poor people are not covered by health insurance. Critical care medicine in high technology hospitals are only for a small group of patients (Ham, 2004). The first step should be rationing in containing health care costs. Public health care resources are limited. It is not possible to satisfy all medical needs for all people at all times. An appropriate goal for developing countries is to provide basic health care for the people. Some luxury medical procedures must be left for individuals to purchase with their own resources. Â  A basic level of health care must be provided for all people. Providing the best care is practically impossible. The government can however provide a basic level of care. Prevention oriented and ordinary treatment oriented goals must be set for developing countries and their health care systems. Inexpensive medical prevention is more effective and appropriate for poor people. Finally there should be a system of support which should help people with special expensive medicine care. Special foundations should come to the rescue of poor people for emergency and life saving procedures (Cundiff, 2005). Conclusion The health and well being of poor communities is an issue confronting both developed and developing countries. Research has found links between poverty and the health of people. Inside the United States many poor people do not have health insurance. Some of them can’t even think of affording health insurance. They are more concerned with the basic amenities of life. People in developing countries are even worse off. They have access to state hospitals and clinics which do not have trained staff, prescription medicine and advanced hospital care (Cundiff, 2005). A low health literacy rate is also dangerous for the well being of people. It can have adverse negative economic and social impacts. They can die at from treatable causes and get hospitalized because of their lack of health literacy skills. They are also prone to suffering from mental diseases like anxiety and depression. Â  There is the need for health reform in the entire world. Governments must provide a basic level of health care to all citizens. Advanced hospital care must be made available by foundations and donations. Governments working in coordination with community support groups can effectively counter the affects of poverty and low education on the health care of poor people. Some health responsibilities and policies should be transferred to community groups. The international community must help poor countries in developing basic and adequate health care system. References Cutler, David M. (2004). Your Money Or Your Life: Strong Medicine for America’s Health Care System. US: Oxford University Press. Crichton, Anne (1997). Health Care: A Community Concern?. US: University of Calgary. Shi, Leiyu (2003). Delivering Health Care in America: A Systems Approach. US: Jones and Bartlett. Kling, Arnold S. (2004). Crisis of Abundance: Rethinking How We Pay for Health Care. US: Cato Institute. Ham, Christopher (2004). Health Care Reform: Learning from International Experience. US: McGraw-Hill Education. Cundiff, David E. (2005). The Right Medicine: How to Make Health Care Reform Work Today. US: Humana Press.