Argumentative Paper on Health Care Reform: Access and Quality

Argumentative Paper on Health Care Reform: Access and Quality

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A growing body of evidence suggests that even with the adoption of reforms such as NHI, inequities in the delivery of health care will persist. Some argue that a major problem overlooked by most reform efforts is the chronic undersupply of minority and female physicians.

Regardless of good intentions, a health care delivery system reliant upon physicians who are, by and large, white, upper-class, able-bodied, and heterosexual males will inevitably yield poorer health care outcomes for patients who fall outside these categories. Others argue that even if a ready supply of physicians outside these privileged groups existed, inequities sustained by the existing system of medical beliefs remain unaddressed. These barriers stem from the nature of medical training and the ways in which medical knowledge is applied within health care delivery. Medical professionals are trained to complete the process of diagnosis and treatment by taking symptoms presented by a patient and using them as clues to construct a diagnosis for which they can then prescribe treatment. Thus, patients who receive the best care are those who can most skillfully cooperate in the construction of these standardized medical narratives. Patients who are unfamiliar with the appropriate medical terms and phrases, whose cases are complicated, or who attempt to present alternative narratives to the standard medical ones are less likely to receive good