#poor healthcare

[kind-of-obsesive]

The Impact of Queerphobia on the Treatment and Health outcomes of Queer Patients in Canada.

What are the impacts of queerphobia on the treatment and health outcomes of queer patients in Canada? Queerphobia, and its counterpart, heteronormativity, contribute to the poor treatment and health outcomes of queer patients in Canadas current medical system. Most medical providers are not educated on working with queer patients, despite the widespread societal acceptance of the 2SLGBTQIA+ community, leaving them floundering when queer patients come to them for help. Heteronormativity is also still very prevalent in the medical system, lowering the quality-of-care that queer patients receive, making their treatment and health outcomes poorer. Queer patients are made to feel unsafe due to the discrimination they face from healthcare providers, and this can make them less likely to seek help, lowering their health outcomes in turn. Queerphobia greatly impacts the treatment and health outcomes of queer patients in Canada.

Despite societies growing acceptance of the 2SLGBTQIA+ community, which in turn, prompts more people to share when they fall outside of the typical norm, most healthcare providers are not being formally educated on manors surrounding the queer community, nor are they studying as part of their commitment to lifelong learning. During the study Snelgrove et. al. conducted, a doctor mentioned “Formal education around trans healthcare was described as absent from medical school and residency curricula” (2012). Lee and Kanji point out in their research that “some healthcare professionals appeared unversed in queer terminology, which added to the stress of individuals who felt responsible for educating their health care provider and justifying their identity” (2017). Greta et. al. state that “Approximately 54% [of the participants] reported having to educate their providers “some” or “a lot” about trans issues” (2014). These quotes highlight that healthcare professionals are not taught how to interact with queer patients or handle the issues they might face in relation to them being queer. Lee and Kanji go on to suggest that the lack of knowledge causes discomfort for the healthcare professionals and that the “notable discomfort from health care providers made the individuals feel uncomfortable and unable to speak openly about their health concerns” (2017). When a member of the 2SLGBTQIA+ feels that they cannot speak openly to their health care provider, it makes it harder for queer patients to get the medical assistance that they need, making the outcomes worse as a result.

Heteronormativity is the belief that heterosexuality is the only normal sexuality (Merriam-Webster, 2024) and cisnormativity is the belief that cisgender people, people whose gender matches their sex assigned at birth, is the only normal gender expression.  Within the healthcare system, working under the assumption that all people fall under the umbrella of heterosexual and cisgender can negatively impact 2SLGBTQIA+ people's health outcomes. Bauer et. al. finds that “Twenty-one percent … of trans Ontarians reported ever avoiding the [Emergency Department] when emergency care was needed specifically because of concerns relating to accessing [Emergency Department] care as a trans person” (2014). This can be reasoned by Lee and Kanji’s findings: that “LGBT respondents reported that the assumption that everyone is heterosexual and cisgender was a major barrier to forming a trusting relationship with their health care provider” (2017). Trust is one of the five components of the nurse client relationship according to the College of Nurses Ontario (2006), as it allows the patient to feel comfortable being open and honest to their healthcare team; when that trust is broken, not only are the patients less likely to be honest, but also less likely to seek healthcare in the first place.

The possibility of facing discrimination can pose a significant barrier to seeking care for many queer people, as it compromises their sense of safety. Lee and Kanji found many “reactions of health care providers to an individual’s coming out ranged from embarrassment to excessive curiosity, hostile displays, direct rejection, unwarranted pity, condescension, and denial of care” (2017). Reactions like these can make it hard for people that are a part of the queer community to feel safe when seeking healthcare. Taha noted in her study that “many participants shared how lack of safety in the context of receiving healthcare services was experienced as traumatic” (2018), she then continues on saying that facing discrimination can make queer people less likely to seek care when they need it. Giblon and Bauer found “21% of trans people in Ontario had avoided going to the emergency department in a medical crisis specifically because they were trans” (2017) and lists one of the major reasons as the “high frequencies of harassment and discriminatory practices experienced by trans individuals in health care settings” (2017). Looking at the data, avoiding seeking healthcare when needed can “pose a threat to the health of LGBT individuals and result in emotional distress, inadequate care, and lack of appropriate medical attention” (Lee & Kanji, 2017)

There is little formal education on queer topics for healthcare professionals, and they aren’t often pursuing it themselves, leaving them helpless when trying to help queer patients. Most healthcare professionals work under the assumptions of heteronormativity and cisnormativity, creating a lack of trust between queer patients and their healthcare team, reducing the effectiveness of the care they provide. Most concerningly, queer people often face unsafe environments in healthcare settings due to the discrimination that is caused by them coming out as queer. In conclusion, it is clear that queer people are facing worse treatment and poorer health outcomes than their heterosexual and cisgender counterparts due to systemic and non-systemic queerphobia.

References.

“Heteronormative.” Merriam-Webster.com Dictionary, Merriam-Webster,

Cisnormativity. (2024). In Cambridge Dictionary. Retrieved April 5, 2024, from https://dictionary.cambridge.org/us/dictionary/english/cisnormativity

Bauer, G. R., Scheim, A. I., Deutsch, M. B., & Massarella, C. (2014). Reported Emergency Department avoidance, use, and experiences of transgender persons in Ontario, Canada: results from a Respondent-Driven Sampling survey. Annals of Emergency Medicine, 63(6), 713-720.e1.

College of Nurses of Ontario. (2006). Therapeutic Nurse-Client Relationship, revised 2006. College of Nurses of Ontario. Retrieved April 1, 2024, from https://www.cno.org/globalassets/docs/prac/41033_therapeutic.pdf

Giblon, R. Bauer, G. (2017). Health care availability, quality, and unmet need: A comparison of transgender and cisgender residents of Ontario, Canada. Giblon and Bauer BMC Health Services Research, 17, 283. https://doi.org/10.1186/s12913-017-2226-z

Lee, A., & Kanji, Z. (2017). Queering the health care system: Experiences of the lesbian, gay, bisexual, transgender community. https://www.semanticscholar.org/paper/Queering-the-health-care-system%3A-Experiences-of-the-Lee-Kanji/4a21576b1af93507855e2d1ed887 91846bc1fcf2

Snelgrove, J. W., Jasudavisius, A. M., Rowe, B. W., Head, E. M., & Bauer, G. R. (2012).

“Completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Services Research (Online), 12(1). https://doi.org/10.1186/1472-6963-12-110

Taha, R. (2018, November 1). “It’s hard enough for the people doing the work to access these services”: Sexual Healthcare Barriers that LGBTQ2S+ Populations Experience in a Rural Canadian Community. https://macsphere.mcmaster.ca/handle/11375/24029

[decodedlvr]

so this nurse who was taking my blood decided to clean someone else’s blood off the bed, and was ab to proceed to put a needle in me with those same gloves on UNLESS I or mom would have said something

Jesus Christ

[cornyonmains]

Something I find very interesting about this CEO assassination is that the guy who did it has basically become an American hero.

They're probably quite worried about what will happen when they catch this guy, especially with the level of public support he has. If they catch him alive and he gets to air his grievances, he could unite the entire country against the private healthcare system. It could go to trial and result in jury nullification, which would basically send a message to the American public that catching a rich body comes without consquences.

If they kill him to keep his mouth shut, I'd say people will burn cities to the ground, and it could potentially provoke even more anger against private health insurance. In a powder keg, it only takes one person lighting the match.

I know it sounds over the top, but a figurehead is a powerful thing, and that's what this shooter is. The rich understand it. That's why Blue Cross just magically decided they were going to pay for anesthesia again. Those dead-eyed psychopaths were going to take everything they could until someone shot that guy and that's the gospel truth.

Keep the hate fire burning. Watching their fear is the closest I've come to knowing joy since the Bush administration.

[bluesky-out-of-context]

[ryan-sometimes]

It confuses me how normalized it is to be so anti human. The fact that two countries voted no to food being a human right. The fact so many people are against universal healthcare. The fact that it’s normal to believe some people don’t deserve housing because they’re poor, addicts, mentally ill, or any combination of the above. I find it so hard to comprehend that humans who have experienced hunger, thirst, cold, and illness would wish these things upon others, or at the very least not care. It frustrates me beyond belief.

These are the exact values we’re taught as children, to believe all humans are equal in worth and needs, and yet at some point you’re expected to grow out of that illusion. You’re expected to accept that this is what life’s like, that the world is unfair, and attempting to fix it makes you weak and childish.

[hollow-keys]

THEE funniest thing about the Luigi Mangione case is establishment pundits trying to misapply class rhetoric to defend the healthcare executive like "Luigi Mangione came from a rich family, Brian Thompson worked his way up from middle class America" like broooo no way are you trying to weaponise misapplied idpol to gloss over real proletarian and bourgeoise dynamics and frame a fucking healthcare executive as more disadvantaged brooo you're only proving how out of touch you are with the material realities of class if you think any of this changes the material power Brian Thompson had and wielded over millions of people for a profit brooo you're trying to bring Clintonian idpol to a class warfare fight and you are going to lose SKSKEKAJDJ

[realstrap]

05/25/2024

Hey, still struggling, still need to eat and get to work

We have no money to eat, my partner is recovering from a knee injury and I have no idea how I'm going to get to work tomorrow since I don't get paid until next week

We're really struggling and I can't lose this job, I need at least $25 to get to work tomorrow and at least $200 total to make it to next week please help us out!!!!

CA: $lezsalt or $sleepyhen

VM: wildwotko

Dm 4 PP

[silvialightning]

I hope people won’t be super fucking weird about the McDonalds where the suspect was found. Take a step back from the internet sphere and wonder if one small McDonalds, with a few underpaid employees, deserves the wraith of the internet.

Does it suck that somebody called it in? Well, nothing much to do about it at this point. Instead of being mad at someone who makes like 10 dollars an hour, and instead of being overly weird online about a fast food restaurant, focus on the system itself.

Remember this is a class war. The rich, the institutions, the oppressive systems vs us, the people. The common folk, on the left and right, who all get screwed over by the Health Insurance Industry. Don’t fall for the “class traitor” talking point. Keep your focus on these corrupt systems. Keep your energy on how things will play out from here. Educate yourself and others.

How many unsolved murders in New York have never been closed? Why such focus and funds spent on one guy’s death? Chasing the suspect across state lines? Having a suspect in less than a week? Does every murder victim get that treatment? That alone should make you mad.

[ratisangy]

My fiancé waited two years to get a tumor checked out, and it was stage 2 cancer. This is way too true.

[msnihilist]

"you guys are celebrating a murder" yes, I am aware?? 🤨 that's literally The Whole Point

[breaking-everything]

If CEOs are so scared, they should consider bullet proof backpacks, a buddy system to evacuate.... To remember to smear blood of their fallen CEO friends on themselves and play dead while an active shooter is around.

You know? The stuff school children have to go through when they have someone trying to kill them in a place that was meant to be safe.

Just saying there's ways to keep vulnerable little CEOs protected from bullets and i can't think of a much better way than the methods employed by Republicans who are universally known for loving vulnerable children.

Concepts of thoughts and prayers. 🙏🏽

False prayer while inwardly mocking and hating the poors and dead children also might help these CEOs feel some comfort. Repeated practices are known to have soothing effects.

[decodedlvr]

vent post

I’ve been going through so much I’m afraid all the pent up stress is going to give me a heart attack.

My hearts been aching for awhile now and everything keeps getting stressful.

A person I went to school with had a heart attack bc he was under a lot of stress

It’s not even my fault I’m stressed , is the sad part. more unwanted things keep happening or getting worse for me it literally wouldn’t even be my fault. So Idek anymore. Fearful

[odinsblog]

Funny how SCOTUS “originalists” ignore this history

Benjamin Franklin is revered in history for his fixation on inventing practical ways to make everyday life easier. He was a prolific inventor and author, and spent his life tinkering and writing to share his knowledge with the masses.

One of the more surprising areas Franklin wanted to demystify for the average American? At-home abortions.

Molly Farrell is an associate professor of English at the Ohio State University and studies early American literature. She authored a recent Slate article that suggests Franklin’s role in facilitating at-home abortions all started with a popular British math textbook.

Titled The Instructor and written by George Fisher, which Farrell said was a pseudonym, the textbook was a catch-all manual that included plenty of useful information for the average person. It had the alphabet, basic arithmetic, recipes, and farriery (which is hoof care for horses). At the time, books were very expensive, and a general manual like this one was a practical choice for many families.

Franklin saw the value of this book, and decided to create an updated version for residents of the U.S, telling readers his goal was to make the text “more immediately useful to Americans.” This included updating city names, adding Colonial history, and other minor tweaks.

But as Farrell describes, the most significant change in the book was swapping out a section that included a medical textbook from London, with a Virginia medical handbook from 1734 called Every Man His Own Doctor: The Poor Planter’s Physician.

This medical handbook provided home remedies for a variety of ailments, allowing people to handle their more minor illnesses at home, like a fever or gout. One entry, however, was “for the suppression of the courses”, which Farrell discovered meant a missed menstrual period.

“The book starts to prescribe basically all of the best-known herbal abortifacients and contraceptives that were circulating at the time,” Farrell said. “It's just sort of a greatest hits of what 18th-century herbalists would have given a woman who wanted to end a pregnancy early.”

“It's very explicit, very detailed, also very accurate for the time in terms of what was known ... for how to end a pregnancy pretty early on.”

Including this information in a widely circulated guide for everyday life bears a significance to today’s heated debate over access to abortion and contraception in the United States. In particular, the leaked Supreme Court opinion that would overturn Roe v. Wade and states that “a right to abortion is not deeply rooted in the nation's histories and traditions.”

Farrell said the book was immensely popular, and she did not find any evidence of objections to the inclusion of the section.

“It didn't really bother anybody that a typical instructional manual could include material like this,”she said. “It just wasn't something to be remarked upon. It was just a part of everyday life.”

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[skyloftian-nutcase]

I forgot to share this, @kikker-oma had made this in honor of Abel's surprise appearance in the Healthcare AU and gave me permission to share it, so here it is in all its glory because she is an absolutely phenomenal artist <3 <3 <3 Healthcare Hyrule in his element, and Abel having a pretty typical day for his sad, angsty life (RIP my beloved blorbo LOL)

[dandelionjack]

england we are in shambles

[autisticrosewilson]

Um if you write Jason having to get drugs for Catherine I want you dead btw. Not only does it tell me you assume the average drug dealer would give the hard shit to a very small child and then not supervise them at all (classist stereotype that all drug dealers are inherently evil + lazy writing with no grasp on reality) and you genuinely think that Catherine was CONSTANTLY high, as if that's even possible without overdosing far sooner than she did. That's without even getting into the bad mom Catherine propaganda.