Verified Document

Conflict Theory And Health Care Access Term Paper

Inequality of Socioeconomics with Regards to Access to Health Care This topic was selected because I am pursuing a degree in health care administration/nursing and I want to show how inequality of access to health care is determined by one’s socioeconomic status. In other words, the research shows that if one has a low socioeconomic status, access to quality care will be less likely than if one has a higher socioeconomic status (Nicks, 2012). As the Office of Disease Prevention and Health Promotion (ODPHP, 2017) has shown, access to quality health care services is critical for sustaining and promoting health in communities—especially in ones that suffer from a low socioeconomic status; by improving access to care in these communities, health care providers can work to prevent the spread of disease, eliminate unnecessary disabilities, and reduce the number of deaths of low socioeconomic status individuals. Though insurance coverage has been expanded in recent years under the Affordable Care Act (Somanader, 2016), access to health services is still an issue that prevents patients from obtaining the kind of quality care they need. This paper will use conflict theory to explain why access to care is still a problem for the people from low socioeconomic backgrounds and will provide two recommended solutions that can be implemented to help address this issue.

Conflict theory is based on Marxist principles that were developed in the 19th century, which focused on class issues and the inequalities viewed between the working class and the owners of the means of production. Then in the following century, these principles were elaborated upon and conflict theory emerged, mainly in response to another sociological theory that had come into being by that time, which was called structural functionalism (Ritzer, Stepnisky, 2017). The theory of structural functionalism was developed in order to describe the way that societies and institutions work to achieve a stable and functioning environment. It suggested that society will tend to work towards achieving a balance within communities so that communities function optimally. Conflict theory reversed this idea and after being promulgated by thinkers such as Ralf Dahrendorf, conflict theory began to emerge as a more explanatory take on why societies so often failed to achieve satisfactory objectives regarding functionality, equality and stability. In other words, Dahrendorf showed that societies often have “two faces” that represent two opposing aims within society—one that is meant to help the whole, and one that is meant to help those who are already in control and simply want to maintain their position of power (Ritzer, Stepnisky, 2017, p. 120).

The Frankfurt School...

The cultural way, they posited, was waged via popular media—the mainstream media—through songs, movies, and books, all of which had a pacifying effect on the lower classes and caused them to be content with their menial jobs, low income, and low socioeconomic status (Horkheimer & Adorno, 1944).
The main tenet of conflict theory, therefore, is that all the parts and classes of society are battling for control but that those who own the means of production inevitably win the battle because they have the most power. That is why government, schools, corporations, and lobbyists are all tools of the ruling class and those of a low socioeconomic background will never be able to obtain equality. In terms of health care access, this theory shows that the limited access to health care for people of a low socioeconomic background is deliberate on the parts of the ruling class. Some examples of this can be seen in the fact that in spite of legislation like the Affordable Care Act, people of a low socioeconomic status still have limited access to health care. The ruling parties hailed the ACA as a breakthrough yet the results have not helped these people. The CDC (2016) shows that from 2014-2015, 17.3% of people between the ages of 18 and 64 were without a usual source of care. This percentage increased as the age of the population decreased, showing that children of low socioeconomic backgrounds are the most likely to suffer: more than 10% of them had no health care visits to an office or clinic for an entire year from 2014-2015 (CDC, 2016). Another example is that in some parts of the nation, there are simply not enough doctors to see all the patients and those from low socioeconomic backgrounds simply try to treat themselves as a result and many become addicted to drugs that they purchase on the black market, which only worsens the problem (Szabo, 2014).

One solution as the IOM (2012) has stated is for advanced practice nurses (APRNs) to begin to assume more of a leadership position in health care and operated independently of physicians. So as to improve access to health care, APRNs need to be able to practice to the full extent of their abilities and knowledge so that more patients can be seen over a wider area. By opening up more doors to treatment, APRNs who operate independently provide communities with more alternatives and opportunities to obtain health care. If states do not allows APRNs to…

Sources used in this document:

References

CDC. (2016). Health United States Report. Retrieved from https://www.cdc.gov/nchs/data/hus/hus16.pdf#062

Goldhill, D. (2009). How American health care killed my father. The Atlantic. Retrieved from https://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/307617/

Horkheimer, M., Adorno, T. (1944). The Culture Industry. UK: Routledge.

Nicks, P. (2012). Waiting for health care. Retrieved from http://www.nytimes.com/2012/05/21/opinion/for-the-uninsured-the-wait-for-health-care.html

IOM. (2012). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf

Medicare Payment Advisory Commission. (2002). Report to Congress: Medicare payment to advanced practice nurses and physician assistants. Washington, DC.

O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 45-57.

ODPHP. (2017). Access to health services. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services

Somanader, T. (2016). A look at six years of the affordable care act. Retrieved from https://obamawhitehouse.archives.gov/blog/2016/03/23/look-six-years-affordable-care-act

Szabo, L. (2014). Cost of not caring: Nowhere to go. Retrieved from https://www.usatoday.com/story/news/nation/2014/05/12/mental-health-system-crisis/7746535/

Cite this Document:
Copy Bibliography Citation

Related Documents

Healthcare Reform Review of Literature:
Words: 6070 Length: 20 Document Type: Literature Review

(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics. The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use

Health Care Economics in Economics, Cost-Benefit Analysis
Words: 1422 Length: 3 Document Type: Essay

Health Care Economics In economics, cost-benefit analysis assists in evaluating the costs of an approach in terms of resources spent while cost-effective analysis evaluates the costs as achieving some sort of benefit which is not evaluated in monetary terms. Moreover, cost-benefit study examines several aspects including net-present value, present value of benefit, and present value of costs; in line with this, if a project indicates that the monetary outcome is greater

Healthcare the Impacts of Case
Words: 4123 Length: 12 Document Type: Research Paper

"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004). Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher

Healthcare Management Like All Other
Words: 1975 Length: 6 Document Type: Term Paper

This can lead to both autonomy and cooperation within the group, as no member will feel that his or her skills are not utilized to an optimal level. It is also possible that non-constructive conflict can arise from the diversity within a group if not managed effectively. Jokes that are not meant to be so may for example be taken as offensive by certain members of the group. Other members

Health Care Situation: Medical Error Due to
Words: 2468 Length: 6 Document Type: Essay

Health Care Situation: Medical Error Due to Doctors' Bad Handwriting Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company. I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into

Healthcare Reform Ways the Healthcare
Words: 7972 Length: 29 Document Type: Thesis

Transparency empowers consumers to become better shoppers. Economists assert that transparency stimulates productivity, for example, in exchange for money, one individual obtaining fair value. In every aspect, except healthcare, Davis points out, transparency, is supported. The contemporary dearth of transparency in healthcare has led to many Americans not being able to effectively shop for the best quality of service at acute care hospitals. Davis argues that transparency permits consumers,

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now