Medicaid and Community Living
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Questions and Answers

What was identified as a key factor contributing to the racial disparity in low birth weight?

  • Chronic stress from racism (correct)
  • Genetic predisposition
  • Socioeconomic status
  • Age of the mother
  • What does the term 'weathering' refer to in the context of health?

  • An improvement in health with age
  • The impact of climate on mental health
  • Breaking down over time due to stress (correct)
  • Seasonal changes in health outcomes
  • How does allostatic load affect an individual's health?

  • It primarily impacts young individuals.
  • It signifies temporary stress responses.
  • It represents the cumulative effects of chronic stress. (correct)
  • It enhances physical and mental performance.
  • What is a significant reason people with PTSD might struggle to seek help?

    <p>Fear of being judged or misunderstood</p> Signup and view all the answers

    Which group is currently excluded from participating in women's sports due to existing rules?

    <p>Transgender women</p> Signup and view all the answers

    What is the primary benefit of community living for individuals with disabilities?

    <p>Control over their lives</p> Signup and view all the answers

    Which statement accurately reflects the medical model of disability?

    <p>Disability is viewed as an individual problem.</p> Signup and view all the answers

    What challenges do individuals face when accessing Medicaid according to the discussion?

    <p>Extensive red tape and poverty line restrictions</p> Signup and view all the answers

    In the context of addiction, what is the chronicity model according to the discussion?

    <p>Addiction is a lifelong condition.</p> Signup and view all the answers

    What is the primary purpose of Nuevo Dia as described in the content?

    <p>Serve as a detox center for individuals with addictions.</p> Signup and view all the answers

    How is mourning differentiated from melancholy in the context provided?

    <p>Mourning is a temporary feeling, while melancholy is prolonged.</p> Signup and view all the answers

    What common experience did individuals in detox report?

    <p>It was a painful and challenging experience.</p> Signup and view all the answers

    What factor led to some people being melancholic in their interviews?

    <p>Historic loss of land and culture.</p> Signup and view all the answers

    What observation did Beatrice the ER nurse make about heroin overdoses?

    <p>Many overdoses were intentional, but not recognized.</p> Signup and view all the answers

    What is one reason why Beatrice believes heroin overdoses are inevitable?

    <p>Heroin addiction is seen as a chronic condition that cannot be overcome.</p> Signup and view all the answers

    How did Medicaid reform specifically impact addiction services?

    <p>Emphasized a managed care model that affected service distribution.</p> Signup and view all the answers

    What practices do families engage in to care for addicts when state support is lacking?

    <p>They provide detoxification support at home.</p> Signup and view all the answers

    Why is heroin addiction a significant issue in certain regions?

    <p>Lack of historical resources and ongoing poverty.</p> Signup and view all the answers

    What was a major issue highlighted about the healthcare system in the film 'The Waiting Room'?

    <p>Accessibility issues for economically disadvantaged patients.</p> Signup and view all the answers

    How did the accompaniment system improve healthcare outcomes in communities?

    <p>It trained local individuals to support patient care effectively.</p> Signup and view all the answers

    What is the core problem with prescribing medications based on race?

    <p>It assumes uniformity in treatment effectiveness across groups.</p> Signup and view all the answers

    What unique challenge do people from marginalized communities face regarding bone marrow donation?

    <p>Fewer people available in registries for testing and matching.</p> Signup and view all the answers

    What differentiates race from ancestry in the context of genetic studies?

    <p>Ancestry encompasses measurable heritage, while race is a social construct.</p> Signup and view all the answers

    What is one critical outcome of chronic stress on the body?

    <p>It can cause long-term increase in blood sugar levels.</p> Signup and view all the answers

    How does chronic stress negatively impact heart health?

    <p>It elevates adrenaline levels and increases inflammation risk.</p> Signup and view all the answers

    Why is stress considered maladaptive for humans compared to other animals?

    <p>Humans remain in stressed states even when threats are gone.</p> Signup and view all the answers

    Study Notes

    Medicaid and Community Living

    • Community living, for people with disabilities, means having autonomy and control over daily life, like having health aides or avoiding institutionalization.
    • Medicaid access varies by state, creating difficulties for those moving.
    • Obtaining Medicaid often requires meeting strict poverty requirements due to complex bureaucratic processes.

    Disability Discourse

    • Medical Model: Views disability as a personal problem to be overcome. The focus is on the individual's body and fixing it.
    • Social Model: Views disability as a result of societal barriers. Focus is on creating a more inclusive and accessible society.

    The Pastoral Clinic - Intro and Ch. 1

    • Setting: New Mexico's Espanola Valley, focusing on heroin addicts.
    • Nuevo Dia's services: Detox, often court-ordered. Patients stay for a time determined by the courts or leave earlier.
    • Chronicity model: Addiction is a persistent, lifelong condition.
    • Drug court: Shapes lives by dictating treatment, including mandatory therapy or recovery programs.
    • Garcia's role: Minimum wage detox attendant, working overnight, dealing with withdrawal symptoms.
    • Detox experience: Painful and challenging.

    The Pastoral Clinic - Ch. 2

    • Mourning vs. Melancholy: Mourning is temporary, while melancholy is prolonged sadness, often associated with historical events.
    • Melancholy reasons: Historic land losses.

    The Pastoral Clinic - Ch. 3

    • Addiction transmission: Chapter discusses the intergenerational impacts of addiction.

    The Pastoral Clinic - Ch. 4

    • Intentional overdoses: Beatrice (ER nurse) observes some overdoses may be intentional but not always recognized.
    • Inevitability of overdoses: Related to the chronicity model, suggesting treatment limitations given addiction's longevity.

    The Pastoral Clinic - Ch. 5

    • Medicaid reform's impact: Medicaid implemented managed care models, increasing the cost to the states, which then cut costs in response.
    • Family caregiving: Families often provide care when the state support systems fail.

    General Questions

    • Heroin epidemic's roots: Historic melancholy, poverty in the region.
    • Complexity of solutions: Multifaceted challenges, requiring a combination of strategies.
    • Blamed parties: The inadequate support of the broader system with both insufficient facilities and a lack of well resourced treatment plans.

    Film: The Waiting Room

    • Long ER wait: Doctor shortages, lack of prioritization, some patients needing dialysis.
    • Healthcare system insights: Shows a demanding system, unsustainable for many, especially those without significant financial backing.

    Presentation: Iana Castro

    • Food insecurity characteristics: Availability, access, and affordability
    • Brightside Produce's approach: Making healthy, affordable, organic food accessible in various locations.

    Film: Bending the Arc

    • Paul Farmer's goal: Equitable high quality healthcare for the poor and vulnerable, specifically addressing HIV/AIDS and TB.
    • Accompaniment system: Local support for patient care, improving treatment adherence and patient wellness.
    • Public health skepticism: Skepticism about the success of treatment programs, sometimes prioritizing prevention over treatment.

    Video: The Problem with Race-Based Medicine

    • Bi-Dil: A heart medication initially marketed only to Black people.
    • Problematic race-based prescribing: Reinforces stereotypes, overlooks individual variation.
    • "Correcting" for race: Adjusting algorithms and protocols, which is inaccurate in its implementation for it reinforces racial bias.

    Podcast: Code Switch: Finding a Perfect Match

    • Donor match disparities: European ancestry has a higher representation in bone marrow registries.
    • Non-biological barriers: Medical mistrust, socioeconomic challenges and a lack of general awareness make access difficult for marginalized groups.
    • Different health care experiences: Exposure to different levels of bias and access across identity backgrounds, impacting chances for medical support.

    Article: Genetic Ancestry in Precision Medicine

    • Race vs. Ancestry: Race is a societal construct, while ancestry is measurable.
    • Relevance in precision medicine: Genetic ancestry is more relevant than race when considering treatment outcomes.
    • Examples: Genetic marker associations of diseases and their impacts by ancestry.

    Lecture: Stress and Health

    • Sympathetic response: Fight-or-flight, physical responses.
    • Parasympathetic recovery: Counteracts the sympathetic response, normalizing physiological functions.
    • Chronic stress and health problems: Contributes to diabetes and heart disease.
    • Stress benefits: Adaptive, preparing for immediate threats.
    • Human maladaptation: Unique thought processes and social structures affect the stress response. The environment and inequalities contribute to stress.

    Article: Something About Being Black is Bad for Your Body

    • False explanations for racial disparity: Age, socioeconomic status.
    • Author's explanation: Chronic stress from racism negatively impacts Black women's health and pregnancy outcomes.
    • Weathering: Cumulative effects of chronic stress.
    • Allostatic load: Cumulative health problems caused by chronic stress.
    • Microaggressions: Contribute to weathering due to continuous stress and feeling disrespected.

    Article: Of Men and Messages

    • PTSD symptoms: Variable but often include avoidance, emotional numbness, flashbacks, and hypervigilance.
    • Hegemonic masculinity: Societal pressure for men to be assertive, strong, and stoic; leading to emotional suppression in response to stress.
    • Family reactions: Families may not recognize or address the symptoms of PTSD due to norms around emotional expression in men.
    • Latino men responses: Different responses to trauma than other groups.
    • Difficulty seeking help: Stigma, societal expectations, a lack of treatment options.

    Podcast: The Retrievals

    • Yale fertility clinic incident: A specific issue, potentially involving improper handling.
    • Women in healthcare: Illustrates unique challenges for women in healthcare settings.

    Podcast: Tested

    • Intersex: Variations in physical sex characteristics.
    • Mboma: Forced to undergo hormone treatment.
    • Excluded groups: Intersex, transgender, those without the financial means to undergo hormone treatment.

    First Half of Semester Review

    • Theoretical approaches (medical anthropology): Biological, ecological, ethnomedical, meaning-centered.
    • Medicalization: Process of labeling problems as medical issues.
    • Hegemony: Power of dominance, dominance in belief systems

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    Description

    Explore the complexities of Medicaid access for individuals with disabilities and their impact on community living. Understand the distinctions between the medical and social models of disability discourse. This quiz covers key concepts from the pastoral clinic context, emphasizing the importance of inclusivity and support.

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