Please respond to your peer\u2019s posts, from an FNP perspective. To ensure that your responses are substantive, use at least two of these prompts:<\/p>\n
Please be sure to validate your opinions and ideas with in text-citations and references in APA format. Substantive means that you add something new to the discussion, you aren\u2019t just agreeing. Be respectful and thoughtful.This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.Minimum of 100 words.<\/p>\n
Tracie’s post<\/p>\n
The effects of income inequality on her health and ability to be an active participant in her care <\/u><\/p>\n
Based on Ms. Miller\u2019s presentation and current situation, I am highly concerned about her inability to care for herself due to her working two jobs, awful work hours, and multiple children along with her unemployed partner. According to a recent article, the American Health-Care System increases income inequality (Chokshi, 2018). For most people, going to the doctor once a year is a financial burden. People are faced with high insurance premiums, deductibles, and copays. This is an even bigger burden for someone who has three children and an unemployed significant other. It\u2019s easy to put self-care last when you have so many other people depending upon you. Prescriptions are a whole other financial burden upon itself. This is just for basic primary care for one person. Repeat the process for an entire family; labs, referrals, specialists, emergency-room visits, and surgeries. I am hoping Ms. Miller has some type of government health insurance for her children.<\/p>\n
These series of expenditures before, during, and after care is indirectly called having \u201cskin in the game.\u201d A study done by the American Journal of Public Health sheds a light on just how all that \u201cskin in the game\u201d affects the material conditions of patients. This research indicates that household spending on health care is a significant contributor to income inequality in the United States. It also indicates that medical expenses push millions of Americans below the federal poverty line, including 7 million people who make more than 150 percent of the poverty line (Chokshi, 2018). Four million of these Americans are pushed into ranks of extreme poverty (Chokshi, 2018). Studies on inequality and mortality may acquire the most attention, but disparities in morbidity and quality of life are also evident. Low-income adults are more than three times likely to have limitations with routine activities like eating, bathing, and dressing due to chronic illness, compared with more affluent individuals (Chokshi, 2018). Ms. Miller\u2019s case is quite complicated and she really needs help in the sense that her partner should get a job and contribute to the bills. She would be an ideal candidate for future birth control. She needs a lot of education on health, safe sexual practices, and self-care. She would also benefit from some government assistance programs such as WIC and food stamps to help decrease some of the burden of buying food for her family.<\/p>\n
Reference<\/p>\n
Chokshi, D. (2018, April). Income, Poverty, and Health Inequality. Retrieved from https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2677433 (Links to an external site.)<\/span>