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“We Don’t Want To Know”-HIV Case Study

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“We Don’t Want To Know”-HIV Case Study

One of the health communication campaigns that connect to this story is community-based communication. Chanda and Thandi are a conservative married couple living in a remote village in Zambia. They choose not to get tested for HIV owing to a combination of cultural and personal factors. The text mentions that non-governmental organizations working in the field informed them of the importance of getting tested. Still, Thandi insists it is not her decision to make, so they agree not to get tested alongside her husband. This is a form of community-based communication as there is a presence of a third party that intervenes and tries to convince them to get tested.

HIV stigma greatly impacts Chanda’s and Thandi’s ultimate decision not to get tested. She says that she cannot get tested at the local hospital in the community as she does not want other people to see them there. She says that once the villagers spot them at the clinic, they will automatically assume that they are sick. This stigma makes people stay away from the clinic and testing altogether for fear of being labeled. Another form of stigma is reflected in how discussing issues pertaining to HIV is considered taboo. Thandi also says that although she might want to get tested, she cannot raise the issue with her husband as he might think that she is cheating on him, which is not the case.

In my viewpoint, the best communication approach to applying to this case of Chanda and Thandi is the informative approach. I would recommend this approach as it would expose them to the harsh truths about the impact of the pandemic. I would provide them with information about the number of lives the pandemic has claimed. I think that this strategy would be effective because by showing them raw footage and painting the real picture about the potential danger they are placing their lives in, they would have a change of heart.

“Two Cents” on a Growing Issue

William Thompson

Dr. Sievers

First Year Seminar

03 September 2019

“Two Cents” on a Growing Issue

Knowledge is power, but at what cost? In today’s day and age, pursuing a higher education has never come with a higher price tag. As current young adults attempt to pursue their dreams with the help of a college education, they must also face the inevitable consequences that come with joining America’s growing student debt crisis. Ironically, paying off these necessary years of additional education comes hand in hand with adding to the decline of today’s creative thinkers, inventors, and the population of those who holster the ability to change our world for the better. How can we expect members of today’s society to put themselves out there if they are faced with the pressure of finding jobs for the sole purpose of paying off their unavoidable debts? This only keeps our vast middle class at a stationary, if not lower, tier in our population and prevents our country from significant economic growth. This spiraling issue has been swept under the rug for far too long and must be recognized before our nation suffers from irreparable repercussions. 

Year by Year, college seems to be increasing their tuition fee. Parents and children are however trying to achieve the American dream which is only possible through education. It is for such reasons taking student loans has been on the rise. Education has become expensive and bills can only be paid with the help of the student loans. Federal Financial aid records have indicated that the students are taking the riskiest debt which is the unregulated private student loans. In this kind of funding, student do not have any kind of protection and may end up paying absurd interest rate (Carey, pg. 1-6). The higher education debt is on another level. In the year 1993, only about 32% of students borrowed money to attend college but now, almost every single individual in college has a student loan. Lending money to students has become a business opportunity to some. Many money lending companies have emerged. Some seem to be exploiting students with very absurd interest rates.

Often, we have argued that getting higher education translates into one getting quality education thus a guarantee to living a better life, but is this true? I believe it’s not. High tuition fees have resulted in students taking in part time jobs to try and help their parents settle some bills. Taking part time jobs means that a student needs to try and balance between school and work. The famous saying you cannot serve two masters at a time may apply here. It is high likely that the student may not be able to create a perfect balance and their academics may become affected leading to failing grades. Students are unable to create time to study or complete their studies thus by the end of the four years they may not end up receiving the quality education that we often seem to praise.

We must first discuss the “easy way” to avoid this nationwide financial crisis. Of course there is the chance of being born into a wealthy family, but how many of us can actually relate? The obvious solution: community college. In a situation easier said than done, let’s face it, we as a society tend to look down on those who “choose to stay at home” for another two years. Not only have we contributed to this societal cloud of shame, but we must also consider the other downside of community college. Four year universities are more likely to offer specialized classes and a wider scope of studies for students to explore. This increases the desire for those up and coming dreamers to attend a university in which they can discover their personal interests and undergo new social experiences (Renehan, pg. 78-90). Other thought of solutions may include scaring the children of today into participating in the American armed forces. While this of course is no decision to be looked down on, we must consider whether or not these partakers are ready for such a personally grueling experience. 

The preference towards four year universities leads us to one of the most pressing causes of the student loan crisis: rising tuition prices. As the demand for higher education increases, so does its financial damage. In recent studies, paying off your student loans has become increasingly more difficult. The past few years have shown borrowers struggling to pay just one of their monthly bills within a three-month period. Though, this pressure towards further schooling has been nearly half a century in the making. The infamous generation of baby boomers has notoriously taken a fruitful country and slowly turned it into a financial disaster waiting to happen. The large part of today’s population born between 1946 and 1964 has dug a deep enough economic hole to bury their children and leave a lasting impression on later generations (Tinto, pg. 8-125). Spending most of our country’s resources on themselves, not only has our education system suffered, but today’s college students are watching themselves fight harder than ever for a place in our world at their parent’s expense. Seeing as this growing concern does not affect them directly, this group that also pertains to the majority of active political voters lacks the passion to pursue solutions to turn their negative accomplishments around. 

The young adults of today as a result may never have time to truly enjoy the financial freedoms that our country has to offer. The irony of drowning in student loans is hard to ignore: more education in hopes for a higher-paying job, leading to descending deeper down the hole of debt, only to inevitably work longer in order to pay it all off. Overall this cycle can take you down a seemingly never-ending spiral that holds today’s young minds back from achieving their real dreams. They are forced to chase high-stress, prestigious job titles that they cannot genuinely enjoy and will eventually burn them out. Looking closer at the personal effects, as students suffer so does their credit. This only adds to the stress of becoming financially stable. These debts prevent borrowers from investing in other basic needs that affect more than just the growing student loan crisis. For example, it is not an uncommon occurrence for recent graduates to return to their childhood home and depend on their parent’s support as they slowly grow secure enough to depend on themselves. In turn, this growing, and yet convenient short-term solution may directly affect the real estate market. This same effect can be seen as the younger generations should be reaching the stage in which they should be checking off staple achievements in most people’s lives, such as buying a car on their own or starting a family. Similarly, in the grand scheme of things this overall negatively affects our country’s national economic growth. 

High tuition fees are key factor in the increased number of student drop out. Most of the students start up college with the hope that eventually they will be able to cover all the cost the associated but as they proceed they realize this may impossible for four years. Some of these students have often argued that paying the high tuition fees is not worth it eventually when they graduate and even then it is not a guarantee that they will get employment opportunities. According to the Congressional digest, high drop out of college students may be a threat to the job poll as eventually there may be employment opportunities that require expertise, but the number of people who could feel out these positions may not be enough (Congrsssional Digest, pg. 9). When everyone decides to opt for unskilled labor, what happens to careers that need expertise? According to Forbes Magazine, market demand may be weak but there are certain sectors that utilize skills that still has high demand for graduates such engineering, nursing, welding, plumbing, electrician, computer technicians and doctors. If we are not able to address the issue of affordable education, the high demand will not be catered for.

On a smaller scale, a notable chunk of our population may be facing greater consequences than the rest. Women in particular are considerably more affected than men seeing as there are more women pursuing degrees than men on average. While it is easy to commend this minority on achieving a greater sense of ambition statistically, the unforgettable wage gap prevents women from paying off their debts as efficiently as they should be expected to in comparison to men. Despite the fact that for years we have often tried to ensure equality is achieved, this has not been the case. The gender disparity can still be seen as most top positions in organizations are given to the men while the women get lower position. It is for a fact that positions determine one’s income and thus most women have a lower income than the men thus still strain to ensure that they get to pay off their loans, all their bills are catered for and they are still able to provide basic housing needs for their families.

As a country, it is important to come up with solutions that will ensure we save our students from this burden. Most students work hard to ensure they pass and secure jobs so that they can enjoy life but paying off student loans does not make this easy. First as a nation we need to have a clear discussion on free public college. Often when this point is raised, it is met with a lot of resistance. When we talk of free tuition college, it doesn’t have to completely translate to free education where students pay nothing at all. What if students do not have to pay tuition fees but can pay for other charges such as accommodation, books, and other college charges. With the revenue that the government collects, I believe there needs to be a budget allocation for university funding to ensure universities are able to run their day to day activities but at the same time are able to provide quality education to the students at a lower cost. The college may not even be free but rather subsidized to a certain amount.

Free college education has often been met with resistance that quality of education will decline. My greatest question to this argument is understanding how the quality of education declines, does it decline because more people will be able to get university admission or does it decline because the universities are unable to run their day to day activities? If it is the former, then the solution is expansion of facilities to ensure that everyone is accommodated. A growth in economy is contributed by an increase in the literacy level of its citizens as this ensures that more people are literate thus can secure jobs and there is also a high likelihood of getting more inventions. It is for a fact that most third world countries are not as developed because the illiteracy levels are high. Ensuring that everybody is able to get an undergraduate degree not only benefits the individual but is also a benefit to the nation (Wiener, pg. 224-226). There have been nations that have been able to implement free college education successfully without altering the quality of education. Some of these nations that we can borrow a leaf or two from include Norway, Sweden, Finland, Slovenia, Germany and France.

We need to stop looking down on community colleges as a society. As parents and education stakeholder’s students need to understand that getting a community college degree is okay and they can compete for jobs equally with those in other universities. It is sad that most students do not perceive community college as an option because many associate attending it with failing. There are very good community colleges out there that have produced good graduates excelling in their careers yet they did not have to pay so much fee. Before we attain free tuition fees in America, how about we embrace community colleges as a solution for its affordable rates? Most people look down on community colleges because they are ill equipped. It is thus important that the government both federal and state ensure community colleges are equipped and have all amenities that facilitate learning.

Conversation on making college affordable has been happening for the longest time. In the year 2015, Barrack Obama proposed making two-years of community college free to students who qualifies (Samuels, pg. 123-165). April 2019, Senator Elizabeth Warren proposed a $1.25 trillion education bill which would help eliminate tuition and fees for public universities. According to her proposal, the funding for this project would be obtain from Ultra-Millionaire wealth tax as 0.1% of Americans have over 50 million dollars in asset (Abigail). The bill did not get all the support to move forward but he fact that these conversations are happening means there is so much hope in making education affordable. This will bill to look out for in 2020 during the election campaigns. There are states that are implementing legislation that will ensure that community college is affordable. In 2017, San Francisco made community college free for everyone and the funding was to be obtained by using of tax from properties selling for more than 5 million. This has seen an increase in number of people enrolling in college.

Colleges that are offering tuition free education are also emerging. They include college of Ozark; they are able to do this through the help of donors. The students too have to work for at least 15 hours every week in the school campus. Deep Springs College also in California, a male only school offers full financial reward to its attendees. Others include Alice Lloyd College, Berea College, Curtis Institute of Music, Barkly college, Webb Institute and United State Service Academies. With emergence of such colleges, education becomes an obtainable dream There are 11 other states including Oregon, Arkansas, Nevada, Tennessee, New York, Delaware, Kentucky, Rhode Island, Indiana, Maryland and New Jersey have created programs where college students are getting free 2-year college tuition in certain community colleges. These initiatives are a great way of ensuring that getting an education in the United States does not have to be a burden.

Everyone nowadays want to pursue education to the highest levels because of the importance it is associated with. With education, individuals are able to access better jobs, better opportunities, learn new thigs, acquire new skills as well as create a platform where you can associate with other people. This dream however may be derailed by lack of money and increased tuition fees. The government needs to be a leading stakeholder in trying to ensure that students are able to pursue their dream careers without having to take up loans. Works Cited

Abigail J Hess. “51% Of Young Americans Support Tuition-Free Public College.” CNBC, CNBC, 2 Oct. 2019, https://www.cnbc.com/2019/10/01/56percent-of-young-americans-support-free-public-college-how-it-might-work.html.

Carey, Erin Dillon ad Kevin. “Drowning in Debt: The Emerging Student Loan Crisis.” Charts You can Trust (2009): 1-6.

“Free Community College.” Congressional Digest, vol. 94, no. 4, Apr. 2015, p. 9. EBSCOhost, login.proxy.kennesaw.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=101913975&site=ehost-live&scope=site

Tinto, Vincent. “Dropout from higher education: A theoretical synthesis of recent research.” Review of educational research 45.1 (1975): 89-125.

Renehan, Stewart. “Rising Tuition in Higher Education: Should we be concerned.” Visons for the Liberal Arts (2015).

Samuels, Robert. Why Public Higher EducationShould be free:. New Jersey: Rutgers University Press, 2013.

Wiener, Jon. “Aiming Higher: Make College Tuition Free.” Nation, vol. 300, no. 14, Apr. 2015, pp. 224–226.

HSA 500 Health Services Organization

Assignment 1: U.S. Health Care System

HSA 500 Health Services Organization

This paper will focus on issues of the health care system in the United States. First the paper will identify and evaluate three forces that have affected the development of the health care system in the U. S. An evaluation will be made on whether or not the three forces identified will continue to affect the health care system of the United States over the next decade. Other than the three forces mentioned initially, the paper will identify one other force that is believed to have impacted the nation’s health care system. The paper will conclude with an evaluation of how technology plays an important role in health care.

One can find several forces that have an effect on the development of the U. S. health care system. Those forces include social, political, behavioral, technological and economic. For the sake of this paper, the three that will be elaborated on are social, behavioral and economic. Also, socioeconomic factors can often be seen interacting along with social factors and that can affect the development of the health care system. The social factor of population size has a big impact on health care. The population of the U.S. has grown for a couple reasons. One is due to the natural order of population increase. One other reason is that there is a higher number of births when compared to the rate of deaths. Another factor that affects population is the increased number of the aging population. Older people are healthier and more functional than previous generations. They live a more active lifestyle with increased social activities. The aging population can impact the burden of health care costs on younger workers. The tax dollars the working age population pay help fund health care costs for the aging population. The trends of today in terms of fertility, abortion and mortality are included in the social factors of age, gender and sex. These factors have an effect currently on the development of the health care system and will continue to do so. (Williams, S. & Torrens, P, 2010).

Behavioral factors that can affect the health care system include lifestyle patterns and diseases. Advances have been made, and continue to be made, in the field of treatment and prevention of diseases. Even with those advances, the lifestyles and behaviors of the people in the U. S. will continually affect the development of health care. Until the rise of the AIDS virus, the mortality rate of infectious diseases had decreased. A significant health issue has always been about controlling infectious diseases. The health care system should continue to remain focused on issues such as chronic diseases, infectious diseases and new outbreaks of diseases. This is where lifestyle pattern and behaviors can affect development. In addition to chronic diseases and infections, exposure to violence, vehicular accidents, alcohol and drug use are other factors that affect health care systems. Another role our behavior plays in affecting health care is the use of tobacco products which can cause diseases such as cardiovascular disease, lung disease, lung cancer and oral cancer. Sexual behaviors can also impact health care with the spread of sexually transmitted diseases that can lead to increased infertility, cancer or other complications. Stress can cause breakdowns and deterioration the immune system. Other behavior issues such as morbidity and mortality, as stated in the text by Williams and Torrens, can be linked to behavior, social interaction, lifestyle and other non-physiological determinants. Addressing social and behavior issues is not an easy task. There are many challenges to modifying behavior. The failure of our society to address social, behavioral and economic causes of disease adequately in this new century will continue to affect us and the development of the healthcare system (Williams, S. & Torrens, P, 2010).

Employment and health coverage costs are part of the economic structure and part of the financial access to healthcare. The downturn of the economy did not see employers dropping or restricting coverage; however in some cases they may have reduced costs by realigning the offered benefits or sharing the cost with the employee. The economic issue affecting the health care system is that there is now a change in employer sponsored healthcare coverage. Some changes include employees no longer offering health care as a benefit. This will continue to be an issue in the healthcare system if the economy remains in recession (American Medical Association, 2005). Another change is penalties for lifestyles and behaviors such as an increase in medical insurance cost for smokers.

The forces mentioned in this paper will continue to affect health care because of the failure to address these factors in the near future. The health care system is steady working on addressing issues, but the people using the health care system must address the issues as well. They need to work on improving their lifestyles and behaviors and turning the risky behavior around by making themselves more aware of the risks of what they are doing. A force that was not talked about but that affects health care is technology. Technology has impacted many areas in health care. Such areas can be found in the economy, the clinical setting, impact on patients and insurance companies and also society and government. The health care system has seen an increase in the cost of drugs and pharmaceuticals. There is also an increase in the costs of medical testing and surgery procedures due to technology. The U.S. is advancing in technology in health care and we are seeing more expensive technologies being used. People want the best care and see advancements in technology as being the best that they can get. More physicians are using more advanced technology as it is becoming more widely available. One disadvantage is that when technology is brand new, most insurance will not pay for it right away as they see some new tests and procedures as investigational.

Technology plays a very important role in health care. Technology can be used to store and organize patient records and information. Technology such as EMR (electronic medical records) allow doctors to look at the patient’s whole history including medication history, surgical history and medical history allowing them to be better informed on the patient and allowing them to take better care of the patient. Technology allows medical images to be captured and uploaded to one place that the doctor can access in real time. Technology is ever evolving bringing about new equipment to use for medical images or surgeries. Surgeons are using robots to assist with surgery, resulting in quicker recovery time, less pain and shorter stays in the hospital. CT scans are being used now for screening tools in those patients with a higher risk of lung cancer. A new blood test is being promoted to use as an aid to physicians for the early detection of lung cancer in high risk populations. The serum test looks at elevations in a select group of auto-antibodies, and an elevation of any one of them suggests that a tumor might be present, before visible to the eye.

References

American Medical Association. (2005). Socioeconomic Status in Health Research. http://jama.jamanetwork.com/ Retrieved July 18, 2013.

Williams, S. J., & Torrens, P. R. (Eds.). (2008). Introduction to health services: 2010 custom edition (7th ed.). New York: Cengage Delmar Learning.