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Black Americans and the healthcare system

Black Americans and the healthcare system

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Black Americans and the healthcare system

Different people and different cultures have different practices and ways of viewing the healthcare system and this helps us to understand why people when handled in a certain manner get anxious or nervous. It is in this same accord that this paper looks into the view and belief of different people about their own cultures as well as the other cultures. This paper, therefore, explains how black Americans view the health care system and why they view it in this manner. Therefore this paper explains from the view of one of the participants in an interview and who has been affected by racial segregation why the black American culture views the healthcare system the way they view it and what leads to this. It has always been my desire and will to know more and to interact more with these individuals and therefore through this work I was able to interact with one of the black Americans who were able to narrate to me what it means to be black in American society. Even though the interview and the conversation were majorly about the healthcare system there also seemed to be a very strong conviction and will to change the American societal belief system to value and see blacks as part of the whole story and not as outsiders (Dula, 1994).

The client whom I was interviewing being a black American had a lot of issues that were arising as his state of being black American and therefore he feared that at some point he will have to fear to stop going to hospitals and get into other methods of treatment which can serve him best. This is due to his description of the healthcare system as a corrupt one and one which is very discriminative towards the people of its own. He explained how it was difficult for him to get medical health care, especially from a white doctor or nurse. This is based on the fact that he said that black people are still considered not superior as whites are and therefore their place in the society is not as important as compared to that of the whites (Kennedy et.al. 2007).

It is from this that he views the healthcare system as one that is not efficient and inconsiderate in terms of its relationship with the black people and how it handles them. He described his category of people who are black Americans as forming a culture that is distinct from that of the whites as they are brought together by their segregation and therefore it is very easy for a black American to relate to another easily unlike how a black American can relate to a white American.

Some needs need to be taken care of and considered urgent and important when it comes to the health care system. This is with consideration and many efforts towards making the healthcare system-neutral especially for the blacks who feel left out. This is according to him as he stated that the black people also want to be treated with care, love, proper and clear communication among other factors which are very essential in the manner in which they are treated (Dula, 1994).

His perception of the way the people of his category which is the black Americans are treated in the US healthcare system was that they are never treated in an equal manner and respect as the whites and therefore this needed to be considered and changed (Feagin & Bennefield, 2014). The nurses, therefore, he suggested ought to remember that they are dealing with normal human beings whose value of life is equal to the whites and therefore they should treat each of these individuals with due respect.

References

Dula, A. (1994). African American suspicion of the healthcare system is justified: what do we do about it?. Cambridge Q. Healthcare Ethics, 3, 347.Feagin, J., & Bennefield, Z. (2014). Systemic racism and US health care. Social science & medicine, 103, 7-14.Kennedy, B. R., Mathis, C. C., & Woods, A. K. (2007). African Americans and their distrust of the health care system: healthcare for diverse populations. Journal of cultural diversity, 14(2).

Louisiana Purchase 1803

Louisiana Purchase 1803

Introduction

The history of the United States of America is laden with numerous occasions and events, some of which were negative while others were positive. Wars and revolutions, as well as movements have shaped the country into what it is today and given the nation fundamental pillars and lessons on how to tackle varied issues in the future. However, there exist quite a number of positive aspects or events in its history, events that affected the country and shaped its destiny for years to come. These mainly involved territorial expansion. Any country acknowledges that the territory is one of its most fundamental aspects. In fact, it is recognized as one of the fundamental pillars of its sovereignty, in which case it is always guarded, with any violations of the same by any other country brewing conflicts some of which may be violent. In essence, the varied instances of territorial expansion marked a crucial instance in its history with an incredible influence on the future of the United States (Burgan, 2002). One of the most crucial territorial expansions of the United States was the Louisiana Purchase of 1803.

The Louisiana Purchase (1803) refers to a land deal that was struck between France and the United States that allowed the United States to acquire about 827,000 miles square of a piece of land that was situated or lay west of the Mississippi River through the payment of 15 million dollars (Burgan, 2002). The United States president at that time, President Jefferson deemed the expansion necessary especially as pertining to the United States security. In the spread of the United States across the Appalachians, the United States acknowledged the increased importance of the Mississippi River as a conduit or channel for transporting produce from the West (Burgan, 2002). At that time, the west was a piece of land that lay between Mississippi and the Appalachians. The Spain had occupied the Louisiana territory for close to four decades (since 1762), including 828 square miles. This is the territory that today comprises or at least an enormous component of the separate states that lay between the Rocky Mountains and the Mississippi River.

However, there were constant conflicts between the United States. These conflicts were mainly revolving around the right to plot a route in the Mississippi. It is worth noting that, a resolution to the Americans’ entitlement towards transporting or transferring their goods and produce to ocean-going vessels situated in New Orleans had already been made in the Pinckney Treaty of 1795 (Burgan, 2002). The making of the Pinckney Treaty, coupled with the weak control of the Louisiana territory by the Spanish empire, gave American statesmen the idea that the United States efforts to expand westward would face no restriction in the long run.

However, Napoleon Bonaparte had intentions of reviving the French Empire. His long-term goal was to use Louisiana territory as his empire’s granary once he had recapture St. Domingue, an incredibly valuable sugar colony from slave rebellion. In essence, Louisiana changed hands from Spain to France in 1800, taking possession of the territory in 1802, a situation that was seen as a threat to the United States (Burgan, 2002). This is especially considering that the French sent enormous French armies to St. Domingue, intending to send even more armies to New Orleans. This bred apprehension in westerners who dreaded the prospects of relatively more powerful French controlling the New Orleans. In fact, this was bound to be a point of conflict as President Jefferson acknowledged that the possessor of New Orleans would automatically be a threat, habitual and natural enemy of the United States. In essence, President Jefferson started preparing for a military conflict between the United States and France in Mississippi Valley (Burgan, 2002). At the same time, he dispatched John Monroe to France where he would join Robert Livingston and float the offer of 10 million dollars for purchasing the West Florida and the New Orleans. It is worth noting that if such attempts were to fail, the United States meant to establish a military alliance with England.

Nevertheless, the prospects of war were averted after Napoleon shelved his plans for Louisiana. In fact, he offered the two the entire Louisiana territory for 15 million dollars. This had been necessitated by the fact that his army in St. Domingue was dying in large numbers from the yellow fever, not to mention the prospects of war between England and France. The two men agreed to the deal despite the fact that it far exceeded the orders that were given as pertaining to the price. This is how the United States came to purchase the Louisiana territory (Burgan, 2002).

Needless to say, the purchase of Louisiana in 1803 had consequences both in the long-term, as well as the short-term. One of the effects of the purchase was with regard to the implied powers and authority of the Federal government. It is worth noting that, as much as President Jefferson and the United States in its entity was elated by the prospects of owning the Louisiana territory, the constitution did not incorporate any provision that gave him the power to buy any territory (Levinson & Sparrow, 2005). However, the entire or a large percentage of the American public supported the purchase, acknowledging the immense value that Louisiana had for the growth of the United States in the future. In essence, President Jefferson, despite the gaps in the constitution, went ahead and made the purchase, choosing to do without the passage of a constitutional amendment that would have validated the purchase (Burgan, 2002). This, therefore, cemented the notion of implied powers of the federal government. The purchase exposed the silence of the United States constitution with regard to the country’s geographic expansion or growth (Levinson & Sparrow, 2005). It revealed a number of flaws and contradictions that are inherent in the political system of the United States. These included the existence of the United States territories as a collection of states, as well as the contradiction pertaining to the definitions of, as well as rights that accrued to citizens of states and those of the acquired territories in a democratic United States (Levinson & Sparrow, 2005).

In addition, the 1803 Louisiana Purchase cultivated increased growth and development of the United States and led to or resulted in the establishment of what John Marshall termed as the American Empire (Levinson & Sparrow, 2005). In fact, scholars note that the purchase of Louisiana paved the way for the position in which the United States is today with regard to its military, economic and political leviathan that incorporates both non-state and state areas in its domain (Levinson & Sparrow, 2005). They note that Louisiana Purchase was a prerequisite for the Missouri Compromise, its subsequent overruling in Dred Scott, the westward expansion of slaver, as well as the 1861 ultimate conflagration of the Missouri Compromise.

In addition, the Louisiana Purchase is credited with the multicultural and heterogeneous society that the United States has become today (Levinson & Sparrow, 2005). This is especially having in mind that an enormous number of people who inhabited Louisiana did not fall under the category of Native Americans, black slaves or even the white northern Europeans, which are the categories that are associated with the early America republic.

References

Burgan, M. (2002). The Louisiana Purchase. Minneapolis, Minn: Compass Point Books.

Levinson, S., & Sparrow, B. H. (2005). The Louisiana Purchase and American expansion, 1803-1898. Lanham, Md: Rowman & Littlefield Publishers.

Medical Technology

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Medical Technology

Technology plays a significant role in all parts of our lives today. It therefore follows that technology cannot be left out in the medical field. With complex surgeries and other procedures being carried out by doctors every day, medical technology can go a long way in solving many of the problems encountered by staff in the medical field. Among such solutions include reduction of human error as the robots and other machines used in medical procedures are quite precise. However, there are many concerns as to whether the benefits of medical technology outweigh the disadvantages such as deaths and other injuries. While even one fatality or injury cannot be taken lightly or dismissed, the benefits that have been brought by technology to medicine are noteworthy, and with further advances, we stand to gain even more.

Invasive surgeries often pose multiple risks and complications for patients. Many surgical patients would, therefore, be more relaxed if the procedures were to be minimally invasive. The da Vinci Surgical System aims to do just that. Some of its pros include a monitor that allows for better visibility, robotic arms that are precise thus reducing errors and a record recovery rate as a result of the minimally invasive procedure (Source B). There have been complications from the da Vinci system such as deaths and other injuries. In this case, there need to be more studies carried out into the system especially by the engineers to pinpoint the cause of these malfunctions. The system should not merely be dismissed as with fine-tuning, there is potential to overhaul how surgeries are carried out. While this is being done, however, the patients should come first, and this calls for regulation especially from the FDA. This is a significant area of concern as the FDA stated that it does not have the authority to supervise training (Source B), raising the question of precisely who will protect the patients’ interests in this case. BBC reports similar cases of complications from procedures assisted by robots but does not examine if these complications resulted directly as a consequence of using the robots (Source D).

A research paper written by the American Society of Medical Engineers paints a brighter picture. Minimally invasive procedures have benefited a lot from the use of surgical assistants which are robots that can aid surgeons even from outside of the operating rooms. The main advantage is the 3DHD imaging that helps doctors see better inside patients (Source C). Rehabilitation robots also play a crucial role in helping patients recover from conditions such as traumatic injuries or neuromuscular diseases. Sanitation and disinfecting robots can disinfect surfaces in cases of highly infectious viruses thus reducing the risk to humans. Robotic prescription systems have increased the accuracy of prescriptions thus reducing human error or contamination in the dispensation of drugs (Source C). From this research paper, medical technology is an essential part of practicing medicine in hospitals and patients also stand to gain a lot from its use. The complications and challenges should also be highlighted for clarity.

Micro-sized robots are another exciting potential in medical technology. Several experiments have been carried out involving these micro-robots that can swim through the body fluids of humans. They are directed to search for a particular diseased area of the body such as a tumor and on reaching that area; the robot treats it with drugs (Source E). The experiments such as the one in the Max Planck Institute are unprecedented, and if successful, it would bring revolutionary changes to patient treatment. Artificial Intelligence is an essential tool in the analysis of medical data and helping the medical staff determine the best courses of treatment for their patients (Source E). The use of these micro-sized robots would take away the need to open up patients in complicated and risky surgical procedures. An example of these is when patients have tumors that are surgically inoperable due to the fact that the benefits of the surgery are outweighed by the risk of complications that could occur.

From the above articles, it is clear that medical technology is an area that cannot be taken lightly. Technology has the potential and ability to revolutionize how patients are treated, surgeries carried out and drugs dispensed. However, it is essential to take into account the risks that have been documented in research and look into ways of addressing and dealing with these incidents that include injuries and even deaths. The desire for profit in companies in medical technology such as Intuitive should not take precedence over the safety of the patients being treated. To this effect, there must be guidelines to be followed both in the training of doctors using such technologies and also in regulating the use of technologies such as robots. This has been illustrated to be a gray area with the FDA having no authority over these matters. This being said, the promises that are offered by medical technology are quite thrilling to imagine. Just a few years from now, treatment of patients could be completely different characterized by fewer cases of errors and exponentially faster rates of recovery. We should, therefore, look forward to the future of medical technology both hope and a touch of caution. Medical technology is on the path towards transforming medical care all over the world for the better.

Works Cited

Source B (Andrew W. Lehren The da Vinci surgical robot: A medical breakthrough with risks for patients, NBC)

Source C (Mark Crawford, ​Top Robotic Applications in Medicine ​ ,American Society of Mechanical Engineers ​)

Source D (BBC, Robotic surgery linked to 144 deaths in the US, ​ BBC Medical Technology)​

Source E (Len Calderone, Advancements of Robotics in Medicine, Robotics Tomorrow)