Sample Essay on:
Discrepancies Between Aspirations and Reality in Health Care

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Essay / Research Paper Abstract

This 3 page paper discusses the differences between aspirations and the reality of health care, both as a system and with regard to individuals. Bibliography lists 5 sources.

Page Count:

3 pages (~225 words per page)

File: D0_HVasprel.rtf

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Unformatted sample text from the term paper:

of looking at this, and the student will need to decide which one to pursue in detail. First, there is the viewpoint of the individual with regard to the aspirations he or she has for treatment, which may or may not be realized by the health care provider. The second is the viewpoint with regard to the system as a whole, and whether or not it meets peoples expectations. With regard to matching the expectations of people to the system as a whole, McGinley notes that while the poor aspire to decent health care, the reality is that "health care for the poor is neither equal nor quality" (1994). For those who expect government assistance, she points out that "Medicaid is not extended to all poor people" (McGinley, 1994). Even more unsettling is the fact that "public hospital emergency rooms are only required to perform a standard screening, not full treatment of a patient" (McGinley, 1994). Many of these hospitals are leaving the inner cities, which leaves "many of the sick poor untreated and untreatable" (McGinley, 1994). A study from Australia talks about aspirations in health care for one particular group, those with spina bifida who have survived into adulthood. Members of this group are already marginalized by virtue of having the condition; their aspirations therefore are lower than for others, because "people who are classified as being within devalued and stereotyped groups tend to internalize and take on devalued beliefs about, and expectations for, themselves" (Thesis, 2000, p. 69). People like this also respond to the discrepancies between aspirations and reality in a specific way: they tend to "adjust their aspirations to their circumstances in order to reduce discomfort, because over time they have learnt that it is pointless to try to change the external circumstances" (Thesis, 2000, p. ...

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