Health Sciences 1002A/B Chapter Notes - Chapter 21: Environmental Racism, Class Discrimination, Psychoactive Drug

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Healthcare service increases no longer improve population health. Gaze is turning more toward inequalities in accessing the health care system. Oppressions and access to health care: embedded contexts. Healthcare access inequalities and injustices are created and sustained by oppression. Oppression occurs when discrimination is backed up by the systemic power of social, cultural, and political structures and processes. Discrimination is so deeply embedded in social and cultural norms that providers may not often be aware of their participation in discrimination leading to unethical and health-damaging care. So, although individual discriminatory actions and inactions create the substrate for oppression, it is the system that feeds ongoing support and sustenance of oppression in access to care. Our community or communities of belonging, our family configurations, and how we identify ourselves (e. g. , gender, race, ethnicity, and sexuality) Strongly related to our disadvantage and experience of inequality and/or our advantage and privilege. Our geographies also determine our health through public policy.

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