Create a table that shows how the access, quality, and cost of health care are influenced by the low-income, middle-income, and high-income status of an economy.

You are currently working as an administrative assistant for a large metropolitan hospital. You have been asked to prepare an article for the hospital newsletter about international health care. The following are the items you have been asked to include:

  • List and explain reasons why the health status of a country plays an important role in its economic status.
  • Create a table that shows how the access, quality, and cost of health care are influenced by the low-income, middle-income, and high-income status of an economy.

Part 2

3-4 pages

Select 1–3 foreign countries, and provide the following information about the access, quality, and cost of health care:

  • Compare a foreign country’s quality of care to the United States’ quality of care.
  • Compare a foreign country’s cost of health care to the United States’ cost of health care.
  • Compare 1 of the foreign countries’ access to medical care to the United States’ access to medical care.
  • Give examples of how the World Health Organization (WHO) helps to provide health care in times of need.

Answer

ETHNOMETHODOLOGY

Sociology 1001

Reading Guide #4

Fall term 2014

THE ANTI-SOCIOLOGIES

#1 ETHNOMETHODOLOGY

Recap

We began this course by looking at the European models for understanding social life (Marx’s, Durkheim’s, and Weber’s)

-And then we looked at Parsons’ North American model of structural functionalism, (which sees society as similar to a human body)

After having looked at these MACRO SOCIOLOGIES

We started looking at some MICRO-SOCIOLOGICAL SCHOOLS

And so far we have looked at the ‘normative’, the ‘symbolic interactionist’ and the ‘dramaturgical’ schools of  ‘micro-sociology’.

-they all try to explain how the ‘social invididual’ goes about his or her life with other people.

More generally, we can say that all these ‘sociological models’ reflected their time and place.

The European theories reflected the concerns of 19th century Europe (trying to understand the massive changes; urbanization, industrialization, etc)

The North American Theories reflected either

  1. the stability and orderliness of post-war America (check out the TV show “Leave it to Beaver” and compare it with the TV show “Modern Families”)
  2. the diversity of US life (as suggested by the widescale immigration into the US)

-However, by the 1960’s, North American society, and other Western societies, were displaying signs of DISORDER and CHALLENGES to the existing order

(eg counter-culture, Civil rights movement, Quebec liberation movement, women’s movement)

-and perhaps not surprisingly, just as these groups challenged the existing social order,

There emerged new (Anti-) sociologies which challenged the existing sociological order.

ANTI-SOCIOLOGY #1

ETHNOMETHODOLOGY

Questioning Sociology’s Scientific Authority

Just like the counter-culture started questioning the authority of existing society in the 1960’s

A school of sociology, called Ethnomethodology’ started questioning the authority of existing sociology in the 1960’s

QUESTIONING SOCIOLOGY’S “TRUTHS”

  1. RE-THINKING THE FACTS OF ‘SUICIDE’

As we have seen already in this course, Durkheim founded sociology as a science, because he was the first to use ‘social statistics’ (eg on crime, health, suicide) as facts.

But as we will now see, the ethnomethodologists show that the foundations of this sociological ‘expertise’ and ‘authority’ are problematic.

  1. Atkinson on the interpretive foundations of ‘suicide statistics’

This is because when one examines these ‘facts’ of suicide, one discovers that they are not ‘facts’ at all.

Instead they are interpretations.

Not only that, but they are interpretations based on our shared ‘common sense reasoning’

Atkinson’s study shows this by looking at the process by which coroners compile ‘official statistics on suicide’

Typically, one of the tasks of a coroner when there is a ‘suspicious’ death is to examine the ‘cause’ of death

Thus typically, the coroner’s role is to get the ‘facts’ on cause of death.

Equally importantly, the statistics that the coroner produces are seen as facts by most people

However, what Atkinson discovered in his empirical analysis of Coroners is that the ‘facts that coroners produce are more like judicial verdicts

That is, the coroner has to interpret what has occurred

He has to weigh up all the evidence that he obtains

And then he has to use his common sense to make a decision

Moreover, there is no official algorithm for helping him to ‘weigh’ up all this different evidence

Atkinson’s research showed in fine detail, HOW the coroner went about his job

And what types of  common sense ‘clues’ he looked for

  1. Presence or absence of a suicide note (genuine versus fake note issue)

Ii Mode of death (road deaths usually not suicides, hangings are; but there are exceptions)

Equivocal deaths (drug overdoses)

Drowning (did he fold his clothes? Folded clothes  often point to a suicide)

Iii location of death (in the bush, in the bedroom re overdoses)

  1. circumstances of death (death via tablet overdose; prescription more likely means not suicide, stolen pills more likely a suicide)

v life history of suspect (did his parents die young? Did he come from a single parent family? Did he escape to the army? Did he switch jobs a lot?)

vi recent mental condition (how had he been feeling recently?)

All these factors, and others the coroner takes into account when making his decision.

But then he has to transform these ‘pieces of evidence’ into a ‘fact’

And that is his final ‘interpretation’ (on top of all the other interpretations that are part of the evidence)

Yet, when sociologists look to carry out their research (eg on suicide) they simply treat these statistics as ‘facts’ not interpretations.

And that should be a major problem for traditional sociology

II RE-THINKING THE “FACTS OF GENDER

Throughout most of its history,  sociology had assumed that social life is divided into two genders.

Not only that, it had assumed that gender is an obvious ‘fact’.

And they assumed this ‘fact to be so obvious, that when sociologists carried out their questionnaires, they simply asked ‘male or female’.

Garfinkel on the ‘facts’ of gender; sexuality’ as a common sense accomplishment –

What Garfinkel’s study shows quite nicely, is that what previous sociologists saw as ‘factual’ can also be the product of ‘common sense reasoning’.

That in our society, ‘sexuality’ is not decided biologically, but socially

That is, if you act male, look male, and say you are male, (or female), then society will accept this sexuality

(this introduces the notion that society typically accepts things ‘for all practical purposes)

-And thus as we will see, some people can exploit this nature of social life to ‘accomplish sexuality’

-But the study of ‘Agnes’ is not only an interesting study for what it says about the ‘common sense’ rather than ‘scientific’ character of much prior sociology;

but it is also insightful because it provides a much more sophisticated understanding of the notion of the social ‘self’ than does Goffman’s ‘dramaturgical approach.

-It is the study of how ‘sexuality’ is presented in everyday life.

-But as we will see, the problem with Agnes is that the back stage is as problematic as the front stage.

And the implication from this is that everyone is working on their ‘self’, whether it be front or back stage. That is, there is no time out.

-Moreover, it shows us how what many of us common sensically think of as being ‘natural’ (eg gender) is actually social.

It shows us quite nicely how ‘reality’ itself is socially constructed

-and it makes us question what we understand as ‘social reality’, itself.

So let us take a quick look at  Garfinkel’s study of Agnes

-What is so interesting about this study is that Agnes displays how  ‘social reality’ is ongoingly accomplished, through her skilful use of common sense reasoning.

-When Garfinkel first met Agnes, she looked like a very attractive 19 year old woman.

-however, she had come to LA for an operation to correct what she called her ‘defective’ body.

-That is, she had been born with male genitals and had been raised a boy until her mid-teens.

-In order to get her operation, Agnes had to agree to attend sessions with Garfinkel.

-Here he discovered how Agnes was creating a ‘self’ which was accepted by everyone, as ‘female’.

-but this could not be done, as Goffman implies, by utilizing a ‘back stage’ first and then presenting the preferred ‘self’ on the front stage.

-This was because the ‘back stage’ was just as problematic as  the front stage.

-Agnes never had a ‘time out’, she was always ‘learning’ how to act like a ‘lady’ but she never knew the rules of this ‘game’

-Thus she was always ‘improvising’ in order to PASS as a woman. (Rod Michalko)

-eg with her boyfriend, with her boyfriend’s mother,

-And this passing had to be accomplished on a moment by moment, second by second basis (with no time outs)

She accomplished this by using a number of ‘ethno-methods’ for accomplishing social life (and these ‘methods’ are general, socially available methods, that any competent member  – like yourself – can access)

  1. Basics

Sitting like a woman

Walking like a woman

Talking like a woman

‘carrying books like a girl’ problem!

  1. Avoiding disclosure of her ‘secret’

-not driving her car

-planning in advance all activities

eg medical exam (modesty excuse)

-pre-job urine test (get a friend’s)

-going to the beach (ensuring the appropriate change room)

  1. letting the surrounding talk guide her
  • talking in euphemisms and generalities (so as never to be pinned down on any specifics)
  • giving normal, not truthful answers (giving answers which she hopes are ‘socially acceptable to the people she is speaking to)
  • giving off an air of carelessness (so as to help disguise any suggestion that she might be having problems)

In other words, Agnes shows that our world of social reality is a ‘for all practical purposes’  type of world.

-That is, it is maintained by people acting together to produce a ‘for all practical purposes’ sense of social reality, where people who ‘common sensically’ produce themselves in a certain way are ‘accepted’ as such.

But the ethnomethodologists did not just question the ‘facts’ that other sociologists had simply taken for granted,

They also identified major problems with all  the previous MICRO-SOCIOLOGIES

The state of North Carolina is considering passing a law allowing doctors to inquire about the presence of firearms in patients’ households in an effort to reduce accidental firearm deaths, especially among children.

Post Part 1 early so that others will have time to respond to you.Situation:  The state of North Carolina is considering passing a law allowing doctors to inquire about the presence of firearms in patients’ households in an effort to reduce accidental firearm deaths, especially among children.  You are present at a public forum whose purpose is to give concerned populations a chance to voice their opinions.  This forum will help determine the fate of the proposed legislation. Part 1.

  • Check your role below and write at least five sentences (as your role) responding to the issue and voicing your argument and reasons.
  • Remember to maintain a constructive tone and focus on reaching a solution.
  • Use the knowledge you have gained from the textbook.

Part 1 Task:

  • Imagine that this forum represents a constructive meeting that will lead to a solution.
  • For this to happen, each person must keep an open mind, consider the other people involved, and present his or her side of the issue in a reasonable and respectful manner.
  • Each person must focus on a solution.
  • up to 60 points

Roles by the first letter of your last name:

  • A-B: The CFO of a major hospital.
  • C-D: President of the National Rifle Association
  • E-G: A parent/gun owner with a conceal-carry permit
  • H-K: A parent/no-gun owner
  • L: A pediatrician
  • M: A gun store owner
  • N-P: The president of the Florida chapter of the American medical Association
  • Q-R: A parent whose child was killed after finding a gun in its home and accidentally shooting itself
  • S:  A patient who left a physician after being asked about guns in her home
  • T: A guest speaker who is a psychologist and an expert on psychological trauma experienecd by families who have had a member either injured or killed by accidental firearm discharges in the home.
  • U-V: A statistician, employed by the State of North Carolina, who has data tracking incidents of accidental death/injury due to firearms in the home.
  • W-Z: A guest speaker who is a lawyer who specializes cases concerning accidental firearm deaths.

Part 2.

  • Maintaining your role, respond constructively to at least two other posts.
  • Remain focused on reaching a solution.
  • up to 20 points per response
  • Use only your own ideas and knowledge. Do not use sources.

Click on “Add a New Discussion Topic” to post Part 1. Then, reply to two other posts.

  • Parts 1 and 2 are due by 11:55 p.m. on Monday, August 26.
  • I recommend that you complete this assignment by Sunday, August 25.

Notes on Forum Grading:

  1. I will typically grade posts and replies one at a time (60+20+20=100). If I am not finished grading the forum, you may not see your full grade. For example, if I’ve only graded your post so far, you may see a 60.
  2. Posts and replies that do not follow directions will not earn credit. If you lost points due to not following directions, I will reply to your post with a brief explanation.
  3. Late forum posts and replies will not earn credit. I have disabled grading for late posts and replies. You must keep track of forum deadlines. Moodle will not do this for you.
  4. Use standard written English in the forums. Pay attention to grammar, spelling, punctuation, and capitalization. This is an academic forum. It is not a text message conversation. I will deduct points for poor English use.

Remember to avoid plagiarism. Do not use sources for this assignment.

Newspaper

Christian Science Monitor

Jul 25, 2014, n.p.

Copyright © 2014 The Christian Science Monitor (www.CSMonitor.com). Limited printing and electronic copying is permitted under this license agreement. Copies are for personal use only. For re-use and publication permissions, please contact copyright@csps.com.

Florida Law Barring Gun Inquiries by Doctors Upheld by Federal Appeals

By Warren Richey

• The Florida law seeks to bar doctors from discussing firearms safety with their patients. It was passed after several individuals perceived questions about gunownership as intrusive and offensive.

A federal appeals court on Friday upheld a Florida law that seeks to bar doctors from discussing firearms safety with their patients – including inquiring whether they keep any guns at home.

The action reversed a 2012 injunction issued by a federal judge in Miami, who ruled that the Florida law violated the free-speech rights of physicians to counsel their patients about health-related matters.

The appeals court panel voted 2 to 1 to uphold the Florida law.

The measure, the Firearm Owners’ Privacy Act, was passed in 2011 in response to an American Medical Association policy that encouraged doctors to inquire about the presence of firearms in homes with children. The AMA policy was designed to help raise awareness and protect children from gun-related accidents.

Despite these good intentions, several would-be patients and the parents of children seeking medical services perceived the questions about gun ownership as intrusive and offensive.

In one case, medical staff members separated a mother from her children and then asked the children whether their mother owned any firearms.

In another instance, a mother refused to answer questions about whether she kept a gun at home, telling the physician that she felt the question was an invasion of her privacy. The pediatrician then informed the mother that she had 30 days to find a new doctor for her child.

The Florida law sought to protect patients’ privacy by restricting nonrelevantinquiries and record keeping by physicians about firearms. Violators could lose their license and face up to $10,000 in fines.

A group of physicians and medical associations responded to the new statute by filing a federal lawsuit. They argued that the law violated the First Amendment by imposing a content-based restriction on their speech.


Lawyers for the state countered that the Florida law was merely a regulation of professional conduct and imposed only an incidental burden on the physicians’ speech.

Other parts of the law sought to prevent discrimination and harassment by doctors. This was a regulation of conduct, not speech, the state lawyers argued.

In reversing the lower court injunction, the appeals court agreed with the state.

“We find that the Act is a valid regulation of professional conduct that has only incidental effect on physicians’ speech,” Judge Gerald Tjoflat wrote for the court. “As such, the Act does not facially violate the First Amendment.”

The judge added: “The Act simply codifies that good medical care does not require inquiry or record-keeping regarding firearms when unnecessary to a patient’s care.”

Judge Tjoflat noted that one part of the law seeks to prevent harassment of patients by doctors seeking to “pursue an agenda unrelated to medical care or safety.”

Such harassment would probably occur when a doctor had no relevant reason to ask about someone’s possession of guns in the home, he said. In contrast, the judge said, a physician dealing with a suicidal patient “may wish to attempt to persuade the patient to remove firearms from the patient’s home.”

The judge said fears that doctors will be subject to discipline for offending their patient’s sensibilities were “unfounded.”

“So long as a physician is operating in good faith within the boundaries of good medical practice, and is providing only firearm safety advice which is relevant and necessary, he or she need not fear discipline at the hands of the [state licensing] Board or a money judgment in a court of law,” Tjoflat said.

In a dissent, Judge Charles Wilson said he would find the Florida law unconstitutional as a legislative act that seeks to silence doctors’ “disfavored message about firearm safety.”

“This law is … designed to stop a perceived political agenda, and it is difficult to conceive of any law designed for that purpose that could withstand First Amendment scrutiny,” he said.

“Simply put, the Act is a gag order that prevents doctors from even asking the first question in a conversation about firearms,” Judge Wilson said.

“The Act prohibits or significantly chills doctors from expressing their views and providing information to patients about one topic and one topic only, firearms,” he said.

“Regardless of whether we agree with the message conveyed by doctors to patients about firearms, I think it is perfectly clear that doctors have a First Amendment right to convey that message,” Wilson said.

Wilson said the decision was unprecedented because it held essentially that licensed professionals have no First Amendment rights when they are speaking to clients or patients in private. “This in turn says that patients have no First Amendment right to receive information from licensed professionals – a frightening prospect,” he said.

The case is Wollschlaeger v. Governor of the State of Florida (12-14009).

Discuss the barriers that patients experience when accessing health care resources.

Write 400–600 words

Medical liability reform is the new terminology in health care. This new reform is used to address the barriers to accessing health care for many individuals. Evaluate how your organization can improve patients’ access to health care resources for your patients.

You have been asked by the local health care association to create strategies to improve access to care within the southeast region.

  • Discuss the barriers that patients experience when accessing health care resources.
  • How can health care organizations improve patients’ access to health care?
  • Why do barriers continue to exist when it comes to access and equal health care?

Include 3 outside sources, and be sure to document your references using APA format