Study Guides (400,000)
US (230,000)
UM (1,000)
APY (10)

APY 413 Study Guide - Midterm Guide: Rudolf Virchow, Main Source, Kidney Disease

Course Code
APY 413
Study Guide

This preview shows pages 1-2. to view the full 6 pages of the document.
Medical Anthropology
J. Bryan Page, Professor
Study Guide for Examination 2
1. Plural systems and health policy
a. Examples of plural systems (a system in which different types of medicine are
involved (biomedicine and traditional)
i. U.S.
ii. Australia hierarchy of different biomedical and traditional systems listed
out in order of legitimacy, importance, license
iii. Indonesia another example
b. Hunts Baer feels that biomedicine is trying to establish hegemony ruling over all
forms of medicine making sure they are kept in their place to make sure that you
subject all of the non-biomedical procedures to clinical trials. His primary
objection to concept of CAM was that you take the practice out of its cultural
context if you put it under clinical trials because these are Western traditions.
c. Hegemony of Biomedicine and the conceiving of CAM. Acupuncture as a
d. Examples of CAM incorporated into Biomedicine
i. Acupuncture
ii. Massage
iii. Homeopathic medicine natural substances used for healing
2. Disparities and inequities
a. Disparities one population has consistently worse outcomes than another
i. Example African Americans’ higher rate of new HIV infections than
other groups
ii. Example African Americans’ higher prevalence of hypertension than
white non-Hispanics
b. Inequities where different populations have differential access to biomedicine
i. Example African American women not having the same access as other
populations to primary care to prevent cervical cancer deaths
ii. Example Hispanics not having the same access to drug abuse treatment
as other populations
3. Health policy
a. What “medically indigent” means?
i. It basically only exists in the US.
ii. People with no medical insurance.
iii. Immigration status not in order (exacerbating factor)
b. What is a “single payer system?
find more resources at
find more resources at

Only pages 1-2 are available for preview. Some parts have been intentionally blurred.

i. Socialized medicine where taxpayers pay most of the medical care.
ii. Not personally paying a certain amount for a certain kind of care.
c. Have you experienced a system like that of France, Canada, or England?
d. What are the advantages of a single payer system?
i. Cheaper, patient doesn't pay for all costs of treatment
ii. Most people don't pay anything (other than taxes)
iii. Principal aspect that makes it more financially efficient is that it totally
uncomplicates the process for paying for healthcare. No individuals profit
from others’ misery. No third party. No need for exchange of paperwork
between people.
iv. They often use algorithms to decide how many imaging machines are
v. Supported by the system if a doctor recommends it, decision by a doctor is
backed up.
e. What are its disadvantages?
i. You have to stand in line
ii. If not a serious condition, wait may be very long
iii. Insurance strongly resists paying and won't pay unless necessary. If they
can avoid it, they will avoid paying for someone’s healthcare.
iv. In Canada it may be hard to get access to an imaging machine because
they may have to travel long distances. Not very convenient.
v. France far away from a clinic.
f. Costa Rica’s example
i. Background of providing for workers first, then everybody
ii. Started covering workers and a separate system for everyone else.
Eventually merged into a single payer system in which all newcomers
were treated regardless of nationality.
iii. Parallel thriving of pay-as-you-go system lower prices per procedure
lead to medical tourism for elective procedures
iv. Current single payer system has extensive primary care; secondary and
tertiary care patients are referred by primary care to more elaborate
treatments. Accepts all who present.
v. Tertiary hospitals
vi. Secondary clinics
vii. Primary built in slums
4. Dressler, Gravlee and blood pressure
a. What are the pitfalls of medicalizing “race?”
i. Error in all cases! It's wrong.
find more resources at
find more resources at
You're Reading a Preview

Unlock to view full version