Comparative Medical Aid Quotes

In March 2002, the National Academy of Sciences, a private, nonprofit society of scholars, released a high-profile report documenting the unequivocal existence of racial bias in medical care, which many thought would mark a real turning point. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care was so brutal and damning that it would seem impossible to turn away. The report, authored by a committee of mostly white medical educators, nurses, behavioral scientists, economists, health lawyers, sociologists, and policy experts, took an exhaustive plunge into more than 480 previous studies. Because of the knee-jerk tendency to assume that health disparities were the end result of differences in class, not race, they were careful to compare subjects with similar income and insurance coverage. The report found rampant, widespread racial bias, including that people of color were less likely to be given appropriate heart medications or to undergo bypass surgery or receive kidney dialysis or transplants. Several studies revealed significant racial differences in who receives appropriate cancer diagnostic tests and treatments, and people of color were also less likely to receive the most sophisticated treatments for HIV/AIDS. These inequities, the report concluded, contribute to higher death rates overall for Black people and other people of color and lower survival rates compared with whites suffering from comparable illnesses of similar severity.

General Guidelines for Wilderness Medical Kits 1. Accept the fact that there is no such thing as the perfect wilderness medical kit. Many factors should determine your choices of specific contents. No matter how much you plan and prepare, someday you will want something that is not there and/or discover you’ve carried an item for years and never used it. When considering the contents of a kit, take into account (1) the environmental extremes you will face (altitude, cold, heat, endemic diseases), (2) the number of people that may require care; (3) the number of days the kit will be in use; (4) the distance from definitive medical care; (5) the availability of rescue services; (6) your medical expertise and/or the expertise of other group members; and (7) preexisting problems of group members, such as individuals with diabetes. 2. Evaluate and repack your wilderness medical kit before every trip. Renew medications that have reached expiration dates. Replace items that have been damaged by heat, cold, or moisture. Remove items that are unnecessary for the proposed trip, such as insect repellent on winter trips, and add items that may be useful on the upcoming adventure. 3. Do not fill your kit with items you do not know how to use. Maintain a high level of familiarity with the proper uses of all the items in your wilderness medical kit. 4. Choose specific items for the wilderness medical kit, whenever possible, that are versatile rather than particular. For example, a wide variety of sizes and shapes of Band-Aids is nice, but wound coverings can be created from pads of gauze and strips of tape. Triangular bandages are useful, but safety pins and T-shirts can be used to make slings. Medical adhesive tape has limited usefulness compared with duct tape. 5. Encourage each group member to pack and carry a personal first-aid kit to reduce the size and weight of the general wilderness medical kit.

That will be the easy part. Compared to what invariably follows, this will be the sweet phase of the process. The next phase will be bitter and prolonged; even unpalatable to the point of insufferable when you’re back at home. “It’s the other parts,” I continued, “the mental, emotional, and spiritual parts, that are harder because these are the parts that you have to do. Not only do you have to begin this healing while you’re here, but you now have to accomplish it without the old crutch of the alcohol. Sure, alcohol can ruin your life in the long run, but it served the purpose of being a pretty powerful coping mechanism for a very long time. It was an aid that helped you survive. Now you take the alcohol away and you deal with your life sober. All that stuff that was drowned out by the alcohol when you were little, before you went to war, when you went to war, when you came back from war—now you face that stuff without the drink. We are here to help, but even with the therapists, social workers, groups, and medications, it will be challenging—but worth it. You’re a strong man, and you’ll get beyond this to be stronger than you’ve ever been, stronger than most people will ever be in their entire lives. You’ll get beyond this so you can be happy, so you can have a job that fulfills you, so you can be the father you want to be to your son, so you can tell the story of your survival and your victory. This is the story that will save your life and the lives of many others, so it is truly all well worth it. And you’ll need to remember this end goal every hour of every day because this will likely be the hardest thing you’ve ever done in your life. And you can do this.

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