The most prevalent disease among the population of people I work with is diabetes. Diabetes is a chronic disease that affects about 10.5% of the American people (Gregg & Menke, 2017). In my population, I work with indigenous Americans and immigrant populations. My experience with them has given me certain aspects of comparison and contrast. First, I have noticed that in both cases, the manifestation of the disease is the same. The morbidity and mortality rates from diabetes much. As such, this emphasizes the severity of the disease. Secondly, I have also that the prevalence of the disease among the indigenous Americans and the immigrant population matches.
Despite the similarities, I have also acknowledged several differences. Compared to immigrants, American-born citizens are likely to visit the physician more. They appear more concerned with their health compared to their immigrant counterparts. Secondly, most immigrants, especially undocumented immigrants, lack private insurance. The issue of covering underlying health conditions in America continues to raise immense controversy. As such, these individuals are less likely to receive appropriate treatment, such as dialysis and frequent insulin therapies. Therefore, in terms of access, indigenous Americans are better placed to acquire the required healthcare services.
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Several changes must, therefore, take place to ensure that the immigrant population enjoys the health needs just like other Americans. The first aspect to consider is health accessibility. Since most immigrants travel a long distance to meet the required health needs, the state and local governments should create similar facilities at their disposal. Also, access can be enhanced by expanding the Affordable Care Act (ACA) to meet the demands of undocumented immigrants (Sher et al., 2017). Generally, insurance companies must be urged to cover underlying ailments, especially chronic ones such as diabetes. Nurses and other health professionals must acknowledge diversity and work with minority groups to improve their healthcare levels.
References
Gregg, E. W., & Menke, A. (2017). Diabetes and disability. Diabetes in America, 3rd ed. National Institutes of Health, NIH Pub, (17-1468), 34-1.
Sher, S. J., Aftab, W., Moorthi, R. N., Moe, S. M., Weaver, C. S., Messina, F. C., ... & Eadon, M. T. (2017). Healthcare outcomes in undocumented immigrants undergoing two emergency dialysis approaches. Clinical nephrology, 88(4), 181.
