In the Western tradition, the power of ghost became "enshrined in something which is widely known as 'the doctor-patient relationship'" (Miller, 77-8).
Whether associated with wiz of several(prenominal) financial structures for health- cathexis tar--e.g., HMOs, managed c be, Medicare--the principal institutional mechanism of sermon of fundamental health problems in the modern American health schema is the general hospital. Originating in the seventeenth century with poorhouses and madhouses, institutions "branched push finished in different directions, as some . . . became devoted to the treatment of a particular affliction (tuberculosis, blindness), a religious or ethnic mathematical group (Catholics, Protestants, Jews), a segregated racial group (African Americans), or an age group (children)" (Koop 32). No less epoch-making a fact most premodern health-care delivery was that before the 20th century hospitals were less places to get well than to receive groovy surgery or die (or both, owing to haphazard hygienical practices. "As late as 1950," says Gaylin (38), "a distinguished physiologist could tell an incomi
The significance of this pattern of care seeking is not confined to mental-health cases. In a word form of cases, the health-care protocols and priorities of Asian people and governments point up a full and culturally based disconnect between Asian and American structures of knowledge and treatment. Indeed, the role of the government appears to be a delineate factor of health-care delivery in Asia, with the government's c at a timeption of fair price of admission to care its foundation. For example, although policies are by no means changeless country to country, Asian governments have traditionally managed health-care distribution as a function of the amicable realities of the national population.
For example, where illiteracy is a problem for patients who need to self-medicate, emphasis has been more on grapevine communication or images--i.e., as a practical matter, piano tuner and television--than on labeling as such (De Maar, et al., 267). Compare this structure of health-care delivery to that of the U.S., where the government creates public policies that have the effect of regulating fee-based, private-sector health-care management. The matter of the American structure, as Gaylin points out is de facto rationing of care "through market mechanisms, with access to kidney or liver transplants and other precisely and expensive procedures determined by such factors as how frequently money one has or how close one lives to a major health-care center" (42).
To say that the issues and priorities of health-care delivery in Asia are different from those of the U.S. is to make a statement at once intensely obvious and grossly incomplete--although for at least one identical reason, which is that Asian health care cannot be decreased to one general type, owing the multiple political and social configurations of the area. Combine this with multiple health-care needs, and it becomes clear how difficult it is to generalize about present-day health care in Asia vis-a-vis the U.S. For example, Rhi, et al.
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