Mama Might Be Better Off Dead Analysis

Many live under the assumption that those who come to the United States want to become Americanized and assimilate to the melting pot our culture has formed into. This is the populations ethnocentric belief, which is the belief that the ways of one’s culture are superior to the ways of a different culture, that wants others to melt into the western ways. In Ann Faidman’s The Spirit Catches You and You Fall Down, Faidman fails to completely remain objective when demonstrating how cross-cultural misunderstandings create issues in the healthcare field, specifically between the Hmong and western cultures that created dire consequences between the Lee’s and their American doctors. Faidman uses her connections with the Hmong and the doctors who cared for them in order to disclose the different views, beliefs and practices the Hmong and Western cultures practiced. With her attempt to be culturally relative to the situation, Faidman discusses the series of events and reasons as to why the Lee’s faced the fate that they did and how it parallels to the ethnocentrism in the health care system.

“Mama might be better off dead: The failure of healthcare in urban America”, was written by an investigative reporter Laurie Kaye Abraham in 1993. This is a disturbing and profound look at the human side of the health care and how government health care policies work when they hit the streets. This is a story of an impoverished African-American family dealing with devastating illnesses and how they end up in a miserable dilemma.

In the book, Mama Might Be Better off Dead, there were two main characters that were crucial to the plot of the story, Jackie Banes and Mrs. Jackson. Throughout the book, I found Mrs. Jackson to have the best connection with public health. Mrs. Jackson was an elderly and disabled women with a variety of health care odds stacked against her. She had numerous health concerns; such as, diabetes, peripheral vascular disease, and an amputated limb (Abraham, 1993). Mrs. Jackson suffered these health issues because she was a poverty stricken women and experienced economically depressed living conditions. Due to her low socio-economic status, Mrs. Jackson did not qualify for full coverage Medicaid because she was not considered in a low enough income bracket unless she put more than half of her monthly social security towards health benefits (Abraham, 1993). As a woman with limited resources, Mrs. Jackson was unable to afford the cost of benefits much less her own survival expenses. The duration that Mrs. Jackson experienced insufficient resources led her to all of her unfortunate outcomes regarding her health. One of the reasons Mrs. Jackson needed an amputation on her leg was due to an untreated wound that resulted from her diabetes. Her diabetes had also gone untreated because she was unable to afford treatment and transportation costs to help her infection heal (Abraham, 1993). In the book, no one cared about Mrs. Jackson and it was because she was a poor

This prejudice is another strong concept, as the American doctors continued to underestimate, disrespect, and undermine Foua Yang (mother) and Nao Kao Lee (father) and their Hmong way of life. Vice versa, the Lees would refuse doctors’ orders in administering medicines. Ruane and Cerulo hit it right on the nail when describing prejudice,(20) which is a prejudgment directed towards members of certain social groups, as a feeling associated with immigrant groups, those that contain individuals who have left their homelands in pursuit of a new life in a new country. There is a clear indication of an in-group vs. an out-group, as it is noted from Second Thoughts, “an in-group carry unrealistically positive views of their group. At the same time…share unrealistically negative views of the out-group.” The cultural barriers are built due to “the one-sided relationship,” of knowledge only found in the unyielding West, with the prominent racial discrimination found among the white, English-speaking doctors and their intimidate dismissal of the existence of any Hmong medical practices/knowledge. The application of assimilation (20) is important to the in-group, as they simply believe that the immigrants will come to embrace the same values and customs of their new ‘homeland.’

Anne Fadiman wrote this book to document the conflict between cultural barriers and how they affect medical issues. In this book, Lia Lee is a Hmong child was has epilepsy and battles cultural medical differences. The main struggle in this story is the conflict between the doctors and parents because they cannot seem to get on the same page. While writing the book, Fadiman stated that there was a “clash of cultures”. (Fadiman, preface) Meaning, there are two different sides to the story and the problem has not be solved.

Early in the panel, Barbara Vinograde talked about how easily a monthly payment for private insurance can cripple a low-income family – as payments can often be large fractions of someone’s budget. Worse yet, Betsy Momany describes an all-to-common situation where those who do have certain government insurances can’t utilize them because care providers won’t take them in due to the lack of profitability when helping them. This occurs in a productivity-based system, where physicians are paid by the insurance companies, which leads them to accepts those insurances that pay them the most per visit. Further effects of this lack of assistance and care are things like obesity and diabetes amongst low-income children. According to Dr. Eleanor Lisa Lavadie-Gomez, major food companies work hard to get children addicted to sugary food, and they profit off of the fact that the poor can only buy processed food because they can’t afford to spend money of fresh food that could go bad. Because these families don’t have better options, they experience negative health consequences, which then go untreated when these children aren’t provided proper

“Mama Might Be Better off Dead: the Failure of Health Care in Urban America” by Laurie Kaye Abraham, follows a families struggles over the course of three years in a poor Chicago neighborhood. Abraham points out specifically how the health care system in the United States has failed the different members of the poverty stricken Banes family. The main character, Jackie has the responsibility of taking care of her sick and elderly grandmother. Jackie also cares for her three young children with little help from her husband, Robert who also suffers from various illnesses. While, there are some government programs set up to help families like the Banes’, the health care system is certainly lacking.

What happens when two very different or even mutually exclusive cultural perspective are forced into contact with one another? In Anne Fadiman’s The Spirit Catches You and You Fall Down, there is a division between the shamanistic insubordinate cultural of Hmong refugees in Merced, California and the cold analytical approach of western medicine. In the early 1980s, the child of a Hmong refugee family in Merced, California is born with epilepsy, her name is Lia Lee. Anne Fadiman traces the interaction between these two cultures and Lia’s disease, she reviews that misunderstanding and miscommunication can have calamitous consequences for all involved. The author introduces many characters throughout the book and they all

In the article, Joy Victory discusses how the medical system favors patients who are rich and insured. Victory has written many different articles about current health issues that affect everyone in the

Throughout the novel Jane Eyre by Charlotte Brontë, many of those who lived in poor conditions died because they didn’t have access to proper health care. In the beginning, it’s shown that Jane’s poverty-stricken parents died after being sick, and the same happened to Jane’s childhood friend Helen after a typhus outbreak at their school. In both of those situations they were too poor to receive the medical care that they needed. This problem still exists in modern times, except it involves not only the poor, but also the elderly and disabled. In the 1960s the Medicare and Medicaid programs were put into place to try to help those that can’t afford health insurance. However, not everyone is eligible for those programs, so they still lack

The dysfunction of the American health care system implies that not everyone has access to the right medication and medical treatment. Middle-class families and chronically ill patients do not always have access to health care, and when they do they do not receive adequate treatment with regards to hospitalization and medical services or quality of service. The lack of payment reform results in

Language barrier was a major factor that served to extend the boundary existing between the two cultures. Some of the utterances made by the doctors were interpreted right but were understood wrongly (Swartz 2). This resulted in a worsened discernment of the American doctors by the Lees and Hmong as an entity alike. In the case of an emergency, the Lees needed to contact an ambulance, but could not communicate with the hospital. This necessitated the involvement of their learned nephew, who would call an ambulance. The interpretation process would at times limit the effectiveness of the message intended by either party. For instance, when Lia was undergoing critical care in MCMC, the Lees needed to be comforted, a process which had to be done by an interpreter. Before the final discharge, miscommunication between Lia’s mother and the doctors had her think that the nurses disconnected medicine tubes off Lia in order to give it to some other patient; a mean act. In the same incident, Lia’s father was made to sign a letter of discharge for Lia, which would happen in two hours. However, he understood this as a letter to guarantee death in two

Widening economic inequality in the United States is being accompanied by increasing health care disparity. While the health care system seeks to provide health care as a human right, it fails to do so often worsening the disparities (Dickman, Himmelstein, & Woolhandler, 2017). While health care today has made major strides, there are many people who are still suffering from health care system injustices. Of the people who are still uninsured a majority of them are in the middle-working class or those living in poverty. Poor Americans have less access to health care than wealthy Americans. The life expectancy gap between the rich and poor continues to widen. Health care in poor communities is too often neglected. This issue has been a trend in the United States for many years. In Abraham’s book, Mama might be better off dead these very same inequalities are evident for the Banes family. Because of these inequalities, preventive illness becomes life threatening causing care to then become extensive and even more expensive.

Imagine your own family member constantly manipulating you into thinking you were going to be forever young. Now imagine that person telling every individual that you cannot care for yourself nor will ever get better. To be completely honest, that is a scary thought, not having any control over your own body and believing your caretaker that you are mentally incapacitate to care for yourself. The documentary I chose to watch and write about is Mommy Dead & Dearest, this documentary was released 11 March 2017 and the director is Erin Lee Carr. In this documentary, we see Dee Dee and Gypsy’s narrative who brings Munchausen Syndrome by proxy — a form of child abuse that involves a caretaker making up an illness for

The case study of Lia Lee is interesting and serves as a cautionary tale as it explores the consequences of cultural misunderstanding. In this case both the parents and medical staff sought the same thing; they both wanted Lia to have a positive outcome. Unfortunately, both groups had distinct ideas regarding how to achieve the common objective. This division was rooted in each sides individual cultural beliefs.