Something a bit more serious and less frivolous

Wil:

I'm quite interested in joining the Matagouri club. It's an association/organisation/thing which promotes and encourages health professionals moving into rural practice because we all know the lack of health professionals in rural areas. They do things like visit rural towns and schools to give presentations and demonstrations to students. Essentially, we're opening their eyes to opportunities in the health professions and hope they'll persue an idea we throw at them. I think it'll be a good area to extend myself even though i'm not particularly fond of living in rural areas because I do love the big city, but I think the disparity of health care availability between urban and rural areas is one of the more trivial issues (but still important) that we can solve compared to other health service discrepencies (such as disparities of health between ethnic groups/SES groups). It's a good first step for me in thoroughly exploring the health care system and its accessibility from those who need it.

Speaking of accessibility of health care, it's one of the themes we've been learning in our 'New Zealand Health System' module in our 263 paper (Pharmacy Practice). Growing up in a relatively financially stable family, health care accessibility and availability was never really an issue for me. So when I was studying about the difficulties low socioeconomic status (SES) families have with obtaining health care in New Zealand I wasn't able to completely relate, however, I was able to sympathise.
It wasn't until I did my community placement in Auckland that I was exposed first hand to these issues that my lecturer talked about. Northcote itself has quite a large population of low SES families and during my placement I observed a considerable number of patients who would first ask the pharmacist for the full price of their prescription before putting it in to be processed. After being told the price, you could see the patients trying to decide in their head whether or not their prescription was absolutely necessary to their health in order to avoid "unnecessary" spending. On one occassion we had someone opting for only 2 out of the 3 medications they were prescribed because they simply couldn't afford to pay for all three.

I know there are things such as Community Services Cards which help patients with paying for medications, but in these cases I wasn't sure what the circumstances were.

After observing these incidents it really did get me thinking about how some people have it unfortunately hard. It makes me more appreciative of my own living situations and the benefits I have when I require health care.

This reminds me of an article I had to read which described the state of health care in the US. There are medical centres in the US which are run by voluntary doctors and offer free health care. However, because the medical centres are not-for-profit their resources are limited, much more so than your average medical practice. Undoubtedly, these medical centres get swamped with people who need health care but can't afford it because health care in US is so expensive. Basically, if you don't have health insurance then you either fork out hundreds for health services or don't get it at all. Health insurance premiums are in their hundreds anyway. So in all cases, people with lower incomes lose out.
Back to the article, so people come from far and wide to visit these medical centres hoping to get a free appointment. Because the medical centre can only see such a limited number of people the only fair way of deciding who gets access to health services is via a raffle-like process. Patients are given a number and the centre randomly picks out numbers. If your number is chosen then you get a free appointment with a doctor. All the others miss out.
The fact that it has come to this stage, where the availability of health care for patients is based literally entirely on luck, in this day and age and in a developed country such as the US is such an immense step backwards.

When I finally become a pharmacist, I think I will be most happy to have patients being able to freely walk into my pharmacy and ask for health information without having to make an appointment or pay for a consultation.