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The article Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes was extremely informative. The article identified “three dimensions of fear including (a) Cost; (b) Language, Discrimination and Immigration Status; and (c) Cultural Disconnect” (Page-Reeves et al., 2013, p. 36). There was a prominent theory regarding fear and the financial burdens of illness, many individuals were not seeking “preventative health care” and were delaying medical attention due to other financial obligations such as rent and food. Many individuals shared the viewpoint of “Although diabetes may kill you someday, it’s not going to kill you today” (Page-Reeves et al., 2013, p. 36). Consequentially, delaying care lead to acute exacerbations of chronic illness, and increased medical expenses in the end. There was fear related to the cost of health care, suggesting that individuals with adequate resources would not experience the same hardships. The sample population faced discrimination on a daily basis and individuals felt judged based on their fluency and abilities to speak English. Even with professional interpreting services, disinterested parties interpreted information incorrectly, and caused more fear and insecurity in the health care profession than they had before. These fears also lead to further delay in medical treatment. Individuals felt that health care professionals, particularly doctors often pried for information on their immigration status to sniff out and report them to immigration. The fear of cultural disconnect is the inability to discuss the fact that some cultures believe in the use of home remedies to treat their health problems. Patients are afraid to discuss this with their health professional for fear of being ridiculed for their use of alternative treatments. I truly believe that structural violence perpetuates health disparity. It is sad that in the twenty-first century we cannot accept others cultural differences and work them into their health care plan.
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