sons, neighbors, people of faith. They have compounded needs and it’s an opportune time to build trust. Once we as health professionals use critical thinking skills to meet the holistic needs of a patient while building trust and demonstrating cultural sensitivity the window for diabetic teaching widens. According to the assigned article, "Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes," narratives also tell the story of Hispanic immigrants and how the structural violence framework perpetuates health disparity. (Page-Reeves et al., 2013, p 5) Although as long as the imperfect human race lives in any part of the world there will be some bias, prejudice and evidence of discrimination of some type. The 10 leading causes of death within the Latino or Hispanic population, Diabetes ranks as number five on the list. (Center for Disease Control and Prevent, 2013) The Centers for Disease Control and Prevention (CDC) and the American Medical Association (AMA) are making a national effort to sound the alarm about prediabetes. Their join statement affirms that “everyone from physicians to employers to patients to community organizations is required to prevent the development of type 2 diabetes in the United States”. (Center for Disease Control and Prevent, 2014)
Another article, “Prevent diabetes STAT” speak of a one free simple tool (in Spanish and English) that can be easily utilized and applied, is a short, 7 question screening test o help prevent type 2 diabetes. This toolkit allows healthcare providers to refer patients with potential prediabetes to in-person or online diabetes prevention programs. The health care provider can use as a guide to screen, test and act on this national problems immediately (Center for Disease Control and Prevent, 2014) Returning to the current article, “Health disparity and structural violence: How fear undermines health among immigrants at risk for diabetes” it speaks of fear of health cost, fear of deportation, shame in being illegal immigrants and prejudicial attitudes of others in health care. Although I agree with the disparity in healthcare for this particular group I disagree with the term “Structural Violence”. I emphasize and have compassion toward all mankind and especially the illegal immigrants mentioned in this article. I do not believe that what they are experiencing is different from many cultures that first came to America and are now generations later integrated as a nation. One can be American and still belong to several subgroups without losing their culture. It is also ethically allowable for others to fully embrace the American culture, language and tradition. I do not believe that America is the world’s one-stop relief station or panacea to every country or continent.
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