I am not a doctor and I am certainly not qualified to know what are all the technical issues with our healthcare system, but every so often I see the effect of medical ignorance at the most basic level.
I am a firm believer that as a privileged woman - one who has access to clean water, sufficient nutrition, ample social support and great medical facilities- it is my duty to help as many women as I can live a life that is at least marginally better than what they would otherwise live. So if any of my domestic workers come to me with a health related issue, I try my best to not just solve the problem but also encourage them to understand the need for taking care of themselves in general. But with each incidence I realize that the healthcare system in our country is insufficient not only because of the lack of facilities, but because an ignorant population puts an undue burden on it.
Take the case of my grandmother-in-laws night nurse. She is not even thirty, had a baby when she was nineteen and now works for almost fifteen hours of the day. She looks like she is at least 5-7 years older than what she really is and has knees and elbows that sound like ageing doors. To top it all her menstrual cycle has been malfunctioning for almost five years now but the advice she has got from family is that since it runs in the family she is better off just letting it be! And I can bet my right arm that she is not alone. Without hesitation I can say that about 90% of the women in this country have absolutely no understanding of how their reproductive system works and the whole process of the "cycle" is shrouded in so many myths that any related ailment goes untreated in the name of fate. As a result most women go for treatment only when there is an emergency. What could have perhaps been corrected with a small pill is left untreated till it will require a full blown surgery and hospitalization.Therefore I feel when it comes to healthcare the problem is wider than a medical problem. My grouse here is with the social and the education system. If the girls in our country are imparted some basic knowledge as teenagers about the subject and society stopped treating the whole issue as taboo, most problems would get treated at inception and thereby save so many lives and put less strain on an already burdened system. Women like my domestic worker do not know about ovaries, hormones or what menopause means. So they are unable to understand what is going on with them. And the problem is not limited to women specific health issues. what's more this is the case with other critical medical issues such as child nutrition, need for hygiene or how alcohol and tobacco effect the human biology. If only we gave as much importance to teaching our children about their bodies as we give to making them cram the periodic table!
Prevention is better than cure and knowledge is essential for prevention. Therefore as a nation we must strive to teach our children and our adults the basics of health and wellness so that many ailments can be prevented and we are able to make optimal use of our over burdened health care system.