Experiences of Latinos with Diabetes in the Central San Joaquin Valley Page: 41
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literature for inconsistent and victim-blaming evidence for genetic markers and predispositions
that have yet to be identified in medical science. These are highly pertinent to the populations I
studied. For example, according to Chaufan's critique, the medical field characterizes diabetes as
an experience of the individual. Patients are responsible taking action to make 'informed'
choices regarding their care and treatment plans by becoming physically active and altering diet
habits. However, as evidenced by patient interviews this is not as simple as believed.
Diabetes patients have been polarized into noncompliant categories by health policies and
biomedicine. Rather than emphasizing the effects that political-economic and hegemonic forces
have contributed to the epidemic, health care policies and treatment options have ignored the
structural violence imposed on patients meant to receive care. Chaufan notes that it would be
difficult for minority populations, who are at increased risk of diabetes compared to their non-
Hispanic, white counterparts to receive adequate care when access poses a barrier.
Socioeconomic disparities experienced by a significant proportion of diabetes patients are further
exacerbated by policy informed by health research that fails to account for these barriers and
impediments experienced by patients.
Following Chaufan's reasoning, I argue that "non-compliance" should not be interpreted
as disregard for one's personal health or as an act of defiance against the medical professional.
Consideration of factors outside the patient's control must be accounted for like income or lack
of health insurance that prevents them from seeking health interventions or taking prescribed
medications. This was the case for Diana and Diego, mentioned earlier, who sought medical
treatment that was provided free of charge, irregularly at a Fresno homeless shelter, the Poverello
House, when they found themselves without insurance. This led to inconsistent access to41
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Cortez, Jacqueline Nicole. Experiences of Latinos with Diabetes in the Central San Joaquin Valley, thesis, May 2018; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc1157605/m1/48/?q=green+energy: accessed July 17, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; .