Assessment: Australian healthcare system is divided among eight state

1) The Australian healthcare system is divided among eight state and
territory jurisdictions, three levels of government which is in the form of
(federal, state and territorial, and municipal), numerous government
ministries, and for-profit and non-profit service care providers. While
states and territories are largely responsible for managing healthcare
delivery, the federal government deals with resource allocation and
national policy. Regulation and compliance activities are conducted at all
levels of government. Additionally, there are a number of healthcare
services available for priority demographic groups, such as Torres Strait
Islander and aboriginal peoples. These services are provided by non-
governmental organisations with support from state and federal funds.
Among these are Aboriginal Community Controlled Health Organizations
(ACCHOs) that is responsible for offering a wide variety of primary
healthcare services tailored to the needs of the surrounding Aboriginal
populations.[ CITATION Isl21 \l 1033 ]
“When aunt Lettie went to the hospital along with her granddaughter to
the hospital, they were not clear as to where to go to as the instructions in
the direction map were highly unclear. The guard at hospital replied in a
harsh language and gave them the wrong direction”. These lines clearly
proves the point that racism is a growing cause of concern since both
these individuals might have evidently faced psychological level of
distress and were feeling unclear on how to proceed further to reach to
the concerned doctor which is evidently a common scenario these days in
these aboriginal groups.
Racism has been widely associated to a very wide and broadened variety
of health outcomes for indigenous peoples, including psychological
distress, anxiety, depression, suicide, post-traumatic stress disorder,
asthma, physical illness, obesity, cardiovascular disease, increased blood
pressure, excess body fat, poor sleep, reduced general physical and
mental health, poor oral health, increased use of alcohol, tobacco, and
marijuana, and underuse of medical and mental health care.[ CITATION
Par18 \l 1033 ]
2) Improvements in the physical, spiritual, cultural, emotional, and social
well-being, as well as community capacity and governance, are all
necessary for improving the health status of Aboriginal and Torres Strait
Islander people[ CITATION Soc07 \l 1033 ].
Since as discussed from the previous point about the racism aspect, it is
clearly understood that the symptoms of racial discrimination has a strong
impact on the social , mental and emotional well-being of in this case the
patient Aunt Lettie and her family who have to go through language
barriers in the process of communicating information to people in the
hospital about the symptoms which the patient is significantly and clearly
undergoing and to be able to discuss with the doctor to be able to develop
a consistent treatment plan for her condition. Since aunt Lettie’s family
comes from a community of people who follow their customs in a very
strict manner and are still not able to get equal access to education and
equal equality based care services, it is eventually understood the kind of

emotional distress that they might have undergone to receive with the
entire treatment process.
The high cost of healthcare services also made them decide to go on for
the treatment procedure only after careful thinking.
Due to a number of obstacles, such as the high rate of highly expensive
medical care facilities, experiences with racism and prejudice, and poor
communicative interaction with the medical and paramedical staff,
indigenous people who are belonging to minority communities are
frequently not able to get equal frontline healthcare service at a beneficial
stage across generations even now [ CITATION Dav16 \l 1033 ].
Remote locations in these aboriginal societies have the most pronounced
linguistic and cultural barriers to communication. As a result of the
intimate relationship between language and culture, communication
issues in these societies go beyond linguistic ones.[ CITATION Ame17 \l
1033 ]
3) Despite the good scenario of the healthcare system in the Australian
country setting, the non-indigenous people of this country are
inadvertently very much judgmental and inconclusive about this highly
localised civilisation of this mainland continent in the lieu of the
abstinence from the localities of treating people with other communities
with equal respect from the understanding of the study case presented.
Australia, being highly growing in the terms of valuing cultural diversity,
there are few cases where the community feels highly overwhelmed in the
kind of social response they receive from the population of other
communities who have become permanent members of the country.
The inclusion of the workforce from these indigenous communities will be
a concise step towards creating a more elaborative employment strategies
in order to uplift the worth of these communities on an equitable basis.
Developing and actively supporting a mission/vision statement, relevant
policies and procedures, including a Reconciliation Action Plan, is a
conceivable step towards a clear demonstrable commitment to enhancing
Indigenous health outcomes and promoting equity in the Indigenous
health workforce.[ CITATION Tay20 \l 1033 ].
The problem which is being faced by aunt Letty can be readdressed in a
very clear way by providing a well-planned health system which is able to
consequently addresses the racism and inequalities while respecting the
Indigenous cultural values, strengths, and uniqueness and overall balance
in all other factors. Cultural respect is attained when the Indigenous
Australian community issues are treated with utmost safety and respect
throughout the main mechanism healthcare revisionary readdressal
system. According to a recent survey which was carried out in the
Australian mainland throughout 2013 till progressively till 2020; the
number of Indigenous doctors working in Australia rose from 234 to 494.
(From 31 to 57 per 100,000).From 2,434 to 4,610 Indigenous nurses and
midwives are now working in Australia (324 to 535 per 100,000)[ CITATION
Aus22 \l 1033 ].
Additionally, compared to non-Aboriginal Australians, Australian
Aboriginals have a higher burdening effect of increasingly higher rate of

chronic illness, such as higher rates of diabetes and kidney disease. Poorer
social determinants of health, discriminatory practises, and historical and
political marginalisation are all factors in the unacceptable widening gap
in disease and, consequently, the most lowered level of life expectancy in
these communities. Due to this, many Aboriginal people are very much at
reluctant mode to be seeking the medical attention, which emphasises the
crucial role that health professionals have to be building up in a proactive
role in fostering up of positive interactions between medical professionals
and Aboriginal people that are focused on meeting the needs and
requirements of the Aboriginal patient
[ CITATION Wil20 \l 1033 ]
4) Culturally safe environmental balance is the one which is safe for the
overall well-being by recognising and respects all facets of a person's
existence and does not minimise or downplay that person's identity,
individuality, or inherent power as a human being. Culturally safe
environments for the entire duration of the hospital stay for aunt Letty can
be effectively brought about by following out through eagerly emphasising
within the medical and the paramedical schools so a well strategized and
planned to be able for being in a position of offering out a skills-based
training in intercultural competency, conflict resolution policy and the
scheme processes, list of by-laws governing the set of community based
equitable human rights, and anti-racism. Such concepts would be in a very
determinant form a very highly effective strategy in order to generate an
efficient patient enhanced outcomes and reduce the originating medical
cases.
All health care practitioners must also pan together in a very systematic
and well strategized manner to be proactive in following and completing
culturally competency training modules.
In order to provide high-quality treatment to a variety of communities,
practitioners must be able to be well trained to acquire and be well
informed about a set of quantifiable and well organised skills, knowledge,
attitudes, and behaviours[ CITATION Kur18 \l 1033 ]
The problem of language communication which was ascertained when
aunt Letty and her daughter could not communicate their information in
an appropriate and in a clear and conceivable manner to the hospital
healthcare staff can be removed by improving the mode of language
communication in order to able to remove the obstacles for accessing to
quality healthcare system processes which can be by enhanced by
training medical personnel who are able to speak the local tongue. There
is a fundamental concept that has to be ascertained that language and
global access to quality healthcare are affordably linked together for being
able to provide out quality healthcare output procedures also[ CITATION
Web18 \l 1033 ]
5) Despite coming from a very strong cultural background and a prominent facet of the
fundamental perspective of growing empirical importance growing out from the very
strict schemes, initiatives, and policies of the Australian government by considering a
thorough understanding of the reasons why these communities faced a strong sense