OVERVIEW OF US CULTURE

*CULTURE
- shared beliefs, attitudes , values , goals and traditions

VALUES AND NORMS

*INDIVIUALISM - independence and self reliance

* FREEDOM AND EQUALITY

*DIVERSITY - melting pot of diff ethnicities, races and cultures

*PRIVACY - right to control their personal information


GEOGRAPHIC IMPACT

*access
*competition
*health disparities and chronic conditions
*medicaid expansion
*cost of living

GEOGRAPHIC HEALTH DISPARITIES AND CHRONIC CONDITIONS

*STROKE BELT
al,ak,ga,in,ky,la

*DIABETES AND OBESITY

STATE-LEVEL DIFFERENCES IN MEDICAID EXPANSION

*AFFORDABLE CARE ACT

-CA,NY,TX,FL

REGIONAL COST OF LIVING AND ITS IMPACT ON PREMIUMS

*COST OF LIVING

- ca, ny

BUILDING CULTURAL SENSITIVITY

* CULTURAL COMPETENCE

- understand , communicate , and interact effectively


acknowledgement and acceptance 
respect


pay attention
listen
show interest

UNDERSTAND AND ACKNOWLEDGE CULTURAL DIVERSITY



* USE CLEAR AND RESPECTFUL LANGUAGE

*UTILIZE MULTILINGUAL RESOURCES AND TRANSLATION SERVICES