Health

White Fragility: Definition, Impact, Conversation Tips

Published

8 months ago

July 22, 2022

White fragility refers to the defensiveness, denial, and invalidation that characterizes some white people’s responses to the mention of racism.

For example:

A friend says, “Hey, that sounded kind of racist.”
Your roommate explains why white people wearing locs counts as cultural appropriation.
Your professor, a Black woman, shares the difficulties she faced earning her degree and finding a teaching position.

Even an indirect accusation of racism could leave you feeling shaken and misunderstood. You might express these feelings by:

angrily insisting you aren’t racist
demanding to know why “everything has to be about race”
starting an argument or twisting events to make it seem as if the other person is in the wrong
crying
explaining how guilty, ashamed, or sad you feel
saying nothing
changing the subject or leaving

These expressions of fragility aren’t racism, exactly, but they’re still harmful. They center your feelings and remove the focus from others’ lived experiences of racism. White fragility gets in the way of productive discussions and prevents real learning and growth. In the end, it can reinforce racism, which causes deep and lasting harm.

Conversations about racism can range from tense to exceedingly uncomfortable, but they’re a necessary part of becoming anti-racist. The tips below offer a starting place to navigate that discomfort and begin working toward true allyship.

Professor and diversity consultant Robin DiAngelo brought the concept of white fragility into public awareness in “White Fragility: Why It’s So Hard for White People to Talk About Racism.”

She describes it as a manifestation of an internalized white superiority, a method of regaining and maintaining control in discussions about race.

Imagine this scenario:

During a class lecture, a Black classmate points out that the American education system is, at its core, a racist institution. “White students have a jump on success simply by being white,” they say, “but being Black means facing more barriers to learning. We lose points from the start.”

Schools aren’t racist, you silently disagree. Once school segregation ended, all students received the same educational opportunities, right? If they don’t take those opportunities, well, schools aren’t to blame, are they?

We’ll return to this example later but for now, let’s focus on your emotional reaction.

Your classmate implied that your whiteness grants you privileges they don’t have — that you benefit from an oppressive system.

Maybe these facts triggered some feelings of denial, defensiveness, annoyance, or even guilt. To accept their words, you’d need to unpack your privilege and recognize the ways racism benefits you, and that’s an uncomfortable thought.

Because you believe everyone’s equal and that skin color doesn’t matter, you find it tough to consider the idea that you could be racist or benefit from racism.

So, you remain silent and wait for the topic to change.

Self-check

Do you:

prioritize your own feelings over the emotions and experiences of People of Color during conversations about race and racism?

insist you didn’t mean any harm when receiving feedback on something you’ve said?

point to a few successful People of Color as “proof” white privilege no longer exists?

If so, you may be grappling with white fragility.

White fragility stems, in large part, from an incomplete understanding of racism, according to DiAngelo.

Plenty of well-meaning people do consider racism bad and wrong — a word to whisper in a hushed tone and avoid implying at all costs. They might define racism as:

actively disliking People of Color
wishing (or doing) them harm
considering them inferior

But racism goes beyond individual thoughts or feelings of prejudice and discrimination. It also involves:

systemic oppression
denial of resources
lack of safe spaces
unequal opportunities at school and work

In the U.S., many white people have a limited view of racism. This is understandable, considering how most white U.S. students learn about racism.

At school, we learn about Dr. Martin Luther King Jr., Rosa Parks, the Trail of Tears, and school segregation. We learn about the World War II internment camps for Japanese Americans. We watch “Mississippi Burning” and read “To Kill a Mockingbird” and feel sad, even horrified.

But then we look around the classroom and see classmates with different skin colors. We take this as confirmation of progress and feel reassured that “things are so much better now.” (Of course, the numbers of Black and Indigenous men killed by police make it pretty clear that things aren’t, actually, that much better.)

We grow up. Barack Obama is elected president — twice — which makes some people feel like the U.S. can’t be racist. After all, we had a Black president.

But racism doesn’t just mean ‘hate’

Racism goes well beyond blatant acts of hatred. It lurks in:

Think back to the example scenario above about a classmate saying the education system is racist.

The pervasive inequalities deeply scored into the U.S.’s education system still exist despite the end of segregated schools. Systemic racism continues to shape nearly every aspect of education today, from textbooks to classroom discipline to overall outcomes for Students of Color.

If society is a tangled ball of yarn, these system-level inequalities are the knots at the center of the tangle. Pick them apart, and the yarn smooths out, allowing you to wind it and create something new. But while removing the tangles can lead to improvement, the process requires dedicated effort.

What if removing the knots feels like too much work? You don’t know where to start, so you leave the yarn alone. Or maybe you pick it up and unwind a bit, then put it back down when the task feels too frustrating.

Yet overcoming white fragility (picking apart those knots, so to speak) benefits everyone: There’s no denying the fact that systemic racism in the U.S. primarily and most heavily affects Black people’s health and well-being. That said, everyone feels the impact, as Heather McGhee explains in “The Sum of Us: What Racisms Costs Everyone and How We Can Prosper Together.”

There’s no shame in finding racism a difficult topic to tackle, especially if you’ve never spent much time thinking about it before. It’s a deeply complex and painful subject.

If you find racism distressing, that speaks to your empathy. Still, becoming anti-racist means talking about racism and exploring your own privilege and unconscious biases — even when this prompts uncomfortable and upsetting emotions.

Try to keep in mind that any discomfort you feel when considering racism is likely no more than a faint shadow of the distress felt by people who experience racism.

Moving past white fragility to a place where you can de-center your feelings and have an open conversation requires a little self-reflection and self-awareness.

One helpful step? Taking some time on your own to sit with those feelings as soon as you become aware of them.

In other words, you don’t have to wait until the heat of the moment, when a situation has already become tense. It’s often easier to confront difficult feelings in private, when you feel calm rather than frustrated and overwhelmed.

Doing the work ahead of time, on your own, can help you prepare for difficult conversations before you have them. These steps can help:

Dive into the feeling. Like ripping off a band-aid or plunging into a cold pool all at once, fully explore your emotions and beliefs without giving yourself time to hesitate and pull away.
Check your assumptions. What ideas about race have you taken for granted, consciously or unconsciously? How might they invalidate others? Are you willing to explore these beliefs when others point out concerns?
Consider where these beliefs and emotions come from. Maybe you grew up in a white neighborhood and went to school with mostly white students. Most of your co-workers and friends are white. You truly consider everyone equal and believe success simply requires the right amount of effort. But how does your personal experience provide any insight into what life is like for People of Color?

This exploration can help you uncover the ways white privilege shows up in your day-to-day experiences and interactions — even the basics of life you take for granted.

When talking about racism, you may not always know what to say. But you don’t need to have a perfect script.

In fact, you don’t need much more than respect, some humility, and a willingness to listen and learn. Keep in mind that in this particular conversation, listening is the best thing you can do.

Here’s how to practice active listening.

White people have never experienced systemic oppression due to the color of their skin. So, while you can certainly experience prejudice, you’ll never experience racism. No matter how much you think you know about it, in other words, you’ll never have the complete picture.

That makes it even more essential to listen to People of Color and center their voices.

You might already know you shouldn’t expect People of Color to educate you about race, and it’s true that no one owes you an explanation or education. But that doesn’t mean you can’t have meaningful discussions with people willing to share their experiences and perspectives.

Back to that example scenario once again: What if you had said, “I never realized that. Could we talk about that some more?”

That might have sparked a valuable discussion — one where you, and many of your classmates, gained some knowledge.

Other ways to listen:

attend talks and seminars given by People of Color
read books written by People of Color
watch movies produced and created by People of Color

Keep the conversation going

Working toward authentic allyship also means having conversations with other white people.

This might involve pointing out racist, privileged, and ignorant remarks. But it also means humbly accepting feedback when others draw attention to your biases.

Not everyone finds the concept of white fragility helpful.

Linguist, author, and professor John McWhorter writes that DiAngelo’s ideas constitute a new type of racism, “an elaborate and pitilessly dehumanizing condescension toward Black people.”

At the end of the day, it may not matter so much what framework or terms you use to explore racism. What matters is that you do, in fact, explore it.

Say your roommate shares that her grandmother was forced to attend an American Indian residential school.

Crying and apologizing for “everything white people have done to you” may not lead to much productive conversation, since your distress effectively upstages her pain.

At other times, however, a sincere apology does have value.

Maybe you ask to see her “tribal costume” and she tells you how offensive that is.

You might say, “I’m really sorry. I don’t know what it’s called, but I’d like to learn more about your culture, if you’re willing to share.”

Anytime someone — especially a Person of Color — says, “that’s racist,” it’s wise to take their words at face value and apologize.

Even if you didn’t mean any harm, the impact of your words can easily overrule the intent. Admitting you made a mistake may not feel pleasant, but it can do a lot to promote authentic, open conversations.

Not sure how to apologize the right way? Our guide can help.

Challenging feelings related to white fragility head-on will likely require some effort. As with most exercises, though, you can’t build up your strength without practice.

You may never find it easy to discuss racism. It’s not an easy topic, after all. Still, practice can pay off — not only for personal growth, but also for finding actionable ways to work toward becoming an anti-racist ally.

In search of more resources? Get started with these:

Crystal Raypole writes for Healthline and Psych Central. Her fields of interest include Japanese translation, cooking, natural sciences, sex positivity, and mental health, along with books, books, and more books. In particular, she’s committed to helping decrease stigma around mental health issues. She lives in Washington with her son and a lovably recalcitrant cat.

Read the full article here

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Health

Examples of the Effects of Mental Health Stigma

Published

5 months ago

October 27, 2022

Bobby Borisov

Over the past few decades, we’ve come a long way in how we view and talk about mental health.

And that should come as no surprise, because 1 in 5 adults in the United States lives with a mental health condition. Many people are also becoming more open to the idea of sharing their personal experiences.

But there’s still a stigma surrounding mental health. It’s a stigma, in fact, that affects millions of people around the world who live with mental health conditions. It affects everything from their social relationships and professional opportunities to the way they view themselves.

We’ll explore more about what mental health stigma is, and how we can all work to address this and improve the lives of people living with mental health conditions.

Mental health is often stigmatized because of a lack of understanding about what mental health conditions are and what it’s like to live with a mental health condition. Stigma can also arise from personal thoughts or religious beliefs about people who have mental health conditions.

Generally, the lack of understanding about mental health — as well as the harmful assumptions about people living with mental health conditions — is at the heart of a bias or stigma. This can result in avoidance, rejection, infantilization, and other discriminations against people who are neurodivergent or have a mental health condition.

We often use the word “stigma” to describe the overarching experience that people have. However, there are actually three types of stigma: public stigma, self-stigma, and institutional stigma.

Public stigma: This refers to the negative attitudes around mental health from people in society.
Self-stigma: This describes the internalized stigma that people with mental health conditions feel about themselves.
Institutional stigma: This is a type of systemic stigma that arises from corporations, governments, and other institutions.

While there are many examples of mental health stigma in society, here are some of the more common instances you might notice:

When people are viewed as attention-seeking or weak when they try to reach out and get professional help.
When others use harmful language, such as “crazy” or “insane”, to judge or trivialize people who have mental health conditions.
When people make jokes about mental health or certain conditions.
When people avoid others with certain mental health conditions, like schizophrenia, because of fear or misunderstanding.
When family or friends tell someone with depression that they can get better if they just “work out and get more sun,” or make other unhelpful judgments.
When someone living with a mental health condition views themselves as worthless or talks down to themselves because of their condition.
When companies refuse to hire someone or provide them with adequate accommodations because of their mental health.
When people view examples of neurodivergence as illnesses or something to be cured.

A 2021 study explored the trends of mental health stigma in the United States over a period of more than 20 years, between 1996 and 2018. In the study, researchers reviewed surveys from across the country on attitudes toward various mental health conditions, including schizophrenia, depression, and alcohol dependence.

According to the study results, from roughly 1996 to 2006, people became more knowledgeable about mental health — including acknowledging differences between daily experiences and symptoms of diagnosable conditions.

And from around 2006 to 2018, there was a significant decrease in social stigma against depression — specifically, less desire to be socially distanced from people with depression. However, when it came to schizophrenia and alcohol dependence, not only did social stigma increase but so did negative perceptions of these conditions.

Another earlier study from 2018 took a slightly different approach in analyzing the social perception of mental and physical health conditions. In this study, researchers used automated software to track over a million tweets related to mental health and physical health over a 50-day period.

According to the results of the study, mental health conditions were more likely to be stigmatized and trivialized than physical health conditions. And the results varied by condition — with schizophrenia being the most stigmatized, and obsessive-compulsive disorder (OCD) being the most trivialized.

Intersectionality refers to how someone’s intersecting identities — such as race, gender, sexuality, or class — contribute to their own unique experience with discrimination and oppression.

When it comes to mental health, intersectionality can play a huge role not only in someone’s overall mental health, but also in how mental health stigma affects them.

For example, research suggests that Black and Latino people experience mental health conditions more severely and persistently than other racial or ethnic groups. Much of this imbalance stems from factors like institutionalized racism, prejudice, and other outside circumstances.

Another study from 2021 looked into the use of mental health services by young Black gay, bisexual, and other men who have sex with men in HIV care.

According to the researchers, less than 20% of the men who were referred to mental healthcare from the clinic continued to receive the recommended care — often as a result of increased social and professional stigma for men to go without mental healthcare of any kind.

Mental health stigma can have a hugely negative impact on the lives of people living with mental health conditions. In fact, stigma can often lead to mental, social, or even professional consequences for the people who are stigmatized.

Mental

People living with mental health conditions are more likely to experience low self-esteem and lower self-confidence if they’re stigmatized.

Stigma may lead to difficulty seeking treatment or even following through with treatment. And some people may experience increased symptoms of their condition, or even develop new ones — like anxiety or depression — because of experiencing stigma.

Self-stigma may even hinder someone’s ability to recover from a mental health condition. In one smaller study from 2018, researchers found that higher levels of self-stigma were associated with a decrease in recovery from mental health conditions.

Social

Social mental health stigma may lead to isolation from friends or family. People with mental health conditions may experience bullying or harassment from others — or possibly even physical violence.

And when others have a judgmental view of mental health, it can be difficult for people living with these conditions to build relationships with them.

Research has shown that perceived and experienced social stigma may also play a role in suicidality among people with mental health conditions. According to the literature, people who experience discrimination (even anticipated discrimination), social stigma, and self-stigma may be more likely to experience suicidal ideation.

Professional

Stigma in the professional world can lead to fewer opportunities to excel at school and fewer opportunities to advance at work. People living with mental health conditions may have difficulty fulfilling school or work obligations — especially if they have trouble with classmates, teachers, coworkers, or bosses.

It’s not just classmates or colleagues who contribute to mental health stigma in a professional setting, either. Research suggests that when healthcare professionals exhibit negativity toward people with mental health conditions, or have a lack of understanding about these conditions, it can prevent people from accessing high quality care.

Stigma comes from everywhere — institutions, society, and even ourselves. But we can all take steps to address and reduce the stigma of mental health:

Learn about mental health: One of the most important steps toward reducing mental health stigma is to learn more about it. Learning what mental health conditions look like and who they can affect can help reduce some of the fear, misunderstanding, and judgment around them.
Use words carefully: When we use words with negative associations, like “insane” or “crazy”, we contribute to the judgment and stigmatization of others. It may take some effort to change the way we speak, but it can help reduce the stigma that people with mental health conditions face.
Take part in campaigns: Many mental health organizations, like NAMI, create fundraising campaigns to help bring awareness and provide funding for mental healthcare. Even if you can’t get directly involved, these campaigns are a great way to learn more about people living with mental health conditions.
Share your story: If you’re someone living with a mental health condition, one of the most powerful tools for reducing stigma is to share your story. By educating people on what it’s like to live with a mental health condition, we can help reduce the misunderstanding and judgment that people feel.

Mental health stigma plays a significant role in the lives of people with mental health conditions — from the way that they’re treated to the way they feel about themselves. But we can take steps to reduce this stigma.

By being more mindful about how we speak to others, learning more about what it’s like to live with a mental health condition, and sharing our stories when we’re living with these conditions, we can help reduce the stigma surrounding mental health.

Read the full article here

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Health

Can People with Diabetes Eat Candy?

Published

5 months ago

October 27, 2022

Bobby Borisov

Eating candy can be a controversial topic for people with diabetes.

Misconceptions about sugar and candy being off-limits for people with diabetes can be found in the public mindset, in media and entertainment, and within the medical community itself.

With the Halloween season upon us, both kids and adults with diabetes as well as their loved ones and friends may face this issue even more often than at other times of the year.

This article will explore if people with diabetes can actually eat (and enjoy) candy, how much may be allowed, and whether sugar-free candy is worth considering.

Short answer: Yes, people with diabetes can eat candy.

Adults and children with diabetes (no matter the type) are just as entitled to a sweet treat occasionally as anyone else. Like everything else, details and context matter most, and moderation is key for anyone living with diabetes when it comes to food choices. High sugar foods and drinks can impact glucose levels more quickly and dramatically, so understanding how those influence your diabetes management is important.

People with diabetes must consider extra planning if they want to eat candy. They need to be cognizant about counting carbohydrates and dosing insulin correctly if they happen to use that hormone to help manage their condition.

It’s important to remember, too, that people with diabetes are typically watching the total carbohydrate count of food and drink, and not necessarily honing in on the sugar content.

While candy can make blood sugars rise more quickly, it’s that carb count that needs to be watched when consuming a piece of candy. The same applies to sugar-free candy, which also contains a certain amount of carbohydrates and that needs to be considered when factoring that food choice into your diabetes management.

Certain candies, such as those containing peanut butter or nuts, can take longer to impact blood sugars and won’t lead to as dramatic spikes immediately after eating them. However, other regular candies with sugar can cause quick spikes in blood sugar, and some medical professionals suggest eating a piece of candy closer to mealtime in order to “soften the blow” of a sudden spike in blood sugar.

Of course, you’ll still need to account for the calories and carbs contained within the candy.

While sugar-free candy certainly doesn’t get an award for being “healthy” per se, many people with diabetes (especially children) turn to it as an alternative to regular candy. The thought is that sugar-free candy may be healthier for blood sugar levels.

Sugar-free candy is made with artificial sweeteners, meaning that it can have a lighter impact on blood sugar levels.

However, a common misconception is that sugar-free candy does not impact blood sugar. It does, in fact, contain carbohydrates and calories. That means you still need to dose insulin or take glucose-lowering diabetes medications for those sugar-free candies.

If someone with non-insulin dependent diabetes is being mindful of their weight, eating sugar-free candy is not a free pass for sweets. These sugar-free options may sabotage weight loss efforts due to their high calorie content.

A non-diabetes-related benefit of sugar-free candy is that it’s kinder to teeth. Absent of the higher sugar contents, these sugar-free treats don’t lead to as much tooth decay or cavities often linked to frequent sugar consumption.

Additionally, there’s usually not a very big difference in terms of total fat or protein content in sugar-free versus regular candy.

Examples of artificial sweeteners used in sugar-free candy include:

stevia
sucralose
aspartame
saccharin

The big issue with sugar-free candy comes down to sugar alcohols in those treats, which can have some negative effects depending on how much you eat.

In this older study, researchers gave study participants either sugar or one of two kinds of sugar alcohol (erythritol and xylitol).

Side effects included:

diarrhea
nausea and upset stomach
bloating
excess gas

The study participants who were given sugar experienced no such side effects.

Sugar alcohols are considered fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, or a type of FODMAP. These are food molecules that some people cannot digest easily, especially when eaten in large quantities.

Sugar alcohols can also cause a laxative effect, especially if you’re prone to stomach issues.

While they contain fewer calories than sugar, they’re not calorie-free. Eating any treat in excess can inhibit weight loss or cause weight gain.

Eating sugar-free candy made with artificial sweeteners can also cause side effects, including interrupting the gut microbiome that is important to your health.

A 2019 study and older research show that saccharin, sucralose, and Stevia change the composition of gut microbiota. In one study, people who had disrupted gut bacteria also showed worse blood sugar control 5 days after eating the artificial sweetener.

While it may not be the healthiest low snack, treating any low blood sugar with fast-acting sugar can be helpful.

Some candies that contain sugar are very fast-acting. However, some others (including those with chocolate or peanut butter) have higher fat content and are slower to digest and take longer to impact blood sugars, so they may not be appropriate to treat severe hypoglycemia quickly enough.

Another con of eating candy to treat low blood sugars is that it can react quickly and if you eat too much, it may cause higher blood sugars (rebound highs).

Make sure to consult your diabetes care team about any concerns or questions relating to candy and treating low blood sugars.

Yes, children and adults with diabetes can and do eat candy. The key is moderation and making sure to track the number of carbohydrates and calories eaten. Sugar-free candies can be better for blood sugar levels, but they still contain carbs and calories. The sugar-alcohols in these treats can also cause upset stomach, nausea, diarrhea, and excess gas.

Candy can be used to treat hypoglycemia, but it may not always be appropriate for urgent low blood sugars requiring glucagon or emergency medical assistance.

Read the full article here

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Health

Where Can I Go for Medical Care Without Insurance?

Published

5 months ago

October 27, 2022

Bobby Borisov

Finding affordable healthcare without insurance may seem daunting, but there are more options than you may think. Here are more than 18 resources that can provide assistance.

It’s no secret that accessing healthcare can be very expensive. If you don’t have insurance, those costs are even higher. In fact, 85% of uninsured people in the United States reported that paying for healthcare was difficult in 2022.

Fortunately, there are resources that can help you find and pay for medical care without insurance. You can find care at low or no cost with a variety of programs designed to help people without health insurance get the care they need.

Yes, you can get medical care if you don’t have health insurance.

In the United States, hospital emergency rooms are required to provide treatment regardless of insurance or ability to pay.

Additionally, there are many medical facilities that provide routine care to people who don’t have insurance. You will be asked to pay for any care you receive, but there are ways to find healthcare at a lower cost.

There are a variety of options for seeking care if you don’t have insurance. Many of these options are designed to be affordable. In some cases, you might be able to get certain healthcare services for free.

You can find low cost or free care in several locations:

Community health centers

Community health centers are nonprofit health clinics that offer low cost or free care. Often, fees are set on an income-based sliding scale, and staff will work with you to determine your costs.

The exact services offered by a community health center depend on the location but generally include:

preventive healthcare
basic healthcare
family planning services
vaccinations
chronic condition management

Some community health centers also offer prescription medications and dental care. You can search for community health centers near you by checking here.

State or county departments of health

Your state or county department of health might cover certain healthcare services for eligible residents. Often, this includes access to preventive care, such as vaccines or screenings.

You might need to register in advance and prove that you reside in the county or state to receive free care.

You can search for your local department of health here.

Urgent care and walk-in clinics

Urgent care centers and walk-in clinics offer care without an appointment. Often, these facilities offer reduced cost care for people who don’t have insurance. Some urgent care centers list costs for standard services on their websites.

You can also call ahead to talk with a representative about fees and possible cost reductions for people without insurance.

Pharmacy care clinics

Pharmacies, including the pharmacies inside major national chains such as Walmart, often provide preventive care services for free. These services are normally provided during health clinics held on specific days.

Services offered can vary but typically include:

You can check with your local pharmacy about any upcoming clinics, or search online for pharmacy clinics in your area.

Teaching hospitals

If you have a teaching hospital in your area, you might be able to receive care at a reduced rate. The exact care you can access at a reduced rate depends on the hospital and the needs of the medical students.

You can call the teaching hospital and ask whether they offer any reduced cost care.

Employer-sponsored wellness programs

Some employers offer wellness programs to their employees. In many cases, this includes preventive healthcare, such as annual vaccines and healthcare screenings.

You can check in with your human resources department if you’re not sure what healthcare benefits are part of your employer’s wellness program.

The National Association of Free & Charitable Clinics

You can use the National Association of Free & Charitable Clinics website to search for health clinics and pharmacies in your area that offer free or low cost services.

The association is dedicated to caring for people who are uninsured or underinsured. There are more than 1,400 clinics and pharmacies in the association.

If you need assistance paying for care, you have a handful of options:

Charity care

Some states offer charity care that reduces the cost of medical care for people who meet income requirements. If you qualify, you can receive low cost or free medical care.

In certain states, people are screened automatically. In other states, you will need to apply for the program.

Medicaid

Medicaid is a federal program that provides healthcare for people who meet income requirements. Each state oversees its own Medicaid program. Income limits and exact coverage vary by state.

You can find your state’s Medicaid website here.

Children’s Health Insurance Program (CHIP)

The Children’s Health Insurance Program (CHIP) is a federal program that provides healthcare for children. Just like Medicaid, qualifying for the program depends on income level. Each state sets its own income limits and coverage varies.

You can read about CHIP in your state here.

The Hill-Burton program

The Hill-Burton program provides funds to participating hospitals and healthcare facilities in exchange for offering a set amount of free or low cost care to people who meet income requirements.

You will need to apply for the Hill-Burton program with the admissions or business department of the healthcare facility. You can find a directory of Hill-Burton facilities here.

Aunt Bertha

Aunt Bertha is a social and human services database you can search to find programs in your area. This includes programs that can help you pay for healthcare.

You can enter your ZIP code and a category to find programs that will meet your needs.

Keeping prescription costs low is a great way to lower your overall healthcare costs. Here are some options:

Prescription drug manufacturer programs

The makers of many prescription drugs offer programs to help people afford their medications. You can often join these programs to get your medication at low or no cost. You might need to meet certain income requirements to qualify.

You can use RXAssist to search a database of manufacturer programs.

GoodRx

GoodRx is a website that will show you the prices of your medication at stores in your local area. It can also show prices at online and mail-order pharmacies. By comparing pharmacies, you can find the lowest price.

Plus, GoodRx will even help you find coupons and manufacturer discounts.

Pharmacy memberships

Walmart, CVS, and other pharmacies have membership programs that can save you money. By signing up for these programs, you can get access to discounts on your medication. You can also earn discounts to use on other pharmacy purchases.

Grants for charitable organizations can cover your medical costs. Some examples include:

The PAN Foundation

The PAN Foundation helps uninsured people who have received a diagnosis of a life threatening, chronic, or rare disease pay for their medical care. You can see a list of conditions the foundation currently provides assistance for on its website.

If you have a condition listed on the site, you can instantly check your eligibility and can then apply online for a grant.

The HealthWell Foundation

The HealthWell Foundation helps uninsured people with certain medical conditions pay for their medical expenses. You can see their list of covered conditions on its website.

If you have a condition covered on the site, you can apply for a grant that will cover your medical expenses.

Good Days

Good Days is an organization that can help people with chronic and acute conditions pay for their medical treatments. You can check out the list of covered conditions here.

Applications for assistance are available in both English and Spanish.

There are a few additional options you can explore to get access to lower cost or free healthcare. If you haven’t already, consider doing the following:

Ask the hospital or doctor’s office about installment payment programs.
Search for programs specific to a health condition you have.
Apply for low cost health insurance on the Health Insurance Marketplace.
If you’re a veteran, apply for VA benefits.
Sign up for clinical trials in your area to help researchers study new treatments.
Consider telehealth for conditions that don’t need in-person care.

You can learn more about accessing medical care without insurance by reading answers to common questions.

When can I enroll in Medicaid?

If you qualify for Medicaid, you can enroll at any time. Check out your state’s Medicaid website for income limits and other details.

What if I can’t pay an emergency room bill?

In an emergency, getting care is your No. 1 priority. But this can leave you with a bill that is outside of your budget, especially if you don’t have insurance.

However, medical bills are often negotiable. In many cases, you can call the hospital’s billing department to work out a plan.

If you’re unable to work out a plan with the hospital, there are nonprofit organizations that can help you apply for debt forgiveness.

Will healthcare professionals treat me if I don’t have insurance?

It’s illegal for healthcare professionals to refuse care in an emergency.

This isn’t the case for nonemergency care. Most healthcare professionals will list payments they accept on their websites.

If private pay is listed, you can get treatment without insurance. If it’s not, it’s best to call in advance to make sure the healthcare professional accepts patients who don’t have insurance.

You have options for receiving medical care even when you don’t have health insurance. There are several sources you can turn to for care, prescriptions, payment help, and more. Some programs are limited to certain states or certain health conditions.

Additionally, you will need to meet income requirements to qualify for some of these programs. If you don’t, options like telehealth and urgent care can help you cut costs.

You can also look into getting affordable insurance through the Health Insurance Marketplace.

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