Health care comprises a major segment of the US economy and is a critical influence upon citizens’ quality of life. The quality of health care and access to it are negatively affected by corruption. So too is citizen compliance with public health policies, a fact that became apparent during the COVID-19 pandemic. Stay-at-home orders, for example, were significantly less effective in states with more extensive corruption. Low levels of trust in government contributed to those disparities. Such effects are more pronounced in poorer areas and Black communities. Racial contrasts in vaccine equity – access to vaccinations and related services – were pronounced and, again, reflected levels of corruption. Particularly intractable problems of collective action posed by structural corruption and structural racism must be addressed if disparities in the quality of health care are to be reduced.

Insurance coverage can indicate medical acceptance of procedures and products, as well as serve as a proxy for ethical views, social views, and employer views on appropriate health care. This is particularly the case in the realm of reproduction, especially in relation to assisted reproduction and abortion. First, the chapter will provide historical overview of the means in which innovative techniques have acquired “established” status, as indicated by health insurance coverage and for some techniques, the option to obtain federal research funds on the path to becoming established. Second, the chapter will explain the ways in which abortion has been treated differently by insurance plans, especially governmental insurance plans such as Medicaid, as well as Congressional appropriations riders, which have specifically prohibited federal employee health benefit plans from providing coverage for abortions. Third, the chapter will discuss existing state mandates for insurance coverage of fertility treatment with an emphasis on in vitro fertilization. The chapter will then move on to insurance coverage of egg freezing with an emphasis on what are seen as “employee perks” by large companies like Google and Facebook, whose early coverage of egg freezing was covered by the media. More recently, Walmart, Amazon, and a growing number of law firms have been adding egg freezing and in vitro fertilization to their health insurance coverage for employees. Insurance coverage can have a substantial role in normalizing a treatment, especially in the realm of reproductive innovation, and can constitute significant action especially when legislators are actively avoiding a topic.

Sex and gender have a significant relationship to health and health outcomes for women, men, and sexually and gender-diverse people. Sex relates to biological attributes, whether born female or male, while gender identity relates to how someone feels and experiences their gender, which may or may not be different to their physiology or sex at birth. Biological characteristics expose women and men to different health risks and health conditions. Gender also exposes people to different health risks, and gender inequity impacts on their potential to achieve health and well-being.

Chronic conditions, or non-communicable diseases, are the leading cause of death worldwide. Chronic conditions are responsible for 41 million deaths and 17 million premature deaths across the world each year. Most of these deaths are due to four major conditions: cardiovascular disease, cancer, chronic respiratory disease and diabetes. However, other chronic conditions, including injuries that result in persistent disability and mental health disorders, also contribute to increased morbidity and mortality. The significant increase in preventable chronic conditions and the need to manage these are major healthcare concerns of the industrialised world.

This chapter introduces First Nations approaches to health care that have relevance for the Australian and Aotearoa New Zealand contexts. It examines the historical influences that impacted the health and well-being of First Nations in these countries and considers the need for adopting First Nations approaches to health care practice such as cultural safety, cultural responsiveness and other cultural frameworks. Several of the principles for practice are transferrable to international First Nations communities as well as culturally and linguistically diverse populations.

The school nurse is a nurse who works in a range of education settings, across all age groups. While Australia does not have a formal national school health service, nurses have worked in schools for over a century. Today, they are employed in various independent schools, colleges and fragmented programs within government schools. There has been interest in recent years in growing the presence of nurses in Australian schools to facilitate access to health care for students from disadvantaged backgrounds.

The third industrial revolution saw the creation of computers and an increased use of technology in industry and households. We are now in the fourth industrial revolution: cyber, with advances in artificial intelligence, automation and the internet of things. The third and fourth revolutions have had a large impact on health care, shaping how health and social care are planned, managed and delivered, as well as supporting wellness and the promotion of health. This growth has seen the advent of the discipline of health informatics with several sub-specialty areas emerging over the past two decades. Informatics is used across primary care, allied health, community care and dentistry, with technology supporting the primary health care continuum. This chapter explores the development of health informatics as a discipline and how health care innovation, technology, governance and the workforce are supporting digital health transformation.

Cultural competence and cultural safety support health professionals to recognise everyone as unique in order to promote optimal health outcomes. This allows for the acknowledgement of diversity that exists within and between individuals and groups in health care. In practice, this represents the broader understanding of culture in health care, and encompasses the dynamic influences of culture on attitudes, values and beliefs. Alongside culture, the understanding of diversity is inclusive of – yet not exclusive to – age and generation, sex and gender identity, socio-economic status, occupation, ethnicity or migrant experience, religion or spirituality, and ability or disability.

Globally, people in prison often come from the most deprived sections of society due to adverse political, economic, environmental, social and lifestyle factors. This group experiences chronic and complex mental and physical health conditions at higher rates than the general population, including mental health conditions, chronic non-communicable and communicable conditions and acquired brain injury. They also have higher rates of tobacco smoking, high-risk alcohol consumption, illicit drug use and injecting drug use. As many as 90 per cent of people in custody have a diagnosis of either a mental health condition or addiction. Often, people in prison have under-utilised health care in the community and, for many, the first interaction with health services occurs during incarceration. Therefore, incarceration may provide an opportunity to access treatment to improve health and for appropriate health care to be initiated.

This chapter emphasizes the significance of cultural competency and its relevance to health care through an Islamic lens. While Islamic texts do not directly address cultural competence, they highlight principles aligning with its values and highlight the importance of understanding and respecting various cultures. Addressing the health care needs of Muslim patients necessitates a thorough integration of cultural, religious, and spiritual considerations, recognizing the substantial influence of religion and spirituality on health care decisions. This chapter discusses the importance for public health care practitioners to be equipped with the requisite skills and knowledge to cater to the specific needs of Muslim patients and communities and the adherence to religious beliefs and practices. The foundational principles of cultural competencies, deeply rooted in Islamic values, can be universally applied in health care settings, ensuring health care providers are culturally competent and capable of offering culturally congruent care within an Islamic context.

Religious beliefs and practices play a critical role in how public health and health care outcomes are realized. While there is little research on non-Muslim experiences with public health initiatives and health outcomes in Muslim Majority Countries (MMCs), there is a body of literature that identifies multiple social determinants of health that lead to poorer indicators of health and health outcomes in these countries. In addition, in societies where there are large immigrant Muslim populations, perceptions of the quality of care, participation in public health initiatives, and access to health care that is culturally relevant and aligned with belief systems has been found to impact health outcomes. Barriers and facilitators to accessing and receiving care in both MMCs and communities serving Muslim populations have been identified. Social determinants of health such as economic status, access to and quality of education and health care, social and built environment, foodways, and collaborative community action to advance cultural competence of providers and other public health stakeholders can all improve health indicators and health outcomes of MMCs and communities with Muslim populations.

Adolescents’ ability to access health care depends on sharing accurate information about concerns, needs, and conditions. Parents and other adults serve as both resources and gatekeepers in adolescents’ ability to access and manage care. Understanding information sharing between adolescents and parents, adolescents and providers, and parents and providers is thus critical. This chapter distinguishes between adolescents’ routine and self-disclosure of information. The former refers to sharing information required for the partner to perform their role. The latter refers to voluntarily sharing more information than required. Because the roles of parent and provider are distinct relative to the adolescent, disclosure decisions can conflict. These differences are discussed in the context of communication privacy management theory and the literature on legitimacy of authority. A framework for understanding information sharing processes is developed that considers stage of care, type of care, stigma/privacy associated with the condition, and the age of the adolescent.

This chapter provides additional justifications for the human right to free internet access. It shows that today internet access is practically indispensable for having adequate opportunities for the exercise and enjoyment of socio-economic and cultural human rights. Examples from around the globe provide evidence for the internet’s practical systemic indispensability for human rights to, for example, education, health care, housing (adequate standard of living), finding work, and participation in cultural life. Specific attention is paid to the differing ways in which internet access matters in developed countries (where internet access is already widespread and public services generally available) versus developing societies (in which internet access is often lacking and universal public service provision is precarious. In developed countries, internet access greatly increases opportunities to use socio-economic human rights, thereby putting those who involuntarily remain offline at risk of social, economic, or cultural exclusion. By contrast, in developing countries internet access is sometimes the only way for at least some realisation of people’s socio-economic human rights.