ABSTRACT

This chapter shows how in fact it was the medical intervention itself that worsened Beatriz's health. However, structural inequalities such as a system where the working poor must pay for health careand social problems, including gun violence, challenged Beatriz's capability to live a healthy life. Beatriz described a bicultural childhood, as she was born in El Paso, Texas, and frequently crossed the border into Cuidad Juarez, where her grandmother lived. In this way, Beatriz's story illustrates how the cycle of poverty and stressful experiences can contribute to, exacerbate, and complicate psychiatric and physical health problems. His narrative illustrates one of the key pathways through which depression contributes to the onset of diabetes: when the use of psychopharmaceuticals contributes to rapid weight gain and increases risk for insulin resistance. Diabetes is one of the most common diseases treated in the General Medicine Clinic (GMC) and in many clinical spaces across the United States.