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Column: #timesup for women to speak out on their health care

I am buoyed by the belief that women’s voices are finally being heard, inequity is being called out and change is coming.
Genesa Greening
Genesa Greening

Thursday was International Women’s Day, and as I consider the seismic shifts that have occurred of late in the realms of business, the arts and politics, I am buoyed by the belief that women’s voices are finally being heard, inequity is being called out and change is coming.

Once untouchable icons are falling, industries are being reshaped and a new era has begun — except in my universe: the health sector.

I’ve experienced first-hand the feelings of not being believed by a physician, of feeling disrespected and being infantilized. In each instance, I found myself deliberating: Is it just me?

But amidst this emerging conversation that #metoo and #timesup have inspired, a fascinating separate dialogue is gaining prominence as more and more women share their stories of discrimination, inequitable treatment and frustration at not being able to receive timely, appropriate and respectful access to health care.

What had begun as self-wondering organically spilled over into conversations with my friends and colleagues and, judging, by the response, these issues resonate on a scale that was once hard for me to believe.

There’s the patient whose unimaginably miserable hyperemesis gravidarum symptoms are diminished as general morning sickness…

The one-in-10 women suffering from painful endometriosis made to endure wait times ranging from seven to 10 years to receive a diagnosis...

And the countless women who are dismissed as hysterical when seeking help for severe chronic pain symptoms.

Once you’ve become awakened to the phenomenon, you notice how pervasive it is. To understand part of what got us here, one only needs to appreciate that just 30 years ago, women weren’t included in most health care and research studies. Or that even though women and men are physiologically different, many prescription drug therapies and treatments still in use today were disproportionately studied on men.

Historical inequities aside, what is especially problematic is that there is currently no funding body for women’s health research. Combine that fact with the grossly disproportionate level of investment in women’s health research funding versus men’s, and it is pretty easy to see how women have been systemically set up to receive the short end of the stick.

We know that when women are healthy, all society benefits. That there is undisputed evidence that healthy women mean healthy communities, not just in regard to overall wellness, but socially and economically, too.

For this International Women’s Day, while I’m pleased to see fractures in the current status quo emerging, I recognize there is a significant distance to go in the pursuit of respect, equity and access in women’s health.

We need to be reactive to women’s health needs as identified by patients, supported by research and put into action by health care practitioners and government. This ongoing awakening as to the gender disparities within health will only change if brought to light.

Ask more questions. Share what you learn. Educate your allies and demand more. It needn’t be an exercise in physician-shaming, male-bashing or levying historical judgment; rather, it is the recognition of unconscious biases and how this moment in time, which is growing into a movement, has room for everyone to participate within it because the benefits unequivocally serve us all.

For all the women in your life, be they partners, mothers, sisters, cousins, friends or daughters, the door has finally been cracked open, and by being ruthless about communicating the facts on women’s health, regardless of the barriers, together we can kick it wide open.

Genesa Greening is president and CEO of BC Women’s Hospital and Health Centre Foundation.