同样，Nikki White，一个诊断为系统性红斑狼疮的病人，是一种严重的疾病，但不是一种不能治愈的疾病。这位妇女因为医疗保险制度而失去了生命。据说在世界上最富有的国家，美国，她不提供医疗保险因为她不符合卫生保健在福利作为她比允许的更多的钱，但她的钱还不足以支付她的治疗，医生和药物，她要活下去。努力争取掩护，女子最终在32岁时死亡。这是近二万美国人每年死于与治疗的医学问题，他们很难找到负担得起的情况下（Darby，Hill &娃娃，2011）。该系统应该是这样的，无论谁是需要医疗保健必须得到它。
如果Lia Lee，她第一次在三个月时癫痫发作。在接下来的几个月里，孩子有二十多个这样的癫痫发作和急诊室三次访问。这是她第三次访问中，她被医生Dan Murphy被公认为是关于苗族的兴趣和知识。但是，即使注意到这些症状，父母已经诊断出他们女儿的病情，他们称之为一种疾病，在这种疾病中，精神抓住了你，你就倒下了。
Similarly, Nikki White, a patient diagnosed with systemic lupus erythematosus, a serious disease but not one that is not curable. The woman lost her life because of the health insurance system. Supposedly staying in the world’s richest country, the United States, she wasn’t offered health insurance because she did not qualify for health care under welfare as she had more money than allowed but her money still wasn’t enough to pay for her treatment, doctors and medicines that she needed to stay alive. Striving hard for cover, the woman finally died at 32 years of age. And that is the case of nearly twenty thousand Americans who die each year with treatable medical problems that they find difficult to afford(Darby, Hill & Doll, 2011). The system should instead be such that whoever is in need of healthcare must get it.
Use the concept of structural violence to discuss Lia Lee’s medical history and health outcomes.
Systemic ways in which social or cultural structures harm or disadvantage individuals is structural violence. The arrangements are embedded in the political or economical organization of our society and are hence structured and are termed violent because of the harm it puts in the way of people. It is not the fault of anyone, not the culture or the individual will of people but the historically driven process and forces constrain humans (Kidder, 2003).
In case of Lia Lee, she first had an epileptic seizure at the age of three months. Over the next few months, the child had over twenty more such seizures and three visits to the emergency room. It was during her third visit that she was taken resident doctor Dan Murphy who was acknowledged to be interested and knowledgeable about the Hmong. But even then noting the symptoms, the parents had already diagnosed what the condition of their daughter was which they referred to as an illness in which the spirit catches you and you fall down.