Do women draw the short straw with healthcare? Blog by Victoria Butler The government has, for the first time, published a women’s healthcare strategy for England. So, was it necessary? If so, why? How did this come about? And what are the key changes that this will bring about in women’s healthcare? Let’s start with the easy part. Was it necessary? Is women’s healthcare in England really so significantly different to men’s? The answer is a resounding ‘yes’ and ‘absolutely’. Here are some examples, worldwide: A study of US emergency departments showed that women presenting with acute pain were less likely to be given opioid painkillers than men. A study showed that women had to wait longer to receive painkillers when they are prescribed. One particularly alarming study noted by the government was a 2015 study at Yale for a drug that was only intended for women to take, where a staggering 23 of the 25 study participants were male! The government put out a ‘call for evidence’ last year and received nearly 100,000 responses from women across the country. Worryingly, 84% of respondents reported that there had been incidents where they felt that healthcare professionals had not listened to them. The new health strategy aims to address this, but it will not happen overnight, and the strategy covers a 10-year period for changes to be implemented. The strategy aims, through better education around women’s health issues in schools, to help remove some of the stigma around topics such as menstruation, contraception and menopause, as well as increasing the public’s general knowledge and awareness of these issues. They aim to improve women’s healthcare for every stage of their life and want to ensure that harder-to-reach communities and individuals will also benefit from the changes in this strategy. In the field of research, the government aims to increase the number of studies specific to women’s health and to involve women more in health research. A report will be published in 2025 to assess how successful these changes have been in improving this situation. Questions People with RA Often Ask “Why do women keep getting dismissed or not taken seriously in healthcare. Is it really that common or just something people say online?” It’s unfortunately very common and the government’s own call for evidence showed that most women have experienced not being listened to in a healthcare setting at some point. Studies back this up too. Women often wait longer for pain relief, receive different treatment than men and are under represented in research, even sometimes for products aimed mainly at women! The new strategy exists because these patterns are real and acknowledging them is the first step toward changing how women are treated and heard in healthcare settings. “What’s actually supposed to change with the new women’s health strategy. Is it just talk or will it make a real difference?” The plan aims to make long term, practical changes, including: • better education about women’s health in schools• more research that actually includes women• improved access to care across every stage of life. It’s a 10 year strategy, so it won’t transform things overnight, but the goal is to fix the gaps that have been ignored for decades. Regular progress reports should show how well these changes are taking hold. “Why were women so under represented in medical research in the first place? How does something like that even happen?” A lot of older research was built around male participants because it was seen as “simpler,” which meant women’s biology, hormones, and health needs were overlooked. That created huge blind spots in understanding symptoms, treatments and risks for women. Some health conditions have also been under-diagnosed in women as a result of this under-representation. The new strategy is trying to correct these things by pushing for more studies that are focused on women’s health and making sure that women are properly included in research from the start.