Quote:
Originally Posted by 1overcosc
A common argument made is that only the biggest cities offer services the poor need, but this is also bunk.
|
It depends on what services you require. While many services are available in smaller cities, there are many specialized services that only exist in our largest cities. I'm most familiar with the specialized services available to the LGBTQ community in Toronto, so those will be my focus in the following examples:
-Addiction treatment programs that focus on the LGBTQ population that are aware of and sensitive to its unique causes and forms. Take meth addiction, for example. Meth hit the gay community hard: the club scene, the baths, the parties, &c. Treatment sensitive to that context has literally saved the lives of people who are very important to me. Other mental health services are also targetted toward the community, including treatment for eating disorders, domestic abuse-related trauma and mental health issues more generally (while some LGBTQ patients experience fantastic care in the mainstream system, others come away with horror stories).
-Services specifically designed for male and trans sex workers, which can include anything from social work to strength in numbers (identifying bad johns through the grapevine, for example).
-HIV-related services. In addition to specialist services, a poz person may have better access to GPs, pharmacists and other healthcare providers who have experience and training in the field in larger cities.
-Culturally sensitive services, which include support for LGBTQ youth navigating diverse and occasionally hostile cultural contexts. This can include the threat of "honour" killings, corrective rape, forced marriage, various forms of reparation therapy and other forms of abuse. It can also include minority-language counselling or access to LGBTQ-friendly religious leaders (finding someone to perform a Hindu same-sex marriage, &c.).
-Immigration services including refugee resettlement programs aimed at those fleeing persecution because of their sexual orientation or gender identity, lawyers specializing in LGBTQ asylum claims, resources for undocumented migrants, &c.
And this is just in one minority community among scores of others with specialized needs. While most Canadians have access to most services in mid-sized cities, many of these groups (which include some of the most vulnerable in society) do not.