1) Social Determinants of health. Especially for educated, middle- and upper- class people have better access to health care systems. Link to racialization. It relate to social factors of class hierchay and all those socioeconomic factors. Including environmental 2) Illness narratives: how doctors define illness, and doctor and physicians also get influenced by social factors, cultures and changes. 3) Medicalization: how the social facts impact the shift dynamic to diagnostic psychiatry (include patient to client, direct to consumer ads) Changes on public to privatized health care system