Beyond Words: How Graphic Medicine Advances Cultural Competency in Healthcare

Visual narratives have the power to cross cultural, linguistic, and emotional barriers—making graphic medicine a vital tool for healthcare education and practice. In this post, I explore how comics like My Degeneration and Parenthesis, combined with the techniques outlined by Scott McCloud, can inform culturally competent care. By harnessing humor, metaphor, and visual storytelling, graphic medicine helps clinicians better understand patients’ lived experiences—bridging gaps that medical charts and textbooks often miss.

Sanjay Balasubramanian

3/23/20253 min read

Discovering Graphic Medicine

I first encountered graphic medicine during my freshman year at the University of Houston in a Narrative Medicine class. At first, it was just a course requirement. But the more I read, the more I realized I had stumbled into something much bigger. What began as an assignment quickly became a personal and academic passion.

Through works like My Degeneration and Parenthesis, I began to see that visual storytelling could be far more than illustration. It could be a tool for empathy, education, and even systemic change. These narratives did not just depict illness; they made it understandable in ways conventional texts could not. My Degeneration chronicled Parkinson’s disease with honesty and metaphor, while Parenthesis conveyed the disorientation and identity disruption caused by a brain tumor. Both works drew me into the lived experience of illness emotionally, visually, and intellectually.

To better understand how this medium worked, I studied Scott McCloud’s framework for comics. I learned how line, space, sequence, and silence all carry meaning. Comics are not just pictures with words; they form a language capable of contradiction, subtlety, and deep resonance. This language is what makes graphic medicine powerful for both patients and providers.

How It Shapes Physicians and Patients

Graphic medicine helps physicians see illness from the patient’s perspective, highlighting the shortcomings of healthcare systems in ways charts and case studies cannot. A panel showing a patient waiting in a crowded clinic can capture alienation better than paragraphs of description. A drawing of a mother hiding her diagnosis from her children can illustrate stigma and secrecy in a way that crosses cultural boundaries without translation.

For patients, these narratives provide education and insight into how healthcare works. They show what to expect, help explain the often confusing processes of modern medicine, and validate the emotional experiences of being a patient. In many ways, graphic medicine can demystify the system, making it feel less overwhelming and less isolating.

The Role of Humor

As I continued to study graphic medicine, I became particularly interested in how humor functions in this medium. I researched the psychology of humor in graphic memoirs and presented my work at the Indiana University Medical Humanities Conference. Humor, I argued, is not just entertainment. It serves as a tool to convey sensitive and complex information in a lighthearted way that invites reflection rather than defensiveness.

For physicians, humor can act as a mirror. A comic panel that pokes fun at long wait times or rushed consultations highlights what they may be doing wrong without attacking them directly. Instead of provoking resistance, humor creates space for recognition. It lets providers see the cracks in the system with a smile, which can be far more effective in prompting change.

For patients, humor can restore a sense of control and identity in the midst of vulnerability. It allows them to express frustration and pain in a culturally safe and socially acceptable way. In both cases, humor bridges gaps, turning difficult truths into opportunities for understanding. Inspired by what I read, I began working on my own graphic memoirs. These projects became a way for me to practice what I had learned and to explore how visual storytelling can support culturally competent care. By combining image and text, I could express emotion, identity, and context in ways I never could with words alone.

Why This Matters

Healthcare too often reduces patients to charts, cases, or checklists. Graphic medicine resists that reduction by giving voice to the lived experiences of people navigating illness. It is a powerful educational and clinical resource, and it is especially valuable in training healthcare providers to engage with the whole person, including culture and identity.

For me, graphic medicine has been transformative. It has taught me to listen more carefully, to read more sensitively, and to approach medicine with empathy rooted in context. It has shown me that in a multicultural world, graphic narratives can cross barriers of language and background to create connections where words might fail. To see clearly in medicine, sometimes we need to look through a different lens. Graphic medicine gives us that lens, blending image and text, intellect and emotion, vulnerability and truth.