Racial Disparities in Healthcare are Pervasive
Study after study affirms that doctors treat their patients differently, depending on the patient’s race. Minority patients get different diagnoses, different treatments, and are often subject to being stereotyped by their physicians.
Related HCT episodes:
1. Black Mothers Suffer Higher Birth-related Mortality:
2. Barbershops fill gaps in the healthcare system for many Americans:
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#healthcare #health care #racialdisparity
Good health care should just be for us good white folks.
To this whole disparity concept..duh🙄
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those 41 dislikes hmmm
Do you happen to know if increasing the representation of minority groups amongst physicians is helping to combat this problem? I.e. black doctors treating black/minority patients have better outcomes than white with black? Thanks for what you do! Very interesting.
Great ideas. However, can we agree that remains, on this Earth in 2019, there is ONLY ONE RACE of Hominid: Homo sapien sapien. The last concurrent “race” were the “Hobbit People” who went extinct 10,000 years ago. Neanderthals never truly went extinct, as they mated with Homo sapiens. Truth be told, African’s and Indians are purer Homo sapiens as they lack any Neanderthal DNA. There are different levels of melanin, oil produced by skin, size and shape of hair follicle, height advantages. There many ethnicities, cultural traditions, National Democratic identities, regional commonalities, etc. There remain but ONE RACE Homo sapien sapien.
https://www.livinganthropologically.com/biological-anthropology/how-race-becomes-biology/ << Update April 2018: See the special issue of Social Science and Medicine, "The Role of Racism in Health Inequalities: Integrating Approaches from Across Disciplines" for a number of related articles to how “race becomes biology.” Thanks to Anna Zogas for her “In the Journals” highlight on Somatosphere. Of particular interest is the article "Area racism and birth outcomes among Blacks in the United States" (briefly discussed as a supplement below), and see also "Why America’s Black Mothers and Babies Are in a Life-or-Death" Crisis by Linda Villarosa in The New York Times. For especially intriguing future research, The effects of whiteness on the health of whites in the USA.
Race Becomes Biology
Using traditional notions of race to understand human variation is not accurate or productive. The findings of Race Reconciled enable anthropology to reiterate how Race is a Social Construction. It is a human idea about biology that does not correspond very well to the biology. But anthropology also demonstrates how race becomes biology, or the embodiment of racist inequalities. … >>
I'd LOVE to see a video about a brief (or not so brief!!!) history of mistreatment of minorities within the healthcare system!!! Love your videos.
What nonsense. Uses junk science with implicit bias tests sprinkled in with a handful of actual determinants, all to link it back to a racist yearbook photo. It’s troubling people buy the lazy and oversimplified excuse of racism at every turn.
mike ehrmantrout 25 years ago
The only thing I agree with in this video is enforcing civil rights laws. They were made to free all of us and therefore should be enforced
One flaw
Any research her can prove his beliefs no matter what the truth.
Do Black doctors also preferentially treat Black patients?
I like that you site your sources in the video, but I would be lying if I said it would be useful if you repeated the practice in the description. The fact that they're not is somewhat of a surprise to me, as this show's executive producer, presides over another show which subscribes to the practice I have mentioned. Some people have time to go through the video again and find every source to verify, but in all other cases, this is more likely to compound mistakes made in the research phase.
As a follow up to this video I recommend the book The Death Gap: How Inequality Kills by Doctor Ansell. Another point not highlighted in this video is the issue of epistemic injustice experienced by most minorities who access our healthcare system. If as a patient your narrative is not believed or just discounted this can also affect the quality of the care you will receive. Interestingly, your pain is also likely to not be adequately treated if you are African American compared to the white counterparts.
is this of ethical concerns of providers/nurses ? Nursing fundamentals have taught me to have values such as altruism, social justice, providing cultural competent/sensitive care with human dignity, and so on.
stop mispronouncing "biases"
Who was reading comments while watching
I'm glad there was other studies cited that did not use the Implicate Association Test. The IAT is severely flawed and any information from it should be regarded as highly unreliable. I wish people would just stop using it like it means anything.
I thought Africans and Europeans were more/less likely to get certain disease, needed different treatments, and so on. So to me it would seem rather natural for medical professionals to treat people differently.
Is this wrong?
implicit bias tests are bullshit pseudoscience.
Stick to real science please.
Hey There! Since you covered the adverse effects of the DEAs crackdown on opioids and just published this video about the role race plays in patient outcomes amongst providers, do you think you could cover how the pain management opioid prescribing crackdown effects minorities when it comes to why there seems to be racial prejudice prior to initiating long-term opioids and systemically lower maximum titration levels amongst the African American demographic? I'm a member of a small social justice group in Paducah KY and this topic just came up coincidentally lol #healthcaretriage
#scishow
#scishowpsych
THANK YOU for this well researched report. Many AA claim racism in healthcare but are made to believe that what they felt isn't real. These are great articles that show there is a problem, and it's real.
This is pretty consistent with what's already established in the field of prejudice…
Something I wonder about with compliance: minority patients often don't have the greatest insurance coverage, so perhaps having higher co-pays for prescriptions means they're not always able to afford the prescribed medications? Are the doctors assuming that systemic racism is making compliance more difficult for minority patients?
I would argue that their are statistically significant differences genetically and culturally between groups of people even within the same country so treating everybody the same will either provide optimal care for only on group of people or suboptimal for all people. We ought to treat people as individuals taking into account heritage and living conditions when practicing medicine. If you are dealing with a situation where all you know about a patient is they have sudden pains in chest and low oxygen levels and that their black it is entirely more responsible to look into sickle cell anemia sooner than if your patient where Hispanic.
And if you are a woman to boot, you're just SOL. I swear between me and my friend with tons of chronic issues, most of what doctors (particularly male doctors, not to say female doctors are excluded though), just assume our uterus rules our lives. It has caused us both a LOT of unnecessary damage and suffering. I am still fightimg the bias and try to approsch every nee doctor and situation with blank slate but she has completely given up and will only see women doctors at this point. Tbh she is making a lot more progress than I am so far. I hate assuming things of people but being a woman who needs healthcare for serious issues is hard enough. Being a minority as well is so much worse.
With my married name changing me from a Juarez to a Mann I have noticed gentler treatment, not gonna lie.
💚
The most recent study is 2017 over implicit bias which showed no change in healthcare outcomes, the rest of the studies are 2003 and older. Interesting pick of information here.
There was no significant difference in the rate of recommendation for TKR when the patient was black (47%) versus white (38%) (P = .439), and neither implicit nor explicit racial biases predicted differential treatment recommendations by race (all P > .06).
While implicit bias was detected it did not significantly change outcomes of treatment. It is almost like implicit bias matters very little when concerning medical treatment.
Didn't know your neighborhood dictated what insurance you can get.
I don't know if this would works for everyone. But when I've had doctors who doesn't take my endo seriously, as it's a woman's problem; I bring a friend to the next appointment.
It often means the doctors more willing to listen.
Is there any data about whether minority individuals are more or less likely to follow medical instructions?
Not surprised. If as a patient you are not a white male…you will have difficulties with medical care. Women and LGTBQ folk suffer from this as well as African Americans. If you are poor or have mental health issues you will also face suboptimal care. Overweight? Yeah, difficulties there too. It’s important to be able to shop for a doc, to find one that will work for and with you.
Not to even mention pain management. Black and brown people are MUCH more likely to not receive appropriate pain management meds, to be accused of just trying to get drugs, and to be drug tested before getting the meds they need. It's fucking disgusting.
Talk about the difference between races in IQ.
A recent experience in the Atlanta area was fascinating to me. My spouse is black and the majority of nurses are from Nigeria and other African nations. I didn't see any disparities in treatment at all.