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Truth & Character Thursdays

Atrocities, Racism & Inequality

Systemic Racism In Healthcare

I just finished watching a medical drama over the last few months, and they portrayed systemic racism in the healthcare field. Multiple episodes addressed this same issue and they even backed it up with statistics at the end of the show.

In the show, there is one episode where a Black patient ends up passing away after a c-section. The surgeon had made a careless error when finishing her surgery that ultimately cost her her life. She was ok directly after the surgery, but was complaining to her husband about severe pain. They were both brand new parents who were overwhelmed, and she continued to complain of severe pain. The husband kept going to ask for help and he was continually put off as though she was just experiencing regular symptoms after surgery.

She rapidly declined and the husband kept asking nurses and doctors for help. In the show, one of the residents was trying to advocate for them, but ultimately he was too late. He himself was of foreign descent and was trying to advocate on behalf of the patients, especially considering they were people of color. He told the attending physician that if the woman would have been white, she would have seen immediately and her needs would have been met. Sadly in the episode, the new mother passed away from complications from her surgery, leaving a brand new baby without a mother. 

Like I said, the producers of the show had some text slides at the end of the episode to address this systemic racism. They shared some statistics about the prevalence of this issue in North America. 

Although I don’t recall the statistics they shared, in a quick search I was able to find that a 2020 study found that Black patients are less likely to receive pain medication than white patients for similar conditions.

Not only that but Black women face a maternal mortality rate three times higher than white women, even when education and income are similar. 

It’s terrible to think that this level of systemic racism still exists in our world today - but the truth is that it does. So what can we do? Well, talking about it and exposing the problem is a big step towards advocating for change ... so I was glad to see this topic addressed on this show.

Recommended Book

Racism in the Modern World

Apr 01, 2011
ISBN: 9780857450777

Interesting Fact #1

Racism has been likened to a virus that mutates, taking on different forms as it adapts to a changing environment

SOURCE

Interesting Fact #2

Explicit attitudes towards race have been measured consistently over many decades, so it is possible to track how they have changed. For example, in 1942, 44% of people in the USA were willing to accept integrated transport. By 1970, the figure was 88%

SOURCE

Interesting Fact #3

Even in the 1970s, however, a note of caution was sounded by attitude researchers, who said that answers to their survey questions ‘may well indicate not what the American really feels in his heart of hearts, but what he thinks he ought to say

SOURCE

Quote of the day

“As you grow older, you’ll see white men cheat black men every day of your life, but let me tell you something and don’t you forget it—whenever a white man does that to a black man, no matter who he is, how rich he is, or how fine a family he comes from, that white man is trash” ― Harper Lee

Article of the day - 11 Facts About Racial Discrimination

  1. During the 2015–2016 school year, Black students represented only 15% of total US student enrollment, but they made up 35% of students suspended once, 44% of students suspended more than once, and 36% of students expelled. The US Department of Education concluded that this disparity is “not explained by more frequent or more serious misbehavior by students of color.”^[US Department of Education, Office of Civil Rights. “2015-16 Civil Rights Data Collection: School Climate and Safety.” https://www2.ed.gov/about/offices/list/ocr/docs/school-climate-and-safety.pdf. Accessed Feb. 5, 2020.]
  2. In New York City, 88% of police stops in 2018 involved Black and Latinx people, while 10% involved white people. (Of those stops, 70% were completely innocent.)^[New York Civil Liberties Union. “Stop-and-Frisk Data.” https://www.nyclu.org/en/stop-and-frisk-data. Accessed Feb. 5, 2020.]
  3. In one US survey, 15.8% of students reported experiencing race-based bullying or harassment. Research has found significant associations between racial bullying and negative mental and physical health in students.^[Russell et al. “Adolescent Health and Harassment Based on Discriminatory Bias.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487669/. Accessed Feb. 5, 2020. Rosenthal et al. “Weight and Race Based Bullying: Health Associations Among Urban Adolescents.” http://www.uconnruddcenter.org/resources/upload/docs/what/communities/WeightRaceBullying_PhysicalHealth_JOHP_10.13.pdf. Accessed Feb. 5, 2020.]
  4. From 2013 to 2017, white patients in the US received better quality health care than about 34% of Hispanic patients, 40% of Black patients, and 40% of Native American patients.^[Agency for Healthcare Research and Quality. “National Healthcare Quality and Disparities Report.” https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final.pdf. Accessed Feb. 5, 2020.]
  5. Black women are 3 to 4 times more likely to experience a pregnancy-related death than white women, even at similar levels of income and education.^[National Partnership for Women and Families. “Black Women’s Maternal Health.” https://www.nationalpartnership.org/our-work/health/reports/black-womens-maternal-health.html. Accessed Feb. 5, 2020.]
  6. Black Americans are more likely than white Americans to be arrested. Once arrested, they are more likely to be convicted, and once convicted, they are more likely to experience lengthy prison sentences.^[The Sentencing Project. “Report to the United Nations on Racial Disparities in the U.S. Criminal Justice System.” https://www.sentencingproject.org/publications/un-report-on-racial-disparities/. Accessed Feb. 5, 2020.]
  7. Black Americans and white Americans use drugs at similar rates, but Black Americans are 6 times more likely to be arrested for it.^[NAACP. “Criminal Justice Fact Sheet.” https://www.naacp.org/criminal-justice-fact-sheet/. Accessed Feb. 4, 2020.]
  8. On average, Black men in the US receive sentences that are 19.1% longer than those of white men convicted for the same crimes.^[US Sentencing Commision. “Demographic Differences in Sentencing.” https://www.ussc.gov/research/research-reports/demographic-differences-sentencing. Accessed Feb. 5, 2020.]
  9. In the US, Black individuals are twice as likely to be unemployed than white individuals. Once employed, Black individuals earn nearly 25% less than their white counterparts.^[Abdul Latif Jameel Poverty Action Lab. “Discrimination in the Job Market in the United States.” https://www.povertyactionlab.org/evaluation/discrimination-job-market-united-states. Accessed Feb. 5, 2020.]
  10. One US study found that job resumes with traditionally white-sounding names received 50% more callbacks than those with traditionally Black names.^[Abdul Latif Jameel Poverty Action Lab. “Discrimination in the Job Market in the United States.” https://www.povertyactionlab.org/evaluation/discrimination-job-market-united-states. Accessed Feb. 5, 2020.]
  11. In the US, Black workers are less likely than white workers to be employed in a job that is consistent with their level of education.^[Economic Policy Institute. “Black Workers Endure Persistent Racial Disparities In Employment Outcomes.” https://www.epi.org/publication/labor-day-2019-racial-disparities-in-employment/. Accessed Feb. 5, 2020.]

Question of the day - How would you address systemic racism in healthcare?

Atrocities, Racism & Inequality

How would you address systemic racism in healthcare?