Hot Topics: Health Disparities
In many ways, black bioethics can be explained very simply as the exploration and interrogation of any event, ideal, technological advancement, person, or institution that directly or indirectly affects the health or well-being of black (loosely defined) individuals or the black population. Black bioethics is taking what we do in bioethics and specifically applying it to black people. But in other ways black bioethics is more than this; it is a rebellion against bioethics.
The post Black Bioethics and How the Failures of the Profession Paved the Way for Its Existence appeared first on The Hastings Center.Full Article
Keisha Ray, Ph.D.
Recently the term black bioethics has been having its moment. With the world’s recently increased attention to racial justice, institutional racism, and medical racism, there has been more attention to the relationship between black people and health and health care. …Full Article
by Daniel Du Pont, MD, MBE and Jill Baren, MD, MS, MBA, FACEP, FAAP
The novel coronavirus outbreak, like any pandemic, has brought with it many difficult choices.…Full Article
by Nneka Sederstrom, PhD, MPH, MA, FCCP, FCCM
In my previous article, Unblinded, I challenged the actions of using the crisis standards of care scoring systems to allocate scares resources like ventilators and argued against a color-blind ideology.…Full Article
With some reluctance, I’ve come to the sad realization the COVID-19 pandemic has been a stress test for bioethics, a field of study that intersects medicine, law, the humanities and the social sciences. As both a physician and medical ethicist, I arrived at this conclusion after spending months at what was once the epicenter of the pandemic: New York City. I was overseeing a 24/7 bioethics consultation service.
The post Covid-19 Makes Clear that Bioethics Must Confront Health Disparities appeared first on The Hastings Center.Full Article
For years, leaders in public health, including members of the American Public Health Association (APHA) have been calling for the recognition of racism as a public health issue. On their website, the APHA states that racism is a “driving force of the social determinants of health (like housing, education and employment) and is a barrier […]Full Article
by David Magnus, Ph.D.
The past three months have witnessed this country (and the world) go through the most serious pandemic since 1918; the greatest economic collapse since the great depression; and the murder of George Floyd has set off a protest movement across the country that has arguably not been seen since 1968.
by Nneka O. Sederstrom, PhD, MPH, MA, FCCP
The data are clear: African Americans are becoming infected with the novel coronavirus and dying at a higher rate than White Americans.…Full Article
Vexing, Veiled, and Inequitable: Social Distancing and the “Rights” Divide in the Age of COVID-19
Ethical Advocacy Across the Autism Spectrum: Beyond Partial Representation
Meaningful Fissures: The Value of Divergent Agendas in Patient Advocacy
The Genetic Revolution Highlights the Importance of Nondiscriminatory and Comprehensive Health Insurance Coverage
Filthy Lucre or Fitting Offer? Understanding Worries About Payments to Research Participants
Trust and Expectations of Researchers and Public Health Departments for the Use of HIV Molecular Epidemiology
A Cross-Cultural Neuroethics View on the Language of Disability
Bedside Rationing Under Resource Constraints—A National Survey of Ethiopian Physicians’ Use of Criteria for Priority Setting
While the blatant horrors of the past are gone, the ideas that fueled race-based medicine stubbornly linger. We can change.Full Article
For years, physicians and medical students, many of them Black, have warned that the most widely used kidney test — the results of which are based on race — is racist and dangerously inaccurate. Their appeals are gaining new traction, with a wave of petitions and papers calling renewed attention to the issue.Full Article
Racism kills. Whether through force, deprivation, or discrimination, it is a fundamental cause of disease and the strange but familiar root of racial health inequities. Yet, despite racism’s alarming impact on health and the wealth of scholarship that outlines its ill effects, preeminent scholars and the journals that publish them routinely fail to interrogate racism as a critical driver of racial health inequities.Full Article
In New York City’s poor neighborhoods, some patients have languished in understaffed hospitals, with substandard equipment. It was a different story in Manhattan’s private medical centers.Full Article
Three doctors say the pandemic revealed enduring racial inequity — and medicine alone cannot fix it.Full Article
The unjust killings of George Floyd, Breonna Taylor, and Ahmaud Arbery, amplified by the health disparities of the COVID-19 pandemic and the ethnic disparities of the political climate, have shined a spotlight on historical and ongoing institutional racism in America. Many professional scientific organizations have published statements opposing it. But statements have little impact unless actions result from them.Full Article
A decade ago, the Department of Health and Human Services made “to achieve health equity, eliminate disparities, and improve the health of all groups” one of its goals for Healthy People 2020. It didn’t come close.Full Article
At the consumer genetics giant 23andMe, CEO Anne Wojcicki last week issued a remarkable statement calling her product “euro-centric” and saying her company is “part of the problem.”Full Article
Writing in the New England Journal of Medicine, Hastings Center president Mildred Solomon and two Hastings Center fellows address concerns that crisis triage protocols aimed at allocating scarce health care resources to save the most lives could be biased against people with disabilities.Full Article
The inequitable racial landscape of the United States is hardly deniable. The effects of racism on health status and on access to health care are well documented. Comprehensive race/ethnicity data relevant to Covid-19 will likely affirm inequitable patterns in exposure, testing, and treatment, patterns that are already being observed by practitioners in some facilities and officials in some states.Full Article