HERESY said:
^^^^^^^good looking out. we need more blacks in positions like this. a lot of blacks ARENT getting adequate health care (for whatever reason). we dont need trillions of blacks in the entertainment industry. we need more people in the medical (and veternarians), law (and law enforcement) and financial fields (which would include banking and cpa's).
:H:
ps thanx 4 the link once again.
Your right about needing more blacks in the medical field, the racism that goes on in the medical field is very hidden.....
Blacks with the same health care as whites are less likely to get proper health care. Blacks with diabetes are more likely to get an amputation than whites.
http://www.philly.com/mld/inquirer/news/nation/2904511.htm
Posted on Thu, Mar. 21, 2002
Racial disparity in health care draws strong words from panel
By Tony Pugh
Inquirer Washington Bureau
WASHINGTON - Racial and ethnic minorities generally receive lower-quality health care and less intensive diagnostic services than white patients, even when their income, insurance and medical conditions are similar, the government reported yesterday.
The Institute of Medicine committee that issued the report said the practices it found were unacceptable because they contribute to higher minority death rates from cancer, heart disease and HIV.
"We were amazed - some of us surprised and shocked - at the evidence of disparities," said Alan Nelson, a former president of the American Medical Association and an adviser to the American College of Physicians-American Society of Internal Medicine, who chaired the panel.
"The real challenge lies not in debating whether disparities exist, because the evidence is overwhelming, but in implementing strategies to reduce and eliminate them," Nelson said.
The 15-member panel of the Institute of Medicine found that minorities were less likely than whites to get proper heart medication, heart bypass surgery, kidney dialysis, and transplants. The gap is greatest between African Americans and whites.
The 562-page document - the third study this month to examine unequal treatment of minority patients - is one of the harshest and most thorough examinations of an issue that has been widely discussed but not deeply explored.
Among the findings:
A study of 11,000 lung-cancer patients found 76 percent of whites vs. 64 percent of blacks underwent surgery for the disease. After five years, whites had a 34 percent survival rate compared with 26 percent for blacks.
A report on 13,000 heart patients found 100 whites had surgery to clear congested arteries - for every 74 blacks who had the same surgery.
A study of nearly 16,000 urban emergency-room visitors found blacks were 50 percent more likely than whites to be denied coverage by their health plans.
"It's hard to ignore the evidence," said Adolph Falcon, vice president for science and policy for the National Alliance for Hispanic Health, a Washington-based network of Hispanic health professionals. "Any reasonable reading of it will show there's a significant need for services that address the unique needs of different communities."
The panel found that although socioeconomic factors such as poverty, lack of insurance, and language barriers contributed to the disparity, they did not fully account for differences in care. While there is no evidence that physician bias plays a role, the study noted that "health-care providers' diagnostic and treatment decisions, as well their feelings about patients, are influenced by race and ethnicity."
"Health-care providers like other members of society, may not recognize manifestations of prejudice in their own behavior," the study states.
The report recommends more research into medical-provider bias, better data collection on minority patient care, more cross-cultural training for health-care personnel, and wider use of language translators. It also calls for more minority doctors and more money for medical civil rights investigations by the Department of Health and Human Services.
M. Gregg Bloche, who was on the panel and is a professor at Johns Hopkins University School of Public Health in Baltimore, blamed part of the differences on stereotypes. He said he was taught in medical school that Hispanic patients overstated their pain and that physicians should downplay their comments when prescribing treatment.
"There's a whole lot of other stereotypes like that," Bloche said. "A lot more of it gets taught covertly by modeling: When you see senior attendees or senior residents react to minority patients and there is a subtle, veiled contempt, you may incorporate those ways of acting and thinking in ways that are not even conscious."
A recent study in Los Angeles emergency rooms found doctors prescribed fewer pain-relieving medications to Mexican Americans suffering from trauma.
"Same fractures but less pain relief for the Mexican American. Here's where the science stops and the stereotyping starts," said Thomas Inui, a report committee member and president of the Fetzer Institute in Kalamazoo, Mich., a nonprofit health research group.
Bloche said he worried that a prolonged debate about possible racism in medicine "can distract us from getting white people to focus on these underlying notions."
Two other studies on related issues came out just weeks ago:
Harvard University researchers found that black Medicare patients in private managed-care plans were less likely than whites to get recommended clinical care in four areas: breast exams, diabetic eye exams, preventative medication after heart attacks, and follow-up care after hospitalization for mental illness.
A national survey by the Commonwealth Fund, a private research foundation, found that minorities had more communication problems with doctors and tended to feel, more so than whites, that those physicians treated them with disrespect.
Yesterday's report was mandated by Congress in the Minority Health Disparities Act of 2000.