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Racial Discrimination in healthcare…

Traditionally in the U.S., many people of my parents’ generation were afraid to see doctors, and afraid to trust that they’d be properly treated, because of racial bias. And there were all kinds of examples back then. There was actually a stated belief in the white medical community that blacks didn’t feel pain the same way that whites did. 😳

Discrimination persists…
(Wikipedia)
[quote] Racism in healthcare system
edit
Racial bias exists in the medical field affecting the way patients are treated and the way they are diagnosed. There are instances where patients’ words are not taken seriously, an example would be the recent case with Serena Williams. After the birth of her daughter via C-section, the tennis player began to feel pain and shortness of breath. It took her several times to convince the nurse they actually took her self-said symptoms seriously. Had she not been persistent and demanded a CT scan, which showed a clot resulting in blood thinning, Williams might have not been alive.This is just one of hundreds of cases where systemic racism can affect women of color in pregnancy complications.

One of the factors that lead to higher mortality rates amongst black mothers is the poorly conditioned hospitals and lack of standard healthcare facilities.

Along with having deliveries done in underdeveloped areas, the situation becomes complicated when the pain dealt by patients are not taken seriously by healthcare providers. Pain heard from patients of color are underestimated by doctors compared to pain told by patients who are white leading them to misdiagnose.

Many say that the education level of people affect whether or not they admit to healthcare facilities, leaning to the argument that people of color purposefully avoid hospitals compared to white counterparts[citation needed] however, this is not the case. Even Serena Williams, a well-known athlete, was not taken seriously when she described her pain. It is true that the experiences of patients in hospital settings influence whether or not they return to healthcare facilities. Black people are less likely to admit to hospitals however those that are admitted have longer stays than white people.

The longer hospitalization of black patients does not improve care conditions, it makes it worse, especially when treated poorly by faculty. Not a lot of minorities are admitted into hospitals and those that are receive poor conditioned treatment and care.
This discrimination results in misdiagnosis and medical mistakes that lead to high death rates.

Although the Medicaid program was passed to ensure African Americans and other minorities received the healthcare treatment they deserved and to limit discrimination in hospital facilities, there still seems to be an underlying cause for the low number of black patients admitted to hospitals, like not receiving the proper dosage of medication. Infant mortality rates and life expectancies of minorities are much lower than that of white people in the United States. Illnesses like cancer and heart diseases are more prevalent in minorities, which is one of the factors for the high mortality rate in the group; however are not treated accordingly.

Although programs like Medicaid exists to support minorities, there still seems to be a large number of people who are not insured. This financial drawback discourages people in the group to go to hospitals and doctors offices.

Financial and cultural influences can impact the way patients are treated by their healthcare providers. When doctors have a bias on a patient, it can lead to the formation of stereotypes, impacting the way they view their patient's data and diagnosis, affecting the treatment plan they implement.
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I remember you posting about that before. Racism is disgusting.
@PiecingBabyFaceTogether Yeah, that was when I learned that the first U.S. studies of gynecology were from experiments on enslaved. women.
exexec · 61-69, C
I grew up in a town that had "white" waiting rooms and "colored" waiting rooms for doctors. Only whites could see white dentists. My wife worked for a doctor who made sure all races were treated alike, and he often teamed with a black surgeon on difficult cases. I hate to read about the problems minorities have in getting quality health care.
SunshineGirl · 36-40, F
Cultural discrimination manifests itself in many ways. I recently learned that the fingertip oxygen monitors that are used by nearly every hospital patient don't work so well on darker skins. Presumably because they were originally developed and tested mainly on white people and any subsequent under performance has not been rigorously investigated and commented upon.
SunshineGirl · 36-40, F
@LordShadowfire It was something picked up by the NHS in England last year. The monitors use infrared light which works less well with opaque (darker) pigments of skin. There was no single act of discrimination that could be labelled negligent, but general societal and cultural prejudices that may have resulted in some people being underserved.
@SunshineGirl And that is exactly what I mean when I talk about systemic racism. Assumptions were made, and things were put in motion that created an unequal system, because the people long ago who implemented things were racist, so that even as we are purging ourselves and our country of those outdated attitudes, their legacy is still killing people.

But the second I point it out, I get backlash from people (not that I'm naming any purple aliens in particular) who have a vested interest in proving that I'm full of shit. If we all worked together toward a solution instead of complaining when people point out the problem, there wouldn't be a problem.
SunshineGirl · 36-40, F
@LordShadowfire Agreed, it seems self-evident to me.
Ontheroad · M
Sadly it does, and it (racism) will continue to exist and negatively impact the lives of all people of color. In the U.S., it impacts mostly the African American and the American Indian, followed closely by those of Mexican/Hispanic heritage, but does, to one degree or another negatively impact all POC.

I wish there were an answer, but there isn't, at least not an immediate one. I know one thing for sure, hiding/denying it (racism) and its history doesn't help, and neither does having a racist as a President or governor, or one in a power position in either House.
hunkalove · 61-69, M
I couldn't afford to go to a doctor even if I was dying.
@hunkalove Sadly, that’s the case for too many people now. 😞
@hunkalove This is why I decided I couldn’t live in the US permanently (I did for a few years). In basically every developed country, healthcare is universal and free or very low-cost. Except the US. And the US spends more on healthcare than all of these countries that provide it for all.

For example, in Sweden you pay for visiting a doctor ($25 or $45 for ER) but once your out-of-pocket reaches about $100 in any 12 month period, you pay no more. Same principle for prescription medicine costs which are limited to ~$200 out of pocket in any 12 months. That makes sense to me and I don’t mind paying taxes to fund that for EVERYONE.

The US approach is just wrong.
That’s shocking, even knowing what I do.

I am British (white) and grew up in London. I still remember by parents telling me when I was very little how bad the US was because of segregation.
@Adeptlinguist They were. I lost them many years ago.
@Adeptlinguist I’m so sorry. 🥺
@bijouxbroussard I’m just glad they gave me sound values and had no tolerance for the sort of awfulness that seems to be accepted today.
DeWayfarer · 61-69, M
Even my own parents fought tooth and nails going into the nursing home though.

Both of them did. Mom begged me not to, but I had no control over that. Dad was just in too much pain to object. He badly needed to have a morphine pump. And I just wasn't qualified to help.
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Starcrossed · 41-45, F
Oh and maternal care alone, even in this day in age, maternal death rates among our sisters of color are so much higher.

Sorry I have no studies at hand to back me at the moment.
@Starcrossed It is fact, though.
smiler2012 · 56-60
@bijouxbroussard i worked in the health service for forty years in the united kingdom and i personally with the sabrina williams it was more just negligence on part of the hospital i think trying too play the race card is wrong in this situation there obviously been a clinical diagnosis that was wholly wrong and risky . faras your first part i find that in this day and age not wanting too be seen or treated by as professional doctor who will have all the necessary qualifications for his job and that is just crazy racial ignorance
@smiler2012 You may’ve worked in the profession but if you haven’t worked in the U.S., you might not understand. Especially places in the south where they routinely sterilized people without advising them. The attitudes die hard. It’s no "card game".
bookerdana · M
Women in general get short shrift in the US,especially if they have cardiac symptoms. Many ,many physicians in NY won't see medicaid patients
RenFur · 70-79, M
Then there are the invisible people:

RenFur · 70-79, M
@bijouxbroussard

Who would care?
@RenFur I imagine plenty of posters [b]would[/b] care.
But hopefully those didn’t would stay off.
RenFur · 70-79, M
@bijouxbroussard

You are much more capable at being serious and thoughtful about important subjects. Your rep is unimpeachable, bb.
Sexism in healthcare too.
@JonLosAngeles66 Yes. But racism means not all men are valued equally, either.
@bijouxbroussard it's repugnant
@JonLosAngeles66 Agreed. 🥺
I remember writing a post about avyear ago about how black women were more likely to die in childbirth than white women
@InOtterWords Yes, I remember that. I thought it might be economical, but you said it crossed even those lines. You were correct.
@bijouxbroussard and it was a similar issue in the uk too
sciguy18 · M
Yep. Gender and age bias too.
@sciguy18 Racial covers all ages and both genders.
uncalled4 · 56-60, M
That is appalling.
That's the America the right wants.
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