Just Medicine: A Cure for Racial Inequality in American Health Care

Just Medicine: A Cure for Racial Inequality in American Health CareOver , Black And Brown Lives Are Needlessly Lost Each Year Due To Health Disparities, The Unfair, Unjust, And Avoidable Differences Between The Quality And Quantity Of Health Care Provided To Americans Who Are Members Of Racial And Ethnic Minorities And Care Provided To Whites Health Disparities Have Remained Stubbornly Entrenched In The American Health Care System And In Just Medicine, Dayna Bowen Matthew Finds That They Principally Arise From Unconscious Racial And Ethnic Biases Held By Physicians, Institutional Providers, And Their Patients Implicit Bias Is The Single Most Important Determinant Of Health And Health Care Disparities Because We Have Missed This Fact, The Money We Spend On Training Providers To Become Culturally Competent, Expanding Wellness Education Programs And Community Health Centers, And Even Expanding Access To Health Insurance Will Have Only A Modest Effect On Reducing Health Disparities We Will Continue To Utterly Fail In The Effort To Eradicate Health Disparities Unless We Enact Strong, Evidence Based Legal Remedies That Accurately Address Implicit And Unintentional Forms Of Discrimination, To Replace The Weak, Tepid, And Largely Irrelevant Legal Remedies Currently Available Our Continued Failure To Fashion An Effective Response That Purges The Effects Of Implicit Bias From American Health Care, Matthew Argues, Is Unjust And Morally Untenable In This Book, She Unites Medical, Neuroscience, Psychology, And Sociology Research On Implicit Bias And Health Disparities With Her Own Expertise In Civil Rights And Constitutional Law Just Medicine Offers Us A New, Effective, And Innovative Plan To Regulate Implicit Biases And Eliminate The Inequalities They Cause, And To Save The Lives They Endanger Required reading for healthcare professionals and civil rights lawyers Dayna Bowen Matthew lays out 1 the realities of implicit racial bias unconscious racism in the provision of healthcare, 2 the enormous impact that has on health outcomes even after accounting for all other confounders, and 3 her proposal to reduce health disparities with new laws against implicit bias At once kind and unyielding, Professor Matthew tracks society s progression from explicit to implicit racism and dismisse Required reading for healthcare professionals and civil rights lawyers Dayna Bowen Matthew lays out 1 the realities of implicit racial bias unconscious racism in the provision of healthcare, 2 the enormous impact that has on health outcomes even after accounting for all other confounders, and 3 her proposal to reduce health disparities with new laws against implicit bias At once kind and unyielding, Professor Matthew tracks society s progression from explicit to implicit racism and dismisses the current laws against explicit racism as no longer useful Laws effectively influence social norms by reflecting underlying social values that exist but about which there is incomplete information or uncertainty, Matthew writes Making a clear differentiation between socially maligned explicit racism and unconscious implicit racism, Matthew nonetheless is unwilling to let anyone off the hook, supporting her proposals with studies showing evidence of physicians ability to correct unconscious racism.I especially appreciated the way she unpacked how our medical training encourages performing sorting patterns, the use of familiar patterns and generalizations about people and their maladies to correctly identify, understand, and address illness in relatively short periods of time an integral part of the differential diagnostic process that also makes us especially susceptible to being swayed by implicit bias.Very densely written, but worth your time Thoughtful and informative book for those interested in the issue of disparities in healthcare The author researched the evidence well and provides clear examples of how implicit bias harms minorities seeking healthcare The solution to address implicit bias through changes in the law is thought provoking Because I am not a law expert, I understood this part of the book less But it leaves me wanting to learn . WOW Legal analysis of why there s health disparity and a way to fix it I took notes in order to keep myself engaged She notes that the disparity in health care for minorities coccus even when controlling for socioeconomic status She believes that s caused by the implicit bias that exists by both physicians and their patients She has developed a Biased Care Model, which describes 6 mechanisms of how this occurs She reports that implicit bias is malleable it can be changed quickly and c WOW Legal analysis of why there s health disparity and a way to fix it I took notes in order to keep myself engaged She notes that the disparity in health care for minorities coccus even when controlling for socioeconomic status She believes that s caused by the implicit bias that exists by both physicians and their patients She has developed a Biased Care Model, which describes 6 mechanisms of how this occurs She reports that implicit bias is malleable it can be changed quickly and can be very influenced by social pressure I had never heard that before She notes that raising consciousness which has been tried in the past is not enough She says we are morally compelled to make changes to eliminate health disparties Her cure involves reforming Title VI Civil Rights Act to address discrimination due to implicit bias using all the recent social science evidence She explains that clarifying that implicit bias is illegal will bring about changes in health care organizations This book was laid out really well It s quite a bit of information and the subject matter is not easy I really appreciate that she calls out previous researchers on their conclusions that lamely stateresearch need to be done rather than give any possible solutions Her recommendations are solid and feasible. I randomly found this gem at Howard University s bookstore, while on a tour When I saw the title, it immediately grabbed my attention I read half of the book and couldn t put it down for two days, then I got lazy and stopped reading This was the first book that I ve read that it felt as if I wrote it myself Matthew masterfully articulates the sentiments of my heart I believe anyone involved in public health and healthcare in any juncture should make this part of their required reading. good mention of studies and examples, however a little difficult to read and understand 362.1089 M437 2015