Abstract
The “face of medicine” is a term commonly used to describe the leaders and decision-makers of medicine. Medical ethics often discuss past historical atrocities committed by the “face of medicine,” such as the American eugenics movement and medical experimentation. However, a great irony persists: the “faces of medicine” do not resemble the faces of the oppressed populations. Nevertheless, the discussion of white supremacy and systemic racism, structures which fueled historical medical atrocities, is often omitted. This reflection discusses the need for education, conversation, and action surrounding these topics to adequately combat racial and ethnic health disparities. We also argue that the decision-makers of medicine should be a diverse group of stakeholders, thereby representative of and personally invested in a diverse group of populations.
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Komrad M.Vulnerable ethics: the role of psychiatrists in the U.S. eugenics movement and the Nazi Holocaust. Psychiatry Grand Rounds. Presented February 28, 2020.
AAMC. Diversity in medicine: facts and figures 2019. Retrieved from: https://www.aamc.org/data-reports/workforce/report/diversity-medicine-facts-and-figures-2019. Accessed on 31 Mar 2020.
Roeder A. America is failing its black mothers. Magazine of the Harvard T.H. Chan School of Public Health. 2019. Accessed from: https://www.hsph.harvard.edu/magazine/magazine_article/america-is-failing-its-black-mothers/. Retrieved 10 Mar 2020.
Goyal MK, Kuppermann N, Cleary SD, Teach SJ, Chamberlain MJ. Racial disparities in pain management of children with appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996–1002.
Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Pro Natl Acad Sci USA. 2016;113(16):4296–301.
Scharff DP, Mathews KJ, Jackson P, et al. More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved. 2010;21(3):879–97.
Rosser SV. An overview of women’s health in the U.S. since the mid-1960s. Hist Technol Int J. 2002;18(4):355–69.
Alsan M, Garrick O, Graziani GC. Does diversity matter for health? Experimental evidence from Oakland. National Bureau of Economic Research. Working Paper 24787. http://www.nber.org/papers/w24787. Accessed 31 Mar 2020.
Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D, et al. The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996;334(20):1305–10.
Iezzoni LI. Why increasing numbers of physicians with disability could improve care for patients with disability. AMA J Ethics. 2016;18(10):1041–9.
O’Reilly KB. Efforts aim to create cadre of physician LGBTQ health specialists. American Medical Association. 2020. Retrieved from: https://www.ama-assn.org/delivering-care/population-care/effort-aims-create-cadre-physician-lgbtq-health-specialists. Accessed on 30 March, 2020.
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Calhoun, A., Parker, C.B. The Face of Medicine Is Not My Face…But, It Should Be. J. Racial and Ethnic Health Disparities 7, 1035–1038 (2020). https://doi.org/10.1007/s40615-020-00834-3
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DOI: https://doi.org/10.1007/s40615-020-00834-3