THREAD: @MayaWiley, I appreciate your comments last night on #Inners with @ChrisLHayes et. al. about possible down-the-road consequences of medical students' racist acts – such as Northam's blackface ordeal – in developing healthcare management plans for African American patient.
2) The narrative around "oh they were just kids" is dangerous. Those "kids" go on to become adults with immense decision making power & social capital, yet their biases in how they create/navigate the healthcare sector does not undergo such evolution. How do I know?
3) The health outcomes of people parodied by the likes of Northam via racist acts are the same people consistently experiencing adverse health outcomes – the reality of which are not solely based on *poor choices* but also various forms of hostility faced in the healthcare sector
4) I am grateful to have a position within a major health system solely focused on advancing healthcare equity – admittedly a Herculean yet attainable goal. Your mentioning Northam's behavior as conveying his not understanding the larger context of donning blackface and the...
5)...ramifications resulting from a mindset driving such acts, how those same thought processes affect provision of care, how black patients perceive the premise of providers' decisions – adversarial versus welcoming – have grave public health consequences.
6) Studies emphasize black patients receive less pain medication than whites with comparable symptoms. This is based on unfounded claims of drug-seeking. Medical records comprise racially charged terminology documenting African Americans' clinical visits.
theguardian.com/science/2016/a…
7) Oftentimes EMRs (EHRs) contain racist notes conveying info with no medical relevance. So, I say all that to say I appreciate your mentioning this comment to @ChrisLHayes as @TiffanyDCross did to @JoyAnnReid on this previous weekend's @AMJoyShow.
slate.com/technology/201…
END) It is my hope this THREAD – essentially some of my #TuesdayThoughts – offers some perspective to everyone who reads it as we commemorate #BlackHistoryMonth now & hopefully days beyond February 28.
Enjoy your Tuesday.
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