- a majority white profession trained to treat white PTs
- among them, a minority treat ‘minority’ PTs- esp in rural, medically underserved areas, & the Rez
- those who do are often generalists who are paid less
Examples: pain scales, spirometer readings, creatinine numbers
Skinner J , Chandra A , Staiger D , Lee J , McClellan M. (2005). Mortality after acute myocardial infarction in hospitals that disproportionately treat black patients. Circulation. 112(17): 2634 –41
Free access here: ahajournals.org/doi/full/10.11…
Under the current system, they are more expensive, less profitable (more uncompensated care).
Between race-based medicine & the rationing of care, it’s clear that conversations about ‘overtreatment’ cannot be isolated from the a deeply inequitable health system.
This cited article is also relevant: Bach PB , Pham HH, Schrag D, Tate RC , Hargraves JL. (2004) Primary care physicians who treat blacks and whites. N Engl J Med. 351(6): 575 – 84
health expenditures for the wealthiest group outpaced those of the three middle quintiles" (19.7% vs 12.5%)
...falling health spending among the poorest patients reflects the priorities of a marketized system