, 11 tweets, 3 min read Read on Twitter
I was alluding to blanket claims like this earlier
Inequities in birth outcomes & infant mortality are the outcomes of *racism.*

Racism in our everyday lives. Causing psychosocial stress, ⬆️ our risk of CVD. Racism in health care that makes what should be routine prenatal care harmful & counterproductive.
OK, so the video.

The idea that Black women are ‘more likely to get deadlier forms of breast cancer’ is possibly conflating the problems of foregone/delayed care, lack of a usual source of care, & resulting delays in dc, which mean that BW are often dx’d at more advanced stages.
... while possibly reproducing the dangerous (reform eugenicist, biological essentialist) notion that the ‘breast cancer gene’ is specific to Black women (let’s not forget that there is more heterogeneity WITHIN racial groupings than there is BETWEEN them).
Important to note that health care universalism =! health *justice.*

The financing of care is one thing, but if other means of rationing care remain (e.g. rationing by geography, via the historic site locations of market-based health care), then inequities will remain.
If we do not address racism in health care, we will not achieve health equity.

If we do not address housing, employment, & wage discrimination, we will not achieve health equity.

If we do not address environmental racism, we will not achieve health equity.
Health care will never be a sufficient condition for health equity.

Ask any practitioner who treats patients who live in toxic environments, who are deprived of access to basic potable water & sanitation, let alone housing.
That said, the above thread should not be taken as a stance against universal health care or other expansive policy solutions to address massive inequities in health care in the US.

It’s a reminder of the bigger picture. Healthcare will not fix the effects of structural racism.
Further context on #RacismNotRace & racial inequities in birth outcomes in this #thread. With citations!
Yes, health justice. Yes, repro justice.

But no to false claims that UHC is a panacea for adverse & inequitable health outcomes known to be linked with racism- via stress pathways, medical mistrust, or historical rationing of care by employment status, environment racism...
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Arrianna M. Planey
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!