, 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...
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