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This, today, would be considered flat out torture

First, women’s health was not studied. Even when women’s health was studied, it was by harming black & indigenous women

When women talk of safe spaces I look at race

We know this has existed throughout history ...and now
In modern society, how does a woman with education and privilege seeking career success “lean in”?

She likely has someone else - often a low wage dark skinned woman - looking after her kids, cleaning bathrooms, cooking meals.

ethicalsystems.org/women-can-no-l…
What I have come to realize at midcareer & reading history more deeply

privileged women’s advancement requires exploitation of the disadvantaged, especially low income women

It is partly why election results in 2016 *was* voting for own interest in fact

vogue.com/article/white-…
exploitation of black & indigenous bodies for medical experimentation

was predicated on racist tropes

who are “barbarians”
who not quite human
who believed to not feel pain

translates to this described by @RFentonMD

mindset remains of slave owner

It is why we also see more concern about follower count or turf wars on #MedTwitter than concern on this

Fact that group name is “physicians for human rights” tells you all you need to know about values in American #healthcare (human rights optional?)

phr.org/our-work/resou…
Parenthood, for BIPOC parents, is described as “Characterizing immigrant parents as smugglers of their own children”

In fact kidnapping and smuggling people was what slavery was.

You can’t make this stuff up.

aaihs.org/slavery-and-am…
Human exploitation is the bedrock of economic “success” and “productivity”

Most people in the U.S. who are successful today rely on some level of historic & ongoing inequity and exploitation

Including my female & male peers in healthcare & academia

history.com/news/slavery-p…
Did we really abolish slavery? Or did we just rename it and invoke a different mechanism for human exploitation and to have complete control over others: their freedom, movement, bodies, minds, families?
Add mainstream anti-black narratives

history.com/news/13th-amen…
Little black girls & little black boys, as early as preschool, are criminalized

Placed on path to prison

Who runs white schools and teaches in them?
Who decides “you are bad” & assigns punishment?
Often white women
Can their judgment be trusted?

americanprogress.org/issues/race/ne…
I do scan my environments for anyone who is overpolicing behaviors

have zero tolerance if towards BIPOC

This is very real, well documented, ruins lives, blocks talent from being acted upon for self or for society,

puts people in chains

equaljusticesociety.org/2018/10/10/new…
The @AmerAcadPeds and @AmerMedicalAssn have issued strong words

What level of self examination are we willing to accept
to identify how much policing there are is by medical profession of:
BIPOC patients, families
&
BIPOC trainees & peers?

aappublications.org/news/2020/06/0…
Are BIPOC patients, trainees, staff safe within institutions of higher learning or hospitals?

When there is talk of “safe spaces”, safe spaces for whom? Only one type of womanhood gets protected while other women & men exploited, harmed, criminalized.

wbur.org/cognoscenti/20…
In the UK the parallel is of “BAME” based on UK history of human exploitation

Slavery might have been abolished earlier in Britain

But slaveowner & colonizer mindset was never eradicated

97% of UK medical staff deaths: BAME

=some lives don’t matter

bylinetimes.com/2020/05/15/97-…
We know #ethics often lacking in #healthcare #MedTwitter

from undisclosed industry relationships #COI

to #mentalhealth professionals violate #humanrights or international law or humane values

sometime as paid consultants

So much for “first do no harm”

theatlantic.com/health/archive…
So, tell me, if

contemporary peers participate in & profit off of literal torture of POC

and

if painful experiments on WOC bodies was medical“trailblazer”

what has really changed in mindset or behaviors of American healthcare or doctors in 200 years?

history.com/news/the-fathe…
Very little has changed

In fact

desegregation & diversity metrics that bring BIPOC into spaces
spaces still rife with slaveowner & colonizer mindset
is a form of harm
#blackintheivory

These spaces are simply not safe, as I discuss with @becker_sbecker

go.beckershospitalreview.com/scott-becker-i…
@AmerAcadPeds needs to step up on this and undo decades, centuries of “savior” mindset

who decides removes BIPOC children from parents is “protection”

too often those claiming are “protecting from” harm
are ones committing harm

#tweetiatrician

sciencedirect.com/science/articl…
It is all the same mindset & cultural frame:
-willingness to experiment on BIPOC bodies
-denying pain in BIPOC
-state separating BIPOC families
-how BIPOC/BAME (UK) trainees and peers treated
-devaluation of community health
-healthcare disparities
All from the same root
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