Racial Disparities in Healthcare are Pervasive
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- Опубликовано: 20 авг 2024
- Study after study affirms that doctors treat their patients differently, depending on the patient's race. Minority patients get different diagnoses, different treatments, and are often subject to being stereotyped by their physicians.
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I don't know if this would works for everyone. But when I've had doctors who doesn't take my endo seriously, as it's a woman's problem; I bring a friend to the next appointment.
It often means the doctors more willing to listen.
same! doctors tend to think im just trying to get 'the good shit' when i try to get pain killers for my joint pain. taking my mom and having her vouch for me really helps
This seems smart, It is a shame you have to do stuff like that tough. However I think it is somewhat explained by women going to the doctor far more then men do, for lesser problems, more likely to be hypochondriacs and so on.
Of course doctors should not be having these biases, but I think it is understandable that some make them over time.
I wonder tough, do you feel like the situation is the same with female doctors?
Vicky Mc of course there would be a white woman making it about herself to undermine the racism
@@pambomeyieemy8394 ...no? She literally is just giving a tip that helped her. She isn't saying its guaranteed to fix everything or trying to undermine black people's experiences.
Don't attack someone just because they're white.
It doesn't work. I always have someone with me and most white doctors simply do not listen. I was recently diagnosed a brain tumor. My white female doctor, who claims to be liberal, refused to tell me I even had a tumor.
If I was not proactive and didn't look at my MRI reports I never would have known. When I asked to speak to her about it, she ignored me for 2 weeks. I switched to a Black doctors and she took note of all my symptoms, asked me a ton of questions about my symptoms, diagnosed me, and order a ton of tests and imaging to better assess the tumor. I suffered for over 20 years because white doctors' bias. A friend suffered over 30 years and is currently still being mistreaded after her brain surgery by her care team. Another friend recently died because she was ignored. And we often bring people with us because we need witnesses. We know what it's like to be a person of color in America.
THANK YOU for this well researched report. Many AA claim racism in healthcare but are made to believe that what they felt isn't real. These are great articles that show there is a problem, and it's real.
Irony is, even if it weren't real, if you think it was, it does damage that can kill you overtime. I wish White folks understood how challenging it is to be Black. Anyway, keep on pushin'. Take care.
@@sessahme they kno they just dont care because it doesnt affect them. They've been conditioned to not care about black issues
As a follow up to this video I recommend the book The Death Gap: How Inequality Kills by Doctor Ansell. Another point not highlighted in this video is the issue of epistemic injustice experienced by most minorities who access our healthcare system. If as a patient your narrative is not believed or just discounted this can also affect the quality of the care you will receive. Interestingly, your pain is also likely to not be adequately treated if you are African American compared to the white counterparts.
Every time I go to the doctor I feel invisible or judged. I wait hours to be seen 3 to 5 minutes. My complains and concerns are routinely dismissed .
Hey There! Since you covered the adverse effects of the DEAs crackdown on opioids and just published this video about the role race plays in patient outcomes amongst providers, do you think you could cover how the pain management opioid prescribing crackdown effects minorities when it comes to why there seems to be racial prejudice prior to initiating long-term opioids and systemically lower maximum titration levels amongst the African American demographic? I'm a member of a small social justice group in Paducah KY and this topic just came up coincidentally lol #healthcaretriage
#scishow
#scishowpsych
Something I wonder about with compliance: minority patients often don't have the greatest insurance coverage, so perhaps having higher co-pays for prescriptions means they're not always able to afford the prescribed medications? Are the doctors assuming that systemic racism is making compliance more difficult for minority patients?
2:48 "even after adjusting for age, sex, INSURANCE, education, and the severity of thé disease" that's just racism
@@caioribeiro8404 I think the question was "Is this stereotype based on previous experience with different levels of insurance among minority ethnicities?"
@@jordanreeseyre And as Caio Ribeiro pointed out, it's not.
And I would seriously doubt anyone who would claim that docters aren't racist on some level, considering the society we live in.
You can have good private insurance and you still get treated, but not that great, so you find a doctor who treats you like a human being. Not a doctor who just want your money.
"We hope we're better today." What a strange, inverted morality the regime is pushing.
Am I crazy or am I getting crash course vibes?
Diversity truly is a strength
I like that you site your sources in the video, but I would be lying if I said it would be useful if you repeated the practice in the description. The fact that they're not is somewhat of a surprise to me, as this show's executive producer, presides over another show which subscribes to the practice I have mentioned. Some people have time to go through the video again and find every source to verify, but in all other cases, this is more likely to compound mistakes made in the research phase.
Do you happen to know if increasing the representation of minority groups amongst physicians is helping to combat this problem? I.e. black doctors treating black/minority patients have better outcomes than white with black? Thanks for what you do! Very interesting.
Blacks have to be treated by black doctors in order to receive proper care? How American.. That should be illegal and the so call doctors who are perpetuating this type of injustice should be banned from practice seeing that they took an "oath".
Most of the time you get a doctor in accordance with the ailment you have if you have a heart issue you get a cardiologist. You could get any race. If I get a doctor whose care is not top notch towards me, I will stop going to that doctor. I currently go to a family medicine doctor, I had to research to see if he was a real doctor and not a PA, because he is that bad.
This is why these forms of àsking for race everywhere is the key of systematic racism.
I have observed that all our elderly including non white Hispanics are constantly suffering extreme pain while receiving Doctor care and are usually overeducated.
Blacks get mysteriously in coma and die within days. These are my observation after attending to Whites and Black churches and seeing relatives getting older here in US.
My mother for example was in constant pain. Then, she went on vacation for about a year and came back brand new after the doctor overseas have to change her medication. Later after several months back here with her well known doctor, she is suffering pain again and looking much older and tired.
By the way, this is not on the doctors. It's in the training. I don't know what doctors learn about race, but whatever they learn is wrong. They are killing people probably with the best intentions.
They need to stop over and under medicating race.
Those forms about race only works against non whites no matter how much they try to justify them.
There was no significant difference in the rate of recommendation for TKR when the patient was black (47%) versus white (38%) (P = .439), and neither implicit nor explicit racial biases predicted differential treatment recommendations by race (all P > .06).
While implicit bias was detected it did not significantly change outcomes of treatment. It is almost like implicit bias matters very little when concerning medical treatment.
A recent experience in the Atlanta area was fascinating to me. My spouse is black and the majority of nurses are from Nigeria and other African nations. I didn't see any disparities in treatment at all.
Are the Native American and black woman I have to say it's because you are in Atlanta be thankful for that. You come up here to the Northwest to Seattle oh you will see Tobias Smith in the medical field. My very best friend who was also a black woman died are cancer and her female organs I forget which cancer it was but they denied her so many pain medicines and treatments. I went to her doctor's appointments with her domane these treatments we get out on her behalf after the research I have done and the doctors would say well it's not covered by her in insurance. I said did you go to school doctor to worry about insurance payment or did you go to school and swear the Hippocratic Oath to save lives? That's when the doctor excused herself and walked out of the hospital room. I hope your spouse never has to be treated the way my friend was treated who end up dying for lack of care and it still hurts my heart to this day. To lose my best friend for cancer that could have been fought better just because she was black. She was a mother she was my best friend. So what the doctor saying oh minority patients are uncooperative no minority patients are skeptical and distrustful and we have every reason to be.
Ive stumble onto this channel because i feel that these issues that im having today in 2024 presently with two different doctors are racially disparaging... i dont know why these things still continue to presist ... i actually have a medical background and will speak up about some of these many unbelievable ways my issues are being minimized or even shifted to other unlikely causes that does not fit my fit my concerns... its unbelievable 😢
The most recent study is 2017 over implicit bias which showed no change in healthcare outcomes, the rest of the studies are 2003 and older. Interesting pick of information here.
Thanks for the comment, it did seem kind of suspect. But still I would assume there are probably some bias. Because of different risk between groups, different severity between groups, different treatments between groups, and so on.
@@Ragatokk well different races experience different diseases at different rates solely based on race. There are diseases that only affect people with historic black lineage, there are some that only affect Hispanics, and there are some that only affect Anglo, ect... kidney diagnoses difference between white and black patient is massive because black have significantly more effecient kidneys than white people but are far less salt tolerant. This also leads to a great disparity in what drugs are prescribed. Racial difference do matter in the medical field.
Is there any data about whether minority individuals are more or less likely to follow medical instructions?
1:50
aethernaut1899 Right, but it could be that white patients on average *are* more “medically cooperative”, thus the basis for the belief. Or the reverse could be true. Or race might not matter. We need to know that fact to evaluate the finding.
From my experience, I have had doctors tell me to take this medication, but don't tell you what this medication is supposed to do for your ailments. They instruct you but don't listen to your concerns about what's going on in your body. I had one Black female family medicine and a middle Eastern doctor who did listen. I had a Black Gyn doctor who listened to me as a human being.
Of color means all of us... Clearly since 2008 we all have suffered thr effects of ovomitcareless
Fun fact; when I was diagnosed with Multiple-Sclerosis, my doctor was sure to mention that African American Males fare especially poorly with the disease... to encourage me? To scare me into the most extreme option? He pushed for the heaviest interferon-based medicine. I looked up its side effects and did my own research. I went with Tecfidera, have had no relapses, recovered from most of my symptoms, and fired that doctor.
David Silver I'm not sure if this applies to race, but MS is worse in men & there is some research showing the differences of MS in African American men vs. Caucasian men. He was probably trying to be honest with you about the severity and difference in symptoms, but I cannot speak to his recommended treatment or whether it was warranted.
Here is some info on MS among African Americans:
www.nationalmssociety.org/What-is-MS/Who-Gets-MS/African-American-Resources
@@kutie216 Which was still not what I wanted to hear, nor really benefitted me to hear, just as I was being diagnosed. Hey, you have cancer, pity your race really sucks at dealing with cancer. Sure sucks to be you, eh? I was already pretty sure MS was bad, as the start of its symptoms had he rushing to get it diagnosed in the first place. There is also the possibility that African American males fare worse because of this kind of thing, and a lack of connection with doctors causing a lapse in medication and then horrors. My new doctor is much better, hizzah!
@@kutie216 Thanks for the source.
Rather random, but a friend and someone I work with is an African American women who has had MS for a long time and she had significantly reduced her MS with extreme dietary restriction. She spent 6 months logging every thing she end and drank, and removed every ingredient should could from her diet to figure out what things made her MS worse. Give her extremely positive results, she turned her experience into a book, her website is theflogjournal.com if you want to read about it.
@@Loathomar Fantastic and good to hear. Pass on positive vibes their way.
To this whole disparity concept..duh🙄
This is pretty consistent with what's already established in the field of prejudice...
But it's still a problem, so we have to keep bringing it up.
Not surprised. If as a patient you are not a white male...you will have difficulties with medical care. Women and LGTBQ folk suffer from this as well as African Americans. If you are poor or have mental health issues you will also face suboptimal care. Overweight? Yeah, difficulties there too. It’s important to be able to shop for a doc, to find one that will work for and with you.
Don't lump Black people in with that "Diversity is our strength" BS. White Supremacy is our problem and that includes YOU.
2:27
Well, okay. But, how much of this is actually better explained by looking at socio-economic class? This is often a blind-spot in American research.
mike ehrmantrout 25 years ago
And if you are a woman to boot, you're just SOL. I swear between me and my friend with tons of chronic issues, most of what doctors (particularly male doctors, not to say female doctors are excluded though), just assume our uterus rules our lives. It has caused us both a LOT of unnecessary damage and suffering. I am still fightimg the bias and try to approsch every nee doctor and situation with blank slate but she has completely given up and will only see women doctors at this point. Tbh she is making a lot more progress than I am so far. I hate assuming things of people but being a woman who needs healthcare for serious issues is hard enough. Being a minority as well is so much worse.
With my married name changing me from a Juarez to a Mann I have noticed gentler treatment, not gonna lie.
Bonus problems if you're a fat WoC. After a few years you might be able to convince docters that you didn't imagine your problems, aren't exaggerating, aren't trying to get drugs to get high on, and that it can't be solved by exercise and dieting.
Then you get referred and can do the whole song and dance all over again.
It took me 5y and 3 PC befor I started going to the doctor I see now its an Indian man but the two women I saw befor him treated me very poorly my now PC tested me for an autoimmune disorder are second visit an I have RA for 5y I told those other 3 doctors what I was going thorough an instead of testing me for anything except two drug tests in those 5y they chose to simply act like I was a waist of time an send me on my way to suffer - Its not just men to women doctors its the willingness of a doctor to listen to you
The bias is literally deadly. I wish the schools would stop teaching doctors to believe it...
I would argue that their are statistically significant differences genetically and culturally between groups of people even within the same country so treating everybody the same will either provide optimal care for only on group of people or suboptimal for all people. We ought to treat people as individuals taking into account heritage and living conditions when practicing medicine. If you are dealing with a situation where all you know about a patient is they have sudden pains in chest and low oxygen levels and that their black it is entirely more responsible to look into sickle cell anemia sooner than if your patient where Hispanic.
That isn't the issue. What usually happens is that the minority groups are either not believed or their left uninformed. My friend has a thyroid tumor that hurts her. Instead of giving her options or getting her an idea of what to do to mitigate the pain or the pros and cons of surgery, the doctor just told her that the cancer was benign and too small so he didn't rant to do anything with it. She had to continuously go to appointments, complaining of pain for him to finally consider another option. It makes sense to expect higher odds of different diseases in different groups, but to assume that because someone is black they're not going to take treatment seriously is a bad mindset for a doctor to have because they won't try after a certain point. Or assume that your blood sugar is still high because you don't take your meds or you ignore the diet because that's what minorities do. Instead of supporting and educating, you judge and give up before you even start.
@@janeseabigails2397 I have back pain that can be pretty bad at times but the only things my doctor has ever prescribed is for me to get up off my fat ass or take aspirin as needed. Doctors do not and should not hand out opiodes like candy. As far as surgery goes their are three considerations to take, one their are a finite amount of surgery that can be done in a given time period, two surgery is not always a hundred percent safe and, three Insurance does not cover all surgeries. Taking all that into consideration your friends doctor might have determined that surgery was impractical and the she should do what most people with chronic pain do and take some aspirin as needed.
Jkevo16, you are not taking into consideration that the patient is communicating with the doctor! So a lack of interest or concern is obvious! Unless, you don't want to recognize the poor treatment we receive, as if we could proactively do something to prevent how a physician treats us.
I thought Africans and Europeans were more/less likely to get certain disease, needed different treatments, and so on. So to me it would seem rather natural for medical professionals to treat people differently.
Is this wrong?
It's definitely true that people with different ethnic backgrounds have different levels of risk for certain diseases and different recommended treatments.
That's not really what this is about though.
Ethnically white males are generally treated way better in the healthcare system, are much more likely to be believed, much more trusted, and much more likely to be properly treated.
The idea that this is just because of some minor differences in physical makeup is quite naive, completely ignores our existing societal problems along these lines, and just helps people ignore the problem.
@@Healermain15 I absolutely didn't say that those differences would account for the findings of the study. At no point did I dispute that ethnic minorities are more likely to receive a lower standard of healthcare in some cases. I was only answering a perfectly valid question.
I think the point OP is trying to make is that this is a relevant factor that it would have been helpful to address or at least mention in this video.
Do Black doctors also preferentially treat Black patients?
Not in my experience no and that is about 4 that I have seen
@Fabian Lohrmann Without reading the study, that doesn't answer the question. If there are many more white doctors than black doctors (which there are), then a study will find an *overall* implicit preference for white patients, even if black doctors also have an implicit preference for black patients.
No they don't, Black doctors just see all there patients as human beings
@@gardenhead92 Black doctors who work for medical institutions cannot choose the race of the patient.
No
those 41 dislikes hmmm
This y every black person need to follow Dr sebi
is this of ethical concerns of providers/nurses ? Nursing fundamentals have taught me to have values such as altruism, social justice, providing cultural competent/sensitive care with human dignity, and so on.
john vidal I’m a nurse and worked on a psych unit. I did see racial disparities on the way the nurses treated some patients according to race. It’s an issue that is insidious, and needs to be addressed.
I am a student nurses and I can stand testimony the system is fake and build up of good words which do not hold true in actuality...
This is absolutely an ethical concern of all medical providers and staff, one that especially hits on the ethical principle of justice. This principle explains the fair and equal distribution of health resources, something that has been lacking in several aspects of healthcare, especially in the black community as described in this video. This is also profoundly seen in healthcare through the higher percentage of maternal morbidity seen in black women. Many efforts put in place have failed, also talked about in this video. As a future medical provider, I think one way we could all start change is by strongly advocating for our patients who have experienced these racial disparities in their lifetime. Trust them, listen to them, fight for them.
💚
Talk about the difference between races in IQ.
What relevance does this have with United States health care policy?
super8mmo Guessing which circle or square comes next is not a positive trait.
Good health care should just be for us good white folks.
Strongly disagree someone shouldn’t be judge based on their race or have certain privileges based on their race, minorities are a big part of America and take hard and lower paying jobs it’s rude to say someone should be left to die because you are prejudice or hate their skin color
@@Jonathan-ks6qc minorities don't count. They are 2nd and third class citizens. You are more than welcomed to join them in taking a seat at the back of the bus if you'd like.
@Isaac Suarez green card pls
Didn't know your neighborhood dictated what insurance you can get.
Your zip code is the singlemost telling factor of your life span
@@AvgJane19 I'm not sure I would agree wholey with that statement but I get, and agree with what you are saying. But no one has ever been denied insurance because of the zip code they live in.
Doesn’t dictate, but zip code correlates greatly with SES which is directly related to what insurance you have, so...
The only thing I agree with in this video is enforcing civil rights laws. They were made to free all of us and therefore should be enforced
One flaw
Any research her can prove his beliefs no matter what the truth.
stop mispronouncing "biases"
Cause that's the main takeaway here. /Eye rolls out of head/