Race Based Medicine, Colorblind Disease: How Racism in Medicine Harms Us All

Am J Bioeth. 2021 Feb;21(2):19-27. doi: 10.1080/15265161.2020.1851811. Epub 2020 Dec 5.

Abstract

The genome between socially constructed racial groups is 99.5%-99.9% identical; the 0.1%-0.5% variation between any two unrelated individuals is greatest between individuals in the same racial group; and there are no identifiable racial genomic clusters. Nevertheless, race continues to be used as a biological reality in health disparities research, medical guidelines, and standards of care reinforcing the notion that racial and ethnic minorities are inferior, while ignoring the health problems of Whites. This article discusses how the continued misuse of race in medicine and the identification of Whites as the control group, which reinforces this racial hierarchy, are examples of racism in medicine that harm all us. To address this problem, race should only be used as a factor in medicine when explicitly connected to racism or to fulfill diversity and inclusion efforts.

Keywords: and racial hierarchy; health disparities; medical guidelines; race and culture/ethnicity; racism; standards of care.

MeSH terms

  • Ethnicity
  • Healthcare Disparities
  • Humans
  • Medicine*
  • Minority Groups
  • Racism*
  • United States