Health Disparities in the Black Community: Past & Present
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- Опубліковано 29 чер 2024
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You're probably aware that the United States healthcare system is letting down many Black Americans. Today, Danielle looks at the historic reasons for distrust of medical establishment in the Black community as well as why these huge health disparities still exist.
Special thanks to our Historian Harry Brisson and Archivists Rachel Brice, Jafra D. Thomas, and Alex Hackman on Patreon! Join them at / originofeverything
Created and Hosted by Danielle Bainbridge
Produced by Complexly for PBS Digital Studios
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Origin of Everything is a show about the undertold histories and cultural dialogues that make up our collective story. From the food we eat, to the trivia and fun facts we can’t seem to get out of our heads, to the social issues we can’t stop debating, everything around us has a history. Origin of Everything is here to explore it all. We like to think that no topic is too small or too challenging to get started.
WORKS CITED:
Centers for Disease Control and Prevention. “Racial and Ethnic Disparities Continue in Pregnancy-Related Deaths.” September 5, 2019. Accessed September 5, 2020. www.cdc.gov/media/releases/20...
Eberhardt, Jennifer. Biased: Uncovering the Hidden Prejudice That Shapes What We See, Think, and Do. New York: Viking, 2019.
Flanders-Stephans. “Alarming Racial Differences in Maternal Mortality.” The Journal of Perinatal Education. 2000 Spring: 9 (2): 50-51. www.ncbi.nlm.nih.gov/pmc/arti...
Goody, Maria “Black Medicare Patients with COVID-19 Nearly 4 Times as Likely to End Up in Hospital.” NPR. June 22, 2020. www.npr.org/sections/health-s...
Gourdine, Michelle A. “Racial Health Disparities in America.” African American Studies, Current Affairs, Health and Medicine, reprinted in Yale University Press Blog. June 29, 2020. . blog.yalebooks.com/2020/06/29/...
Johns Hopkins Medicine. “The Legacy of Henrietta Lacks.” www.hopkinsmedicine.org/henri...
Kashef, Ziba. “Study Finds Racial Disparities in Prescribing Opioids for Chronic Pain.” Yale News. August 20, 2018. Accessed September 5, 2020. news.yale.edu/2018/08/20/stud...
Mahon, Suzanne. “The Story of Henrietta Lacks Sheds Light on Ethical Considerations in Genetic Testing.” Oncology Nursing Society. April 28, 2017. Accessed September 5, 2020. voice.ons.org/stories/the-sto...
Noguchi, Yuki. “‘Bear Our Pain’: The Plea for More Black Mental Health Workers.” “Morning Edition,’ NPR. June 25, 2020. www.npr.org/sections/health-s...
Novoa, Cristina and Jamila Taylor. “Exploring African Americans’ High Maternal and Infant Death Rates.” Center for American Progress. February 1, 2018. Accessed September 5, 2020. www.americanprogress.org/issu...
Rabin, Roni Caryn. “Huge Racial Disparities Found in Deaths Linked to Pregnancy.” The New York Times. May 7, 2019. Accessed September 5, 2020. www.nytimes.com/2019/05/07/he...
Roberts, Dorothy E. Killing the Black Body: Race, Reproduction, And The Meaning Of Liberty. New York: Pantheon Books, 1997.
Sabin, Janice A. “How We Fail Black Patients in Pain.” Association of American Medical Colleges. January 6, 2020. Accessed September 5, 2020. www.aamc.org/news-insights/ho...
Skloot, Rebecca. The Immortal Life of Henrietta Lacks. New York: Crown Publishers, 2010.
Thomas, Karen Kruse. Deluxe Jim Crow: Civil Rights and American Health Policy, 1935-1954. (Athens: University of Georgia Press, 2011).
Wyatt, Ronald. “Pain and Ethnicity.” American Medical Association Journal of Ethics. May 2013. Accessed September 5, 2020. journalofethics.ama-assn.org/...
Zarafsky, Marc. “Why African American Communities are being Hit Hard by COVID-19.” American Medical Association. May 13, 2020. Accessed September 5, 2020. www.ama-assn.org/delivering-c...
This touches home so much. Dealing with bias in healthcare is critical to all of us, black people to the extreme. Black women have to be compared to white women in general because women also have biases against them in areas like pain (oh, she's just a hysterical weakling). Is there a family that doesn't have an anecdote supporting this? I have several. My step mother (a black woman) had to have family on duty 100% of the time after she had a severe complication post birth of my sisters. The nurses would fail to feed her or respond to negative events despite her delicate condition, even with a white man advocating for her. Not hard to see a death if he had not been there.
More recently, my dad has been referred to a pain management therapist for a condition very similar to one I had several years ago. In my case, the doctor called me incurable and just dismissed all appointments, no talk of pain management. As it happens, I found my own solution (massage therapy) and solved most of the underlying issue that he failed to recognize, but had he not, I would have been on my own. My mother had been on disability for years with severe pain and no one mentioned pain management therapy. They just gave her antidepressants and told her she was faking it. When they finally opened her up to fix it, they said she had been faking because she should have been in even more pain than she reported. I'm glad my dad is getting the treatment he needs, but it sure feels like different treatment than any of the women, white or black, of my family receive.
Thank you for articulating this
Wow thank you so sad
funny how whyte women always make everything about them
@@magemyst7245 sometimes people do that to relate to the subject. Stop making mountains out of mole hills 😒
8:42 this is a great point that I never considered before - could point to why the opioid crisis hit whites really hard
Another factor in whites and pain meds concerns how well informed many whites are (or are assumed to be) concerning the health care system itself: Giving whites extra opioids cuts down on complaints to doctors, insurers, regulators and lawyers.
What could help? I always hear people say oh this job has great benefits- stop attaching health care to jobs and make it mandatory for everyone to have a form of healthcare- job should be offering other incentives to keep employees- this makes education in conflict with healthcare
Scishow did a video about how amazing Henrietta Lacks' cells were and the research and discoveries because of them. Tho she never knew and was not recognized until way too late, they helped a lot of people.
Thank you so so so much for doing this topic!!!!!! From a public health/health equity nerd😍 “Medical Apartheid” is a terrifying but very important book, for those interested
I have that book but have not yet been able to read it but you are spot on re: its importance.
@@newyorker2581 It's an incredible and thorough book but it took me time to get through; it's draining emotionally for sure.
This is such an important video to make, I feel more informed and will start doing some of my own research. Thank you.
That very smart😊
This is inhumane. I thought the point of the medical community was to provide medical care for everyone.
I know I'm a year late, but I do have to ask; since when did the medical community ever provide medical care for everyone?
@@dave_riots You have a point
We have so much to atone for... Thank you.
Thank you for the information! Danielle and crew y’all make such important and interesting videos.
Videos like this are so important!
I was recently called racist by a trump supporting family member when I pointed out things like this and voter suppression. Apparently things like this could never be true🙄 trying to remind people of the past and how some of these atrocities are still happening is racist and saying POC are ignorant. Guess it's a way conservatives can make themselves feel better 🙄
I've noticed an accompanying issue recently. Many minorities (including Women, ESL people, BIPOC etc) don't even know the extent to which they are being discriminated against until they have others tell them that their treatment isn't the norm.
I spent many years thinking the way I was being treated medically was normal. It wasn't until I saw how wealthy people and white Men in general were treated that I learned it wasn't just the way doctors were.
I wonder how many people underestimate the bias of others due to lack of any other reference.
I know that my Hispanic ex boyfriend had no idea how many racists were in our small town. He told me he hadn't experienced it there.
In reality the racists just only talked behind his and other minorities backs, made racist jokes only around other white people etc.
It makes me wonder how many people are just used to being treated a certain way and don't even know how messed up it is or that anyone else is treated any different.
P.S. Im fully aware that most minorities experience a lot of overt/obvious racism. Im just pointing out that this is an issue also and its important that we advocate for others and make sure to talk with others when we see people being done dirty.
Call out the jacka×÷ telling racist jokes, the doctor ignoring the person in pain, etc.
I am hoping this will be part of a series on other racial-ethnic minority groups, as well as by rural/urban geography!
"After the fair housing act was passed, a kind of de facto segregation still existed..." You mean still exists.
I mean does it really though? Everyone is free to live where ever
@@mitchsullivan367 Ignorance is not a good look. Do some research:
ncrc.org/holc/
www.forbes.com/sites/brendarichardson/2020/06/11/redlinings-legacy-of-inequality-low-homeownership-rates-less-equity-for-black-households/
www.businessinsider.com/how-redlining-kept-black-americans-from-homeownership-and-still-does-2020-6
www.npr.org/2017/05/03/526655831/a-forgotten-history-of-how-the-u-s-government-segregated-america
The US government used its powers to segregate, but did not use its powers to desegregate...this is a fact. All it did was stop trying to segregate...that's not the same as desegregation.
As a matter of fact. Richer black people are also more likely to move into a poor neighborhood compared to their white counterpart....think on that.
I just don't understand why some doctors/nurses would treat black patients differently from white ones. To me I see everyone as a human being capable of having the same pain as anyone else. Why can't more people treat everyone equally no matter what the race? :/
Check out Last Week Tonight with John Oliver’s: Medical Bias video
It's called racism I do believe
@@demonwaterdemonwater4993 they do. They deny black people medical care and prescriptions. Why is why the "Opioid Endemic" adversely affects more white people. They can say they broke a finger and an Opioid prescription is written. A black person can go 4 the same problem and receive tylenol. They teach doctors that black people have a higher tolerance or pain when that's not true... All of this is documented as well
Always appreciate the clear and concise education from this channel
Thank you, PBS! This is an excellent video to present to my undergraduate students in Public Health. They will take this info and use it to help change the world!
While I was in nursing school my aunt, who was also a nurse, and I were discussing starting IV’s, she told how hard her first on was, the patient, a black woman was in the basement! Why was she THERE? My aunt reminded me that when she went to nursing training blacks weren’t housed with the white patients, but in the basement! Poor lighting, damp, being a real problem for those needing bright light! The thought of those poor souls still hurts to think about! I had to remember that at least they were admitted, so many were turned away simply because of their skin color!
Always look fwd to your videos girl 👧🏾!
Sooo what happened to the say it loud Pbs channel? 🤛🏾
Don't forget that the so-called "Father of Modern Gynecology", James Marion Sims, performed experiments and unnecessary procedures on black slave women in the US without their consent and without any anesthesia.
VERY INTERESTING GRATEFUL I CAME ACROSS YOUR PAGE HAD
TO SUBSCRIBE...LOOK FORWARD
LEARNING MORE IN THE NEAR
FUTURE
As a worker in a "place of last resort" (emergency room tech) this issue is on my mind constantly.
I also work with a patient population that is impoverished and in majority black.
The subject is even more complex than anyone who doesn't work in the system can imagine. I see racist bullshit on the daily with my coworkers. And I see how lack of education and access to preventive healthcare devastates the community I live and work in.
It's a closed loop system that creates bias as well as perpetuates it.
As we move into another covid outbreak I have to live with these issues every day. Please be kind to us on the front lines we're doing the best we can.
I hope your co-workers perpetuating that "racist bullshit" also show the same kindness to black people that you're asking for. I hope that you, too, are calling them out and addressing their racism. Not American, but thank you for your service.
Really important video. Especially appreciated the way it addressed mental health and the common misdiagnoses that occur in the black American population
I absolutely love your content. It is so educative and easy to understand. Tysm :)
Thanks sister for this very inspiring and informative video!
Important topic but the title should be **Healthcare** Disparities, as much of the works cited and discussion center on treatment in the healthcare system, and not as much on the social and structural determinants of racial health disparities (i.e residential segregation, chronic stress, food deserts, etc).
interesting vid, thanks for making and sharing.
Just want to say, this on me watch for latest for sure! Thank you for delving into the research and creating this educational video!!!!
I am hoping this will be part of a series on other racial-ethnic groups!
The only thing I'd mention you missed is how insurance affects all of this as well, and since that overlaps especially with environmental racism, downstream effects tend to stack up. But this was a really solid and sad episode
Could you place the link in the description for the series on drone images and science education?
This happen to me ! My baby has brain damage / cerebral palsy. I have been walking around with a mass in my breast for seven years. No one informed me . My lawyer did nothing to help with the medical malpractice case .
I wish that the news reporting on these and other studies would emphasize policy recommendations & all of the probable reasons for the higher risks. I think those are overlooked.
So applicable today in the UK also....... Thank You
Thank you
This hospital in my hometown is none for doing this. I went there around covid time to get put back on depression medicine so i can regulate my mental health quicker. I didnt even know that i was pregnant at the time, until they told . So they tested me for covid i was negative..Brought me upstairs put me in a room with a Transgender black male to female that was my roommate. I didnt even know she was trans until i heard her talk. And i started asking questions she admitted she never had bottom surgery..So then later she said i dont feel good. Mind you i was already vaccinated and never got covid ever. They tested my roomate comes out she had covid. I ended getting it. I was mad 😠. I asked them i thought you test eveyone before they come up they were loke we do. Im like something isnt adding up. I was like why you never told me she was trans? They said just as long as they identify as female it doesn't matter. Then i noticed the white females all had their own room. I said why didnt you put her in a room ny herself? They said they are in their room by selves for a different situation. Then they kept asking me for blood, when they already took 8 tubes so, i was no youre not taking any more blood from me. Because i knew they were trying to get more blood from me because i am O positive. So they said oh really? The nurse yelled out, shes refusing to not give blood! I was like yea i know my rights i have the right to refuse. So they brought security in and hade them. Tackle me down. And injected me with some type of drug. So they said its not working inject her again..they injected me three more times. I lost my baby. They also lied and said i was schizophrenic. They lied on their reports. I just had that misdiagnosed removed from my records. It wasnt easy i got acces to all my medical reports of the nurses taking down notes but they lied. I tried to sue lawyers wont represent me.
So, wait. You're telling me that they built TWO hospitals in EACH county in the 60s?
Ffs. My rural county doesn't even have one.
Well technically you could only got to go to one.
I know of places where there were no 2 hospitals. There was one and it wasn't allowed to serve certain communities of people. They had to rely moreso on house calls, "underground" procedures, and home remedies.
I've met people around my age (I'm only 40) who personally grew up in and experienced this
@@keeshabrown7353 Jeez. That really shouldn't surprise me. 😕
Tbh, it seems a lot more in line with the old south ways than building 2 hospitals per county, unfortunately. I could honestly see those old racists choosing 0 hospitals for anyone before they spent a bent nickle to help anyone besides whites.
And 40 years later, we *still* haven't managed to figure out why those *still* underserved communities tend to be untrusting of hospitals and government.
GREAT VIDEO!!!!!!
I never see black bodies in textbooks.
Please do a show on why we have gender specific bathrooms. We were discussing this at work today. We have 2 women in an office of 17. The women (I'm one) think it's stupid to have separate bathrooms. The men are the ones who think they should be separated. On the plus side, the women's bathroom is clean (we each get our own toilet) and never have to wait. Whereas the 15 men share one toilet and one urinal.
And the opposite is true in public events because women, by biology, need something like 30 seconds more on average to use the restroom. That adds up at events like theater and games, leaving long lines in the womens but nothing at the mens. Classic queue management problem. One line many stalls is always better than multiple lines.
Sad any human black, white, purple, male or female have to go thru any type of testing. Isn’t this the same Josef Mengele put Jews but it was also Poles, Russians, Hungarians, gays, disabled, political prisoners as well.
Evil knows no boundaries.
Treefinger podcast on Spotify
I have diabetes and I’m black my parents say I don’t have health insurance
She was crying though
Just so inhumane!
Mental health in inner cities has been catastrophic for decades bragging boasting terrible family life victims entitlement helplessness spell NPD pandemic raging 😅
This must be broken....only 4 thousand views??????/
people would much rather be ignorant about such matters, they do not care for this type of information.
It takes thousands of years to change nature.
That cardi is fly
"xiè xie."
......*savors moment* First
But history isn't taught Wow
HeLa Cells are still being used today!
Weak arguments IMHO, these are just assertions without data. Examples have no logic connections to the assertions of bias
I think behaviors that may contribute.
..are?
Can you tell how that study in patient pain was accomplished? Do you think nurses or doctors evaluate what prescriptions they give out based on ethnicity? And someone went through all the prescriptions given and evaluated who got what based on ethnicity. Just asking for logic.
Narcotic prescriptions and when they're dispensed (in the case of an "as needed" prescription being given by a nurse) are tracked by law. This gives public health professionals who have access to this info combined with demographic data the ability to compare people with a similar diagnosis and draw the conclusion that, on average, there appears to be a bias against giving narcotics to certain groups. This is also believed to be a factor in things like the maternal death rate because concerns might be downplayed or written off as "pill shopping" etc.
@@pmr4123 Great fantasy. Demographics is an area not a type of person. Unless you want to say everyone in a certain area is of one race. And then tell me there is no such thing as race. See. you can have it both ways.
@@pmr4123 i just experienced this
This should be american history but we never taught
seems like a pretty racist video to blame others for disparities one may have!
🙄
It's dishonest to exclude the tendency of the black community to make poor health choices about diet, behaving correctly, and planning for or prioritizing current and future events. The predisposed genetic risk to serious health problems is exasperated by behavioral differences in contrast to those outside the black community.
When you factor those things into the equation, we find the source of the disparities and where the real problems lie, prompting those who suffer from perceived injustices to face the fact that better choices lead to better health.
Everything is about race on this channel suddenly. A sad goodbye to this channel for me.
Race Isa trending topic right about now.
Get to walking
✌🏽👉🏾
Couldn't stand the heat lol
Do black people FOLLOW the CDC guidelines as well as, say, Asians do?
But... but... but... systemic racism doesn't exist. /sarcasm
Look at your calendar why you going backwards history is history we are in the future look at the future not the past
Sad thing is in Africa African women are not treated negatively
Yawn. If you don't like it in a country, you know what to do.
What?
Yes. Change that country into one that you like.
@@bjmccann1 that's a tall order and not feasible.
@@elenapelayo1 We've changed this country several times. In my lifetime alone, we've had the Voting Rights Act, the Civil Rights Act, Title IX, legal homosexuality, gay marriage, the Americans With Disabilities Act, the founding of the EPA, etc, etc.
Yawn. Another entitled git who thinks if you recognize a problem in your country you must hate it.