“Of all the forms of inequality, injustice in health is the most shocking and the most inhumane.”
-Dr. Martin Luther King, Jr.
by Z Petrosian
In the U.S. COVID-19 has infected Indigenous, Black, Latinx, and Asian people at rates higher than whites, and the disparity is even greater when it comes to the severity of illness and death from COVID-19. Centuries of racism in the U.S. healthcare system are to blame. We don’t need more studies. We need action to demand expanded access to healthcare for all, especially people of color and very poor people, through national Medicaid for all. We must also create independent community-based boards that have the power to accept complaints, implement changes, and review materials and practices.
Centuries of racist abuses call for reparations
Racism in healthcare can be traced to the foundations of the U.S., which is based on the genocide of Native peoples and chattel enslavement of Africans. For centuries, non-white, particularly Black, people were treated as less than human, only to be kept healthy enough to work or to be experimented on without consent, as in the case of gynecological experimentation carried out by James Marion Sims on enslaved Black women. This abuse and experimentation continued long after slavery was abolished, most infamously in the Tuskegee Syphilis Study wherein Black men were deliberately infected with syphilis and denied treatment.
This abuse is not just in the past but continues to exist in healthcare, particularly in the lack of equal access to quality medical care. Studies show that, overall, Blacks who report medical problems receive less timely and lower quality treatment than whites; illness and disease is more likely to be found and addressed later in its course, resulting in worse outcomes and preventable deaths.
Dr. Susan Moore, 52, dies of COVID-19 while fighting for equal care
The quality of care routinely given to rich whites and politicians is denied to the working class and people of color. Recently Susan Moore, a dedicated Black family medicine doctor, called out racism at the hands of a white doctor and staff who were treating her for COVID-19 at a hospital in suburban Indianapolis. Being a medical professional, Dr. Moore was able to make detailed demands about the specific treatments she knew she needed even as her reported symptoms went unheeded.
Despite her objections, Dr. Moore was sent home prematurely while her condition deteriorated. “This is how Black people get killed, when you them home and they don’t know how to fight for themselves,” Dr. Moore said. Just hours later, she was transported in an ambulance to another hospital where she died from COVID-19.
This most horrible outcome was compounded by a lifetime of unequal access to medicine due to the racism of the system. Income, housing access, geography, and education all play a major role in the health outcomes of U.S. residents. But Black people are sicker and die younger even when their education levels and incomes are the same as whites. Racism kills.
Affected communities should have the final say on care and equal access to medical education, research, & healthcare delivery
One way to address racism in healthcare is to guarantee free medical coverage and high-quality care to everyone through national improved Medicaid for all. There should be no red tape and no medical bills; this system should cover all necessary medical care for every person in the U.S. for their entire lifetime.
Socialist countries, such as Cuba, provide excellent healthcare at no cost to patients, keeping their populations healthy through a focus on equal access to both prevention and treatment. We can also look here at home to the Veterans Administration (VA) health system to see evidence that guaranteeing health coverage improves health outcomes, especially for Black people. The VA is a health system in need of improvements – long demanded by veterans – still, while Black people in the general population have higher rates of heart disease and death than whites, a study of three million people guaranteed care through the VA showed Blacks were 37% less likely than white men to develop heart disease and had a 24% lower death rate than white patients.
Calls for improved Medicaid for all are urgent during pandemic
It should not have taken a global pandemic for racism to be more broadly recognized as a pervasive and insidious public health issue affecting all aspects of U.S. society, including the healthcare system. However, the current crises give urgency to demands for consistent, free, and equal access to healthcare.
All medical knowledge, treatments, medicines, and therapies are produced by the global working class. It is wrong to allow governments and corporations – including pharmaceutical, insurance, and hospital corporations – to hoard healthcare for the privileged few and make profits. We must take up the fight for Medicaid for all. Equal, quality healthcare is a right!