News / USA

African-American Surgeon Calls for Equality in US Medical System

Report finds discrimination against blacks, women, Hispanics and obese patients

Dr. Augustus White, with a group of nuns at a Leper Colony in Vietnam in the late 1960s, as he was becoming increasingly aware of medical discrimination against minorities.
Dr. Augustus White, with a group of nuns at a Leper Colony in Vietnam in the late 1960s, as he was becoming increasingly aware of medical discrimination against minorities.

Multimedia

Audio

When Augustus White was growing up in the American south in the 1940s, racial segregation was an accepted part of life. African Americans got second best - in education, employment, and health care.

But White overcame those barriers, becoming an orthopedic surgeon, professor of medicine at Harvard  and a leading figure in the struggle to reduce discrimination against minority medical patients.

Overcoming barriers

White was the first African American to reach a series of academic and professional milestones that were unheard of in the 1950s and ‘60s. The first African-American president of his traditionally white fraternity at Brown University, White was the first African American to graduate from Stanford Medical School, the first black resident, the first black surgery professor - at Yale University - and the first black department chief at Harvard’s teaching hospitals.

But what White may be best known for is his groundbreaking exploration of the deeply-rooted bias against minority patients that he believes is prevalent in the American health care system.

Dr. Augustus White in his apartment at Carlanderska Hospital, Goteborg, Sweden, 1969.
Dr. Augustus White in his apartment at Carlanderska Hospital, Goteborg, Sweden, 1969.

Struggle for medical equality

White first became aware of discrimination against minorities at the start of his medical career in the early 1960s and, later, while serving as a combat surgeon during the Vietnam War. His personal observations were further confirmed when he read a 2002 report that revealed some disturbing statistics about discrimination, not only against blacks, but also women, Hispanics, gays, the elderly and even the obese.

"This Institute of Medicine report, "Unequal Treatment," just spells it out in just blatant, statistical, overwhelmingly convincing ideas and realities about this inhumanity that exists," he says.

It’s conscious and unconscious, says White, but it’s a prevailing situation. "When are you most vulnerable? It’s when you’re sick. And to realize that under those circumstances you’re at risk to receive disparate care is really quite an issue."

Unequal treatment

The report also cited that African Americans receive less pain medication for the same injuries than white Americans; women dying from kidney disease are less likely to receive transplants; Hispanic Americans receive less angioplasty and bypass surgery for heart disease than whites; and the elderly are treated as less valuable than younger patients.

White finds this shocking, and inexcusable. "It’s a moral issue. It’s a legal issue. It’s a public health issue. This is a question of human rights," he says. "People should be getting the best care that the profession can offer them. And now they’re not getting the best care the profession can offer them."

What was even more surprising to White was seeing just how unconscious this bias seemed to be.

"There are examples of female doctors actually giving disparate care to female patients. There are examples of African-American doctors actually giving disparate care to African-American patients. And my theory is that the culture of medicine is so powerful that when you come through it as a student and as a resident and as a young doctor, and you get inculcated into the profession, sadly, part of that momentum includes these biases."

Augustus A. White III, M.D., is professor of Medical Education and Orthopedic Surgery at Harvard Medical School and the first African American department chief at Harvard’s teaching hospitals.
Augustus A. White III, M.D., is professor of Medical Education and Orthopedic Surgery at Harvard Medical School and the first African American department chief at Harvard’s teaching hospitals.

Medical inertia

To counteract these discrepancies, White calls for changes in education for doctors, nurses, medical school faculty, even insurance companies. He says they need training in self-awareness, so they can recognize their internalized prejudices, and be able to work from that.

White believes doctors need to understand the culture their patients come from - something he calls cultural literacy.

"Medical students should be taught something about the characteristics of the cultures that they may be treating in large part. So if 30 percent of your patients are Muslim patients, you should have some insight, some idea about what some of the prevailing practices of the Muslim culture may be."

With a new book about his experiences, called "Seeing Patients - Unconscious Bias in Health Care," White hopes to make the medical community aware of the problem, and trusts it will motivate them to doing something about it.

But he admits that it’s going to be a challenge.

"There is a kind of denial, there is a kind of inertia, but I think this is a mission that deserves a lot of energy and enthusiasm to get medical schools to be more committed with resources, with determination, with sustained efforts to really change the culture of medicine."  

White remains hopeful that change will come - and that everyone will have equal access to the best medical care the nation can provide.

You May Like

Video Experts Warn World Losing Ebola Fight

Doctors Without Borders says world is losing battle against Ebola, unless wealthy nations dispatch specialized biological disaster response teams More

Video Experts: Rise of Islamic State Significant Development in Jihadism

Many analysts contend the group - which grew out of al-Qaida in Iraq - has been rebuilding for years More

US-Based Hong Kongers Pledge Support for Pro-Democracy Activists

Democracy advocates call on Chinese living abroad to join them in opposing new election rules for their home territory More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Larger Than Life Chinese Lanterns Make Southern California Appearancei
X
Elizabeth Lee
September 02, 2014 8:57 PM
Chinese lanterns with a long history are lighting up in 21st century style at the Los Angeles County Fair in southern California. Visitors can see traditional lanterns that hang, but also lanterns in the shape of animals, iconic landmarks and many other objects, all created by artisans from a place in China known for its lanterns. Elizabeth Lee has the details from the fair in the city of Pomona.
Video

Video Larger Than Life Chinese Lanterns Make Southern California Appearance

Chinese lanterns with a long history are lighting up in 21st century style at the Los Angeles County Fair in southern California. Visitors can see traditional lanterns that hang, but also lanterns in the shape of animals, iconic landmarks and many other objects, all created by artisans from a place in China known for its lanterns. Elizabeth Lee has the details from the fair in the city of Pomona.
Video

Video Experts See Rise of ISIS as Significant Development

The Islamic State’s rise seems sudden. It caught the U.S. by surprise this summer when it captured large portions of northern Iraq and spread its wings in neighboring Syria. But many analysts contend that the group - which grew out of al-Qaida in Iraq - has been rebuilding for years. VOA's Jela de Franceschi takes a closer look at the rise of ISIS and its implications for the Middle East and beyond.
Video

Video Israel Concerned Over Syrian Rebels in Golan

Israeli officials are following with concern the recent fighting between Syrian rebels and government forces near the contested Golan Heights. Forty-four U.N. peacekeepers from Fiji have been seized by Syrian Islamist rebels and the clashes occasionally have spilled into Israel. VOA’s Scott Bobb reports from Jerusalem.
Video

Video Ukraine Schools Resume Classes, Donate to Government Forces

A new school year has started in Ukraine but thousands of children in the war-torn east are unable to attend because of ongoing clashes with pro-Russia rebels. In Ukraine's capital, patriotic education has become the norm along with donations to support injured security forces fighting to take back rebel-held areas. VOA's Daniel Schearf reports from Kyiv.
Video

Video US Detainees Want Negotiators for Freedom in North Korea

The three U.S. detainees held in North Korea were permitted to speak with foreign media Monday. The government of Kim Jong Un restricted the topics of the questions, and the interviews in Pyongyang were limited to five minutes. Each of the men asked Washington to send a representative to Pyongyang to secure his release. VOA’s Carolyn Presutti has our story.
Video

Video Turkmen From Amerli Describe Survival of IS Siege

Over the past few weeks, hundreds of Shi'ite Turkmen have fled the town of Amerli seeking refuge in the northern city of Kirkuk. Despite recent military gains after U.S. airstrikes that were coordinated with Iraqi and Kurdish forces, the situation remains dire for Amerli’s residents. Sebastian Meyer went to Kirkuk for VOA to speak to those who managed to escape.
Video

Video West Africa Ebola Vaccine Trials Possible by Early 2015

A U.S. health agency is speeding up clinical trials of a possible vaccine against the deadly Ebola virus that so far has killed more than 1,500 people in West Africa. If successful, the next step would be a larger trial in countries where the outbreak is occurring. VOA's Carol Pearson has more.
Video

Video Survivors Commemorate 70th Anniversary of Nazi Liquidation of Jewish Ghetto

When the German Nazi army occupied the Polish city of Lodz in 1939, it marked the beginning of a long nightmare for the Jewish community that once made up one third of the population. Roughly 200,000 people were forced into the Lodz Ghetto. Less than 7,000 survived. As VOA’s Kane Farabaugh reports, some survivors gathered at the Union League Club in Chicago on the 70th anniversary of the liquidation of the Lodz Ghetto to remember those who suffered at the hands of the Nazi regime.

AppleAndroid