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Freakonomics, M.D.

63. What Medicine Gets Wrong About Race

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 2 December 2022

⏱️ 31 minutes

🧾️ Download transcript

Summary

Some diagnostic tests give distorted results for Black patients. How are doctors trying to change that?

Transcript

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0:00.0

The reason I became kind of a central figure in this controversy is not because I'm an

0:11.0

equation person.

0:12.0

I have family members that were affected by the use of this.

0:16.7

That's Dr. Amaka Inanya.

0:18.9

She's an aphrologist or kidney doctor.

0:21.4

And the controversy she's referring to has to do with an equation that doctors have

0:26.3

used for decades to estimate kidney function.

0:30.4

That number determines crucial things about a patient's care, including whether they're

0:35.3

eligible for a spot on the wait list or a kidney transplant.

0:40.0

But the problem is there are actually two equations, one for black patients and one for

0:45.4

everyone else.

0:47.6

If you took two patients with identical health profiles, one black and one white, the

0:52.6

black patients estimated kidney function would look better than the white patients, even

0:58.1

if it wasn't.

0:59.5

This can have all sorts of implications, but perhaps most critically, the black patient

1:04.7

might have to wait longer for a spot on the transplant wait list.

1:09.3

I have kidney disease that runs in my family and I saw explicitly how that number affected

1:14.8

an individual's care in my family.

1:17.4

And so I just really could not walk away from this controversy.

1:21.2

It's deeply personal and I think it's deeply wrong.

1:27.1

There are huge disparities in health care and health outcomes across racial groups in

1:31.6

the United States.

...

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