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Well, Now: Ending Racism in Healthcare

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Slate Podcasts

Music, Tv & Film, Arts

4.22K Ratings

🗓️ 28 February 2024

⏱️ 31 minutes

🧾️ Download transcript

Summary

The U.S. healthcare system can split the country into two Americas. Your zip code, education, class status and more all play a role in the outcome of your health as well as the kind of care you receive.  Fewer markers more clearly define these disparities than race.  On this week’s episode of Well, Now Maya and Kavita talk about racism in American healthcare with Dr. Uché Blackstock.  Her new book Legacy: A Black Physician Reckons with Racism in Medicine gives a historical view of how racism has always played a role in U.S. healthcare.  This book is also a memoir of her own experience as a physician carrying on the legacy of her late mother, Dr. Dale Gloria Blackstock. Health Resources Mentioned in the Episode: Health in Her HUE Irth App Podcast production by Vic Whitley-Berry with editorial oversight by Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

You're listening to Well Now,

0:06.1

you're listening to Well Now,

0:07.6

Slate's podcast about health and wellness.

0:10.1

I'm Maya Feller.

0:11.2

And I'm Kavita Patel. For most people the name Abraham Flexner doesn't mean much.

0:15.7

But for me and thousands of physicians that went to medical school in the United States,

0:20.6

our entire education was shaped by this man more than a century ago.

0:25.0

I didn't know about Abraham Flexner until I was in residency, and like so many others,

0:30.3

like he was incredibly revered and respected.

0:33.0

That's Dr. Uche Blackstock.

0:34.8

Her latest book legacy dives deep into the history of the Flexner report.

0:39.0

This was a report in 1910 commissioned by the American Medical Association and the Carnegie Mellon

0:44.4

Foundation and essentially they commissioned Abraham Flexner to assess all

0:49.7

155 US and Canadian medical schools and to hold those schools against the

0:54.3

criteria of like Western European schools and Johns Hopkins.

0:58.0

It provided recommendations for stricter admission standards, fully equipped labs, and other formalized protocols that made health care

1:05.2

education more similar to Western European medical schools.

1:09.2

But for schools that didn't have the proper funding to make these adjustments, it proved to be disastrous.

1:16.4

At the time there were seven majority black medical schools, many of them in the South that

1:21.0

came about after the Civil War during reconstruction.

1:25.4

By 1905, those medical schools had trained 1500 doctors.

1:30.0

Doctors who would go on to both service their community and mentor future generations of physicians.

...

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