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Confronting the Racial Barriers Between Doctors and Patients
NY Times ^ | November 14, 2008 | PAULINE W. CHEN, M.D.

Posted on 11/15/2008 7:56:41 PM PST by neverdem

Doctor and Patient

Last Tuesday, like most of the country, I stayed up too late watching the election results come in and then became emotional when it was clear that Barack Obama, an African-American, was going to be our next president. Wednesday morning’s New York Times captured the most salient part of the moment for me in its headlines: “Racial Barrier Falls in Decisive Victory.”

But a few days later, as I thought more about racial barriers, I started to question my election euphoria. In politics, the racial barriers might have fallen, I thought, but what about in health care?

There is no question that racial barriers still exist in many parts of this society. The first time I remember having a frank conversation about racial barriers in medicine was during my residency.

Of all the surgical residents I trained with, “Eric” was easily one of the smartest. He possessed a great bedside manner, brilliant clinical skills and plenty of that Obama cool. Eric was African-American, and one night, when we were both on call together, he told me something I have never forgotten.

“You know, Pauline,” he said, “there are a lot of times when I go to a patient’s room for the first time and they ask me, 'Are you transport? Are you here to wheel me to radiology?’” I can remember Eric shaking his head as he spoke. “They never assume I’m one of the doctors.”

Most of the research over the last 30 years has focused on the racial inequalities that affect patients; and the findings have been dismal. In 2002, the Institute of Medicine published a report that cited multiple examples of disparities across a wide range of health care and disease settings. African-Americans, for instance, were more likely to undergo less desirable procedures like...

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; News/Current Events
KEYWORDS: health; medicine; race
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1 posted on 11/15/2008 7:56:41 PM PST by neverdem
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To: neverdem
I think Einstein said something like there were only two things in the universe that there was an infinite supply of, hydrogen and stupidity, and he wasn't sure about hydrogen.

The one thing that The New York Times will never run out of is evidence of racism.

People need to watch more TV. TV ads are always showing African Americans as smart, as bosses, as doctors, etc. All dumb or incompetent people are white males. Why don't people believe the evidence of their eyes, right in front of them on the screen?

2 posted on 11/15/2008 8:04:18 PM PST by Verginius Rufus
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To: neverdem

No barf Alert!


3 posted on 11/15/2008 8:05:37 PM PST by acapesket
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To: neverdem

obama is not African-American.

He’s mostly Arab on his father’s side and not even likely American on his mothers.


4 posted on 11/15/2008 8:05:41 PM PST by metmom (Welfare was never meant to be a career choice.)
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To: neverdem

obama is not African-American.

He’s mostly Arab on his father’s side and not even likely American on his mothers.

1/8 black and questionable American does not an African-American make.


5 posted on 11/15/2008 8:06:47 PM PST by metmom (Welfare was never meant to be a career choice.)
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To: neverdem

And the a lot of the patients assume I am their nurse. So what? The patients get over it and so do I. If I was offended everytime someone mistook me for other than a physician, I would spend my whole life being offended. Although, come to think of it, that may be the point of this article. Never mind!


6 posted on 11/15/2008 8:10:34 PM PST by Mom MD (Jesus is the Light of the world!)
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To: neverdem

We can all acknowledge that racism still exists. However, these stories coming out of the NYT are ridiculous.

For a doctor, she sure doesn’t understand the phenomenon very well. Her Obama-euphoria subsided as she “started thinking about healthcare” she says. As if it just dawned on her that people carry their prejudices with them wherever they go.

Also noted was the phrase “Obama cool” in describing this young black doctor. I wonder what she thought of him before she heard of Obama? Was he just cool? Was he a dork? A sign that blackness in America will now be described with Obama-referenced terms and phrases.


7 posted on 11/15/2008 8:11:43 PM PST by cpanter (Babies, guns and Jesus. Hot Damn! - Rush on the Palin pick.)
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To: neverdem

Affirmative action devalues the professional credentials of all minorities.


8 posted on 11/15/2008 8:13:13 PM PST by Spok (Poverty destroys monarchies; prosperity destroys republics.)
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To: Mom MD

When I got my engineering degree, I started as the first female engineer a small manufacturer ever had. Never mind I’d co-oped there before - it took several months and a lot of strong words to end all doubt - “I don’t take your notes, and I don’t get your coffee”.


9 posted on 11/15/2008 8:14:21 PM PST by tbw2 (Freeper sci-fi - "Sirat: Through the Fires of Hell" - on amazon.com)
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To: neverdem
If they didn't go to medical school in Mumbai, I don't want them in my hospital room.

Most of the physicians I really admire were educated in India, China, Pakistan and Mexico.

The best of the best emigrate to the States. It's pretty tough to get into a competitive residency program in the United States as it is. The post-grad medical programs here are the best. Those who do so coming from a foreign country, speaking a non-native language, and then succeed in completing one of these programs have a achieved something noteworthy.

I will deign to consider them as candidates to be my physician.

10 posted on 11/15/2008 8:14:40 PM PST by billorites (freepo ergo sum)
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To: neverdem

Ben Carson (a pediatric neurosurgeon who’s pioneered several procedures) writes of the adverse effects of affirmative action - his patients’ parents would frequently devalue his skills, not because he was black per se but because they thought he got where he was by affirmative action rather than merit. He said the blacks themselves were the most suspicious of him.


11 posted on 11/15/2008 8:15:18 PM PST by BuckyKat
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To: neverdem
“You know, Pauline,” he said, “there are a lot of times when I go to a patient’s room for the first time and they ask me, 'Are you transport? Are you here to wheel me to radiology?’” I can remember Eric shaking his head as he spoke. “They never assume I’m one of the doctors.”

If "Eric" attributes this to racism, "Eric" is not very smart. It bears NO RESEMBLANCE to racism. It is a matter of statistics. If a white guy in medical garb walks into your hospital room, statistically he is likely the doctor. If a female walks into your room, she is likely the nurse, if a black guy walks into your hospital, he is likely an orderly.

To correct the erroneous impression that is disturbing "Eric", hospitals need to fire most of the orderlies and replace them with white orderlies. They also need to hire many black doctors. Since there are not many available, we would have to import them from overseas.

12 posted on 11/15/2008 8:16:26 PM PST by Onelifetogive (I'm gonna drop talk radio in favor of some audio books. Gotta lower my blood pressure.)
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To: neverdem

This is only the beginning, it will never end.


13 posted on 11/15/2008 8:16:35 PM PST by machogirl (when the call comes at 3:00 am, Bill Ayers answers the phone)
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To: Mom MD

“And the a lot of the patients assume I am their nurse. So what?”

Excellent point!

Also, isn’t it also possible that someone could have voted for Obama and mistook him for a nurse or aide? All is not lost NY Times....


14 posted on 11/15/2008 8:17:41 PM PST by cpanter (Babies, guns and Jesus. Hot Damn! - Rush on the Palin pick.)
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To: Mom MD

I totally agree with your post. What if we all chose to not be offended?


15 posted on 11/15/2008 8:17:47 PM PST by Jaxmum
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To: Onelifetogive

Great post. You are absolutely correct.

Too bad the Ny Times gains nothing by these set of facts you mention though...


16 posted on 11/15/2008 8:21:53 PM PST by cpanter (Babies, guns and Jesus. Hot Damn! - Rush on the Palin pick.)
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To: Spok
"Affirmative action devalues the professional credentials of all minorities."

You bet it does.

Two parts of society that are reasonably free of ugly PC affirmative action are medicine and the military.

Belonging to the right group might get you your first post, but it won't get you promoted.

If you want to know who the good doctors are ask one of the middle-aged female RN's in the ER. Their first husbands were all physicians.

They know who's competent, who's a dick-head, who shows up on-call after drinking, who stands by their patients, etc...

17 posted on 11/15/2008 8:22:30 PM PST by billorites (freepo ergo sum)
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To: neverdem
So blacks traditionally have not been doctors, and then when they are they're surprised/offended when they're assumed to be not the doctor.

Get over yourself, folks. Give people time to adjust to changes. Don't assume it's racism. Sometimes it's just a transition from what was to what is.

18 posted on 11/15/2008 8:22:50 PM PST by Lizavetta
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To: neverdem
I never forgot my conversation with Eric because I, as an Asian-American woman, have had similar experiences.

Maybe Dr. Chen should spend a little less time writing racist articles for the Times and more time on her patients?

Nah. Easier to blame Whitey.

What we have here, little yellow sister, is a magnificent specimen of pure California Whitesnake. But it ain't too goddamned beaucoup.

19 posted on 11/15/2008 8:23:05 PM PST by CE2949BB (Fight.)
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To: metmom
His father was a black muslim from Kenya and not an Arab. Not all muslims are Arabs, in fact Arabs are less than 20% of the total muslims in the world.
20 posted on 11/15/2008 8:26:28 PM PST by jveritas (God Bless President Bush and our brave troops)
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