Separation of children from their parents is one possible traumatizing consequence of a mandated report, which is not to be taken lightly.

If it is ethically justifiable for clinicians to err by overreporting suspected abuse and neglect, we must fairly distribute benefits and harms among all children and families.

Ethical questions about child abuse and neglect are rife with ambiguity and uncertainty.

Practices of sorting patients into different tracks of care within a facility or system by insurance status, race, and other social markers persist.

Traditional models of medical education in the US do not teach students to problematize segregation where they train and help care for patients. 

Clinical needs of patients with disabilities are seen with the “medical gaze,” a depersonalized lens of evidence-based medicine and of presumed objectivity.

One expression of structural injustice in the United States is delivery of health care according to patients’ race and insurance status.

“Very important persons” care contributes to multitiered, racially segregated health service delivery streams that influence clinicians’ conceptions of what patients deserve from them.

Motivating health equity requires taking deliberate steps toward desegregating health care, especially in academic health centers.

This article considers 1990s and 2000s-era civil rights complaints in NYC and offers legal strategies for scaling health outcomes improvement nationwide.