Structural racism is deeply embedded in US health care. Legally sanctioned racial segregation in hospitals ended with the Civil Rights Act of 1964, with fiscally incentivized enforcement through Medicare payment structures implemented in 1966. Yet, practices such as sorting patients by insurance status still perpetuate de facto racial and class segregation, especially in academic health centers. This theme issue investigates a clear health justice demand to definitively end continued normalization of structural racism everywhere we care for our ill and injured. This issue considers sources of ethical, clinical, public health, and educational responsibilities to remediate health injustice where students and trainees learn their professions and internalize professional norms.
Dr Lisa Lehmann joins Ethics Talk to discuss “grateful patient programs,” pressures clinicians face to fundraise on behalf of health care organizations for which they work, and whether “VIP” care really is better for patients.
Dr Aisha James joins Ethics Talk to discuss her article, coauthored with Dr Katrina A. Armstrong: “How Should Health Professions Educators and Organizations Desegregate Teaching and Learning Environments?”
Adriana Pero joins Ethics Talk to discuss her article, coauthored with Emily L. Xu: “Is It Reasonable to Expect Students and Trainees to Internalize Equity as a Core Professional Value When Teaching and Learning Occurs in Segregated Settings?”
Dr Emily Cleveland Manchanda joins Ethics Talk to discuss her article, coauthored with Dr Karthik Sivashanker, Steffie Kinglake, Emily Laflamme, Dr Vikas Saini, and Dr Aletha Maybank: “Training to Build Antiracist, Equitable Health Care Systems.”
Ruhee Shah joins Ethics Talk to discuss her article, coauthored with Lindsay Clark, Terence M. Hughes, Ashesh Trivedi, and Dr Leona Hess: “Medical Student-Driven Efforts to Incorporate Segregated Care Education Into Their Curriculum.”