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

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

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.”

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?”

Unchallenged supra-geographic segregation perpetuates racial medical mythology, exacerbates myopia in health professions practice and education, and perpetuates injustice.

Training in a segregated health care system means that health professions students and trainees learn bias and experience helplessness and burnout.

Dr Kimberly A. Singletary joins Ethics Talk to discuss her article, coauthored with Dr Marshall H. Chin: “What Should Antiracist Payment Reform Look Like?”

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?”

Increased awareness of conscious and unconscious biases and structural drivers of health can increase the likelihood of upstander interventions.

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