Health Care Is Racist. Here’s What Needs to Change

As scholar Harriet Washington explains, it’s time to consider financial penalties for doctors who discriminate

Sarah Begley
GEN

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Coronavirus patients lying on hospital beds outside.
Photo illustration. Source: John Moore/Getty Images

As the data continues to show, Covid is wreaking disproportionately more havoc on Black, Latinx, and Native American communities in the U.S. A range of factors conspire to make this so — factors well understood by Harriet Washington, a medical ethics scholar and award-winning author of books such as A Terrible Thing to Waste, on the effects of environmental racism, and Medical Apartheid, on the history of medical experimentation on Black Americans.

GEN caught up with Washington to discuss the structural reasons for the virus’s unequal lethality, and what changes can be put into place to make health outcomes in the U.S. more equitable.

GEN: CDC data is now showing that Black Americans are three times as likely to contract Covid as whites, and twice as likely to die from it. How does your research on environmental racism help explain this?

Washington: I’m happy to address that because there’s a profound synergy here. First, there are the usual suspects. We know that African Americans are less likely to have a personal physician. We know that too often, they have to rely upon local emergency departments…

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Sarah Begley
GEN
Writer for

Director at Medium working with authors and books. Formerly a staff writer and editor at Time.