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Thread: Boston hospital launches priority medical service to coloreds, whites to wait.

  1. #1

    Exclamation Boston hospital launches priority medical service to coloreds, whites to wait.

    That's in addition to cash payouts as reparations, among other things.




    An Antiracist Agenda for Medicine

    https://bostonreview.net/science-nat...genda-medicine

    Colorblind solutions have failed to achieve racial equity in health care. We need both federal reparations and real institutional accountability.

    Bram Wispelwey, Michelle Morse

    <snip, I'll save you the sodomite's ramblings who wrote this and cut to the chase, the program being started this year at one of the biggest hospitals in the country>

    For both of these reasons, we believe antiracist institutional change is essential to supplement federal reparations. If we are serious about achieving equity—both now and after federal reparations are paid—we must also pursue institutional action. Crucial to this work is a pragmatic orientation to what philosopher Naomi Zack calls “applicative justice”—“applying justice to those who don’t now receive it”—as opposed to more idealistic conceptions of justice, whether derived from John Rawls or John Locke, on which some arguments for reparations are based.

    This is exactly what we have tried to achieve in the design our new pilot initiative at Brigham and Women’s Hospital set to launch later this spring. Adapting Darity’s reparations framework of acknowledgment, redress, and closure (ARC) to an institutional level, we have designed a program—we call it a Healing ARC—with initiatives for all three components. Each centers Black and Latinx patients and community members: those most impacted by unjust heart failure management and under whose direction appropriate restitution can begin to take shape.

    Acknowledgment

    As Darity explains it, acknowledgment “involves recognition and admission of the wrong by the perpetrators or beneficiaries of the injustice.” In our case, we take acknowledgment to entail informing patients about our heart failure findings at our hospital, claiming responsibility, and incorporating community ideas for redress. To this end, we are assembling focus groups from five priority communities, the neighborhoods with some of the highest populations of Black and Latinx residents in the city of Boston, to explain our findings, listen to responses and suggestions, and offer a space to discuss a just path forward. These focus groups will ensure that community oversight is an integral component of the program. We are also recruiting heart failure patients, who are intimately familiar with the hospital’s admission process and the intricacies of inpatient and outpatient care, to participate as co-collaborators. Providers will acknowledge our heart failure inequities at relevant points of entry into care, ensuring patients are aware of this history and what is being done to address it.

    Redress

    Redress is simultaneously the most substantial and the most unprecedented component of our Healing ARC. In general, institutional redress should involve not just a direct solution to monitor and end health inequities but to offer restitution for past and present injustices.

    Redress could take multiple forms, from cash transfers and discounted or free care to taxes on nonprofit hospitals that exclude patients of color and race-explicit protocol changes (such as preferentially admitting patients historically denied access to certain forms of medical care).

    Crucial to this work is a pragmatic orientation to what philosopher Naomi Zack calls “applicative justice”—“applying justice to those who don’t now receive it.”

    The case for redress is particularly urgent for academic medical centers such as our hospital. Because they receive enormous amounts of public funding through federal grants, non-profit tax-exempt status, and Medicare and Medicaid payments, among others, legal scholars have convincingly argued they have a special legal obligation to ensure equitable outcomes under Title VI of the Civil Rights Act of 1964. Even as academic medical centers increasingly attempt to bring their rhetoric and “antiracist” declarations in line with that of racial justice activists, their business plans pivot away from the material reckoning that is necessary to address racial health inequities.

    Shawn Johnson and Ayotomiwa Ojo offer a sharp analysis that zeroes in on some of the racist business practices of academic medical centers that Bell would surely recognize as “so-called neutral standards to continue exclusionary practices.” Through aggressive profit-seeking, these institutions prioritize high-profit margin and privately insured patients, contributing to the de facto segregation that lands 50 percent of elderly Black patients in just 5 percent of all hospitals. In 2008 a Bronx coalition filed a civil rights complaint against three academic medical centers in New York as a result of this medical apartheid, although no remedial action resulted, and the problem persists largely unchallenged.

    Sensitive to these injustices, we have taken redress in our particular initiative to mean providing precisely what was denied for at least a decade: a preferential admission option for Black and Latinx heart failure patients to our specialty cardiology service. The Healing ARC will include a flag in our electronic medical record and admissions system suggesting that providers admit Black and Latinx heart failure patients to cardiology, rather than rely on provider discretion or patient self-advocacy to determine whether they should go to cardiology or general medicine. We will be analyzing the approach closely for the first year to see how well it works in generating equitable admissions. If it does, there will be good reason to continue the practice as a proven implementation measure to achieve equity.

    Offering preferential care based on race or ethnicity may elicit legal challenges from our system of colorblind law. But given the ample current evidence that our health, judicial, and other systems already unfairly preference people who are white, we believe—following the ethical framework of Zack and others—that our approach is corrective and therefore mandated. We encourage other institutions to proceed confidently on behalf of equity and racial justice, with backing provided by recent White House executive orders.


    Closure

    To complete the Healing ARC with closure, community and patient stakeholders and institutional representatives must agree that the institutional debt has been paid and that a new system is in place to ensure that the problem will not reemerge. The point at which restitution is adequate for the debt incurred will be determined in conversation with community groups. But ensuring the inequity does not recur will require regular data monitoring and community updates. We believe this transparency is essential to establish institutional trustworthiness.
    Where they have burned books, they will end in burning human beings. - Heinrich Heine 1823



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  3. #2
    Sensitive to these injustices, we have taken redress in our particular initiative to mean providing precisely what was denied for at least a decade: a preferential admission option for Black and Latinx heart failure patients to our specialty cardiology service.
    Translation: Ending discrimination may have been a good thing, but we're bringing it back anyway. Why..?

    The Healing ARC will include a flag in our electronic medical record and admissions system suggesting that providers admit Black and Latinx heart failure patients to cardiology, rather than rely on provider discretion or patient self-advocacy to determine whether they should go to cardiology or general medicine.
    We're much too arrogant to trust our doctors to do what's best for patients, and way, way too racist and paternalistic to let blacks and "latinx"es decide for themselves what's best for them. Besides, it fills beds and gets us insurance checks.
    Last edited by acptulsa; 04-14-2021 at 10:32 AM.
    Because if someone doesn't "feel comfortable" with someone in this brave new middle school Official Culture, a death sentence is perfectly reasonable.

  4. #3
    This is a future example of the hegelian dialectic. In a few years this same news publication will run a story on how this racist hospital ripped off countless POCs. We will hear about how POCs with simple heartburn were needlessly hooked up to expensive cardiology machines, observed by an army of doctors over a period of several weeks, while a white person with similar complaints was charged for a visit and an antacid.


    The Healing ARC will include a flag in our electronic medical record and admissions system suggesting that providers admit Black and Latinx heart failure patients to cardiology, rather than rely on provider discretion or patient self-advocacy to determine whether they should go to cardiology or general medicine.
    ...

  5. #4
    Quote Originally Posted by RJB View Post
    This is a future example of the hegelian dialectic. In a few years this same news publication will run a story on how this racist hospital ripped off countless POCs. We will hear about how POCs with simple heartburn were needlessly hooked up to expensive cardiology machines, observed by an army of doctors over a period of several weeks, while a white person with similar complaints was charged for a visit and an antacid.
    That's the ugly beauty of reverse racism. If you make a living fighting against something, you don't want to eradicate it, because then you're out of a job.

    You can claim reverse racism isn't racism, and idiots will believe you. And in just the way RJB outlined, it perpetuates racism because it is racist.
    Because if someone doesn't "feel comfortable" with someone in this brave new middle school Official Culture, a death sentence is perfectly reasonable.

  6. #5
    2 + 2 = 5 comrades.

    Now pipe down, cis gender bigots.
    Where they have burned books, they will end in burning human beings. - Heinrich Heine 1823

  7. #6
    How long until whites have to give up their seats on the bus?

  8. #7
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  9. #8
    Whites should get together and burn the hospital to the ground for being raciss.



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  11. #9
    If I'm sick or hurt, the last place I want to go to is a Boston hospital. Do you guys need a link to the Personal Health & Well Being forum here?
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  12. #10
    Quote Originally Posted by 69360 View Post
    How long until whites have to give up their seats on the bus?
    How long until whites will no longer be allowed to have any medical attention?
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  13. #11
    Quote Originally Posted by cjm View Post
    If I'm sick or hurt, the last place I want to go to is a Boston hospital. Do you guys need a link to the Personal Health & Well Being forum here?
    If you live in Maine or NH and need any sort of specialized care, you don't have a choice, you have to travel to Boston.

  14. #12
    Thread: Medical Lysenkoism & Racially Preferential Care: Coming to a Hospital Near You?

    Quote Originally Posted by Occam's Banana View Post
    The Dawn of Medical Lysenkoism

    The New Discourses Podcast with James Lindsay, Episode 28

    The agriculturalist Trofim Lysenko should be a household name throughout the world in roughly the same way that Adolf Hitler, Josef Stalin, and Mao Zedong are or should be. That is, Lysenko shouldn't be known for his successes, which are none of his legacy, but for his catastrophic failure. He was the agriculturalist of the Soviet Union, first under Stalin, and his ideological biology (Lysenkoism) led directly to the deaths of tens of millions, first in the Soviet Union and then in Maoist China. Lysenkoism implied famine and mass death, and disputing Lysenkoism, despite its catastrophe, meant a trip to the gulag or a bullet in your head.

    We should be aware of Lysenko because it is crucially important to understand how the ideological perversion of science, especially the biological sciences, can lead to catastrophes. In fact, if we were more aware of Trofim Lysenko and his legacy of death, we might be more cognizant of the threat we're currently stumbling our way into under the banners of "antiracist medicine" and "health equity." These are the dawn of Medical Lysenkoism, which is a tragedy in the making, potentially on a grand scale, and this is already well underway.

    The threat of Medical Lysenkoism is rapidly growing around us already, and we have to take it seriously and demand it be put to a halt. In this case, Critical Race Theory and its perverse doctrines of "antiracism" and "equity" are being leveraged to transform healthcare away from a science- and patient-oriented endeavor to an activist opportunity to "level the playing field." Further, under the banner of "health equity" and Covid-19, our society's concerning lurch toward medical dictatorship (governed by this new "equitable" Medical Lysenkoism) is becoming the standard throughout our medical schools, hospitals, and research universities. This is a preventable catastrophe in the making.

    In this episode of the New Discourses Podcast, join James Lindsay as he reads through a recent essay (https://bostonreview.net/science-nat...genda-medicine​) published in Boston Review outlining an advance in the "health equity" agenda wherein even racially preferential care is described as already being implemented and reparations are demanded at a major Boston-area teaching hospital affiliated with Harvard University.

    https://www.youtube.com/watch?v=ZtlEfa4K46I

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  15. #13
    Quote Originally Posted by acptulsa View Post
    Translation: Ending discrimination may have been a good thing, but we're bringing it back anyway. Why..?
    “The only remedy to racist discrimination is antiracist discrimination. The only remedy to past discrimination is present discrimination. The only remedy to present discrimination is future discrimination.” -- Ibram X. Kendi (Wokester icon)

  16. #14
    If a black person dies at this hospital, then they let a white person die = equality
    I just want objectivity on this forum and will point out flawed sources or points of view at my leisure.

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  17. #15
    Quote Originally Posted by spudea View Post
    If a black person dies at this hospital, then they let a white person die = equality
    No comrade...Equity.
    Where they have burned books, they will end in burning human beings. - Heinrich Heine 1823

  18. #16
    Attention Babylon Bee writers: I want byline credit if you run with this:

    Boston Children's Hospital enacts mandatory Sickle Cell Anemia injections for all white babies born in their facility in the name of Equity
    Where they have burned books, they will end in burning human beings. - Heinrich Heine 1823



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  20. #17
    Sensitive to these injustices, we have taken redress in our particular initiative to mean providing precisely what was denied for at least a decade: a preferential admission option for Black and Latinx heart failure patients to our specialty cardiology service. The Healing ARC will include a flag in our electronic medical record and admissions system suggesting that providers admit Black and Latinx heart failure patients to cardiology, rather than rely on provider discretion or patient self-advocacy to determine whether they should go to cardiology or general medicine.
    The entire proposition is based on a lie. They make an assumption that medical neglect, incompetence and malpractice only happens to POC. Sorry, it happens to everyone, no matter who you are.

    Analogous to saying that criminal street attacks and robberies is some kind of new and unique thing that only happens to Asians.

    It is systemic paranoia, highlighting how easy it is to manipulate people into believing that something bad is only happening to them. The victimhood scam.
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  21. #18
    It occurs to me that there is an underlying assumption here that has not been addressed. The assumption is that there is not enough medical care to go around, thus it must be prioritized and rationed.

    This is the end result of socialized medicine. The quantity and quality of care will continue to decline, until it is nearly worthless. We will have true equity, with slow, incompetent care for everyone.

    Only a free and competitive market will solve the problem (created by socialism).
    "Foreign aid is taking money from the poor people of a rich country, and giving it to the rich people of a poor country." - Ron Paul
    "Beware the Military-Industrial-Financial-Corporate-Internet-Media-Government Complex." - B4L update of General Dwight D. Eisenhower
    "Debt is the drug, Wall St. Banksters are the dealers, and politicians are the addicts." - B4L
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  22. #19
    Quote Originally Posted by cjm View Post
    If I'm sick or hurt, the last place I want to go to is a Boston hospital. Do you guys need a link to the Personal Health & Well Being forum here?
    ^This. It's funny that some years ago I was at a conference that was supposed to be comemorating the history of a black hospital in Nashville that existed back during segregation, and lasted a few decades after desegregation but ultimately closed. But it became a political farce. One of the presenters was talking about the very real problem of racial bias in medicine. Apparently studies show that doctors are less likely to prescribe powerful pain medication to blacks than to whites assuming falsely that blacks have a higher pain tollerance. During the question and answer session I asked "Aren't these powerful pain medications the main reason why whites, as opposed to blacks, are suffering from the opiod crisis?" He was like "Yes that's true. But it's still racist." Well....if the racism HELPS me...is it bad?

    Right now some people are saying that blacks should be prioritized to receive the vaccine. That sounds more like blacks being prioritized as guinea pigs rather than "reverse racism." But that's just me.
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  23. #20
    Quote Originally Posted by jmdrake View Post
    That sounds more like blacks being prioritized as guinea pigs rather than "reverse racism." But that's just me.
    That's not outside the realm of possibility at all...not the first time either.
    Where they have burned books, they will end in burning human beings. - Heinrich Heine 1823



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