has been happening for hundreds of years. Systemic racism has been present ever since the founding of our nation, and it has been the root cause of many of the disparities underlying in our society, laid painfully bare by the COVID-19 pandemic.
Healthcare is no exception, and in the wake of the murder of George Floyd and the national awakening to the scourge of systemic racism in our country, more and more conversations about racism in healthcare are being had, across our country, and in the medical literature. This is only a good thing, and I hope and pray they lead to rectification of the healthcare disparities faced by people of color in this country.
One such conversation was recorded in the excellent Critical Matters podcast, hosted by Dr. Sergio Zanotti — world-renown Critical Care Medicine specialist and Chief Medical Officer for Sound Critical Care, a national critical care medicine practice. He was speaking with Dr. Greg Johnson, Sound Physicians’ Chief Medical Officer for Hospital Medicine and thought leader within his field and a champion for diversity, inclusion, and belonging within medicine.
In this episode, Dr. Zanotti and Dr. Johnson have an honest conversation about healthcare, race, and racism in healthcare. It was eye-opening, and it is a must-listen for every healthcare professional in this country. You can listen to it here:
Dr. Johnson reiterated that many Black Americans must go to great lengths to let members of the healthcare team taking care of their families know the value of their loved one: what job they do; what they mean to their families; what they mean their communities.
First of all, I was shocked by this. And yet, when I thought back to my Black patients and their families, I realized that many of them did just that: go out of their way to let me know how important this patient in front of us was to them, their family, and their community.
Just the other day, I had a husband tell me, “This woman, she is the rock of our family.” Another family member of a patient with COVID-19 told me something similar. I never paid attention to this phenomenon, and I am so very grateful I heard this conversation to open my eyes to this reality.
This is wrong. This is horrific. This is terribly sad. No one should have to justify to me why their loved one is important, how prominent their loved one is in the community. It is absolutely horrible that Dr. Tyson’s had to show the healthcare professionals taking of his father that his father was a prominent lecturer in order to garner respect from them. How can this be?
Every patient we take care of has worth, has value. Black, Brown, Yellow, Red, or White, all our patients have worth, and the fact that Black Americans feel the need to describe how important their loved ones are to get respect is truly nauseating. And you know what they are saying to us? Black Lives Matter.
Painful though it may be, it is reality, and it is of absolute importance that we in healthcare are cognizant of this reality and work to rectify it. Indeed, I told that husband that his wife has worth, and I will do all that I can to care for her within her values and wishes.
Racism in healthcare is real; it is pervasive; it is indeed a pandemic. We need to acknowledge it and then work to overcome it. All of us in healthcare have a responsibility to do what we can to achieve this end. And for starters, all of us in healthcare should listen to this conversation about racism in healthcare to understand the problem and how to fix it.
