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The concept of a single American Indian and Alaska Native (AI/AN) race, originating from European views, creates ethical challenges in clinical settings. This flawed racial categorization impacts AI/AN patient autonomy and justice.

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Area of Science:

  • Medical Ethics
  • Sociology of Race
  • Indigenous Health Studies

Background:

  • Racial identity is complex for American Indian and Alaska Native (AI/AN) populations.
  • The construct of a singular AI/AN race stems from European-American perspectives on phenotype and culture.
  • This categorization has profound and ongoing implications within the clinical-medical sphere.

Purpose of the Study:

  • To trace the historical development of the concept of AI/AN race.
  • To examine concerns associated with using AI/AN racial identity as a marker.
  • To analyze the ethical implications for healthcare providers and patients.

Main Methods:

  • Historical analysis of racial categorization.
  • Review of ethical principles in medicine.
  • Examination of clinical decision-making processes.

Main Results:

  • The idea of AI/AN race is a social construct with European origins.
  • Using this construct in medicine raises ethical issues concerning patient autonomy and justice.
  • Clinicians face challenges when applying this flawed category.

Conclusions:

  • The categorization of AI/AN as a single race is problematic and ethically fraught.
  • Healthcare practices must address the ethical challenges posed by this flawed racial construct.
  • Re-evaluating the use of racial categories in medicine is crucial for equitable patient care.