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Updated: Nov 16, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Health Equity and the Circle of Human Concern
1Director of the Othering & Belonging Institute and a professor of law, African American, and ethnic studies at the University of California, Berkeley.
Abstract:
Using the inequality exposed by the COVID-19 pandemic as a vivid example, this article focuses on health equity from the standpoint of structural marginalization-here, described as being marked as an "other" outside of the circle of human concern. This process leads to tension between the principles of liberty and equality and contributes to the creation of systemic disadvantage as manifested in health disparities. Creating an equitable health system must begin with this root understanding and generate greater belonging through the policy process of targeted universalism. Targeted universalism replaces a disparities framework with one in which a universal goal is identified but targeted strategies to meet each population group's needs are employed.
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