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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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The Case for Health Reparations.

Derek Ross Soled1,2, Avik Chatterjee3,4, Daniele Olveczky5

  • 1Harvard Medical School, Boston, MA, United States.

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|August 2, 2021
PubMed
Summary

Addressing racism in science and medicine is crucial for achieving racial justice. The study advocates for health reparations as a vital step toward rectifying historical inequities and promoting equitable healthcare for all.

Keywords:
community healthhealth disparitieshealth policyhistorical trauma and historical oppressionjusticemedical educationracism and antiracismreparations for historical injustices

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Area of Science:

  • Medical Ethics
  • Health Equity
  • Sociology of Science

Background:

  • The COVID-19 pandemic highlighted health disparities in racially marginalized communities, reigniting discussions on healthcare justice.
  • Racism is deeply embedded in American scientific and healthcare systems, historically shaping racial taxonomy and promoting the myth of biological superiority.
  • This historical foundation of racism underpins current systemic inequities in political, economic, and healthcare structures.

Purpose of the Study:

  • To analyze the concept of justice within the medical context, emphasizing the role of historical racism.
  • To argue for the necessity of addressing the foundational role of science and medicine in perpetuating racism.
  • To propose health reparations as a central component of achieving universal racial justice.

Main Methods:

  • Ethical analysis of justice in healthcare.
  • Historical review of science and medicine's role in racial taxonomy.
  • Conceptualization of health reparations and justice-focused solutions.

Main Results:

  • Science and medicine have historically constructed racial taxonomies that supported the concept of Whiteness and systemic oppression.
  • Achieving racial justice requires confronting the historical role of science and medicine in upholding racism.
  • Health reparations are presented as an essential, not secondary, element for establishing racial justice.

Conclusions:

  • Racial justice in healthcare is unattainable without dismantling the structures of racism built by science and medicine.
  • Health reparations offer a concrete mechanism for addressing historical harms and promoting equity.
  • This work provides ethical justifications and practical frameworks for implementing health reparations.