The Surgeon's Role in Addressing Racism and Achieving Health Equity

Area of Science:

• Public Health
• Sociology
• Health Policy

Background:

• Health outcomes in the United States are not random; significant racial, ethnic, and geographic disparities persist.
• These health inequities have historical roots, spanning over 400 years, and are often unrecognized.
• Societal crises, like the COVID-19 pandemic, exacerbate existing health disparities.

Purpose of the Study:

• To highlight the intentional derivation of health inequities in the U.S.
• To underscore the urgency of addressing these disparities, particularly as the nation becomes more diverse.
• To emphasize the link between health equity, economic security, and national security.

Main Methods:

• Qualitative analysis of historical and societal factors contributing to health disparities.
• Review of public health data and trends related to premature death rates.
• Examination of the projected impact of increasing diversity on health inequities.

Main Results:

• Health inequities are deeply entrenched and intentionally derived, not organic outcomes.
• Projected worsening of health inequities with increasing U.S. racial and ethnic diversity.
• Significant economic and national security implications if health disparities are not addressed.

Conclusions:

• Proactive and immediate action is required to dismantle systemic health inequities.
• Addressing health disparities is essential for a more equitable, inclusive, and healthier future for the United States.
• Failure to address health inequities poses risks to public health, economic stability, and national security.