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Pediatric ethicists must confront racism in healthcare policy and practice. By analyzing institutional policies, ethicists can dismantle racist systems and promote health equity for all children.

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Area of Science:

  • Bioethics
  • Pediatric Healthcare
  • Health Equity

Background:

  • Pediatric ethicists possess significant influence in healthcare institutions.
  • Racism presents a major barrier to children's health and well-being.
  • Healthcare systems have historically perpetuated racist values and structures.

Purpose of the Study:

  • To explore how pediatric ethicists can address racism within healthcare.
  • To identify institutional policies that negatively impact marginalized children and families.
  • To develop actionable recommendations for dismantling racist systems in pediatric care.

Main Methods:

  • Analysis of institutional policies, procedures, and practices.
  • Workshop discussion during a pediatric subgroup meeting at a bioethics conference.
  • Review of scholarship on combating white supremacy in institutional structures.

Main Results:

  • Institutional policies and their implementation can perpetuate racism.
  • Existing policies often have unintended negative consequences for marginalized groups.
  • Ethicists can identify and challenge structural factors contributing to health inequities.

Conclusions:

  • Pediatric ethicists have a responsibility to actively combat racism.
  • Focusing on structural factors is crucial for achieving health equity.
  • Concrete recommendations are needed to revise policies and promote antiracism in healthcare.