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Death Rates for Black American Falls Significantly

Perhaps the training programs instituted by a number of Medical Schools to train doctors to combat racial bias is helping. Perhaps also it is the rising number of Doctors who are immigrants and don’t have those biases in the first place.

Just wait until when the Chumph’s boys find this out and pass a law denying health care to black folks…

Oh! They are already doing that with attempting to repeal Obamacare and pass Trumpcare.

Image result for black people trumpcare

Death Rate Among Black Americans Declines, Especially For Elderly People

For decades, black Americans have been dying at a higher rate than white Americans.

That’s still true overall. But now there’s some good news about this long, disturbing trend: The overall death rate for black Americans fell 25 percent between 1999 and 2015, according to a report released Tuesday by the U.S. Centers for Disease Control and Prevention.

The overall death rate dropped for white people as well, but the decrease among black Americans was far greater, narrowing the gap in the death rate between white and black Americans from 33 percent in 1999 to 16 percent in 2015, the report shows.

“This report is definitely good news,” says Joseph Betancourt, who runs the Disparities Solutions Center at the Massachusetts General Hospital in Boston, Ma. “Efforts over the last 15 to 17 years that have focused on addressing and eliminating disparities have definitely provided some significant results.”

Between 1999 and 2015, the death rate among black Americans fell from 1,135.7 to 851.9 per 100,000. For white Americans, the rate fell from 854.6 to 735 per 100,000 in the same time period.

“Prior to this, there was very little progress in the decline in the gap between African-Americans and whites in United States,” says Timothy Cunningham, a CDC epidemiologist who led the report. It was published in the agency’s Morbidity and Mortality Weekly Report.

The report did not examine the reason the gap narrowed, but Cunningham says it’s probably due to black people benefiting more from decreases in the number of deaths from a variety of diseases, including AIDS and tobacco-related illnesses.

“The major drivers of this are decreases in many of the leading causes of death, such as heart disease, cancer and stroke,” Cunningham says.

The drop in the death rate was most striking among those 65 and older. In that group, the death rate for black people fell 27 percent, compared to 17 percent for white people. As a result, by 2010 the death rate for black Americans in this age group fell slightly below the rate for white Americans, according to the report.

“We’re talking about African-Americans who were pretty young during in the 1960s and 1970s,” Cunningham says. “And one thing we have to consider is that there have been significant improvements in socioeconomic status that are associated with civil rights policies.”

Cunningham stresses that the overall death rate among black people remains higher than for white people. As a group, black Americans have an overall life expectancy that’s still four years less than white Americans.

And the picture is especially troubling for younger black people, who are still developing, and dying from, major health problems such as high blood pressure, diabetes, heart disease and stroke at younger ages than their white counterparts.

“Many younger African-Americans in their 20s, 30s and 40s are living and dying with chronic conditions that we more typically see in the older population,” Cunningham says. “There’s still work to do.”

That finding is consistent with previous reports that indicate some black Americans experience a phenomenon known as “weathering.” That’s when a person develops signs of premature aging and an earlier deterioration in health, the report notes.

Weathering can be caused by a variety of factors, including living in poverty, living in violent neighborhoods and encountering racism on a regular basis, Betancourt says.

“Racism and experiencing racism — thinking about your race every day — contributes to this weathering effect,” he says. “You’re in fight-or-flight mode. That has a real significant biological effect that contributes to premature aging.”

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The New Drug Epidemic…Why No Criminalization?

Back in the late 80’s and early 90’s politicians rushed to write and approve punitive laws for users of “crack” cocaine…Because the majority of users of that form of cocaine were black. Never mind that powder cocaine, and crack are the same drug.

Now America has a new “drug epidemic”…And the same politicians want to look the other way, because in vast majority the victims are white.

The racial driven decision to hide this problem under the guise of “just white people acting out” has devastated rural and suburban communities, and promulgated this problem to the point the numbers are big enough to impact Mortality Rates. To move the dime on the death rates of 250 million people in this country…

“Houston…We got a problem”.

Drug Overdoses Propel Rise in Mortality Rates of Young Whites

Drug overdoses are driving up the death rate of young white adults in the United States to levels not seen since the end of the AIDS epidemic more than two decades ago — a turn of fortune that stands in sharp contrast to falling death rates for young blacks, a New York Times analysis of death certificates has found.

The rising death rates for those young white adults, ages 25 to 34, make them the first generation since the Vietnam War years of the mid-1960s to experience higher death rates in early adulthood than the generation that preceded it.

The Times analyzed nearly 60 million death certificates collected by the Centers for Disease Control and Prevention from 1990 to 2014. It found death rates for non-Hispanic whites either rising or flattening for all the adult age groups under 65 — a trend that was particularly pronounced in women — even as medical advances sharply reduce deaths from traditional killers like heart disease. Death rates for blacks and most Hispanic groups continued to fall.

The analysis shows that the rise in white mortality extends well beyond the 45- to 54-year-old age group documented by a pair of Princeton economists in a research paper that startled policy makers and politicians two months ago.

While the death rate among young whites rose for every age group over the five years before 2014, it rose faster by any measure for the less educated, by 23 percent for those without a high school education, compared with only 4 percent for those with a college degree or more.

The drug overdose numbers were stark. In 2014, the overdose death rate for whites ages 25 to 34 was five times its level in 1999, and the rate for 35- to 44-year-old whites tripled during that period. The numbers cover both illegal and prescription drugs.

“That is startling,” said Dr. Wilson Compton, the deputy director of the National Institute on Drug Abuse. “Those are tremendous increases.”

Rising rates of overdose deaths and suicide appear to have erased the benefits from advances in medical treatment for most age groups of whites. Death rates for drug overdoses and suicides “are running counter to those of chronic diseases,” like heart disease, said Ian Rockett, an epidemiologist at West Virginia University…Read the rest here

 

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How Bias in Medicine Affects Treatment and Outcome by Race

Google Image “Black Child and Doctor”, and the first 900 images look something like this fantasy –

Now, with only about 2.5% of all doctors being black – what do you think the statistical chance of this is? This is the first lie of many the medical profession tells itself, and the world. It also empowers a dangerous stereotype that patients are treated better racially. You find pretty much the same thing for Asian or Hispanic kids.

We know that the result of such disparate treatment results in the needless deaths of possibly several hundred thousand black patients a year. From Prenatal Mortality rates 1.5 to 2.5 times higher than white or Hispanic populations, to higher death rates among the elderly.

From the Journal of the American Medical Association

A landmark report from the Institute of Medicine (IOM) in 2003 documented that from the simplest to the most technologically advanced diagnostic and therapeutic interventions, African American (or black) individuals and those in other minority groups receive fewer procedures and poorer-quality medical care than white individuals.1 These differences existed even after statistical adjustment for variations in health insurance, stage and severity of disease, income or education, comorbid disease, and the type of health care facility. Very limited progress has been made in reducing racial/ethnic disparities in the quality and intensity of care.2

This from the prestigious New England Journal of Medicine.

Bias, Black Lives, and Academic Medicine

At noon Pacific Standard Time on December 10, 2014, thousands of students from 70 medical schools throughout the United States held silent “White Coats for Black Lives” die-ins. These demonstrations, the largest coordinated protests at U.S. medical schools since the Vietnam War era, were initiated by medical students in California and spread across the country in response to the following call to action posted online atthefreethoughtproject.com:

“We feel it is essential to begin a conversation about our role in addressing the explicit and implicit discrimination and racism in our communities and reflect on the systemic biases embedded in our medical education curricula, clinical learning environments, and administrative decision-making. We believe these discussions are needed at academic medical centers nationwide.” Though the stimulus for the die-ins was the nationwide protests in response to the killing of unarmed black men by police officers, the students demanded an examination of racial bias within our country’s academic medical centers.

What are the systemic biases within academic medical centers, and what do they have to do with black lives? Two observations about health care disparities may be relevant.

First, there is evidence that doctors hold stereotypes based on patients’ race that can influence their clinical decisions.1 Implicit bias refers to unconscious racial stereotypes that grow from our personal and cultural experiences. These implicit beliefs may also stem from a lack of day-to-day interracial and intercultural interactions. Although explicit race bias is rare among physicians, an unconscious preference for whites as compared with blacks is commonly revealed on tests of implicit bias.1

Second, despite physicians’ and medical centers’ best intentions of being equitable, black–white disparities persist in patient outcomes, medical education, and faculty recruitment. In the 2002 report Unequal Treatment, the Institute of Medicine (IOM) reviewed hundreds of studies of age, sex, and racial differences in medical diagnoses, treatments, and health care outcomes.2 The IOM’s conclusion was that for almost every disease studied, black Americans received less effective care than white Americans. These disparities persisted despite matching for socioeconomic and insurance status. Minority patients received fewer recommended treatments for diseases ranging from AIDS to cancer to heart disease. And racial gaps in health care outcomes have persisted. For example, gaps in blood pressure, cholesterol, and glycated hemoglobin control between black and white members of Medicare health maintenance organizations were found throughout the period 2006 to 2011.3

The IOM found “strong but circumstantial evidence for the role of bias, stereotyping, and prejudice” in perpetuating racial health disparities.2 The finding that physicians have implicit racial bias does not prove that it affects patient–doctor relationships or changes treatment decisions. But some research suggests that there’s a direct relationship among physicians’ implicit bias, mistrust on the part of black patients, and clinical outcomes.1 Although the causes of health care disparities are certainly multifactorial, implicit bias plays some role.

Implicit bias may also influence administrative decisions at academic medical centers — decisions ranging from what services are provided, to whether to accept insurance plans that serve the most disadvantaged members of minority groups, to which neighborhoods to choose when establishing new physicians’ offices. The likelihood of such influence does not mean that bias is the only explanation for unequal treatment or administrative decisions that favor one group over another. The point is simply that there is potential for making racially biased decisions, and it generally goes unexamined.

Implicit racial bias might contribute to the failure to achieve greater inclusion of black students in medical education. Though there has been progress in the recruitment of some underrepresented minority groups to medical schools, the percentage of black men among all medical school graduates has declined over the past 20 years (see graph Number of U.S. Physicians by Graduation Year, Race, Ethnic Group, and Sex, 1980–2012.). The country’s traditionally black medical colleges — Howard, Meharry, and Morehouse — continue to graduate a disproportionate number of black medical students. In 2012, there were just 517 black men among the more than 20,000 graduating students at U.S. medical schools (see graph). Black medical students are more than twice as likely as white students to express a desire to care for underserved communities of color. Our inability to recruit black men into medicine is alarming, given the urgency of racial health care disparities in the United States.

Recruitment and retention of black faculty members have also long challenged academic medicine. Only 2.9% of all faculty members at U.S. medical schools are black.4 A 2010 study showed that among faculty members who had been hired in 2000, blacks were less likely to have been retained than any other demographic group. Black faculty members are less likely than their white counterparts to be promoted, to hold senior faculty or administrative positions, and to receive research awards from the National Institutes of Health.5 Thirty-one percent of the 84,195 white faculty members at U.S. medical schools were full professors in 2011, as compared with just 11% of the 3952 black faculty members. The paucity of black faculty members contributes to a climate in which black medical students may lack accessible black role models. The IOM has defined the climate for diversity as “the perceptions, attitudes, and expectations that define the institution, particularly as seen from the perspectives of individuals of different racial or ethnic backgrounds.” Though there may be various drivers of poor recruitment, retention, and promotion of black faculty members, the role of institutional bias and the climate for black faculty at academic medical centers deserve scrutiny. By any measure, academic medicine’s persistent difficulty in developing black faculty members is a serious concern.

For the sake of not only black lives but all lives, we should heed our students’ call to examine the implicit biases in our academic medical centers. We can begin by assessing how bias contributes to the persistence of black–white disparities in health care, medical school recruitment, and faculty retention in our own institutions. We can audit the care we deliver to ensure that the right treatments are provided and the best outcomes are achieved regardless of patients’ race, class, or sex. We can assess the climate within our centers and strive to ensure that our recruitment processes, classrooms, clinics, administrations, and boardrooms are inclusive to all. But most important, we should talk about bias, with our students, our faculties, our staff, our administrations, and our patients. Maybe then we’ll have a chance to finally eliminate the racial health care disparities that persist in the United States.

 
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Posted by on September 26, 2015 in American Genocide, The Post-Racial Life

 

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