On top of that, these racially based prejudices have been incorporated in the standards of care and medical necessity that must be documented to the patient’s charts in order for Medicare or Medicaid to pay the patient’s doctor and hospital bills.
Those biases towards black patients which are then
mandated into treatment and reimbursement standards are a most basic form of systemic racism.
It’s not like our black communities are rolling in the dough so that black patients can elect treatment outside of their Medicare and Medicaid providers by choosing a doctor who doesn’t conform to those prejudices.
They are locked out of the self-pay meritocracy that other groups can financially participate as consumers in.
For blacks collectively, they do not have access ($$$$) to physicians who could diagnose, treat, and document the biological realities of the black body. If black patients could collectively go outside of the current structure as self-pay patients, their doctors could avoid the built in prejudiced diagnoses and treatments. Over a period of time, the non-biased data could be abstracted from the black patients’ charts. This would create new evidence-based practices, express a need for non-biased standards, and dispel built in biases in the care of black patients.
……Which in turn would lead to the removal of the current biased standards.
Even more sickening, these old biases toward black bodies are taught as gospel truth in our medical schools as well. So, minority doctors, using government subsidized grants and student loans in government supported educational institutions and hospitals, are taught these racist biases compliments of the American taxpayer’s dollars.
Dang^^^ just the amount of words I had to use to express the complexity of the issue frustrates me. And up front, insurance companies often adopt approaches to care similar to government standards, so these perceived prejudiced notions of the black human body are built into private insurance coverage as well.
I hope this shifts your perspective of meritocracy and its role in systemic racism.
Please, tell me meritocracy in health care doesn’t play a role in the continued built in racism in the medical care of black patients? (I could speak about Hispanics and Native Americans too and the disparities they face accessing care)
StudentMI: Hit me back for a solution to the wicked problem of built in racism against blacks in medical care and the systemic racism of the health care system that uses prejudiced standards for black patients to prove the medical necessity for treatment that the American taxpayer expects and government requires for providers treating black Medicare and Medicaid patients to get reimbursed for their services.