Check this out. What you will see is a necessarily long article on a complicated topic. Article after article I perused in the last week speaks to different aspects of racial inequality encountered in healthcare. I read one by a Black ER doctor describing the myriad different kinds of racism he faces daily in his job. Another article cried out for racial bias reduction training in medical schools. Etc. Etc.
But this article grabbed me because of its specificity to the treatment of cancer patients. This piece doesn’t talk about undoing prejudice that is deeply rooted in history. Not exactly a quick fix. Nope! It talks about the importance of attaining a singular pragmatic endpoint, completion of therapy, and the benefits of interventions like providing patients, like the woman pictured above, with transportation to get to the therapy site, and nurse navigators and computer systems being employed to help in the effort.
Bottom Line. Over the past several years that I have been examining paths toward racial equity in healthcare, I have become increasingly impressed with pragmatic interventions like this that can make a real difference and do it now! Sure, there are loftier goals, like eliminating racial prejudice. But think about it this way. Which is the more certain path, with quicker benefits? Eliminating racism to eliminate healthcare disparity or reducing healthcare disparity and having the effects of that pragmatic shift start to whittle away at prejudicial attitudes?
As this article clearly points out, option B is going to start to save cancer patients’ lives far more quickly. Let’s learn from studies like this one, which identified practical barriers getting in the way of health equity in cancer care, and start to eliminate them! Now!!!