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Showing posts with label People of Color. Show all posts
Showing posts with label People of Color. Show all posts

Thursday, February 1, 2007

Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present

A recently published book that stands out in my mind these days is Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present (Doubleday) by Harriet A. Washington. This book struck me as profound and groundbreaking in the information it presents relative to America’s health care system and statements I made in a previous blog about hospice care and people of color.

Medical Apartheid goes far beyond the well known Tuskegee Institute Syphilis Experiment, in which the U.S. Public Health Service allowed almost 400 black men with the disease to go untreated, while pretending to treat them. Ultimately, the men died and unauthorized autopsies were done as part of the experiment.

This book reveals numerous documented atrocities of involuntary experimentation targeting black people, including those in military and prison environments. Some incidents occurred as late as the 1990’s, such as the injection of Fenfluramine into black children in New York. This drug made up half of the deadly, discontinued weight-loss drug Fen-Phen and was used by Columbia researchers investigating the genetic origins of violence. Further emphasizing racial and ethnic disparities, the author mentions experimental research in Africa, Asia, and Latin America.

So many abusive incidents are mentioned, including several even worse than the Tuskegee experiments, it is little wonder that many people of color still regard the health care system, including hospice programs, with deep distrust. I agree with the author’s intent to present this well researched information, particularly those previously unpublished incidents, so we can all be more informed, vigilant, and empowered in our dealings with researchers and health care institutions.

You can read more about cradle-to-grave African American healthcare disparities at this blog post I wrote: https://www.linkedin.com/pulse/african-american-pain-treatment-disparities-emergency-parker?trk=mp-author-card

Frances Shani Parker, Author
Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

Thursday, January 25, 2007

Hospice Care and People of Color

An African American, I am aware of many healthcare disparities experienced by people of color. Recognized and documented by the American Medical Association, the Centers for Disease Control and Prevention, and numerous others, these disparities, which are based on racial and ethnic factors, result in disproportionate numbers of people needing hospice care in these groups.

Hospice is underutilized nationally, particularly among people of color. Due to personal and collective historical experiences, many people of color are suspicious of healthcare services that are new to them, especially those related to death. They often come from a culture that stresses the importance of family members only being taken care of at home by other family members. They may not be comfortable with the idea of “outsiders” coming in with an end-of-life plan for dying. The idea of hospice services in a nursing home could create even more reluctance. Some people of color might think that pain associated with death is normal.

In order to bridge the gaps in trust and understanding that discourage some people of color from accepting hospice care, hospice staff members must take a more proactive outreach role in presenting the benefits they provide. This requires more than a presentation. It requires a sincere commitment to hire more people of color at all staff levels, more welcome input from people of color on what their needs really are, and more hospice recruitment in their communities at churches, schools, recreation centers, events, etc., along with use of the media, particularly in their languages. Quality end-of-life care is an entitlement for all. That is the hospice philosophy.

Frances Shani Parker, Author
"Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes”
Hospice and Nursing Homes Blog