Racism, Not Race, Causes Healthcare Disparities

The Work

C-CARE in Health is a group of people who have come together from across the Chicagoland with the purpose of creating more equitable, antiracist, and evidence-based healthcare for all. Our work specifically targets race-based medicine, which occurs when a person’s race is used to make medical decisions regarding their diagnoses or treatment. This work is rooted in the knowledge that race is a social construct, distinct from ancestry, and racism, not race, causes healthcare disparities. Our group was borne out of the understanding that through collaborative action and sharing of resources, ideas, and knowledge, we strengthen our ability for impact, solidarity, and consistency in patient care. We have worked together on educational resources and presentations, advocacy, and tangible change to race-neutral, race-conscious healthcare practices.

Race-Based Medicine and Healthcare Disparities

Race-based medicine takes many forms, including the incorporation of someone’s race when deciding which medication to prescribe for high blood pressure, or when estimating how well a person’s kidneys are functioning. Race-based medicine incorrectly assumes that race is determined by a person’s biology. In other words, it assumes that people’s bodies are inherently different from one another because of their race. When race is used in medical decision making, patient care might be delayed or otherwise harmful or inadequate. People of color, especially Black people, are most adversely affected by this practice. An example of this is Black people being added to kidney transplant lists later, and staying on the list longer prior to receiving a kidney. Please see our resources list below for more information.

Projects

  • Estimated Glomerular Filtration Rate (eGFR)

  • Pulmonary Function Tests (PFTs)

  • Anti-Hypertensive Guidelines

  • Atherosclerotic Cardiovascular Disease (ASCVD) Risk Calculator

  • BiDil

  • Kidney Donor Risk Index

Resources

C-Care Products

Book Recommendations

Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age by Jonathan Kahn

Breathing Race into the Machine: The Surprising Career of the Spirometer from Plantation to Genetics by Lundy Braun

Racism, Not Race: Answers to Frequently Asked Questions by Joseph L. Graves and Alan H. Goodman

In the News

By Topic

Genetics v Race

Race in Medicine