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How medicine discriminates against non-white people and women

economist.com

11–20 of 24 posts

Re: How medicine discriminates against non-white people and women

#11
post #3

A dermatologist friend of mine trained in a virtually all-white area and then got a job in a place that wasn't. Apparently it was a significant adjustment caring for patients with darker skin.

There's also a false belief, common among doctors and other medical professionals, that darker skin is thicker/tougher. (to be 100% clear, it only differs from lighter skin in pigment and no other characteristics).

Re: How medicine discriminates against non-white people and women

#12

Even The Economist is pushing Critical race theory (CRT) now. What a time to be alive.

In the very first paragraph of that story it reported on the failure of a common and important diagnostic tool to function properly on people with darker skin.

The Economist is catching up

Re: How medicine discriminates against non-white people and women

#13
post #4

I was reading that testing often happens on men for medications because their biochemistry is fairly constant in a month. Fluctuating hormones complicated drug testing. This seemed to me to miss testing a scenario that affects about half the population.

It's not a single scenario; that seems to minimise the complexity.

There are many scenarios because there are variations in our genetics.

I was reading (I think it was the book The Innovator's Prescription) that a lot of medical R&D happens in the US. I wonder how that impacts this sort of testing. I bet that medical R&D happening in a more distributed nature around the world would engage more diversity for testing.

Re: How medicine discriminates against non-white people and women

#14
post #12

Even The Economist is pushing Critical race theory (CRT) now. What a time to be alive.

In the very first paragraph of that story it reported on the failure of a common and important diagnostic tool to function properly on people with darker skin. The Economist is catching up

Is that why The Economist has a whole separate category for reporting on "Race and sex bias in medicine"?

Re: How medicine discriminates against non-white people and women

#15
post #10

Earlier quoted context omitted.

ska: everything in medical literature is fact and in no way fiscally motivated

> everything in medical literature is fact and in no way fiscally motivated It's hard to imagine a net financial benefit for many of the studies. Of course it's not perfect. But dismissing something like this out of had for what, (vague ideological reasons?) is irrational. There is good research in the area, and you are free to read it. There is some poor research in the area too, such is life. It's not even suggesti…

A fiscally motivated piece of "journalism" is absolutely worth dismissal.

solutions floated:

#1 Double the diversity candidates in your testing pool (ie: use a testing group that it non-representative of any naturally occurring environment) #2 Use novel technologies like "real-time ultrasonic scanning" #3 "Transparency for medical algorithms" (sounds like a precept to industry regulation which is notoriously anti-competitive)

Doesn't take a lot to imagine the biases at play here...

Re: How medicine discriminates against non-white people and women

#16
post #13

Earlier quoted context omitted.

It's not a single scenario; that seems to minimise the complexity.

There are many scenarios because there are variations in our genetics. I was reading (I think it was the book The Innovator's Prescription) that a lot of medical R&D happens in the US. I wonder how that impacts this sort of testing. I bet that medical R&D happening in a more distributed nature around the world would engage more diversity for testing.

> I bet that medical R&D happening in a more distributed nature around the world would engage more diversity for testing.

Sure. Distributing the research and testing internationally would be the best case. But if you're only testing in one single place then not many locations are as ethnically diverse as US metropolitan areas.

Re: How medicine discriminates against non-white people and women

#17
post #11
post #3

A dermatologist friend of mine trained in a virtually all-white area and then got a job in a place that wasn't. Apparently it was a significant adjustment caring for patients with darker skin.

There's also a false belief, common among doctors and other medical professionals, that darker skin is thicker/tougher. (to be 100% clear, it only differs from lighter skin in pigment and no other characteristics).

I can't believe there are people that don't understand: the science gods have shown us the conclusive research! The only genomic difference between ethnicities is melanin!

Re: How medicine discriminates against non-white people and women

#18
post #11
post #3

A dermatologist friend of mine trained in a virtually all-white area and then got a job in a place that wasn't. Apparently it was a significant adjustment caring for patients with darker skin.

There's also a false belief, common among doctors and other medical professionals, that darker skin is thicker/tougher. (to be 100% clear, it only differs from lighter skin in pigment and no other characteristics).

Your comment and the one you replied to don't make sense to me. How can skin only differ in pigment, but it also require additional training to care for skin of different color?
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