https://www.city-journal.org/political-distortion-of-medical-research
The political distortion of medical research has a sordid history, but it’s unfortunately not just a thing of the past. Today, a popular narrative has taken hold that a racist medical establishment is the reason that blacks have shorter life expectancies, worse clinical outcomes for many diseases, and even excess maternal and infant mortality. The claim is unsupported by evidence, however, and believing it won’t do anything to improve black patients’ health.
Search for the terms “racism” and “medicine” in the National Library of Medicine database, and thousands of scientific publications appear. Journalists and a growing number of doctors regard this as proof of medical discrimination. But most of these studies do not prove any causality; they merely document disparities in clinical outcomes and medical services for black Americans. Nonetheless, they increasingly serve to justify such discriminatory practices as preferentially reserving scarce Covid-19 therapies for blacks.
A rush to find racism typifies most of the many thousands of opinion pieces, original investigations, and review articles on the topic of clinical outcomes for black patients. That literature supports a media that has eagerly adopted the narrative of racism embedded in American health care. The result undermines the trust in medical care needed for successful patient- physician relationships and diverts scarce resources in combating a nonexistent factor in poor health outcomes.
The rules for conducting robust scientific research require scientists to try to disprove their own theories. One can never absolutely prove a hypothesis correct; one can only show that experiments fail to disprove it. The investigator should begin by doubting the hypothesis and do his best to disprove it with carefully designed experiments. Unfortunately, too many studies on medical racism are carried out by investigators who, following the prevailing political trend, set out to confirm their ideas of a racist health-care system. A biased experiment can easily lead to a desired outcome, and emphasizing some results while ignoring others can lead to a faulty conclusion.