https://www.city-journal.org/article/mass-general-brighams-misguided-drug-policy
A self-described libertarian friend once described to me the feeling she had when it was time to leave the hospital with her newborn baby. She remembered looking at the nurse and thinking, “You’re just going to let me take this thing home? I have no idea what I’m doing.” Even those of us who are very skeptical of government intervention know instinctively that a lot can go wrong with an infant. They might not be eating enough. They might catch a virus. They might be injured by a well-meaning toddler.
The constant attention required of new parents is hard enough when you’re sober. Now imagine trying to do it when you’re high—or suffering withdrawal. Surely, if any parent needs a nurse or doctor to check up on them before taking a baby home, it is parents using drugs. But a new policy enacted at Mass General Brigham in Boston last week will discourage medical professionals from reporting mothers who test positive for illegal substances to the state’s child welfare agency.
Why would the hospital system adopt such a policy? You guessed it: to avoid perpetuating “systemic racism.” Representatives of the Mass General Brigham administration’s “United Against Racism” initiative found that “Black pregnant people are more likely to be drug tested and to be reported to child welfare systems than white pregnant people.” As a result, the hospital will “update policies that automatically trigger mandatory filings with child welfare agencies when a pregnant individual is engaged in treatment for substance use disorder, absent any other concerns for potential abuse or neglect.”
Let’s start from the top. Racial disparities are not prima facie evidence of racism. Black children are three times as likely to die from maltreatment as white children, so it is not unreasonable to assume that they are at higher risk. It’s also not unreasonable to assume that black mothers would get reported to child protective services more often than white mothers.