https://www.manhattancontrarian.com/blog/2022-8-12-on-the-causes-of-racial-health-disparities-in-the-united-states
Heather Mac Donald of the Manhattan Institute has a much-linked article in the current (Summer 2022) issue of the City Journal with the title “The Corruption of Medicine.” The subject matter has substantial overlap with a Manhattan Contrarian post from last November with the title “The Progressive Neo-Racist Cancer Has Completely Destroyed The AMA.”
Mac Donald’s piece goes deeply into what she calls “two related hypotheses” that have recently come to dominate the medical profession:
Medical education, medical research, and standards of competence have been upended by two related hypotheses: that systemic racism is responsible both for [1] racial disparities in the demographics of the medical profession and for [2] racial disparities in health outcomes.
For today, I’m going to focus on the second hypothesis, that “systemic racism” in the U.S. medical system is responsible for “racial disparities in health outcomes.” Is this hypothesis remotely plausible?
According to Mac Donald’s piece, not only is this second hypothesis deemed plausible, but among the elites of the medical profession it is seen as so clearly true that it is required to be accepted a priori, and no questioning of the hypothesis is allowed.
For a statement of the official views of the AMA, Mac Donald refers us to a truly bizarre document issued by that group last October with the title “Organizational Strategic Plan to Embed Racial Justice and Advance Health Equity.” (OSP) Mac Donald describes the document as “indistinguishable from a black studies department’s mission statement,” and “a thicket of social-justice maxims.” Here are a few choice quotes that Mac Donald takes from the document to give you an idea what it is about:
[P]hysicians must “confront inequities and dismantle white supremacy, racism, and other forms of exclusion and structured oppression, as well as embed racial justice and advance equity within and across all aspects of health systems.” The country needs to pivot “from euphemisms to explicit conversations about power, racism, gender and class oppression, forms of discrimination and exclusion.”
The rest of the document (it is 86 pages long) is more and more and yet more of same. Here is an excerpt from the OSP giving the official explanation of the reasons for different health outcomes between and among groups (found on page 12 of the document):