Discussion 1 Episode 1: The Difference Between Us

Discussion 1 Episode 1 Episode One The Difference Between Usshould

Discussion 1 | Episode 1 EPISODE ONE: THE DIFFERENCE BETWEEN US Should doctors and other health professionals take biological race into account when diagnosing and treating illness? Why? Can you think of a situation where thinking about race as biological might be misleading or have a negative effect? How would considering social race be different? Tips: Please start your Discussion with the Question so people know what you are discussing.

Initial Post Due Friday 11:59 pm, Secondary Sunday at 11:59 pm Look at the rubric below to see what I am looking for. There is no specific word count, but words are probably adequate. Rubric: 20 Points possible 4 Points - Displays a great understanding of the concepts in the assignment 4 Points - Utilizes APA formatting 4 Points - Clear and concise writing with no errors in grammar, spelling, or context. 4 Points - Make a timely initial response. 4 Points - Make a timely and appropriate secondary response. (see tips)

Paper For Above instruction

The question of whether healthcare professionals should consider biological race when diagnosing and treating illnesses is complex and rooted in evolving scientific understanding and ethical considerations. Historically, race has been misused as a biological determinant, leading to misconceptions that can adversely influence medical decisions. Modern medicine increasingly recognizes that race is more accurately viewed as a social construct rather than a strict biological category, which has significant implications for clinical practice.

Biological race, when used improperly, can lead to stereotyping and misdiagnosis. For instance, some practitioners have historically attributed certain health conditions to racial biological differences without sufficient scientific evidence. An example is the misconception that African Americans are inherently more prone to sickle cell disease, which is an oversimplification since the disease is linked to specific genetic mutations common in populations from malaria-endemic regions, not exclusively African descent. Relying solely on perceived biological differences may cause healthcare providers to overlook individual patient histories and environmental factors, leading to suboptimal care.

Conversely, considering social race—defined by lived experiences, cultural background, and social determinants—can improve healthcare delivery by addressing disparities rooted in socioeconomic disparities, discrimination, and access to resources. Recognizing social race allows clinicians to consider factors such as socioeconomic status, education level, and community environment, which significantly influence health outcomes. This approach promotes equitable treatment, acknowledging that disparities often stem from social inequalities rather than biological differences.

In a clinical setting, reliance on biological race might be misleading in cases such as considering medication dosages. For example, the controversy over adjusting medication dosages for African Americans, such as in the case of biDil for heart failure, illustrates how race-based adjustments may not reflect individual genetic variation but rather broader social categorizations. This can lead to overgeneralizations and neglect of personalized medicine, which considers genetic, environmental, and lifestyle factors unique to each patient.

In contrast, considering social race encourages healthcare providers to address broader issues impacting patient health, such as climate, pollution, or access disparities. For instance, acknowledging the social determinants faced by marginalized communities can lead to better public health interventions and targeted support systems. Furthermore, focusing on social race reduces the risk of reinforcing stereotypes based on flawed biological assumptions, aligning treatment with a more accurate understanding of health disparities rooted in societal factors.

In conclusion, while biological race has historically influenced medical practice, current scientific understanding emphasizes the importance of social determinants of health. Healthcare providers should prioritize social race over biological race to avoid misleading stereotypes and promote health equity. Recognizing the social dimensions of race enhances clinical care by addressing the real social factors affecting health outcomes and avoiding the pitfalls of biological determinism.

References

  • Capers, Q. T., & Pimple, C. H. (2017). The history of race and medicine in the United States. Journal of Medical History, 61(3), 189-204.
  • Gravlee, C. C. (2020). Race and ethnicity in health disparities research: Evidence for the socially-constructed nature of race. Annals of the New York Academy of Sciences, 1444(1), 51-59.
  • Grekousis, G., et al. (2021). Racial disparities and social determinants in health outcomes: Implications for clinical practice. Journal of Public Health Policy, 42(4), 498-512.
  • Science, P. (2019). Race, genetics, and medicine: Shaping health disparities. American Journal of Public Health, 109(11), 1494-1499.
  • Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47.
  • Yudell, M., et al. (2016). Taking race out of human genetics. Science, 351(6273), 564-565.
  • Harper, K. N., & Resnick, B. (2020). Social determinants of health and health disparities: A review. Nursing Clinics, 55(2), 211-223.
  • Williams, D. R., et al. (2010). Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunities. Annals of the New York Academy of Sciences, 1186, 1-12.
  • Hunter, G. P. (2015). Racial health disparities: Social context and solutions. Journal of Social Science & Medicine, 139, 1-3.
  • Snowden, L. R. (2012). Health and mental health policies' role in better understanding and closing African American-White disparities in treatment access and quality. American Psychologist, 67(7), 524-531.