How Racism in US Health System Hinders Care and charges Lives of African Americans

 

Minority Health Disparities | Michelle’s Story

Video taken from the channel: Johns Hopkins Medicine


 

History of inequality feeds health disparities in African Americans

Video taken from the channel: TMJ4 News


 

Does Racism Play a Role in Health Inequities?

Video taken from the channel: Institute for Healthcare Improvement IHI


 

How American Health Care Is Defined By Systemic Racism | NowThis

Video taken from the channel: NowThis News


 

Racial Disparities in Healthcare are Pervasive

Video taken from the channel: Healthcare Triage


 

RACIAL DISPARITIES IN HEALTHCARE FOR BLACK AMERICANS

Video taken from the channel: Nurse Liz


 

Discrimination in America: African American Experiences

Video taken from the channel: Harvard University


An analysis by the National Academy of Sciences found African Americans receive poorer quality care than white patients across all medical interventions and routine health services –. An analysis by the National Academy of Sciences found African Americans receive poorer quality care than white patients across all medical interventions and routine health services —. An analysis by the National Academy of Sciences found African Americans receive poorer quality care than white patients across all medical interventions and routine health services – even when insurance status, income, age, co-morbid conditions, and symptom expression were equal.

Experts point to racism as a root cause for these disparities. As the COVID-19 pandemic swept across the U.S., the virus hit African Americans disproportionately hard. African Americans are still contracting the illness – and dying from it – at rates twice as high as would be expected based on their share of the population.

An analysis by the National Academy of Sciences found African Americans receive poorer quality care than white patients across all medical interventions and routine health services – even when insurance status, income, age, co-morbid conditions, and symptom expression were equal. Experts point to racism as a root cause for these disparities. (The Conversation is an independent and nonprofit source of news, analysis and commentary from academic experts.) Tamika C.B. Zapolski, Indiana University and Ukamaka M. Opinion How Racism In US Health System Hinders Care And Costs Lives Of African Americans African Americans are more likely to live in poor neighborhoods, work at riskier occupations.

How racism in US health system hinders care and costs lives of African Americans COVID-19 has again demonstrated the health inequities that exist between African Americans and whites. By Tamika C.B. Zapolski Published on Jun 29, 2020.

Health inequity for African Americans is not a new phenomenon. COVID-19, however, shined a light on the problem. Racism is not isolated to health care services, and it remains pervasive throughout our society. But by taking the tangible steps outlined here, providers can begin to. How racism in the US health system hinders care and costs lives of African Americans As the COVID-19 pandemic swept across the U.S., the virus hit African Americans disproportionately hard.

African Americans are still contracting the illness – and dying from it – at rates twice as high as would be expected based on their share of the.

List of related literature:

Lack of health care access among African Americans can be traced partly to their inability to pay for medical services.

“Encyclopedia of African American Society” by Gerald David Jaynes, Thomson Gale (Firm), Sage Publications
from Encyclopedia of African American Society
by Gerald David Jaynes, Thomson Gale (Firm), Sage Publications
Sage Publications, 2005

African American beneficiaries have fewer physician visits and receive less preventive care, such as influenza immunizations, than any other racial group.

“Jonas and Kovner's Health Care Delivery in the United States, Tenth Edition” by Anthony R. Kovner, PhD, James R. Knickman, PhD, Victoria D. Weisfeld, MPH
from Jonas and Kovner’s Health Care Delivery in the United States, Tenth Edition
by Anthony R. Kovner, PhD, James R. Knickman, PhD, Victoria D. Weisfeld, MPH
Springer Publishing Company, 2011

Identified barriers to Black Americans seeking the health care they need include lack of culturally relevant care, perceptions of racial discrimination, and a general distrust of both health professionals and the healthcare system.

“Health Professional as Educator: Principles of Teaching and Learning” by Susan Bastable, Pamela Gramet, Karen Jacobs, Deborah Sopczyk
from Health Professional as Educator: Principles of Teaching and Learning
by Susan Bastable, Pamela Gramet, et. al.
Jones & Bartlett Learning, 2011

Identied barriers to Black Americans seeking the health care they need include lack of culturally relevant care, perceptions of racial discrimination, and a general distrust of both healthcare professionals and the healthcare system.

“Nurse as Educator: Principles of Teaching and Learning for Nursing Practice” by Susan Bacorn Bastable
from Nurse as Educator: Principles of Teaching and Learning for Nursing Practice
by Susan Bacorn Bastable
Jones & Bartlett Learning, 2014

Hospital emergency rooms and clinics are a much more common source of medical care for African Americans than for whites, and 20 percent of African Americans (compared to 13 percent of whites) report no usual source of medical care.

“For Women Only!: Your Guide to Health Empowerment” by Gary Null, Barbara Seaman
from For Women Only!: Your Guide to Health Empowerment
by Gary Null, Barbara Seaman
Seven Stories Press, 2001

Finally, if the racial bias and discriminatory aspects of the U.S. health system are solved, America will have gone a long way toward achieving justice and equity in health and healthcare for all its citizens (Byrd and Clayton, 2000, 2002).

“Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (with CD)” by Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, Alan R. Nelson, Adrienne Y. Stith, Brian D. Smedley
from Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (with CD)
by Institute of Medicine, Board on Health Sciences Policy, et. al.
National Academies Press, 2009

African Americans are particularly distrustful of health care personnel because of discrimination in medical care and because most authority figures in health care are not African Americans.

“Gerontological Nursing: Competencies for Care” by Kristen L. Mauk
from Gerontological Nursing: Competencies for Care
by Kristen L. Mauk
Jones and Bartlett Publishers, 2010

Many African-Americans have experienced unfair treatment by the health care system and fear that they will be treated unfairly in the future.

“Resolving Ethical Dilemmas: A Guide for Clinicians” by Bernard Lo
from Resolving Ethical Dilemmas: A Guide for Clinicians
by Bernard Lo
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Due to economic factors, black Americans are likely to have less ready access to healthcare services.

“Essentials of Patient Education” by Bastable
from Essentials of Patient Education
by Bastable
Jones & Bartlett Learning, 2016

There has been a historical antipathy toward African Americans as health-care providers, which has been supported by discriminatory policies and practices.

“Race Still Matters: The Reality of African American Lives and the Myth of Postracial Society” by Yuya Kiuchi
from Race Still Matters: The Reality of African American Lives and the Myth of Postracial Society
by Yuya Kiuchi
State University of New York Press, 2016

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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89 comments

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  • It’s straight up neglect fraud and murder. Even BLK doctors being ” indoctrinated” into a mode of thought are racist and provide no care and dangerous care. Health noncare is the other tentacle of the genocide monsterif cooperate doesn’t work you to death, if police don’t assainate you, politicans don’t impoverished you pain doctors we’ll just let you die

  • Not surprised. If as a patient you are not a white male…you will have difficulties with medical care. Women and LGTBQ folk suffer from this as well as African Americans. If you are poor or have mental health issues you will also face suboptimal care. Overweight? Yeah, difficulties there too. It’s important to be able to shop for a doc, to find one that will work for and with you.

  • We can stop buying the drugs at the corner. We can stop buying the cheetos. We can better plan our families, and I don’t mean abortion

  • Truthfully when I was in Nursing school this was skimmed over in the last semester during leadership and how to treat your fellow co-worker and if you have a higher position how to treat those of different race, but the racism towards African Americans was more addressed. I was the only African-American in the class and it got so quiet and most of the time my teacher stared at me like I’m the one who needed teaching about racism toward my own race. It was interesting how uncomfortable everyone got and I do think this needs to be addressed more in schools, then maybe everyone won’t feel the need to tip toe and will stand up for their African American counterparts, but when it came to speaking on discrimination against women it was an uproar. So definitely uncomfortable for me to be a woman and African American that day

  • Yes, thank you for making this video! I’ve seen so many of your nursing videos and always thought you were a really sweet person. This video only confirms your beauty is inside out ��

  • That doctor’s comment discussing why people don’t invest in their health seemed extremely insensitive and ignorant, especially for someone working in Baltimore.

  • Thank you for making an effort to understand and educate others on the complexities that exist within our culture. You did a wonderful job and I sincerely appreciate you and your channel!

  • I am incredibly grateful for this video. You did an incredible job describing racial disparities in healthcare for Black Americans. As a Black patient, nurse, and now a nurse practitioner student I have both witnessed and experienced some of the things you described in this video. This video is truly a gem, thank you again. ❤️

  • Instead of feeding you police state locally, state-wise, federally and internationally why not invest in your civil society? Schools, infrastructure healthcare!?

    How can you award trillions to the rich people who broke your economy yet you can’t adequately treat the sick.

    America, like really..? Is this the ‘American’ way we keep hearing so much about..? ������

  • Nurse Liz,
    You know that I have a lot of respect for you, but No…throwing statistics to racial situations compared to your own life is a bit off-putting. However, I get where your heart was. ��

  • the reason i decided to even join nursing school was because of discrimination i received by so many nurses and doctor not listening to me and dis guarding how i deal with things. i even have my now amazing dr and nurse tell me they are aware how black patients are treated different and why they protest because of this. im currently on my journey to because a midwife nurse and my husband to become a NP hes European/ american and knows i deal with this and many African Americans or black people deal with. he hopes to be a nurse of change due to this. thank you for this video and all your nursing videos

  • There was no significant difference in the rate of recommendation for TKR when the patient was black (47%) versus white (38%) (P =.439), and neither implicit nor explicit racial biases predicted differential treatment recommendations by race (all P >.06).

    While implicit bias was detected it did not significantly change outcomes of treatment. It is almost like implicit bias matters very little when concerning medical treatment.

  • It does exist and not just towards black women black men are probably biased more but no one talks about that i can remember going to a white doctor for a itch problem without an examination he told me my itching problem was an environmental problem because i live in the city. went to another doctor about constipation and he looked at me as if i was crazy and told me i better try and get it out again with no examination after that i never trust them again and still don”t.

  • is this of ethical concerns of providers/nurses? Nursing fundamentals have taught me to have values such as altruism, social justice, providing cultural competent/sensitive care with human dignity, and so on.

  • Part of being a nurse is advocating for our patients. Thank you so much for this video, we all need this type of information in social media. #BLM

  • I don’t know if this would works for everyone. But when I’ve had doctors who doesn’t take my endo seriously, as it’s a woman’s problem; I bring a friend to the next appointment.
    It often means the doctors more willing to listen.

  • I am an African American and I am a family nurse practitioner. I have experienced discrimination as both a patient and a provider and I make it my mission to force change in our country

  • Not to even mention pain management. Black and brown people are MUCH more likely to not receive appropriate pain management meds, to be accused of just trying to get drugs, and to be drug tested before getting the meds they need. It’s fucking disgusting.

  • The word “black girl” or “blacks” don’t offend me, because I know I’m black my black is beautiful. I think it’s more when people don’t recognize my blackness for how beautiful I am and instead it being a negative, like “oh she black” instead Of it being seen in that negative light. I hope that helps! ♥️����✊��

  • So sad to see this. People thinking it is diet choicesbut it is social determinants of health by policies. This is bullshit. Patients do not invest because they cannot. Because of systemic racism. Healthcare systems are dangerous and violent institutions including John Hopkins. They are hyper capitalistic machinery where all forms of racism intersectcapitalism, policing,, bias, incarceration etc. This video is a poor way of explaining the real root causes of disparities. As a doctor who is heavily invested in fighting these systems this video makes me want to make video showing the true reality of these systems intersect.

  • JUST HAD TO SHOEHORN HISPANICS AND ASIANS IN WITH THAT “MINORITY” “POC” RACIST NONSENSE SMMFH. THE DISPARITIES ARE WITH BLACK AMERICANS STOP SHOEHORNING OTHER ETHNIC GROUPS INTO OUR OPPRESSION. IT’S JUST ANOTHER FORM OF OPPRESSION��

  • Hi Liz! Nice video. Can you do a video on NP or nurses pursuing side jobs while practicing? I am a nursing student but also have a passion in real estate. Is it doable to do both? Do you think it’s a bad idea?

  • Thank you so much for speaking on this! This is a huge problem not only as a black patient but as a black healthcare professional as well. The healthcare industry is extremely racist! Not everyone obviously but as a whole community, it is a very racist place.

  • Great ideas. However, can we agree that remains, on this Earth in 2019, there is ONLY ONE RACE of Hominid: Homo sapien sapien. The last concurrent “race” were the “Hobbit People” who went extinct 10,000 years ago. Neanderthals never truly went extinct, as they mated with Homo sapiens. Truth be told, African’s and Indians are purer Homo sapiens as they lack any Neanderthal DNA. There are different levels of melanin, oil produced by skin, size and shape of hair follicle, height advantages. There many ethnicities, cultural traditions, National Democratic identities, regional commonalities, etc. There remain but ONE RACE Homo sapien sapien.

  • Thank you so much for making this video!!! It is so important. It means a lot that you are sharing your personal experiences and recognizing your privilege. Alsothank you for the resources. I am excited to get a new book on my reading list!

  • Thank you for speaking out. It always bothered me hearing white people say things like I don’t know about what it feels to be black so I am just going to be quiet and listen. I am from the continent of Africa, a recent immigrant to the USA who before coming here had no direct experience with the struggle of slavery and racism black human beings in USA have faced and continue to deal with; i am here to tell you that white people do know what racism feels like because I too feel it, not because I directly experienced racism ( with exception of few minor things) but because I notice how black peoples are treated in society by the majority race. I see how black people have developed ways to adopt to those realities by policing themselves for sake of safety. I am finding myself doing the same thing as our skin is black and society judges you because of your external presentation. I am also a practicing Muslim who covers her her hair in public and they puts me in the other category (this is often what leads to most discrimination I face).
    The best thing that to come out of this recent heightened awareness in race is for what people to own up to how racism feels to them and do something about it. Without that, racism, more accurately white supremacy, phenomenon will continue.

  • THANK U FOR TALKING ABOUT THIS NURSE LIZ!!!!! Don’t ever stop being awesome and talking about the tough things even if some of your followers don’t like it. We need to have these conversations if we want to improve outcomes for POC.������

  • At the very hospital I was born in its colored hospital(St Phillips) in1953. Got my first job there in 1967 in the cafeteria. Worked part time. My mother worked there as a nurses aid, then as a LPN for 34 years. I myself worked off and on until I retired. But from my first day there until after I retired and resently afterwards when they started waiting on a White before me who had arrived after I got there hours later in (2020) for eye surgery. MCV/VCU HOME OF THE RAMS HAS BEEN FULL OF OUTRIGHT AND SYSTEMIC RACISM. MINE MY MOTHER AND OTHERS HORRIFIC TAILS ARE IN THE THOUSANDS. YES! THERE IS A LOT OF RACISTS WHITES IN HEALTHCARE AT MCV/VCU IN RICHMOND VA. THE(?)FORMER CAPITOL OF THE CONFEDERACY.

  • I love this video-so incredibly informative. A small thing I do want to point out is the use of “preferred” pronouns. It’s important that we realize that pronouns are not “preferred”-they are not a preference. Preference implies that their choice of she/he/they is optional or up for debate. Instead, I would encourage everyone to ask others what pronouns they use, as opposed to what they prefer:)

  • I had such a horrible experience giving birth to my now 6 year old that I have only gone to the doctor (for my self) about 3 times once when I got birth control once to ask for my birth control to be romoved (she told me no even though it was year 5 of the 5 year birth control) and the last time to a different doctor to get my birth control actually removed
    I as a black woman am exhausted I’ve been explaining to people racism sexism etc all my life only to be ignored if you don’t get it in 2020 that’s between you and god your not my child for people like you who are actually willing to understand something that virtually doesn’t effect you I will always share stories and perspective

  • Thank you for sharing this needed video! Their are serious disparities among the black diaspora. Our organization Healing our Village has been developing informative videos and recruiting equipped physicians to address this issue! If you are interested in learning more visit Hovhealth.com.

  • Thank you for addressing racial disparities in our healthcare system in an authentic & vulnerable way. It is so encouraging to see nurses and providers take a stand on this issue and work towards change!

  • Thank you so much for using your platform as it is very necessary to have theses conversations going forward. As a Black NP I have been having these conversations with others. It’s definitely going to take all of us working together to create change. I have spoken to the black community at large to let them know that it’s just the nonblack races that have to adapt and change but we also have to change our mindsets we cannot continue to use the excuse that we don’t follow treatment plans because we don’t trust doctors when it’s often related to lack of understanding of the treatment plan. So in working with minority groups to self advocate and gain knowledge that they need to have better outcomes will definitely help. This is just a small portion of the topics discussed. But we definitely have work to do. Again thanks for sharing

  • I’d LOVE to see a video about a brief (or not so brief!!!) history of mistreatment of minorities within the healthcare system!!! Love your videos.

  • My mom always experiences racism when she goes to the hospital alone because she doesn’t speak English very well. I’ve always had to advocate on her behalf because of how many people in health care don’t think everyone deserves equal treatment when they’re at the hospital. I’m praying that our world will become a more tolerant place and everyone gets a fair shot!

  • The real problem is the “for profit” healthcare system. There was an old guy recently who was treated for covid. He survived and was given a bill for 1.1 million dollars. Who says you cant put a dollar value on a life.

  • I actually prefer the term black American. My ancestors are from Africa just like my husbands ancestors are from Germany, but no calls him is German American, do they? No, they call him American or Caucasian. I learned that being Black in Amerca I am never just a girl. I am a “Black girl”. I am a “Black girl” who likes Anime, a “Black girl” gamer or a Black girl who loves wine. Why Can’t I just be a gurl? Please, don’t misunderstand. With all the hardships black people face I still would never change who I am. I just wanted to explain why I like one terminology over the other. I also want to tell you I watch your video all the time and I am so very happy to see you posted a video about these issues. I also wanna say Henrietta’s family didn’t find out they were using her cells for a long time. Not only that but they are still living in poverty. How can that be? Thank you for talking about fertility. I have regular period but had an ectopic and have trouble getting pregnant. I was told to lose weight when I went to the ferility clinic. I get that feeling that noone cares. I now tell all my black friends experiencing fertility issues to be their own advocate. Anyhoot, I have great respect for those who speak out. Thank You, Liz.

  • just a note: black ppl everywhere are of african origin. jamaicans, for example, in the grand majority, got there first as slaves trafficked from africa. some black ppl from countries beyond the US reject the term “african-american” bc it was derived regarding black ppl born in the US,but who did not know their exact nation/region pf origin in africa due to those records being lost and/or distorted with slavery. the part that is usually rejected is the “american” part, as ppl of african descent in, say, haiti, are not from the US.

  • Overall great video. It is appreciated that you not only spoke out but did research so that you were informed when you spoke out on your platform, kudos. I know you are one to continue discussions so I look forward to you continuing to be an ally for Black/African American populations especially in healthcare. Keep it up Liz!

  • Thank you for using your platform to speak out on this subject. And i really do respect the fact that you openly stated that dont know everything but you want to know more. You are amazing, caring,and very very thoughtful.i just want you to know how appreciative i am that our caucasian counterparts are seeing our struggles.

  • Me I solve this problem “easily” I consciously choose primary providers who are 1. A woman 2. Black……I am sick. I am feeling a certain way and I don’t need to get anxious about having to think about how I would explain or ‘justify’ my symptoms to you just so I could get appropriate medical care. Nope.

  • Thank you Liz! I am about to start my direct entry nursing grad program and I was feeling nervous about the nursing field in general being fairly quiet on issues of systemic racism and healthcare disparities for Black Americans. There is so, so much work to be done, but I am glad that people like you are having the important and uncomfortable conversations.

  • Considering John Hopkins history with African Americans, this little video is rich �� I appreciate Auntie Michelle’s insightful perspective however, JH has a lot to do to make amends with their toxic past if they want to gain trust from the AA community. ALOT.

  • We need Medicare-For-All/A single payer healthcare system here in the United States, especially during this time with the Coronavirus pandemic! What is more “Pro-Life” than ensuring that every person in America has guaranteed affordable healthcare regardless of their job or social status? Also, if we all had access to basic healthcare, we would all have the “freedom” to live long lives and rarely have to worry about medical bankruptcies. Sure, taxes will go up, but the overall cost will go down so much that everyone will be paying less and saving thousands of dollars every year. Furthermore, if some of us need additional healthcare than Medicare, then we have the “choice” to get additional insurance, but for others Medicare would be more than enough. Finally, if every other developed country (Canada, Germany, the United Kingdom, France, Italy, Sweden, Norway, Denmark, the Netherlands, Japan, South Korea, Australia, and New Zealand) can implement this system and save money, then why can’t the United States do the same and help “Make America Great Again” for everybody at least on the issue of healtchare?

  • As a follow up to this video I recommend the book The Death Gap: How Inequality Kills by Doctor Ansell. Another point not highlighted in this video is the issue of epistemic injustice experienced by most minorities who access our healthcare system. If as a patient your narrative is not believed or just discounted this can also affect the quality of the care you will receive. Interestingly, your pain is also likely to not be adequately treated if you are African American compared to the white counterparts.

  • Thanks for making this video. I think we like to ignore issues that are difficult and that make us uncomfortable. And I think that does a great disservice to patients. We have known about these issues in health care for a while, and nothing has been done. I hope this is the impetus for change. I’ll be honest, I was in undergrad when I learned the difference between Hispanic & Latino. We all need to be open to learning new things and changing our behavior accordingly.

  • Hi Liz
    Thank you for speaking up. I definitely believe that if you are not part of the solution then you are part of the problem by default.

    You did a great job approaching this so needed discussion and action.

  • Nurse Liz, as many others have already said, THANK YOU for bringing this conversation to the forefront and addressing it head-on I really appreciate you! I’m in an accelerated nursing program for my BSN right now, and I plan to pursue a DNP to be a women’s health and family nurse practitioner. I am especially interested in providing culturally sensitive care to patients, especially Spanish-speakers. That ambition lies in the background that I am a person of mixed heritage (Mexican-Irish-American) who lives in a pretty rural state, where that is an under-represented population. Which brings me to my comment: thanks for thinking about creating a space on forms (or in conversation) to indicate racial/ethnic preference. I think an important consideration is to ask this of EVERY single patient, regardless of whether they look like a race other than White… That way there is no risk of assumption, but this also removes the feeling that as a person of color, they must always do the work of speaking out first. I personally always struggle to indicate the right bubble on forms I don’t consider myself to be “Race: White + Ethnicity: Hispanic”, which is often the closest option available to me. Something else that occurred to me about that is, if you want to provide culturally-informed care, you may want to play around with how to present that to patients. Some people might feel that “treatment guided by ethnic background” ( 20:07) could be a negative thing, if they have previously been lumped together in a stereotype of race/ethnicity. I can’t tell you how many groan-out-loud-bad readings on cultural sensitivity I’ve read throughout my program, which actually tried to provide “helpful stereotypes to understand about cultures you might encounter”. I think the bottom line is what you’ve mentioned throughout your vlogs, as well as this one: provide individualized care, listen to your patients, and BELIEVE them!:)

  • Wow awesome video. You are such a open minded and humble person. There is so much positive things about your video and the way you view things I just can’t name them all. Thanks for the video!!

  • Thank you for this Liz, while I knew about some of this, I also learned so much.

    Something else I think worth mentioning, that could be of value is the role providers play as mentors to children and young adults, even unknowingly.

    I live in a very rural part of California. A Black colleague and I discovered that we had the same healthcare provider, who is also Black. My colleague shared that this was the first time in her life that she had a healthcare provider who looked like her and this was incredibly valuable to her and her children. To be able to have someone considered an authority figure who looked like them.

    I know white providers can’t change the color of their skin, but in addition to education to understand and change racial disparities in healthcare, it would be awesome if they started by diversifying their staff, their reading materials in the waiting room, the posters on the wall.

    Representation matters.

  • I think it is naive to say we don’t see color but it doesn’t determine how i care for you.

    However I treat people the way I want to be treated. You should treat people good regardless of race.

    You can’t make everybody get like everyone just not gonna happen, people have their opinions & wont change them.
    Also if you have kids raise them to treat people as you would want to be treated & I think that falls on both sides of the spectrum regardless of race.

    FYI I am white I was the minority in my community I grew up in poverty, welfare system, abusive parent in a single parent home. I remember not having Christmas presents to open, I remember going to bed hungry, the list goes on. I don’t need you to feel bad for me, just letting you know my background. Right now I am RN critical care 10 + years. CNA 10 years. Over 20 years healthcare experience.

    I have never heard of someone talking about someone who is black & is a nurse. However I work primarily in a inner city hospital, we have a good mix of healthcare workers. But not saying it doesn’t happen & I wouldn’t tolerate it. In fact outside of work if I hear someone making fun or talking about someone’s skin color I DO SAY SOMETHING. Either that person apologizes or they mock me, you can’t change people’s opinions. This is just my character & has nothing to do with the wake of what is happening now.

    People who don’t enroll in studies because being ‘educated’ is discriminated against in the certain ‘inner city’ communities. I have experienced this & wittiness this myself. We celebrate celebrities, but what about people like Ben Carson neurosurgeon the first to successfully separate twins connected at the head.
    Also on the flip side it’s challenging to get to school or studies due to lack of transportation but it still can be done. Just have to work harder for it. FYI I grew up with no car in the family, had to take the bus. Walked to clinics & doctor appointments. I got my first job at 15 paper route saved up enough money by the time I was 17 & bought my first car on my own. My mom didn’t even have a car but I did. I got another job at one point I had 3 jobs. No not a privilege, but you can have anything you want as long as you work for it.

    I disagree being African American is not racist this is the only country where you can be called an american after obtaining citizenship regardless if you were born here. I.E. If a get dual citizenship with Sweden I am not considered Swedish because that is preserved for those who live & were born there. However I completely agree that the term African American should not apply to all black people. That is just ignorant but I don’t think people think about it, but something we should talk more about again I think people are afraid to have those conversations cause they don’t want to seem racist.

    I think you have a good way to address how would you like to identify racially? It is not offensive, we need people to participate in their healthcare.

    Great video I enjoyed it!

  • Nurse Liz,
    The term African American is a term used for people of African origins. It is not a racist term. Its just like saying Mexican American or Asian American. We are of American culture with certain ethnic origins. Anyone that does not understand that…it’s more of an intellectual thing.

  • Not buying it. I grew up in an urban neighborhood and received better health care as a child than I did as a working adult w/healthcare. Some minority groups are genetically predisposed to certain diseases and health conditions and this video does not touch on that. The biggest problem this county faces is how lobbying has destroyed our health care system overall for all races, creeds and colors across the board. Adding a racial edge between subpar healthcare and minorities is a blatant attempt to divert our attention away from how our own government has failed us by handing our healthcare over to private, for profit entities who could care less about what zip code you live in as long as they take in billions at our expense.

  • Funny thing is US healthcare system is been highly regulated controlled by the government and heavily lobbyed by big insurance company, union health workers, and pharmaceutical company s there no competive healthcare system majority has to be approved by the fdc and cdc highly centralized organization tells which medicine is Good for us but problem is some The members are part of Big pharma companies.

  • I really appreciate your vulnerability and honesty. I’ve seen a lot of people become defensive about needing to educate themselves and I’m immediately unfollowing those people. We all need to educate ourselves on this topic because there are beautiful, amazing lives literally on the line. Speak up, be blunt, be unpopular! ❤️❤️❤️

  • Thank you for making this video. As a black/African American nurse, I feel it’s very important for us to be concious of the cultures we care for. For my BSN capstone, I did a project on Social Determinants of Health, and how the affect readmission rates. My classmates had a difficult time understanding my outline, but I was able to educate them on why some cultures have higher readmission rates and less preventative care. I thank you for educating yourself and willing to be open minded on this topic. It is very uncomfortable, but it can’t be swept under the rug. I’ve had my own personal experiences in college and the workplace, but I have used them as learning tool which has gotten me further than some expected….I look forward to your next video… #futureFNP��

  • i just absolutely love you honestly. def one of my favorite healthcare youtubers. using your platform to speak about what matters instead of sweeping it under the rug.

  • And once again, the only possible explanation is racism. Every issue in the history of the world has an exponential number of causes. From the explosion of a space shuttle to the reason you were late to work. If we don’t add some nuance to the argument and acknowledge that racism is just one piece of the puzzle, then we are doomed to solve absolutely nothing…forever!

  • 2020 spring…social distancing will not allow shaking of hands…hopefully systemic solutions will arise. Peoples Health is the Countrys future hope…

  • How awesome are you! I had irregular periods and I was wondering about having babies. Girl, they gave me no information. None. Left in the dark! I have a beautiful baby girl now but it was a surprise because I thought I couldn’t have kids.

  • Thank you for being transparent about African American issues in healthcare. Hopefully we all can do something to change the narrative. I am Haitian American and I have experienced racism as an RN and soon to be AGACNP.

  • Thank you for talking about this Liz!!! Its definitely something I think about (and am sometimes scared of) going into healthcare. It makes all the difference that NPs like you are taking the time to have the conversation!��

  • 11 downvotes? Gee, I wonder who could possibly get so upset that,
    they would downvote a video about…
    .
    FACTS!!!!!!!!!!!!

  • The most recent study is 2017 over implicit bias which showed no change in healthcare outcomes, the rest of the studies are 2003 and older. Interesting pick of information here.

  • Words cannot express my gratitude for you…for choosing to stand up and use your platform to bring awareness to very real racial disparities in healthcare. This is was what drove me to go back to school to become a nurse practitioner. I graduate in August and I look forward to being a voice for my people and providing quality healthcare to everyone. You spoke about some things that truly enlightened me and opened my eyes, even with being black and already facing these realities. Thank you again for everything that you’re doing, despite the backlash that you have and will receive. Never stop fighting the good fight. Your patients are very fortunate to have you as their provider!

  • Liz, I have been your biggest fan for some time now. I want to tell you how proud I am to see you speaking out against racism and having the tough conversations.

    Thank you for your humility in explaining that you are still learning. And thank you for not waiting to speak up and speak out until you are 100% informed on the situation. We need voices NOW.

    I would not be able to make it this far in nursing school without you. I rewatch your videos when I am stressed because you are so encouraging. “It’s fine. It’ll be fine. You’ll be fine” are your T-shirt phrases, FYI �� I will buy ALL the Nurse Liz merch the day it launches ��

    I am so glad I get to enter the healthcare system alongside NPs like you. You are calm in my storm. You are an inspiration. You are just plain AWESOME. And I am so thankful I get to KEEP loving you because you did the right thing during this season of racial awareness and conversation.

  • I like that you site your sources in the video, but I would be lying if I said it would be useful if you repeated the practice in the description. The fact that they’re not is somewhat of a surprise to me, as this show’s executive producer, presides over another show which subscribes to the practice I have mentioned. Some people have time to go through the video again and find every source to verify, but in all other cases, this is more likely to compound mistakes made in the research phase.

  • Thank you for this video… it’s really helpful to her how history has shaped how I feel about healthcare ❤️ you’re awesome Nurse Liz

  • Liz you always do an amazing job explaining. Thank you for getting uncomfortable and posting this as well as doing what you have to make a difference in and outside your practice. I appreciate you!

  • I’m glad there was other studies cited that did not use the Implicate Association Test. The IAT is severely flawed and any information from it should be regarded as highly unreliable. I wish people would just stop using it like it means anything.

  • They die prematurely because of lifestyle choices, being overweight, diabetes the list goes on, same thing in my country they blame the system but most are obese they drink alot and or take drugs, they eat the wrong food, I was in the healthcare industry and know most of the things they suffer from are preventable it’s the choices people makes that make them sick. There is a new generation who are changing this, they eat clean and keep fit, and some of the older ones are taking notice, not everything is caused by white men, so stop making it look like that. Police violence in the US is real, stick to that and help fix it. Let’s tackle one problem at a time and do it right.

  • My husband and I have been TTC for almost 2 years. I have been to the same doctor 5 times, she still hasn’t seen me, (never) and her nurses haven’t done any physical exams. 5 times and I have been told to reduce my blood pressure to conceive. My blood pressure rises when I see doctors because I don’t trust medical professionals. As far as they are concerned, I don’t have ovaries or a V because no one has ever looked. I want to find a black doctor, but those seem even harder to find. I feel like my husband, and I will never have kids because we need the help of doctors, I feel so dehumanized when I leave each time, but we want a baby so bad I keep going back, hoping it will be different.
    Thank you for posting this. I look forward to hearing more from you.

  • THANK YOU for this well researched report. Many AA claim racism in healthcare but are made to believe that what they felt isn’t real. These are great articles that show there is a problem, and it’s real.

  • Something I wonder about with compliance: minority patients often don’t have the greatest insurance coverage, so perhaps having higher co-pays for prescriptions means they’re not always able to afford the prescribed medications? Are the doctors assuming that systemic racism is making compliance more difficult for minority patients?

  • So because more blacks are poorer than white and can’t afford the medicinal care because of the way it works, America is racist, not, the system need to change so people in general can afford it more

  • And if you are a woman to boot, you’re just SOL. I swear between me and my friend with tons of chronic issues, most of what doctors (particularly male doctors, not to say female doctors are excluded though), just assume our uterus rules our lives. It has caused us both a LOT of unnecessary damage and suffering. I am still fightimg the bias and try to approsch every nee doctor and situation with blank slate but she has completely given up and will only see women doctors at this point. Tbh she is making a lot more progress than I am so far. I hate assuming things of people but being a woman who needs healthcare for serious issues is hard enough. Being a minority as well is so much worse.

    With my married name changing me from a Juarez to a Mann I have noticed gentler treatment, not gonna lie.

  • https://www.livinganthropologically.com/biological-anthropology/how-race-becomes-biology/ << Update April 2018: See the special issue of Social Science and Medicine, “The Role of Racism in Health Inequalities: Integrating Approaches from Across Disciplines” for a number of related articles to how “race becomes biology.” Thanks to Anna Zogas for her “In the Journals” highlight on Somatosphere. Of particular interest is the article “Area racism and birth outcomes among Blacks in the United States” (briefly discussed as a supplement below), and see also “Why America’s Black Mothers and Babies Are in a Life-or-Death” Crisis by Linda Villarosa in The New York Times. For especially intriguing future research, The effects of whiteness on the health of whites in the USA.

    Race Becomes Biology
    Using traditional notions of race to understand human variation is not accurate or productive. The findings of Race Reconciled enable anthropology to reiterate how Race is a Social Construction. It is a human idea about biology that does not correspond very well to the biology. But anthropology also demonstrates how race becomes biology, or the embodiment of racist inequalities.… >>

  • This topic is so important because at least addressing the disparities and trying to better will hopefully build trust. Many health disparities are present because of the distrust caused by systemic infrastructural racism. Racism is so inhuman even animals of different species show each other empathy (it’s been captured).

  • Thank you! I identify as black but very fair skinned. That is a great question due to growing up in that community I have all the same fears and resistance to health care. I had a baby recently and definitely was teated different and was terrified of dying due to it.

  • Thank you for this video. I would love to see you bring in a black perspective of a nurse to help make this conversation more nuanced!

  • I can’t imagine what it’s like to live in a country where you have to worry about paying health bills. So glad we do it collectively through taxation and help each other collectively.

    The insurance system is heartless and immoral.

  • A recent experience in the Atlanta area was fascinating to me. My spouse is black and the majority of nurses are from Nigeria and other African nations. I didn’t see any disparities in treatment at all.

  • Fun fact; when I was diagnosed with Multiple-Sclerosis, my doctor was sure to mention that African American Males fare especially poorly with the disease… to encourage me? To scare me into the most extreme option? He pushed for the heaviest interferon-based medicine. I looked up its side effects and did my own research. I went with Tecfidera, have had no relapses, recovered from most of my symptoms, and fired that doctor.

  • Please for God’s sake STOP promoting America as multicultural, it is the biggest scam ever. All those Hollywood movies keep brainwashing entire planet.

  • invest in your health if money is an obstacle…stand in mindset, fight back with better choices…poor sector is eat or pay out of pocket for expensive heathier choices. Option is be anther statistic or be a better determinant as one disproportionately dealt with as excluded from the table of policies… a difference in someone’s lifetime even not ones own…a liberated future…yes… amputees, heart disease,, victims of environment…etc.., voting matters but daily..being courageous and strong and push for training and better choices of high quality healthcare to communities of need…its not a poor people problem. Its a global community challenge. God bless us who succumb to the effects of choices and non choices to historical disproportionate factors,…thank you for your strength in the struggle!! you impact well. you got it right. rally the communities today…and tomorrow with videos like these. you impact the future…as long as we live. rest in peace…rest in faith… to all suffering under health disparity

  • I would argue that their are statistically significant differences genetically and culturally between groups of people even within the same country so treating everybody the same will either provide optimal care for only on group of people or suboptimal for all people. We ought to treat people as individuals taking into account heritage and living conditions when practicing medicine. If you are dealing with a situation where all you know about a patient is they have sudden pains in chest and low oxygen levels and that their black it is entirely more responsible to look into sickle cell anemia sooner than if your patient where Hispanic.

  • Hey There! Since you covered the adverse effects of the DEAs crackdown on opioids and just published this video about the role race plays in patient outcomes amongst providers, do you think you could cover how the pain management opioid prescribing crackdown effects minorities when it comes to why there seems to be racial prejudice prior to initiating long-term opioids and systemically lower maximum titration levels amongst the African American demographic? I’m a member of a small social justice group in Paducah KY and this topic just came up coincidentally lol #healthcaretriage
    #scishow
    #scishowpsych

  • Awesome!! Thank you for addressing all these issues we’ve dealt with for years. There are so many disparities that Blacks/African Americans face in life and it all has a trickle down effect. You have definitely hit the nail on its head when you discussed how racism has lead to mistrust in the health community, which leads to inability or unwillingness to seek care that is needed which leads to a multitude of chronic health complications. These issues are all compounded and we have seen where it has now led to a bigger problem across the United States. I’m in grad school currently and as a patient I’ve been treated very differently up to that all enlightening moment when it is realized that I’m in the health field. In fact, a few yrs ago, i was diagnosed with a tumor. Had surgery to remove it, 6 months later i did my follow-up MRI scan. A nurse practitioner that works alongside my surgeon called and left a message on my phone that they received my results and that it was good and there was no need to follow-up again until a year later. I’ve never met this nurse practitioner before and wasn’t even aware he had one, but it was to be expected because he was a very prominent surgeon in one of the best hospitals in the country, so i’m sure he had to have help being that he was extremely busy. Anyway, I digressed, she did a couple things wrong, first, she should not have left a results voicemail on my phone, but i guess there was probably a good reason why she did that and secondly, the results she gave was inaccurate, because i could clearly feel and visualize a lump in that same vicinity. I had received a copy of my own results that was written by the radiologist, and it clearly had on it the explanation of a mass that was visible along with its dimensions. This led me to believe one of two things, either she didn’t even read the report, or she read it and decided she was just going to misdiagnose, not knowing i was a nurse and had access to my own results and the knowledge needed to decipher such results. Even when i called her back and was explaining to her my findings, she was still trying to cover it up by telling me that it was prob a collection of fluid post surgery. That was when i told her i had the MRI results in-front of me and it clearly states “a mass”. And 6 months post op that wouldn’t be a normal or likely finding. I then told her i was a nurse and demanded she put my doctor on the phone. At this point, I could hear her demeanor changed and that’s when she told me that hew was unavailable and was in surgery, and then i said, well please schedule me to come in to see the doctor, i would like to come in for him to assess me, because the mass is firmed and fixed. This experience shook me to the core when i realized how corrupt our healthcare system is. I was 35 yrs old then with two very young children under the age of 5, to care for. This could have been a catastrophic outcome if i didn’t have the background to self assess and understand the findings of my results. Long story short, i went in ( 5hrs away from home) and had to have a second surgery to remove it. I didn’t file any formal complaint or lawsuit because at the time i had just wanted to put the entire ordeal behind me being that this was my 3rd surgery (first one happening 8 yrs prior and only 8 months total between the 2nd and 3rd)…. and that hospital, specifically, that doctor is one of the highest rated surgeons in the world that could operate on my tumor without possibly any complications or long-term effects/deficits/deformities. I had just felt like i was stuck between a rock and a hard place and wanted to move on with somewhat of a normal life with my family. It is sad to see the type of world we live in today. I had the best insurance money could buy and very sub par unethical care. Nurse Liz, i hope that this profession continues to produce more people like you. Hoping and praying it will change by the time my kids are grown as i would never want them to experience the things that i have. Love and light, Namaste.

  • Do you happen to know if increasing the representation of minority groups amongst physicians is helping to combat this problem? I.e. black doctors treating black/minority patients have better outcomes than white with black? Thanks for what you do! Very interesting.