Just Medicine, Dayna Bowen Matthew
Just Medicine, Dayna Bowen Matthew
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Just Medicine
A Cure for Racial Inequality in American Health Care

Author: Dayna Bowen Matthew

Narrator: Diana Blue

Unabridged: 10 hr 29 min

Format: Digital Audiobook Download

Publisher: Tantor Media

Published: 11/17/2020


Synopsis

Health disparities have remained stubbornly entrenched in the American health care system—and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients.

Implicit bias is the single most important determinant of health and health care disparities. Because we have missed this fact, the money we spend on training providers to become culturally competent, expanding wellness education programs and community health centers, and even expanding access to health insurance will have only a modest effect on reducing health disparities. We will continue to utterly fail in the effort to eradicate health disparities unless we enact strong, evidence-based legal remedies that accurately address implicit and unintentional forms of discrimination, to replace the weak, tepid, and largely irrelevant legal remedies currently available.

Our continued failure to fashion an effective response that purges the effects of implicit bias from American health care, Matthew argues, is unjust and morally untenable. In a time when the health of the entire nation is at risk, it is essential to confront the issues keeping the health care system from providing equal treatment to all.

About Dayna Bowen Matthew

Dayna Bowen Matthew is the dean and Harold H. Greene Professor of Law at the George Washington University Law School. Dr. Matthew is a leader in public health and civil rights law who has also held many public policy roles. These include serving as senior adviser to the Office of Civil Rights for the US Environmental Protection Agency, and as a member of the health policy team for US Senator Debbie Stabenow of Michigan.


Reviews

Goodreads review by Carolyn on June 15, 2020

WOW! Legal analysis of why there's health disparity and a way to fix it. I took notes in order to keep myself engaged. She notes that the disparity in health care for minorities coccus even when controlling for socioeconomic status. She believes that's caused by the implicit bias that exists by both......more

Goodreads review by Vivian on January 13, 2019

Thoughtful and informative book for those interested in the issue of disparities in healthcare. The author researched the evidence well and provides clear examples of how implicit bias harms minorities seeking healthcare. The solution to address implicit bias through changes in the law is thought pr......more

Goodreads review by Jane on June 01, 2021

I picked this up because I wanted to understand racial healthcare inequities, both as a healthcare consultant and a human. I expected this to be a dive into social determinants of health, but it was actually an exploration of the impact of implicit bias throughout the healthcare system. Definitely a......more

Goodreads review by Natalia on November 10, 2020

This book provides an overview of the racial/ethnic bias in healthcare and resulting differences in quality of care and eventual health disparities. Then, it discusses (briefly) some potential successful interventions to interrupt implicit biases from impacting patient care and finally, concludes wi......more

Goodreads review by Sandhya on December 16, 2020

Learned an incredible amount about how dangerous implicit bias is in medicine and how we can use law and policy as a method for improving it. Super detailed book that is a bit tedious - especially the last couple chapters that have a ton of legal jargon - but extremely informative and a must-read fo......more