Four Simple Reasons Smart People Shouldn’t Believe in Races

Posted in Articles, Health/Medicine/Genetics, Media Archive, Social Science on 2013-12-27 01:44Z by Steven

Four Simple Reasons Smart People Shouldn’t Believe in Races

Psychology Today
About Thinking: Questioning everything with a hopeful skeptic
2013-12-23

Guy P. Harrison

Today is a good day to wake up and join the human species.

Guess what I do almost every time race and racism are discussed in popular culture. I groan and turn away in discomfort. The curse of an anthropology education makes me painfully aware of how clueless politicians, writers, broadcasters, and virtually everyone else are on this topic. Whenever some celebrity utters the dreaded N-word or a person of one race does something horrible to a person of another race, the voices of authority take center stage and call for understanding, love and cooperation between races.

Blah, blah, blah.

Such reactions to race problems may feel nice and do some good but they are too shallow to be effective long-term. The problem is that they completely miss the core problem, which is race belief itself. Races are not naturally occurring subspecies of human beings. They are the artificial creations of our cultures. Therefore, attempting to solve the problem of racism by asking for tolerance between races is like turning up the air conditioner in a burning house because you don’t like the temperature. Overt racism and all other destructive but less obvious race problems are unlikely to ever go away no matter how much love and tolerance we pour on the fire. What is needed is a game-changer, an awakening to the reality of who we are as revealed by science.

The critical problem with biological races is the claim that we are all inherently limited or empowered based on our birth into a unique genetic group that contains millions of other similar people. Many good people who champion racial equality and would not be considered racists carry this destructive belief in their heads. But it can’t be true because the groups themselves are unnatural, inconsistent and illogical. The biological race group called “black people”, for example, makes no sense because of the deep genetic diversity within it. Two randomly selected “black” people from Africa, the Caribbean or elsewhere are likely to be more distantly related to one another than any one of them is to a typical “white” European…

1. The police lineup in your head. By far, the most common objection I hear to the rejection of biological races comes from what I call the “mental police lineup”. It’s easy to imagine a dark-skinned African, a light-skinned European, and a typical Japanese or Chinese person all standing side-by-side. The visible contrast is so great, I’m often told, that races must be real. There is an easy answer to this popular defense of the race concept, however…

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Science in support of racial mixture: Charles-Augustin Vandermonde’s Enlightenment program for improving the health and beauty of the human species

Posted in Articles, Europe, Health/Medicine/Genetics, History, Media Archive on 2013-12-26 13:44Z by Steven

Science in support of racial mixture: Charles-Augustin Vandermonde’s Enlightenment program for improving the health and beauty of the human species

Endeavor
Available online 2013-12-25 (Corrected Proof)
DOI: 10.1016/j.endeavour.2013.11.001

Clara Pinto-Correia
Instituto de Investigação Científica Bento da Rocha Cabral, Lisboa, Portugal
Centro de Estudos de História e Filosofia das Ciências, Évora, Portugal

João Lourenço Monteiro
Departamento de Ciências Sociais Aplicadas
Universidade Nova de Lisboa, Portugal

In 1756, while he was regent of the Faculté de Médecine in Paris, Charles-Augustin Vandermonde published his Essai sur la Manière de Perfectionner l’Espèce Humaine. This treatise was situated within the French-led medical movement of meliorism, meant to increase public health by boosting the medical arrangement of marriages from all strata of society. What made Vandermonde different from his colleagues is that he was not just looking for a way to improve the health of society: he was also proposing a series of measures meant to increase the beauty of humankind. And, for the first time in the history of European medicine, he advocated mixed-race couplings as a means to obtain the best results. This latter development is so unexpected in the global setting of the Enlightenment that we could arguably hail Vandermonde as the founding father of what Michel Foucault later called ‘biopolitique’.

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Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age by Jonathan Kahn (review)

Posted in Articles, Book/Video Reviews, Health/Medicine/Genetics, Media Archive, United States on 2013-12-23 17:34Z by Steven

Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age by Jonathan Kahn (review)

Bulletin of the History of Medicine
Volume 87, Number 4, Winter 2013
pages 708-709
DOI: 10.1353/bhm.2013.0067

Anne Pollock, Assistant Professor of Science, Technology and Culture
Georgia Institute of Technology, Atlanta, Georgia

Jonatha Kahn, Race in a Bottle: The Story of BiDil and Racialized Medicine in a Post-Genomic Age. New York: Columbia University Press, 2013. xi + 311 pp. Ill. (978-0-231-16298-2).

When BiDil was approved by the U.S. Food and Drug Administration in 2005 for heart failure in black patients, it became the first ever drug to receive a racial indication. Race in a Bottle is likely to be the most in-depth book that will ever be written about BiDil’s controversial regulatory approval. Its author, Jonathan Kahn, has followed the case of BiDil’s approval at least as closely as anyone else, probably including those most directly involved (the clinicians, the pharmaceutical company, the FDA). Ever since he first heard about BiDil in 2002 (p. 4), Kahn has pursued the story doggedly. He became part of BiDil’s story through the articles he wrote about it, starting with a 2003 piece in Perspectives in Biology and Medicine, which debunked the statistic that blacks were twice as likely as whites to die of heart failure. These articles were read by regulators, among others, and in 2005 Kahn testified against BiDil’s race-specific indication at the FDA hearings on the drug (p. 94). Kahn notes that material in this book has previously been published in sixteen different journal articles and book chapters (pp. ix–x); Race in a Bottle is the definitive compilation of that body of work.

Regulatory processes are at the center of Kahn’s account. According to Kahn, “Race enters biomedicine through many pathways. Foremost among these are federal initiatives that shape the production and use of racial categories in biomedical research” (p. 25). Kahn carefully traces the ways in which the terrain of BiDil was laid by mandates at the FDA and NIH to use OMB categories and, especially, by patent law. This regulatory focus is not inevitable as a way to approach how race enters biomedicine: we might start with lived experience in a structurally racist society, or with clinical encounters, or with social movements mobilized against health disparities, or elsewhere. But Kahn’s passion is for regulation, and this is where his expertise is on display.

Race in a Bottle is at its most effective in debunking two things: BiDil’s racialized indication and racialized medicine as a path toward pharmacogenomics. As Kahn fastidiously shows, the vasodilating drug combination that would become BiDil (isosorbide dinitrate and hydralazine) was originally conceived of as a treatment for anyone with heart failure, not just blacks, and it was commercial imperatives—specifically circumventing the fact that the patent on the drug without the racial indication was about to expire—rather than persuasive scientific evidence that led the pharmaceutical company to seek approval for it as a drug for blacks. Kahn also persuasively debunks the notion that racialized medicine is a step toward pharmacogenomics. Although many BiDil proponents argued that race was a “crude surrogate” but nevertheless useful “in the meantime” until more was known about the genetics of drug response (p. 157), Kahn shows that even when there are genetic tests available to indicate drug response (as in warfarin, the “poster child for pharmacogenomics” [p. 165]), “far from withering away, race is persisting and even proliferating as genetic information increases” (p. 168).

Race in a Bottle is less convincing as a window into “racialized medicine in a post-genomic age.” Situating BiDil in a “post-genomic age” is misleading. In Kahn’s own account, BiDil emerged from statistical signals in clinical trial data, not from genetic research. Related claims of racial differences in heart failure foregrounded pathophysiology, not genetics. BiDil’s FDA indication is for “self-identified black patients,” an explicitly social category rather than a genetic one. Yet the book opens by describing the White House ceremony on the occasion of the completion of the Human Genome Project (p. 1). This narrative choice is emblematic of a preoccupation with genetics in the account as a whole, and shows the intractable appeal of analyzing race in terms of genetics, even for those explicitly critiquing genetic understandings of race. Even if some (but not all) BiDil proponents simply slide the drug into a genetic frame, why should critique of BiDil do so?

Finally, because of the explicitness of its racialization, BiDil has become an obvious icon of racialized medicine, but it is actually not clear that BiDil is…

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A Study of Tri-Racial Isolates in Eastern United States

Posted in Anthropology, Articles, Health/Medicine/Genetics, Media Archive, Tri-Racial Isolates, United States on 2013-12-13 21:05Z by Steven

A Study of Tri-Racial Isolates in Eastern United States

Human Heredity
Volume 6, Number 3, 1956/1957
DOI: 10.1159/000150862
pages 410–412

C. J. Witkop
National Institute of Dental Research, National Institutes of Health, Public Health Service, U.S. Department of Health, Education and Welfare, Bethesda, Maryland, U.S.A.

There are known to exist in the eastern part of the United States some 28 well defined tri-racial isolates. These groups represent gene pools of various proportions of Caucasian, Negro, and American Indian races. These groups are known as mixed bloods in their own communities. They are not accepted into the white community and do not consider themselves Negroes. As a result, they maintain their racial integrity by in-marriage within a few family names. They all represent the remnants of eastern Indian tribes.

A preliminary survey of each group was made by a questionnaire letter to the county health officer in whose district these groups reside. On the basis of subsequent studies it has been shown that about 10% of the genetically determined conditions that actually exist in these groups are reported by this method. One of these groups was selected for a detailed genetic study.

Detailed Study

A detailed study of the medical, dental, mental health, and social aspects of one of these groups comprising 5 000 living members is in progress in southern Maryland. We are trying to determine all of the hereditary pathological traits present in the group. This group was selected for study for the following reasons:

1. This group marries for the most part within only 14 family surnames. 2. Records indicate that the group has in-married for nearly 250 years. 3. These people reside in a limited geographic area of 2 counties of…

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Race Medicine: Treating Health Inequities from Slavery to the Genomic Age with Prof. Dorothy Roberts

Posted in Health/Medicine/Genetics, Live Events, Media Archive, Politics/Public Policy, Social Science, United States on 2013-12-10 17:35Z by Steven

Race Medicine: Treating Health Inequities from Slavery to the Genomic Age with Prof. Dorothy Roberts

Center for the Study of Slavery and Justice
Brown University
Steven Robert ’62  Campus Center, Petteruti Lounge
75 Waterman Street
Providence, Rhode Island 02912
Tuesday, 2013-12-10, 17:30 EST (Local Time)

Dorothy E. Roberts, George A. Weiss University Professor of Law and Sociology; Raymond Pace and Sadie Tanner Mossell Alexander Professor of Civil Rights
University of Pennsylvania

Dorothy Roberts is the fourteenth Penn Integrates Knowledge Professor, George A. Weiss University Professor, and the inaugural Raymond Pace and Sadie Tanner Mossell Alexander Professor of Civil Rights at University of Pennsylvania, where she holds appointments in the Law School and Departments of Africana Studies and Sociology. An internationally recognized scholar, public intellectual, and social justice advocate, she has written and lectured extensively on the interplay of gender, race, and class in legal issues and has been a leader in transforming public thinking and policy on reproductive health, child welfare, and bioethics. Professor Roberts is the author of the award-winning books Killing the Black Body: Race, Reproduction, and the Meaning of Liberty (Random House/Pantheon, 1997) and Shattered Bonds: The Color of Child Welfare (Basic Books/Civitas, 2002), as well as co-editor of six books on constitutional law and gender. She has also published more than eighty articles and essays in books and scholarly journals, including Harvard Law Review, Yale Law Journal, and Stanford Law Review. Her latest book, Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century, was published by the New Press in July 2011.

Professor Roberts has been a professor at Rutgers and Northwestern University, a visiting professor at Stanford and Fordham, and a fellow at Harvard University’s Program in Ethics and the Professions, Stanford’s Center for Comparative Studies in Race and Ethnicity, and the Fulbright Program. She serves as chair of the board of directors of the Black Women’s Health Imperative, on the board of directors of the National Coalition for Child Protection Reform, and on the advisory boards of the Center for Genetics and Society and the Family Defense Center. She also serves on the Standards Working Group of the California Institute for Regenerative Medicine (stem cell research). She recently received awards from the National Science Foundation, the Robert Wood Johnson Foundation, and the 2010 Dorothy Ann and Clarence L. Ver Steeg Distinguished Research Fellowship.

Sponsored by the Center for the Study of Slavery and Justice with support from the Associate Provost for Diversity, the Center for the Study of Race and Ethnicity in America, the Department of Pathology and Laboratory Medicine, the Office of Medical Education, and the Science and Technology Studies Program.

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Patterns of self-harm and attempted suicide among white and black/mixed race female prisoners

Posted in Articles, Health/Medicine/Genetics, Identity Development/Psychology, Media Archive, United Kingdom on 2013-12-02 18:39Z by Steven

Patterns of self-harm and attempted suicide among white and black/mixed race female prisoners

Criminal Behaviour and Mental Health
Volume 13, Issue 4 (November 2003)
pages 229–240
DOI: 10.1002/cbm.549

Jo Borrill
Division of Neuroscience and Psychological Medicine, Imperial College of Science Technology and Medicine
University of London

Rachel Burnett
Division of Neuroscience and Psychological Medicine, Imperial College of Science Technology and Medicine
University of London

Richard Atkins
Psychology Subject Group
Thames Valley University

Sarah Miller
Division of Neuroscience and Psychological Medicine, Imperial College of Science Technology and Medicine
University of London

Daniel Briggs
Division of Neuroscience and Psychological Medicine, Imperial College of Science Technology and Medicine, University of London

Tim Weaver
Department of Social Science and Medicine, Imperial College of Science Technology and Medicine
University of London

Professor Anthony Maden
Division of Neuroscience and Psychological Medicine, Imperial College of Science Technology and Medicine
University of London

Aim

The aim was to investigate ethnic differences in lifetime self-harm and attempted suicide in women prisoners, and to examine relationships between self-harm, suicide and substance use and dependence.

Background

Previous studies have suggested that there may be ethnic differences in the proportion of prisoners reporting substance misuse, self-harm and attempted suicide, although relatively few minority ethnic women have been studied in the UK. This study examines drug and alcohol dependence in white and black British women in prison, and explores possible associations with self-harm, suicide attempts, and family violence.

Methods

301 women (190 white, 111 black or mixed race) were interviewed in ten prisons from different parts of England. Measures included the Alcohol Use Disorders Identification test (AUDIT), the severity of Dependence Scale (SDS), section C (suicidality) of the MINI International Neuropsychiatric Interview.

Results

Half of the women in the sample reported at least one act of self-harm in their life and 46% reported making a suicide attempt at some time. Lifetime self-harm was associated with a history of harmful drinking and with being a victim of violence, including physical assault, sexual assault and violence from family and friends. Lifetime suicide attempts were associated with reported violence from family or friends. Current high suicide risk was most common among women on remand.

Drug dependence and reported violence from family or friends were both more common amongst white women than black/mixed race women. Self-harm and attempted suicide were generally more common among white women, but black/mixed race women dependent on drugs had the highest proportion of women reporting self-harm. There was tentative support for three-way association between ethnicity, dependence and self-harm; this raises the possibility that drug dependence may be a predictor of self-harm in the black female prison population, which is worthy of further investigation.

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Race in Biological and Biomedical Research

Posted in Articles, Health/Medicine/Genetics, Media Archive on 2013-11-28 15:41Z by Steven

Race in Biological and Biomedical Research

Cold Spring Harbor Perspectives in Medicine
Volume 3, Issue 11 (November 2013)
10 pages
DOI: 10.1101/cshperspect.a008573

Richard S. Cooper, Anthony B. Traub Professor of Community and Family Medicine
Loyola University Medical School

The concept of race has had a significant influence on research in human biology since the early 19th century. But race was given its meaning and social impact in the political sphere and subsequently intervened in science as a foreign concept, not grounded in the dominant empiricism of modern biology. The uses of race in science were therefore often disruptive and controversial; at times, science had to be retrofitted to accommodate race, and science in turn was often used to explain and justify race. This relationship was unstable in large part because race was about a phenomenon that could not be observed directly, being based on claims about the structure and function of genomic DNA. Over time, this relationship has been characterized by distinct phases, evolving from the inference of genetic effects based on the observed phenotype to the measurement of base-pair variation in DNA. Despite this fundamental advance in methodology, liabilities imposed by the dual political-empirical origins of race persist. On the one hand, an optimistic prediction can be made that just as geology made it possible to overturn the myth of the recent creation of the earth and evolution told us where the living world came from, molecular genetics will end the use of race in biology. At the same time, because race is fundamentally a political and not a scientific idea, it is possible that only a political intervention will relieve us of the burden of race.

A Klee painting named Angelus Novus shows an angel looking as though he is about to move away from something he is fixedly contemplating. His eyes are staring, his mouth is open, his wings are spread. His face is turned toward the past. Where we perceive a chain of events, he sees one single catastrophe, which keeps piling wreckage upon wreckage and hurls it in front of his feet. The angel would like to stay, awaken the dead, and make whole what has been smashed. But a storm is blowing from Paradise; it has got caught in his wings with such violence that he cannot close them. The storm irresistibly propels him into the future to which his back is turned, while the pile of debris in front of him grows skyward. This storm is what we call progress.

Walter Benjamin
Theses on the Philosophy of History

RACE AS THE UNWELCOME GUEST IN THE DISCIPLINES OF SCIENCE

We rarely appreciate the presence of history in our day-to-day experience. The quotidian is a mixture of the repetitive and the predictable, carried forward by habit and punctuated by random events that we regard as either good or bad fortune. But in a more reflective mood, we have to acknowledge the relentless force of history that holds us in its grasp and accept that it creates the possibilities we use to negotiate with the future. The imposition of racial categories on human populations has been one of the most enduring historical forces that sets limits on opportunity and thereby shapes our life trajectory. As a projection of the underlying power relationships onto individuals, racial categories are used to structure social inequality. These power relationships are manifested both in the belief system that rank orders intrinsic human qualities according to group membership and the social institutions that enforce this hierarchy by restricting access to wealth, education, and other social goods. This daily reality is central to the history of all modern societies.

The racial structuring of society also has pervasive influence on biological research and the patterns of health and disease. Enormous effort has been expended to describe human demographic history through reference to an ever-changing array of constructs and categories, all of which include a hierarchical arrangement—either explicit or implicit. In the United States, most prominently, public health has embraced racial/ethnic categories as fundamental structural elements. Clinical medicine has similarly evoked racial categories to explain causation and outcomes across the entire spectrum of diseases. At the same time, race has met some of the strongest challenges to its legitimacy in biology and biomedicine. All of biology is grounded in the theory of descent from a common ancestor. The belief in racial categories was one of the most powerful liabilities of pre-modern biology and lent credence to the established view of divine creation. Indeed, it has recently been argued that the challenge to race brought by the abolitionist movement was a key factor behind Darwin’s transformative insight that the biological world—on the evolutionary time scale—is a single indivisible whole (Desmond and Moore 2009). Biomedicine still grapples with the implications of that insight for our species, yet substantial progress—uneven, tentative, and ultimately disappointing—has been made. In the current era, genomic science has opened new vistas onto previously unobserved dimensions of biology, and that proportion of the concept of race that has been attributed to genetics can finally be subjected to empirical scrutiny. Integrating this new knowledge into practice and focusing the technology on socially productive work, as always, remains our most difficult challenge.

The narrative of race therefore wanders the border territory between what we call science and what we recognize as history and politics. In the pre-genomic era, there was no requirement—indeed, no opportunity—to validate the authority of race with molecular evidence; causal inferences were made on the basis of phenotype, in its broadest possible sense, from disease to accumulated material wealth to social graces. The primary purpose of the race concept was to serve as a shortcut, an organizing tool that allowed post-enlightenment Europe to explain—and thereby justify—how imperialism had reshaped the world. Consequently, for both the social and biological sciences, race felt like the rude cousin whose claim on our affection was based on obligation, not choice. In every historical period, an incremental struggle has been waged to overcome the disruption that this unwelcome intruder has caused within empirical scientific disciplines.

In its origins, race was a “label of convenience” that biologists used interchangeably with the construct of “varieties” as they tried to create taxonomic categories below the level of the species (Cooper 1984). Writers from across the intellectual spectrum of literature and politics also felt free to make use of the idea. Thus, Baudelaire spoke of the “race of Abel” and the “race of Cain” when describing the polarization of 19th-century French society, and Marx characterized the English working class as a “race of peculiar commodity owners” (Baudelaire 1857; Marx 1957) (“Hence the sum of the means of subsistence necessary for the production of labour-power must include the means necessary for the labourer’s substitutes, i.e., his children, in order that this race of peculiar commodity-owners may perpetuate its appearance in the market.” [p. 172]). Malleability continues to be an essential quality of race, although it is now primarily used as a label for the temporary and often random aggregation of population subgroups, usually tied in some rough way to the perceived continent of origin (Kaufman and Cooper 1996). In its contemporary sense, biological race has now come to signify the inherited qualities of a population group hidden inside the DNA molecule…

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Who gets the last laugh, again?

Posted in Anthropology, Articles, Health/Medicine/Genetics, Media Archive, Social Science, United States on 2013-11-26 18:32Z by Steven

Who gets the last laugh, again?

Africa is a Country
2013-11-18

Jessica Blatt, Assistant Professor of Political Science
Marymount Manhattan College, New York, New York

I enjoy seeing a smug, bearded white supremacist get his comeuppance as much as the next guy. (Though the joy of the exuberant lady sitting next to this one is hard to match. And reason enough to watch this video more than once.) In any event, I get why this video of Craig Cobb, the would-be founder of an all-white town in North Dakota, finding out on a TV show that a DNA test indicates that he is “14% sub-Saharan African” has gone viral.

At the same time, the talk-showification of molecular biology is really never a good thing, especially when that molecular biology is supposed to tell us things about “race.” (And let’s face it, “race” is pretty much the only way molecular biologists get any pop-culture shine.) Problem is, the idea that Cobb is 14% African rests on the assumption that there is such a thing as 100% “African,” or 100% “European.”…

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Race and Medicine

Posted in Anthropology, Course Offerings, Health/Medicine/Genetics, Media Archive, United States on 2013-11-24 23:19Z by Steven

Race and Medicine

Princeton University
AAS 403 / ANT 403 (EM)
Spring 2013-2014

Carolyn M. Rouse, Professor of Anthropology

In 1998, then-President Clinton set a national goal that by the year 2010 race, ethnic, and gender disparities in six disease categories would be eliminated. While the agenda, called Healthy People 2010, was a noble effort, many of the goals were not met. This course examines what went wrong. For a final project, students will be asked to propose their own solutions for eliminating health disparities.

Sample reading list:

  • Brian Smedley, ed., Unequal Treatment: Confronting Racial & Ethnic Disparities
  • Harriet A. Washington, Medical Apartheid:The Dark History of Medical Experimentation
  • Agustin Fuentes, Race, Monogamy and Other Lies They Told Me
  • Troy Duster, Backdoor to Eugenics
  • Jonathan Kahn, Race in a Bottle: Racialized Medicine in a Post-Genomic Age
  • Rebecca Skloot, The Immortal Life of Henrietta Lacks

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The spectre of race in American medicine

Posted in Articles, Health/Medicine/Genetics, Media Archive on 2013-11-23 02:02Z by Steven

The spectre of race in American medicine

Medical Humanities
Volume 32, Issue 2 (2013)
pages 137-141
DOI: 10.1136/medhum-2013-010374

Mariam O. Fofana
Department of Epidemiology; Medical Scientist Training Program
Johns Hopkins Bloomberg School of Public Health / Johns Hopkins School of Medicine

Controversies and debates surrounding race have long been a fixture in American medicine. In the past, the biological concept of race—the idea that race is biologically determined and meaningful—has served to justify the institution of slavery and the conduct of unethical research trials. Although these days may seem far behind, contemporary debates over the race-specific approval of drugs and the significance of genetic differences are evidence that race still yields tremendous influence on medical research and clinical practice. In many ways, the use of race in medicine today reflects the internalisation of racial hierarchies borne out of the history of slavery and state-mandated segregation, and there is still much uncertainty over its benefits and harms. Although using race in research can help elucidate disparities, the reflexive use of race as a variable runs the risk of reifying the biological concept of race and blinding researchers to important underlying factors such as socioeconomic status. Similarly, in clinical practice, the use of race in assessing a patient’s risk of certain conditions (eg, sickle cell) turns harmful when the heuristic becomes a rule. Through selected historical and contemporary examples, I aim to show how the biological concept of race that gave rise to past abuses remains alive and harmful, and propose changes in medical education as a potential solution. By learning from the past, today’s physicians will be better armed to discern—and correct—the ways in which contemporary medicine perpetuates historical injustices.

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