Scholarly perspectives on the mixed race experience.
If doctors and clinical educators rigorously analyze algorithms that include race correction, they can judge, with fresh eyes, whether the use of race or ethnicity is appropriate. In many cases, this appraisal will require further research into the complex interactions among ancestry, race, racism, socioeconomic status, and environment. Much of the burden of this work falls on the researchers who propose race adjustment and on the institutions (e.g., professional societies, clinical laboratories) that endorse and implement clinical algorithms. But clinicians can be thoughtful and deliberate users. They can discern whether the correction is likely to relieve or exacerbate inequities. If the latter, then clinicians should examine whether the correction is warranted. Some tools, including eGFR and the VBAC calculator, have already been challenged; clinicians have advocated successfully for their institutions to remove the adjustment for race.43,44 Other algorithms may succumb to similar scrutiny.45 A full reckoning will require medical specialties to critically appraise their tools and revise them when indicated.
For Mike, the revelation left him with a sense of confusion. “I had literally no idea of my own racial background,” he says. “I obviously had some questions. I occasionally met relatives. But a large part of the passing meant that we did not see relatives very often. So, I really grew up in a white community acting as white with these kinds of questions. … I spent a couple of years in Chicago sort of running after every Black person I could find saying, ‘Hey, me too, me too,’ and they would look at my perfectly white skin, blondish hair, and light brown eyes and say, ‘Yeah right, not in this lifetime.’”
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On Wisconsin
Wisconsin Foundation and Alumni Association (alumni and friends of the University of Wisconsin, Madison)
2021-03-01
Harvey Long MA’16, Librarian, Assistant Professor North Carolina Agricultural and Technical State University, Greensboro, North Carolina
Ethelene Whitmire, Professor
Departments of Afro-American Studies; German, Nordic, and Slavic; andGender & Women’s Studies University of Wisconsin, Madison
Louise Butler Walker as a young Chicagoan: while she was growing up and as a UW student, she identified as Black. Later in her career, facing the limitations Black Americans experienced, she began to pass as white. COURTESY OF THE AUTHORS
Librarian Louise Butler Walker ’35 took desperate measures to survive in a racist society.
During the Great Depression, Louise Butler Walker ’35 completed her bachelor’s in French and earned a library diploma from what is now UW–Madison’s Information School. Walker had been an outstanding student, graduating Phi Beta Kappa, and completed a prestigious internship at the American Library Association (ALA) headquarters in Chicago. The school’s career placement office said her assets were her “brilliant mind” and “excellent academic background.” Her limitations, they said, were “racial (she is a mulatto).”
As a local librarian, Walker (at right in photo) became a prominent figure in Fort Atkinson. COURTESY OF THE AUTHORS
Although Walker was not privy to the egregious behind-the-scenes machinations and handwringing about her being Black, she knew that her race was detrimental to her career, so she eventually passed as white to work as a librarian in rural Wisconsin. Her story reveals the extraordinary pressures that African Americans faced…
