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[–] 48 points 1 week ago (44 children)

I went into the ER in Alabama about 20 years ago, and the nurse at intake didn't even look up when I said there was a hatchet stuck in my leg and started asking if I was a smoker and what my race was.

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  • [–] 19 points 1 week ago* (4 children)

    I cant fucking find it because of all the slop results but just imagine I linked you a comedy skit of a completely apathetic hospital intake person requesting the name and date of birth of a person unconscious being resuscitated with CPR, and they don't stop robotically and persistently asking the half-corpse intake questions.

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  • [–] 2 points 1 week ago (1 child)

    Would love to see this. Every time I've had the misfortune to take a family member to the ER, it's disgusting how fast they roll that payment cart up to you and get in your face about insurance, etc.

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  • [–] 1 point 3 days ago

    Your ER has a payment cart?! Good lord. I've been to our local ER for my parents quite a few times over the last several years, and payment has never been brought up. Even if the visit was non-emergent. They just mail you a bill later on down the road.

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  • [–] 11 points 1 week ago (2 children)

    And? Were you a smoker of any specific race?

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  • [–] -3 points 1 week ago (32 children)

    Race is like the most irrelevant medical information I could imagine. Might as well ask for shoe size, or what you had for breakfast yesterday.

    Could somebody ELI5 to me why Americans think it’s important to know what your genetic lineage is?

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  • [–] 5 points 1 week ago* (last edited 1 week ago) (30 children)

    It’s actually pretty relevant. Different races ancestries* have different predispositions for certain diseases.

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  • [–] 1 point 6 days ago* (last edited 6 days ago) (2 children)

    No wonder America’s got a problem with institutional racism if the health system is literally racist.

    Edit: I’m not denying that genetics plays a role in medical issues. My wife and I are shortsighted, kid’s shortsighted. My dad and I have ADHD, kid’s got ADHD.

    But for race being so relevant I wonder nobody has ever asked my wife, any of my kids or me what race we are. And assuming a scientific relevance, which attributes define race exactly? It is the color of skin, shape of nose, the curliness of hair? Am I black if I’m from North Africa? Am I Caucasian or Asian if I’m from Siberia? If I’m 1/3 black and look like it, am I black even though the other 2/3 are Caucasian?

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  • [–] -1 points 1 week ago* (last edited 6 days ago) (26 children)

    you have no idea how minor the physiological difference are been ethnic groups. it's almost nothing. most of the differences are straight up racism from the past and it still kills not white people at much high rates in emergency rooms, child birth, and life threatening diagnosis, which was always the point.

    edit: If this makes you mad, please, educate yourself, if you diagnose based on ethnicity, then use statistics based on that diagnose are you killing people for not being white enough to get regular treatment without assumptions. are we ignoring cancer markers in ethnicity Irish people because stats say they have diabetes at high rates? no? just people who don't have pale skin. those stats come with a 20%-30% misdiagnosed rate RIGHT NOW, you think that was better 20 years ago where the stats still are on record?

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  • [–] 6 points 1 week ago (25 children)

    Is it? Hispanic people have a 50% higher risk of type 2 diabetes for example. Sickle cell is much higher in African American people.

    I’m happy to be corrected on this with sources though!

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  • [–] 7 points 1 week ago (1 child)

    Hey Velma! I was procrastinating at work, when I saw your comment. We don't use race anymore within medical science. We refer to genetic ancestry based on Principal Components. It's a subtle, but extremely important distinction in science. Race is a social construct, genetic ancestry is the far better marker. So instead of Hispanic people, we'd say people of Hispanic ancestry

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  • [–] 1 point 1 week ago (7 children)

    Well, Caucasian Europeans share more DNA with certain African black people than they do with certain other Caucasian Europeans for example. The colour of the skin is but a small factor in our make-up.

    It most likely has more to do with where they live, what they eat and their socio-economic status than by how much melanin is in their skin.

    Except maybe the proneness to skin cancer and other skin diseases.

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  • [–] 3 points 1 week ago (6 children)

    There’s certainly exceptions like sickle cell:

    Sickle Cell Disease

    One in 500 African Americans will develop sickle cell disease, an inherited red blood cell disorder. It is uncommon in other ethnic groups.

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  • [–] -1 points 1 week ago* (5 children)

    https://www.realtoughlawyers.com/blogs/people-of-color-are-often-misdiagnosed

    when you diagnose based on race, and you don't collect data on lesser races, and deny access to health care to lesser races, and you teach doctors how to diagnose based on race, you get REALLY SHIT STATISTICS and then you rely on those statistics to continue to justify racist medical treatment. don't worry black patient, you don't have cancer, you're black! you have diabetes! NEXT!!

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  • [–] 1 point 1 week ago (4 children)
  • [+] -1 points 6 days ago (3 children)
  • [–] -1 points 1 week ago (14 children)

    Do they feel pain less then white people do? because that's still taught in medical schools. Do they need to be diagnosed with diabetes instead of cancer when they have the same symptoms of white people with cancer? because not white patients get diagnosed with cancer at slower rates allowing them to die more frequently of cancer compared to white patients using EXACTLY THE ARGUMENT YOUR USING NOW

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  • [–] 5 points 1 week ago (13 children)

    That is not the argument I’m making.

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  • [–] -3 points 1 week ago* (12 children)

    you're out here fighting hard to keep medical intake race based. what exactly are you in favor of? Do you not know you're fighting for deeply racist medical practice in the US?

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  • [–] 4 points 1 week ago (11 children)

    You saw me tell you I’m happy to change my working knowledge on these things with sources and decided to just yell at me.

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  • [–] -1 points 6 days ago* (last edited 6 days ago) (10 children)

    Sorry this is literally killing me, didn't mean to hurt the feel good for you to 'well actually the nurse should ask race at the door'. my bad bro, it just took me years to get a doctor to look at my MIR and not my skin and yeah, it took finding an African American Doctor. I guess this isn't a life or death issue for you that's literally slowed down your treatment by years, guess it's just a fun thing to well actually people about. so sorry to make you uncomfortable for a second or two

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  • [–] 4 points 6 days ago (9 children)

    https://sh.itjust.works/post/68640729/28044112

    Here's an example of what I meant.

    I'm more than happy to update my layman's knowledge on this and I'm not coming at this from a place of racism.

    There are certain diseases or ailments that affect people of different ancestries. I myself have an autoimmune disease that has ancestry as a component.

    I promise I'm not trying to be harmful here and I'm open to education. I'm not going to give a website like realtoughlawyers.com the time of day though. There are real studies out there, real stats.

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  • [–] -1 points 6 days ago* (8 children)

    I'm not googling shit for you bro, feel free to look up misdiagnosed rates its not a secret, go ahead and Google medical racism practices in the US historic and modern, it's not a secret and it's not hard to find the info, and people like you who fight to make sure we all associate skin tone with specific diagnosis are the absolute fucking problem.

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  • [–] 2 points 6 days ago (7 children)
  • [–] -3 points 6 days ago (6 children)

    bro, you're just trolling and it's pathetic

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  • [–] 2 points 6 days ago (4 children)

    You haven't seen the extent of my trolling, little lady.

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  • [+] -1 points 6 days ago* (3 children)
  • [–] 1 point 6 days ago (2 children)

    That's the thing - you're attacking someone who is open to being corrected. I'm really not trolling you by asking for sources.

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  • [–] 4 points 1 week ago

    In the USA almost all medical practices use standard EMR software from a small number of vendors. Epic EMR is one popular example.

    There are some valid medical reasons to know the patient's race or ethnicity, but IMO it's mostly about metrics, data harvesting, statistical analysis, etc. There is a lot of money in data, and it's cheap to store data points like race or ethnicity in a cloud database. And it's cheap to punch down on workers and make them collect it from patients.

    Sometimes this data is used for studies, but that's not the prime motivating factor. Data = money. Data = job justification. Race is just one data point of many. I won't speculate on all the things they could use it for, but there is little doubt they want it. They always ask at any provider I have ever been to.

    In the USA, there are a frightening number of middle layer business entities that are basically rent-seekers who drive up the cost of health care. These entities are invisible to most of our population, and they like it that way. This network of entities is very complicated and boring (which is a good way to hide evil). A couple of easy examples would include PBMs and PSAOs. Not everything they do is useless but they are also a kind of tautology: we think we need them because we already have them in place.

    Lina Khan was trying to clean some of this shit up, but then the Big Stupid of 2024 happened.

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