Overcoming Subtle Racism in Medicine
Hippocrates, the father of
medicine, was a native of Greece. Avicinna,
the scientist/physician credited with the
preservation of pre-medieval European
intellectual currency, hailed from modern
day Iran. Victor Hugo, famed author and
physician, spoke and wrote in French. Albert
Schweitzer left his homeland of Germany for
a mission in Africa. All physicians of the
highest order- all foreign. Testimony to the
fact that neither ability nor achievement
discriminate across national or ethnic
boundaries.
Though a given fact, it nonetheless
continues to go unrecognized by many in our
society. And medicine has hardly been alone
among professions and organizations
suffering from cultural myopia. Only a few
decades ago, blacks were banned from
professional sporting leagues and clubs,
Jewish students were considered alien or
suspect in our major universities and
Hispanics were excluded from public swimming
pools.
To uphold such practices today would mean
public ostracism. Fortunately, we live in
more tolerant times. But subtle forms of
bias - couched in the form of resentment,
favoritism or cliquishness - continue to
this day in all segments of society.
Discrimination does occur in the field of
medicine - subtle or otherwise, among
doctors and at the bedside - and it remains
the burden of all physicians to remain aware
of and sensitive to the issue. More than any
other profession, perhaps, it is the
physician who is most tangibly aware that
the factors that unite us as human beings
far outweigh those that separate us.
Scientific objectivity tells us that racial
and cultural distinctions result from
environmental and genetic forces that are
both unconscious and largely uncontrollable.
But we assert increasing control over
geography and communication - leading to a
world so intimately linked that the idea of
nationalism, chauvinism or racism seems all
but anachronistic.
The physician - as both victim and potential
perpetrator of these more volatile traits -
must stand as an example for society in a
steadfast defense of the enlightened
perspective. To be certain, cultural pockets
exist everywhere - as they have a right to -
but in a pluralistic society tolerance is
the rule.
And the physician crosses in and out of
these pockets with the most ease and the
greatest ability to view conditions in
uncensored form. Because of this unrivaled
insight, the physician's words are received
more thoughtfully than, say, the
politician's or the police officer's.
Innovation often results from chaos,
accidental inquiry and the occasional
scientific mishap. One thinks of mutation -
positive mutations are retained, negative
rejected. Still, the mutation occurred
before it could be assessed. In short,
mutation, when used pejoratively, tells only
half the story. Cultural and social
diversity - the mixing and interaction of
peoples - might be viewed as a modern- day
mutation: never before have so many people
interacted so enthusiastically on such a
global scale as they do at present. Surely
some encounters will result in clashes. But
given our overwhelming likeness, the
long-term results should have, and indeed,
are yielding positive results. In such a
milieu, racism should not endure, and we
must view its continued presence as nothing
more than vestigial flashbacks - the growing
pains of an evolving society.
Perhaps optimism has proven blinding.
Consider, however, that today medical
treatments span the globe, teams of
researchers cooperate via a worldwide web
and astronauts conduct biological
experiments in zero gravity while,
literally, circling the planet. There's
ample room for idealism in the current
climate. It's certainly no place for petty
cultural and racial trifles. The future can
prove less biased than the past. And doctors
should - and I trust, will - lead the way. |