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https://www.wsj.com/articles/keep-politics-out-of-the-doctors-office-racism-woke-ideology-crt-critical-race-theory-medical-care-minorities-systemic-racism-covid-19-regulation-11650308028


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KEEP POLITICS OUT OF THE DOCTOR’S OFFICE


WOKE IDEOLOGY AND POLICIES HAVE BECOME QUITE LITERALLY A HAZARD TO YOUR HEALTH.

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By
Stanley Goldfarb
April 18, 2022 6:21 pm ET

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Healthcare is being infected by the radical ideology that has corrupted
education and public safety. But while critical race theory and crime waves have
been in the news, the public is largely unaware of medicine’s turn toward
division and discrimination. Americans deserve to know that their health and
well-being are at risk.

At the heart of this is the claim that healthcare is systemically racist—that
most physicians are biased and deliver worse care to minorities. Health
disparities do exist among racial groups, but physician bias isn’t the cause.
The psychological test at the root of this narrative, the 1998 Implicit
Association Test, has been widely discredited, and I know from long experience
as a medical educator and practitioner that physicians address the needs of each
patient, regardless of skin color. Moreover, attacking physicians is dangerous.
It degrades minority trust in healthcare while undermining health outcomes for
everyone.

Consider what’s happening in medical research. The National Library of Medicine
database shows more than 2,700 recent papers on “racism and medicine,” which
generally purport to show physician bias leading to racial disparities in health
outcomes. Yet the most commonly cited studies are shoddily designed, ignore such
critical factors as pre-existing conditions, or reach predetermined and
sensationalized conclusions that aren’t supported by reported results. These
papers in turn are used to source even more shoddy research. This is a
corruption of medical science in service to political ideology.

Prominent medical journals are complicit in the crusade against medical
professionals. The New England Journal of Medicine touts its “commitment to
understanding and combating racism as a public health and human rights crisis,”
while Health Affairs is implementing a strategy to “dismantle racism and
increase racial equity” in healthcare. They publish piece after piece calling,
explicitly or implicitly, for a fundamental change in the medical profession.
They’re also bringing race and other nonacademic factors into the peer-review
process, threatening the scientific analysis on which physician practice and
patient health depend.



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Medical schools increasingly are preparing physicians for social activism at the
expense of medical science. Such student groups as White Coats for Black Lives
demand that administrators reframe curriculum around reparations for slavery,
decarceration of prisoners, and other topics with no bearing on training doctors
to care for individual patients. Medical schools and residencies are lowering
admissions standards. The result will be fewer talented physicians providing
high-quality care to fewer patients.

Physicians are being pushed to discriminate. Hospitals, state health authorities
and the federal government have all authorized race-based formulas for rationing
Covid treatments. Brigham and Women’s Hospital in Boston (Harvard’s teaching
hospital) is moving toward “preferential care based on race” across the board.
And the Biden administration is offering higher Medicare reimbursement rates to
hospitals and physicians who “create and implement an anti-racism plan.” To
fight their supposed bias, physicians are being bribed into discriminating by
race.

These policies and practices have no justification. There’s no credible evidence
that physicians are racist or that minority patients will benefit if healthcare
is built on a race-based foundation. Common sense says that patients of all
colors will suffer. The public’s trust in medical institutions, which has
already fallen during the pandemic, will fall further and take patient health
with it.

Having talked with many physicians, I know that unwarranted accusations of
racism are contributing to physician burnout and early retirement, making it
harder for patients to receive care, especially in vulnerable communities. Such
accusations also sow profound distrust in the treatment room, eroding the
doctor-patient relationship that’s crucial to better health outcomes. As
race-based ideology dominates ever more of medical research and education,
nonscientific factors will increasingly determine what treatments patients
receive.

Healthcare is close to a tipping point, but I’m confident a majority of
physicians oppose what’s happening to our profession. Many fear speaking out,
lest the social-justice mob destroy their careers, but the woke takeover of
healthcare will do that anyway. That’s why I’m launching Do No Harm, a nonprofit
that will help medical professionals and concerned Americans protect and promote
the principles at the heart of healthcare: fairness, equal access, and the best,
most personalized treatment for every patient.

Current and future physicians must tell the country that healthcare is being
profoundly damaged by a radical and divisive ideology. The health and well-being
of every American depend on it.

Dr. Goldfarb, a former associate dean of curriculum at the University of
Pennsylvania’s Perelman School of Medicine, is chairman of Do No Harm.

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