Systematic Racism, Abortion and Bias in Medicine: All Threads Woven in the Cloth of Racial Disparity for Mothers and Infants.

Journal of law and health Pub Date : 2022-01-01
Gabrielle Ploplis
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Abstract

This note argues that decisions like that of NAACP v. Wilmington Medical Center, Inc. have been one of many contributing factors in the disparity in mortality rates of both black and American Indian/Alaska Native newborns in comparison to white newborns across the country. Part II examines the current state of the law regarding issues of discrimination, accessibility of health care, and relocation and closure of medical centers that has disproportionately affect minorities in the U.S. Part III discusses the statistics of white, black, and American Indian/Alaska Native newborn and maternal mortality rates in the United States. Part IV addresses the potential causes of this disparity, which include inadequate access to quality medical care for racial minorities, implicit racial bias, a demand for more minority doctors, and strict abortion restrictions. Part V proposes that a reduction in the racial disparities in mortality rates for black and indigenous mothers and infants can be achieved by implementing comprehensive state-level "public-private" collaborations, and increasing availability and coverage of more birthing resources like midwives. Lastly, Part VI concludes that the current condition of federal and state legislation has not eliminated the racial disparities in maternal and infant mortality rates, and further measures must be taken to achieve this goal.

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系统性种族主义、堕胎和医学偏见:编织在母亲和婴儿种族差异布上的所有线索。
本文认为,全国有色人种协进会(NAACP)诉威尔明顿医疗中心(Wilmington Medical Center, Inc.)一案的判决是造成全国黑人和美洲印第安人/阿拉斯加土著新生儿与白人新生儿死亡率差异的众多因素之一。第二部分考察了歧视、医疗保健的可及性以及医疗中心的搬迁和关闭等问题的法律现状,这些问题对美国的少数民族造成了不成比例的影响。第三部分讨论了美国白人、黑人和美洲印第安人/阿拉斯加土著新生儿和孕产妇死亡率的统计数据。第四部分论述了造成这种差异的潜在原因,其中包括少数族裔获得优质医疗服务的机会不足、隐性的种族偏见、对更多少数族裔医生的需求以及严格的堕胎限制。第五部分提出,可以通过实施全面的州一级"公私"合作,以及增加助产士等更多生育资源的可用性和覆盖面,来缩小黑人和土著母亲和婴儿死亡率方面的种族差异。最后,第六部分的结论是,联邦和州立法的现状尚未消除母婴死亡率方面的种族差异,必须采取进一步措施实现这一目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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