Health Policy

Affirmative Action in Medicine: Improving Health Care for by James L. Curtis

By James L. Curtis

Affirmative motion courses have considerably replaced American drugs for the higher, not just in scientific university admissions and entry to postgraduate education but in addition in bringing a better caliber of overall healthiness care to everyone. James L. Curtis techniques this significant transition from historic, statistical, and private views. He tells how over the process his clinical schooling and profession as a psychiatrist and professor--often because the first or merely African American in his cohort--the prestige of minorities within the scientific professions grew from a tiny percent to a much more equitable illustration of the yank inhabitants. Advancing arguments from his past publication, Blacks, scientific colleges, and Society, Curtis evaluates the results of affirmative motion efforts during the last thirty years. He describes ambitious limitations to minority entry to medical-education possibilities and the ensuing difficulties confronted by way of minority sufferers in receiving clinical therapy. His growth document encompasses a overview of 2 thousand minority scholars admitted to U.S. clinical colleges in 1969, following them via commencement and their careers, evaluating them with the careers of 2 thousand in their nonminority friends. those samples offer an immense examine clinical colleges that, whereas heralding dramatic growth in health practitioner schooling and coaching chance, exhibits a lot room for additional development. A uncomplicated hurdle keeps to stand African american citizens and different minorities who're nonetheless restrained to segregated neighborhoods and inferior tuition platforms that stifle complete scholastic improvement. Curtis urges us as a state to strengthen all our human assets via a variety of affirmative motion courses, therefore enhancing well-being deal with all people. James L. Curtis is scientific Professor Emeritus of Psychiatry, Columbia collage university of Physicians and Surgeons.

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Last hired and first fired is still the signature of the color caste system. Unemployed men cannot marry and provide for their children or inspire them to go to college. Chronically high unemployment rates are an example of institutionalized racism, but a man who loses his job during a recession cannot successfully bring a lawsuit against his employer. Seniority rights automatically strike down those who are last hired. These social realities have relevance to the fact that in 1980 Blacks sustained 59,000 preventable deaths, roughly twice as many as Whites (William 1998).

20 Affirmative Action in Medicine Men lived in the Victor Vaughn Medical Dormitory for men except for those preferring to live in their White fraternity house. That was the first year Blacks lived in the dormitory for men because dormitories at Michigan then were segregated. When I was in my junior year and the war ended, I completed school as a civilian and was required to rent quarters off campus. During those medical school years I made many friends of different races since all of my earlier schooling had been in racially integrated schools where I was the only or one of only a few Blacks in a class.

Smith 1978). S. S. Commission on Civil Rights 1977, 1978). All preadmission tests must have a valid and demonstrable relationship to the applicant’s ability to perform defined job-related tasks and cannot be used as a device to discriminate racially. The Carnegie Council on Policy Studies in Higher Education (1977, 2–18) concluded that the public policy gains from affirmative race-conscious admissions programs could be achieved without sacrificing essential academic standards, as long as only qualified minority applicants are accepted.

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