Braun Lundy
Professor of Medical Science and Africana Studies, Brown University; Johns Hopkins School of Public Health, Ph.D. I would like to extend my gratitude to the organizers, Khiara Bridges, Terence Keel, and Osagie Obasogie, and participants in the symposium on Critical Race Theory and the Health Sciences for their many insightful comments on this paper. I would also like to thank members of the RACEGEN listserv for astute analyses over the years of race, racism, and medicine. Special thanks go to the prolific Jay Kaufman who has shared so many examples of racial essentialism with the listserv.
Am J Law Med. 2017 May;43(2-3):239-256. doi: 10.1177/0098858817723662.
The current political economic crisis in the United States places in sharp relief the tensions and contradictions of racial capitalism as it manifests materially in health care and in knowledge-producing practices. Despite nearly two decades of investment in research on racial inequality in disease, inequality persists. While the reasons for persistence of inequality are manifold, little attention has been directed to the role of medical education. Importantly, medical education has failed to foster critical theorizing on race and racism to illuminate the often-invisible ways in which race and racism shape biomedical knowledge and clinical practice. Medical students across the nation are advocating for more critical anti-racist education that centers the perspectives and knowledge of marginalized communities. This Article examines the contemporary resurgence in explicit forms of white supremacy in light of growing student activism and research that privileges notions of innate differences between races. It calls for a theoretical framework that draws on Critical Race Theory and the Black Radical Tradition to interrogate epistemological practices and advocacy initiatives in medical education.
美国当前的政治经济危机将种族资本主义的紧张关系和矛盾鲜明地凸显出来,因为它在医疗保健和知识生产实践中具体表现出来。尽管在疾病方面的种族不平等研究投入了近二十年,但不平等现象依然存在。虽然不平等持续存在的原因是多方面的,但很少有人关注医学教育的作用。重要的是,医学教育未能促进对种族和种族主义的批判性理论化,以阐明种族和种族主义塑造生物医学知识和临床实践的往往不为人所见的方式。全国各地的医学生都在倡导更具批判性的反种族主义教育,这种教育以边缘化社区的观点和知识为核心。鉴于学生行动主义的不断兴起以及强调种族之间固有差异观念的研究,本文审视了白人至上主义明确形式的当代复兴。它呼吁建立一个借鉴批判种族理论和黑人激进传统的理论框架,以审视医学教育中的认识论实践和倡导倡议。