Department of Quality and Safety, Brigham and Women's Hospital, Boston, USA.
Department of Diversity, Inclusion, and Experience, Brigham and Women's Hospital, Boston, USA.
Int J Equity Health. 2020 Oct 19;19(1):184. doi: 10.1186/s12939-020-01298-x.
In healthcare, we find an industry that typifies the unique blend of racism, classism, and other forms of structural discrimination that comprise the U.S. caste system-the artificially-constructed and legally-reinforced social hierarchy for assigning worth and determining opportunity for individuals based on race, class, and other factors. Despite myths of meritocracy, healthcare is actually a casteocracy; and conversations about racism in healthcare largely occupy an echo chamber among the privileged upper caste of hospital professionals. To address racism in healthcare, we must consider the history that brought us here and understand how we effectively perpetuate an employee caste system within our own walls.
在医疗保健领域，我们发现这个行业典型地体现了美国种姓制度中种族主义、阶级主义和其他形式的结构性歧视的独特融合——这是一种人为构建和法律强化的社会等级制度，用于根据种族、阶级和其他因素来赋予个人价值和确定机会。尽管有精英主义的神话，但医疗保健实际上是一个种姓制度；关于医疗保健中的种族主义的讨论在医院专业人员的特权上层种姓中基本上是在回音室中进行的。要解决医疗保健中的种族主义问题，我们必须考虑使我们走到这一步的历史，并了解我们如何在自己的领域内有效地维持员工种姓制度。
