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We don’t “complain” of racist treatment. WE RECEIVE IT. Amplify her story. Then do something about it. https://www.nytimes.com/2020/12/23/us/susan-moore-black-doctor-indiana.html?referringSource=articleShare&fbclid=IwAR2SIupOsl8_040iUop24pke0q_1-Z1SkASndHdPeENZPoHkU0D1V2eQ-Mk
It’s important to me that I am transparent about my own peers, physicians. I am Black first. We need to be prepared for who we may be meeting in health care settings. Let’s discuss the detours preventing *some* White physicians from even accepting racism played a role, shall we?
Part 1. Colorblind racial ideology (CBRI) in medicine is used to derail conversations on race and racism as well as efforts to address racism. “I don’t see color.” “I don’t care if you are black, purple or green.” “I treat everyone the same.” Medical folks, let’s talk about it 
Part 2. Blame the victim. Derailing conversations on structural racism, its institutional offspring and interpersonal/internalized consequences is a common tactic. Why are White health care professionals so averse to acknowledging the most severe form of Caste in this country?
Phrases such as “well, they brought it on themselves,” or “if you just ate right and exercised, then,” or listing Blackness as a risk factor for countless chronic diseases erases context and dismisses racial oppression as a source of health inequity.
Part 3: Resistance to Changing the Status Quo despite substantial evidence that silence is violence and that change starts with US. Inaction is action. And lastly, per @CamaraJones institutional racism shows up in the form of institutional neglect. Her work has motivated many!
How might we describe institutional neglect? Failure to address each and every mechanism of racism operating within the four walls and in our communities as a consequence of our institutional presence. For tips on how to locate these mechanisms: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092166/
Part 4. Fear of open conflict. Frederick Douglas said it best “If there is no struggle, there is no progress.” Raising a difficult issue or making a challenging point that elicits discomfort is NOT aggression. Ignoring racism will not make it go away. Embrace conflict, period.
“If there is no struggle, there is no progress.” Raising a difficult issue or making a challenging point that elicits discomfort is NOT aggression. Ignoring racism will not make it go away. Embrace conflict, period.
I have been in spaces in medicine where I & others, usually BIPOC, bring up racially disparate treatment and risk the following: 1) passive aggression 2) actual aggression 3) invalidation 4) dismissal 5) retaliation and 6) belittling... is this a psychologically safe context?
Speaking up and about racism in medicine is taking a risk. Make no mistakes about it. And unfortunately for patients and those who serve them, hostility in many forms prevents these convos from happening. Folks. Don’t. Want. To. Hear. It.
Part 5. Ignorance of the data. So many are unaware of root causes for disproportionate death partially because of parts 1-4 and also willful ignorance. Where is the pandemic level outrage, resources and calls to action for year after year of preventable Black deaths?
https://www.pnas.org/content/117/36/21854 400,000 excess White deaths would be needed to equal the best mortality ever recorded among Blacks. For 2020 White mortality to reach lvls that Blacks experience outside of pandemics, current COVID-19 mortality lvls would need to 
by a factor of nearly 6
by a factor of nearly 6
