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Racial Health Disparities, Prejudice and Violence
Background
Black, Indigenous, Latinx, Asian American, Native Hawaiian, Pacific Islander, are among those in the United States subject to health care disparities and social drivers of health that has an immense negative impact on their health. Further, even when controlling for issues with access to care these populations tend to receive poorer quality care. We know that prejudice, discrimination, and violence disproportionately harm the health and well-being of many different racial and ethnic communities. ACP offers a comprehensive policy framework that recognizes and confronts the many elements of U.S. society, some of which are intertwined and compounding, that contribute to poorer health outcomes, in education, in law enforcement and in criminal justice. ACP also proposes policies that confront the challenges disproportionately affecting communities and individuals at greatest risk.
Where We Stand
The American College of Physicians is committed to combatting racial disparities that affect health and health care. This includes fighting the prejudice at the root of the problem, as well as the discrimination, inequities, violence and hate crimes that result from that prejudice. Racial disparities, discrimination, harassment and violence are public health issues. Evidence-based solutions are needed to combat the stressors that disproportionately harm racial and ethnic communities.
ADVOCACY SPOTLIGHT
The American College of Physicians (ACP) believes racism, racial disparities, discrimination, harassment and violence are all public health issues. ACP is committed to being an anti-racist, diverse, equitable, and inclusive organization.
- A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care (2021)
In this policy paper ACP lays out a framework that confronts the various, interconnected, and compounding aspects of U.S. society that contribute to poorer health outcomes for persons based on their race, ethnicity, religious, and/or cultural identities.
- Understanding and Addressing Disparities and Discrimination in Education and in the Physician Workforce (2021)
ACP offers recommendations to create safe, inclusive, and supportive educational and workplace environments; to promote the diverse medical school bodies and workforces; and to support, fund, and strengthen education at all levels.
- Understanding and Addressing Disparities and Discrimination Affecting the Health and Health Care of Persons and Populations at Highest Risk (2021)
ACP makes recommendations to address disparities in coverage, access, and quality of care for racial and ethnic minorities, including expanding Medicaid and insurance marketplace subsidies, funding translation and patient navigator services, and supporting programs that place physicians in underserved communities.
- Understanding and Addressing Disparities and Discrimination in Law Enforcement and Criminal Justice Affecting the Health of At-Risk Persons and Populations (2021)
ACP calls for changes to criminal justice and law enforcement policies and practices that result in racial and ethnic disparities in interactions, sentencing, and incarceration and disproportionate harm to these communities.
- PolicyThe American College of Physicians’ Commitment to Being an Anti-Racist, Diverse, Equitable, and Inclusive Organization 2020
- PolicyRacism and Health in the United States: A Policy Statement from the American College of Physicians 2020
- Policy(From the ACP Ethics Manual Seventh Edition) Obligations of the Physician to Society 2019
- PolicyAddressing Social Determinants to Improve Patient Care and Promote Health Equity 2018
- PolicyPosition Statement on Recognizing Hate Crimes as a Public Health Issue 2017
- PolicyRacial and Ethnic Disparities in Health Care 2010
President's Message by George M. Abraham, MD, MPH, MACP
Published in ACP Internist
- Inclusivity that contemplates: More than just diversity Nov/Dec 2021
- Inclusivity that reevaluates: Assessing meritocracy Oct 2021
- Inclusivity that calls for embracing: The importance of IMGs Sep 2021
- Inclusivity that is introspective: The need for racial equity Jul/Aug 2021
- Inclusivity that compels: He for she Jun 2021
- DEI or DIE? May 2021
Videos
I Cannot Be What I Cannot See: Time To Unleash A JEDI Healthcare Environment
A presentation by ACP Executive Vice President and CEO, Darilyn V. Moyer, MD, FACP, FRCP, FIDSA, describing actionable interventions to work towards achieving gender equity at the micro and macro levels for all underrepresented groups in healthcare.
A Historical Perspective of Medical Education for Black Physicians in the U.S.
ACP Board of Regents member, Ryan D. Mire, MD, FACP, provides a detailed history of medical education for Black physicians in the United States and the racial disparities physicians faced throughout several important time periods.
Dismantling Systematic Racism in US Health Care: The Role of ACP and Its Chapters and Councils
ACP recognizes that discrimination, racism, harassment, and violence against individuals on race, ethnicity, religion, gender, gender identity, sex, sexual orientation, or country of origin is a public health issue. View this related Chapter Leader session that includes multiple learning modalities.
ACP members from across the country have joined in expressing the importance of racial justice and equity in healthcare by participating in rallies to draw attention to the cause. View gallery.
Latest Advocacy Efforts
- LetterJoint Letter in Support of the Respect for Marriage Act 11/15/2022
- LetterACP Comments on Department of Health and Human Services (HHS) Proposed Rule to Update Section 1557 9/29/2022
- LetterACP Comments on National Academies' (NASEM) Call for Federal Policies that Contribute to Racial and Ethnic Health Inequities 9/29/2022
- StatementInternal Medicine Physicians Encouraged by Biden Administration Order on Police Reform 5/26/2022
- StatementInternal Medicine Physicians Say Buffalo Shooting Highlights Multiple Public Health Crises 5/17/2022
- StatementJoint Statement Opposing Texas Efforts to Interfere in the Patient-Physician Relationship and Criminalize Gender-Affirming Care 2/28/2022
- LetterACP Letter to HHS and Relevant Agencies Urging the Inclusion of Asian American Communities in Medical Research and Data Collection 2/28/2022
- StatementInternists Object to Policies that Interfere in Patient-Physician Relationship and Penalize Evidence-Based Care 2/24/2022
Search the ACP Policy Library
To access everything ACP has said related to racial health disparities, search ACP's library of policy statements, copies of testimony, and letters to government and non-government officials.
Racial Health Disparities
Additional Advocacy Efforts
- Internists Say Harassment of Physicians is Unacceptable 2/4/2022
- ACP Comment Letter to Senate Leadership and Committees in Support of Key Provisions in the House-Passed Build Back Better Act 11/23/2021
- ACP Written Comments to House Select Committee on Coronavirus Crisis Hearing The Need to Overcome Vaccine Hesitancy 6/29/2021
- ACP Supports AMA Actions to Combat Racism and Discrimination 6/16/2021
- Joint Letter to the Congressional Sponsors in Support of the Anti-Racism in Public Health Act 5/19/2021
- American College of Physicians partners with The DEI Shift podcast to promote diversity, equity and inclusion in medicine and offer CME-accredited series 5/13/2021
- ACP Statement for the Record to the Senate Health, Education, Labor and Pensions Committee for the Hearing “Examining Our COVID-19 Response: Improving Health Equity and Outcomes by Addressing Health Disparities” 3/25/2021
- Joint Letter to Congress Regarding FY 2022 Funding of $50 million for CDC's Social Determinants of Health Program 4/8/2021
- ACP Letter of Support for the COVID-19 Hate Crimes Act, H.R. 1843, S. 937, in the 117th Congress 3/25/2021
- ACP Letter of Support for Reauthorization of the Violence Against Women Act 3/16/2021
- ACP Letter to Congress in Support of the George Floyd Policing Act of 2021 3/1/2021
- Internists Praise Biden Administration Action on Racial Equity 1/26/2021
- ACP Letter to President-Elect Biden Regarding Policy Recommendations for the New Administration 12/10/2020
- ACP Signals Agreement with AAMC on Importance of Implicit Bias Trainings 9/30/2020
- Internists Support Initiatives to Ensure Diversity in the Physician Workforce, Oppose Efforts to End Them 8/7/2020
- Joint Letter Supporting Action on Medicaid 1115 Demonstrations to Address Racial Disparities and Systemic Racism 7/20/2020
- Internists Call the George Floyd Justice in Policing Act a ‘Major Step Forward’ 6/24/2020
- ACP Letter of Support for H.R. 7120, the George Floyd Justice in Policing Act 6/24/2020
- ACP Proposes Policies and Action to Confront Systemic Racism, Discrimination and Injustices in Health and Law Enforcement 6/19/2020
- A Wake-up Call for Healthcare: Emerging Ethical Lessons from COVID-19 6/16/2020
- Internists “Gravely Concerned” About Discrimination and Violence by Public Authorities and Others 5/29/2020
- Letter to HHS Urging Action on Racial, Ethnic, and Language COVID-19 Disparities 4/28/2020
- Internists Say Harassment Based on Race or Ethnic Origin is Never Okay 3/31/2020
- Thank You Letter on Preventing Maternal Deaths Act 12/17/2018
- Internists and Medical Society Consortium on Climate and Health Awarded Grant Promoting Racial Equity 11/19/2018
- Group of Six Letter to Representatives Supporting Preventing Maternal Deaths Act 4/28/2018
- Joint Letter to HUD Regarding Smokefree Policies in Multi-unit Housing 1/7/2013