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date: 16 December 2018

Abstract and Keywords

This chapter discusses the existence of racial and ethnic discrimination in U.S. healthcare. It highlights the adverse effects on health outcomes of both the discrimination of the American slavery and Jim Crow eras, as well as the more subtle form of racism prevalent in healthcare today. It first contextualizes racism in American healthcare and the legacy of discrimination in medicine before turning to federally enacted legal instruments currently used to address discriminatory healthcare, along with their shortcomings. It then considers the Supreme Court’s response to contemporary trends in racial discrimination. It also suggests that Congress has been remiss in its responsibility to set the nation’s modern civil rights agenda and explains why. Finally, the chapter outlines concrete steps toward achieving nondiscriminatory healthcare delivery in America, mainly through legislative amendments to reform the existing civil rights law.

Keywords: ethnic discrimination, healthcare, slavery, Jim Crow, racism, Supreme Court, racial discrimination, Congress, civil rights, Title VI

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