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At the edge of Central Park in Manhattan, there's a bronze statue of a doctor named James Marion Sims. Whose brilliant achievement carried the fame of American surgery throughout the entire world. He's the guy who created the vaginal spectrum, an instrument gynecologists use for examination. He pioneered the surgical repair for fistula, a complication from childbirth, And became known as the father of modern gynecology. But that brilliant achievement, was the result of a series of excruciating experimental surgeries that he conducted on enslaved women. In a lot of ways, Sims epitomizes the story of American medicine for black women. It's a system that's failing them to this day. From infant mortality to life expectancy, the racial disparities in health care are staggering. The gulf between black and white might be widest when we look at maternal mortality. With black women 3 to 4 times more likely to die in connection with pregnancy or birth than white women. And that divide can be traced back to doctors like Sims who contributed to a long, largely overlooked, history of institutional racism in medicine. Trying to understand a historical problem without knowing its history, is like trying to treat a patient without eliciting a thorough medical history. You're doomed to failure. That s Harriet Washington, a medical ethicist and author who chronicled the intersection of race and medicine in her book, Medical Apartheid. While many of the stark racial disparities in health care can be attributed to environmental and economic factors like access to good health care, studies show that minority patients studies show that minority patients tend to receive a lower quality of care than non-minorities, even when they have the same types of health insurance or the same ability to pay for care. As African-Americans we've been abused for so long consistently by the system. Why should we trust it? Why should we go to when ill? And that's iatrophobia. That's a fear of the healer, you know, inculcated by the behavior of those healers unfortunately. It starts with slavery. Doctors relied on slave owners for financial stability. They accompanied plantation masters to auctions to verify the fitness of slaves, and we recalled in to treat sick slaves to protect their owners investments. In 1807, Congress abolished the importation of slaves, and in turn pushed black women to have more children, to essentially breed slaves. Founding father Thomas Jefferson later wrote, Around the 1830s the abolitionist movement led to the rise of what was called Afro-American medicine, or efforts to identify black inferiority to justify slavery. And there were polygamists, who tried to use both science and the Bible to find proof that races evolved from different origins. The 1830s also marked the beginning of recorded experimentation on black women s bodies. One doctor performed experimental c-sections on slaves. Another one perfected the dangerous ovariotomy — or removal of an over—...
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