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Books > Medicine > General issues > History of medicine
How a coalition of Black health professions schools made health
equity a national issue. Racism in the US health care system has
been deliberately undermining Black health care professionals and
exacerbating health disparities among Black Americans for
centuries. These health disparities only became a mainstream issue
on the agenda of US health leaders and policy makers because a
group of health professions schools at Historically Black Colleges
and Universities banded together to fight for health equity. We'll
Fight It Out Here tells the story of how the Association of
Minority Health Professions Schools (AMHPS) was founded by this
coalition and the hard-won influence it built in American politics
and health care. David Chanoff and Louis W. Sullivan, former
secretary of health & human services, detail how the struggle
for equity has been fought in the field of health care, where bias
and disparities continue to be volatile national issues. Chanoff
and Sullivan outline the history of Black health care, from
pre-Emancipation to today, centering on the work of AMHPS, which
brought to light health care inequities in 1983 and precipitated
virtually all minority health care legislation since then. Based on
extensive research in the literature, as well as more than seventy
interviews with the people central to this fight for legislative
and policy change, We'll Fight It Out Here is the important story
of a vital coalition movement, virtually unknown until now, that
changed the national understanding of health inequities. The work
of this coalition of Black health schools continues, both in
supporting the training of more doctors and health professionals
from minority backgrounds and in advancing issues related to health
equity. By highlighting these endeavors, We'll Fight It Out Here
brings attention to a pivotal group in the history of the health
equity movement and provides a road map of practical mechanisms
that can be used to advance it.
WHO DECIDES WHICH FACTS ARE TRUE?
In 1998 Andrew Wakefield, a British gastroenterologist with a
history of self-promotion, published a paper with a shocking
allegation: the measles-mumps-rubella vaccine might cause autism.
The media seized hold of the story and, in the process, helped to
launch one of the most devastating health scares ever. In the years
to come Wakefield would be revealed as a profiteer in league with
class-action lawyers, and he would eventually lose his medical
license. Meanwhile one study after another failed to find any link
between childhood vaccines and autism.
Yet the myth that vaccines somehow cause developmental disorders
lives on. Despite the lack of corroborating evidence, it has been
popularized by media personalities such as Oprah Winfrey and Jenny
McCarthy and legitimized by journalists who claim that they are
just being fair to "both sides" of an issue about which there is
little debate. Meanwhile millions of dollars have been diverted
from potential breakthroughs in autism research, families have
spent their savings on ineffective "miracle cures," and declining
vaccination rates have led to outbreaks of deadly illnesses like
Hib, measles, and whooping cough. Most tragic of all is the
increasing number of children dying from vaccine-preventable
diseases.
In "The Panic Virus "Seth Mnookin draws on interviews with parents,
public-health advocates, scientists, and anti-vaccine activists to
tackle a fundamental question: How do we decide what the truth is?
The fascinating answer helps explain everything from the
persistence of conspiracy theories about 9/11 to the appeal of
talk-show hosts who demand that President Obama "prove" he was born
in America.
"The Panic Virus "is a riveting and sometimes heart-breaking
medical detective story that explores the limits of rational
thought. It is the ultimate cautionary tale for our time.
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