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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.
The Morehouse School of Medicine in Atlanta, Georgia, is one of only four predominantly Black medical schools in the United States. Among its illustrious alumni are surgeons general of the United States, medical school presidents, and numerous other highly regarded medical professionals. This book tells the engrossing history of this venerable institution. The school was founded just after the civil rights era, when major barriers prevented minorities from receiving adequate health care and Black students were underrepresented in predominantly White medical schools. The Morehouse School of Medicine was conceived to address both problems--it was a minority-serving institution educating doctors who would practice in underserved communities. The school's history involves political maneuvering, skilled leadership, dedication to training African American physicians, and a mission of primary care in disadvantaged communities. Highlighting such influential leaders as former Health and Human Services Secretary Louis W. Sullivan, "The Morehouse Mystique" situates the school in the context of the history of medical education for Blacks and race relations throughout the country. The book " "features excerpts from personal interviews with prominent African American doctors as well as with former presidents Jimmy Carter and George H. W. Bush, who reveal how local, state, and national politics shaped the development of Black medical schools in the United States. The story of the Morehouse School of Medicine reflects the turbulent time in which it was founded and the lofty goals and accomplishments of a diverse group of African American leaders. Their tireless efforts in creating this eminent Black institution changed the landscape of medical education and the racial and ethnic makeup of physicians and health care professions.
While Louis W. Sullivan was a student at Morehouse College, Morehouse president Benjamin Mays said something to the student body that stuck with him for the rest of his life. The tragedy of life is not failing to reach our goals, Mays said It is not having goals to reach. In Breaking Ground Sullivan recounts his extraordinary life beginning with his childhood in Jim Crow south Georgia and continuing through his trailblazing endeavors training to become a physician in an almost entirely white environment in the Northeast, founding and then leading the Morehouse School of Medicine in Atlanta, and serving as secretary of Health and Human Services in President George H. W. Bush's administration. Throughout this extraordinary life Sullivan has passionately championed both improved health care and increased access to medical professions for the poor and people of color. At five years old, Louis Sullivan declared to his mother that he wanted to be a doctor. Given the harsh segregation in Blakely, Georgia, and its lack of adequate schools for African Americans at the time, his parents sent Louis and his brother, Walter, to Savannah and later Atlanta, where greater educational opportunities existed for blacks. After attending Booker T. Washington High School and Morehouse College, Sullivan went to medical school at Boston University he was the sole African American student in his class. He eventually became the chief of hematology there until Hugh Gloster, the president of Morehouse College, presented him with an opportunity he couldn't refuse: Would Sullivan be the founding dean of Morehouse's new medical school? He agreed and went on to create a state-of-the-art institution dedicated to helping poor and minority students become doctors. During this period he established long-lasting relationships with George H. W. and Barbara Bush that would eventually result in his becoming the secretary of Health and Human Services in 1989. Sullivan details his experiences in Washington dealing with the burgeoning AIDS crisis, PETA activists, and antismoking efforts, along with his efforts to push through comprehensive health care reform decades before the Affordable Care Act. Along the way his interactions with a cast of politicos, including Thurgood Marshall, Jack Kemp, Clarence Thomas, Jesse Helms, and the Bushes, capture vividly a particular moment in recent history. Sullivan's life - from Morehouse to the White House and his ongoing work with medical students in South Africa - is the embodiment of the hopes and progress that the civil rights movement fought to achieve. His story should inspire future generations - of all backgrounds - to aspire to great things.
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