re: Boston hospital set to offer "preferential care based on race"

quote:

---

Are they disproportionately less likely to be able to pay for specialized care?

---

That ain't it.

quote:

---

We also found that the discrepancy, like many other racial health inequities, wasn’t fully accounted for by insurance status, established links to care, other medical conditions, or an index reflecting the socioeconomic status of a patient’s neighborhood.

---

Heart Failure Admission Service Triage (H-FAST) Study: Racialized Differences in Perceived Patient Self-Advocacy as a Driver of Admission Inequities

quote:

---

In a follow-up study we found that patient self-advocacy may play a role in these disparities: white patients were perceived to advocate for cardiology admission more often and more intensely, and providers acknowledged such behavior impacted their decision making.

---

While I don't agree with it, realize this is just an op-ed published in a lefty-leaning weekly paper.

This is not the actual and official hospital policy.

Could it be in the future? I don't think it would withstand any judicial scrutiny.

They are overplaying their hand. Even white super liberals will have second doubts about this when they start having signs of heart troubles.

So literally systemic racism

quote:

---

This is not the actual and official hospital policy.

Could it be in the future? I don't think it would withstand any judicial scrutiny.

They are overplaying their hand. Even white super liberals will have second doubts about this when they start having signs of heart troubles.

---

Knowing this is from a lefty rag actually makes it make more sense. 90% of this article has nothing to do with B&W. Reading it closely, there is a pretty big gulf between the prologue about inequities and critical race theory and reparations and all that, and the actually solution being offered (a reminder flag in the EMR), which seems to be described in a way to annoy conservatives. The actual suggestion doesn't impact white people at all.

quote:

---

we have taken redress in our particular initiative to mean providing precisely what was denied for at least a decade: a preferential admission option for Black and Latinx heart failure patients to our specialty cardiology service. The Healing ARC will include a flag in our electronic medical record and admissions system suggesting that providers admit Black and Latinx heart failure patients to cardiology, rather than rely on provider discretion or patient self-advocacy to determine whether they should go to cardiology or general medicine.

---

So the whole solution is that a flag in the medical record shows up for black and Hispanic CHF patients to correct for the assumption that black and Hispanic patients are culturally less likely to advocate for admission in the same way. I would not do it this way for a variety of reasons, but this is just another way of approaching a common challenge that pretty much all hospitals have some procedure in place to manage through.

quote:

---

Did they? Or is it the research alluded to above? It appears you have made up your mind, along with NeoLibs across the country.

---

I began the sentence you're quoting with the words "seems like" which is indicative of the level to which my mind is made up. If B & W is publicly proclaiming that are observing these disparities, there is no particular reason I would disbelieve them and I'm certainly not about to run a study of own to disprove what they're saying, so yeah, "seems like" seems appropriate. Ironically enough, it appears that without evidence you've made up your mind. Weird that.

quote:

---

You are absolutely correct there, because liberals fetishize equal results, not equal opportunity.

---

Not so much, it more that many liberals and many conservatives have unsquarably different perspectives of what "equal opportunity" means. C'est la vie.

quote:

---

Not so much, it more that many liberals and many conservatives have unsquarably different perspectives of what "equal opportunity" means. C'est la vie.

---

I see you've got the talking points. What's the word you're using now? "Equity"? I don't care if people want equal outcomes as opposed to equal opportunity, just be honest about it. Words have meanings.

He a fruit.

quote:

---

I see you've got the talking points. What's the word you're using now? "Equity"? I don't care if people want equal outcomes as opposed to equal opportunity, just be honest about it. Words have meanings.

---

So your talking points didn't work as well in relation to what I actually wrote, so you went through the trouble of choosing a word I never wrote, attributing it to me, and then whining about it. I hope that was fun for you.

quote:

---

So your talking points didn't work as well in relation to what I actually wrote,

---

You wrote nothing of substance (the left and the right see things differently, wow) so I addressed the specifics of that disagreement regarding the left in general. If you’d like to share YOUR insights on these differences and how YOU see equal opportunity, I’ll be happy to address that as well.