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Friday, March 4, 2022 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Today's newsletter comes from the desk of Rachel R. Hardeman, PhD, MPH,
from the University of Minnesota.

From Rachel Hardeman

It was an honor to serve as theme issue advisor for the Health Affairs
special issue dedicated to racism and health
.

This special issue is everything I hoped to read as a young Black
scholar in health services research.

Before its publication, as a Black woman in the field of health services
research neither my community nor my intellect were reflected back to
me. In fact, often the presumptions and lack of consideration for my
viewpoint were-if not intentional-institutionally prejudiced.

As a student I found this feeling to be unsettling.

In 2005, I read an article in Health Affairs, titled "Health Disparities
By Race And Class: Why Both Matter
,"
by Ichiro Kawachi and colleagues. I had been searching for scholarship
that described measurement challenges for health services research.

The authors' discussion of the historical, political, and ideological
obstacles that hindered the analysis of race and class as codeterminants
of disparities in health gave me the permission and courage to ask
different, more-nuanced critical questions.

As a result, I expected more from our discipline in return.

I still have the now-tattered printout of that paper annotated with
thoughts and dreams as a reminder of what I needed from my future. I
look at it today both proud of and astonished by how far we've come.

I also recall presenting during my doctoral training on the 2005 Health
Affairs paper from David Williams and Pamela Braboy Jackson, "Social
Sources of Racial Disparities in Health
."
In it, the authors write that "segregation is a neglected but enduring
legacy of racism in the United States."

It was the first time I had seen a scholar use the word racism in a
wide-reaching publication in my field of study. These words describing
health disparities as embedded in larger historical, geographic,
sociocultural, economic, and political contexts, and call for public
policies to address health disparities, affirmed my lived experience, my
intuition.

It also confirmed for me that my instincts about the path we needed to
forge - an antiracist future - were indeed valid and necessary.

We have evolved. We are evolving. But, as my co-authors and I state in
"Improving the Measurement of Structur
al
Racism To Achieve Antiracist Health Policy
",
progress has been slow.

The path forward requires acknowledging and learning from the
scholarship of academics who have expertise in addressing the most
entrenched barrier to high functioning health care, health equity. This
Health Affairs special issue on racism and health is part of this
process. The issue is full of papers from scholars across the country
leading the charge.

The goal of true antiracist research and policy is to center the voices
that are often marginalized and excluded from the vigorous debate that
strengthens all scholarship. If we truly believe in the power of ideas
to transform policy to better the lives of all our communities that
scholarship must embrace a true meritocracy of inclusion.

We stand on the shoulders of giants like Baldwin, DuBois, hooks, Lorde,
and Davis and contemporary scholars like David Williams, Chandra Ford,
Stephan Thomas, and Camara Phyllis Jones. We must continue to forge a
path for emerging scholars.

Scholars like J'Mag Karbeah, whose research at the intersections of
racism and health is contributing to policy conversations
. Or those
like Elle Lett, who coined the phrase "health equity tourism
" to teach
us about the practice of investigators-without prior experience or
commitment to health equity research-parachuting into the field in
response to timely and often temporary increases in public interest and
resources.

And, Asha Hassan, whose research has led to a national study
of the
impact on reproductive health of tear gas exposure during Black Lives
Matter protests.

Our future is bright, but the light will dim if we do not fully commit
to elevating these scholars and many others with brave and bold ideas
and unfettered expectations and demands for liberation.

Elsewhere At Health Affairs

Today in Health Affairs Forefront, Kevin Outterson and coauthors discuss
an opportunity to reform the broken antibacterial market
.

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Decoding The State Of The Union For Health Care

Listen to Health Affairs' Leslie Erdelack and Rob Lott discuss the
health care priorities President Joe Biden outlined in his State of the
Union address, which include COVID-19, health care costs, nursing homes,
the opioid epidemic, the cancer moonshot, and mental health.

Listen Now

Daily Digest

Health Disparities By Race And Class: Why Both Matter

Ichiro Kawachi et al.

Social Sources Of Racial Disparities In Health

David R. Williams and Pamela Braboy Jackson

Improving The Measurement Of Structural Racism To Achieve Antiracist
Health Policy

Rachel R. Hardeman et al.

Health Equity Tourism: Ravaging the Justice Landscape

Elle Lett et al.

Researchers Study Link Between Tear Gas and Menstruation

Asha Hassan

Antimicrobial Resistance: What's At Stake And What Are We Doing About
It?

Kevin Outterson et al.

Podcast: Decoding The State Of The Union For Health Care

Robb Lott and Leslie Erdelack

 

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About Health Affairs

Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update .  

Project HOPE is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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