Empathy and Racism / The Social Pyramid

https://aspergerhuman.wordpress.com/2014/12/14/empathy-and-racism-the-social-pyramid/

A recent study shows that people, including medical personnel, assume black people feel less pain than white people…

Consider disparities in treatment for pain. We’ve known for at least two decades that minorities, primarily blacks and Hispanics, receive inadequate pain medication. Often this failure comes when people need help the most. For example, an early study of this disparity revealed that minorities with recurrent or metastatic cancer were less likely to have adequate analgesia. Racial disparities in pain management have been recorded in the treatment of migraines and back pain, cancer care in the elderly, and children with orthopedic fractures. A 2008 review of 13 years of national survey data on emergency room visits found that for a pain-related visit, an opioid prescription was more likely for white patients (31 percent) than black patients (23 percent).

Some of the problem is structural. We’ve also known for some time that pharmacies in nonwhite communities fail to adequately stock opioids. In a 2005 study, Michigan pharmacies in white communities were 52 times more likely to sufficiently stock opioids than in nonwhite communities. But this does not fully explain the problem. When pain medicine is available, minorities receive less of it. Medical personnel may care deeply about treating the pain of minorities. Even so, they might recognize less of it—and this may explain why the pain is so poorly treated.

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