“It’s not the race assignment, but the actual bias that people experience that contributes to the differential and deleterious outcome,” one expert said.
in May points out that within the medical community, there is an argument that including race in certain algorithms can perpetuate inequities across different racial groups since race is a social construct and not a “biological feature.” The assumptions on how race can affect patient outcomes are also often unknown and can be potentially harmful, especially to people of color.
“We have a great deal more scrutiny on what the drivers are for health disparities and among them are these race-based algorithms and the unfounded and unscientific premise that race is somehow a biological variable that can be just included in the scientific algorithms around which we practice medicine,” said Wright.laying out the road map to reconsidering the nuances of how the race factor can be used to serve patients with equitable care and avoid discrimination.
“There is a strong social component to race, but there is also a genetic component. And genetic variants have biological consequences. So, in addition to social factors, our research studies need to account for as much genetic variation as possible. One way we do this is making sure our studies include participants from diverse genetic ancestries, and we often use race to approximate ancestry.
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