A study of births in New Jersey reveals a troubling disparity between unscheduled C-sections for Black people.
Picture two pregnant people walking into the same hospital to give birth. They have identical medical histories and experienced identical pregnancies. They’re seeing the same obstetrician. The only difference between them is that one is Black and the other is white. According to a study of births in New Jersey hospitals, the Black patient would be about 20 percent more likely to get an unscheduled C-section than the white patient.
C-sections can, of course, save lives. But they also carry all the risks of a serious surgery, so the idea that people might be pressured into having C-sections unnecessarily is troubling enough. The fact that this seems to happen disproportionately to Black people is even more disturbing.. By purchasing a subscription you are helping to ensure the future of impactful stories about the discoveries and ideas shaping our world today.
So that’s what we do when we say that we do control for observable medical risk factor for the appropriateness of having a C-section, so even after adjusting for differences among Black and white in their observable medical risk factors, even after adjusting for the hospital that they delivered and this—their socioeconomic characteristic, what we find is from this 25 percent racial gap, controlling for these factors only reduce the gap to 20 percent.
So again, for this, we would need more qualitative data kind of, like, getting into exactly, like, how the doctors make these type of decisions. But let’s put it this way: like, the literature has evidence of both.Yeah, one thing that comes to mind is promote diversity in the medical profession. So we do find some evidence that the racial gap decreases when there is concordance, meaning when the Black attendant physician is a Black doctor…… that the racial gap decreases.
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