Central PA Medicine Summer2020 - 22

daup h i n cm s .org

WHITE
COATS FOR
Features
BLACK LIVES

VACCINATIONS
The requirement for immunizations to
attend public schools has lessened the burden
of preventable diseases such as measles and
whooping cough. There is distrust in many
communities regarding safety. The anti-vaxxers have been stridently against required
vaccinations with the Centers for Disease
Control and Prevention (CDC) finding gaps
in herd immunity as evidenced by recent
measles outbreaks around Disneyland and
the New York orthodox Jewish community.
MEDICAL CARE AND INSURANCE
Medical care in many Black communities
is delayed or not easily accessible as the
type of insurance often determines the
practitioner. If prescribed medications are
not substantively covered by insurance, the
medication may go unfilled or rationed by
the patient. When I as a board certified
22 Summer 2020 Central PA Medicine

WHAT DO
YOU FEEL?
ANGER?
DISGUST?
WHITE
PRIVILEGE
SUCKS IF YOU
ARE NOT
WHITE.

internist and board certified obstetrician
and gynecologist was asked many years
ago to speak to a Medicare RUC (RVS
Update Committee) for anesthesia because
anesthesiologists were not sustainable in
practice if Medicare was more than 30%
of their patients, it was quickly decided the
committee needed to increase the payments.
The government funded programs have been
guilty of overpromising, underfunding, and
shifting the blame to the patient and/or medical practitioner. Medical practices cannot
sustain themselves if there is consistent and
systemic underpayment for care provided.
Drug costs are part of the problem for all
people, but the generally less well-paid nonWhite often does not have the insurance or
financial means to purchase life enhancing
medication. The asthma drug is only one
example. Imagine if you needed medication


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Central PA Medicine Summer2020

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https://www.nxtbook.com/hoffmann/CPAMed/CPMSummer2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring2020
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter2020
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https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring19
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter19
https://www.nxtbook.com/hoffmann/CPAMed/CPMFall18
https://www.nxtbook.com/hoffmann/CPAMed/Summer2018
https://www.nxtbook.com/hoffmann/CPAMed/CPMSpring18
https://www.nxtbook.com/hoffmann/CPAMed/CPMWinter18
https://www.nxtbook.com/hoffmann/CPAMed/Fall2017
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Summer17
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Spring17
https://www.nxtbook.com/hoffmann/CPAMed/CentralPAMedicine_Feb2017
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