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How Structural Racism Works — Racist Policies as a Root Cause of U.S. Racial Health Inequities

There is no “official” definition of structural racism — or of the closely related concepts of systemic and institutional racism — although multiple definitions have been offered.3-7 All definitions make clear that racism is not simply the result of private prejudices held by individuals,8 but is also produced and reproduced by laws, rules, and practices, sanctioned and even implemented by various levels of government, and embedded in the economic system as well as in cultural and societal norms. More

A Tribute to Bernard Lown

Lown touched my life through the Right Care Alliance—a sister organization of the Lown Institute. For a slow-adopting, skeptical medical conservative, the annual Lown meeting was nirvana. Lown meetings were the opposite of cardiology meetings. Cardiology conferences celebrate the science, congratulate the scientists, and promote the latest technology. Lown meetings tackled what is wrong with medicine: overdiagnosis, overtreatment, fractured specialty-centric care, biased evidence, and the crisis in end-of-life care. An invite to speak at Lown transformed my life. I couldn't believe this many people thought exactly as I do. I met clinicians, editors-in-chief, and researchers who study the state of medical evidence. My modest foray into academic work traces back to the connections I made. I now realize this was by design. Lown knew that bringing like-minded people together was vital. If somebody takes the initiative, others will see it and follow. A movement grows, then change happens. More