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Urban hospitals tend to cater to white patients, analysis finds

"It is a form of segregation, to be blunt," said Dr. Vikas Saini, president of the Lown Institute, describing many markets as the tale of two hospitals. "In big cities where there was a lot more diversity, there was a real tendency for some hospitals to cater to primarily wealthier, whiter and more educated patients. That left other hospitals to take care of the poor, less educated and minority patients." More

50 Hospitals Get Dubious Ranking on Racial Inclusion

"If you arrived from another planet and saw two airports a mile apart, one for Black people and another for whites, you'd think this is some kind of weird apartheid," Saini told MedPage Today. "We don't do that for airports, but somehow that's where we've ended up with hospitals, and everyone knows it. If you want an illustration of what structural racism is, this is it," he said. "The results are outlandish." More

Does Health Inequity Begin at Home?

In this issue of JAMA Cardiology, Berman and colleagues examined data from 2 major academic hospitals in Boston, Massachusetts, and found that despite receiving initial care in the same facilities, individuals who lived in poor neighborhoods had strikingly higher cardiovascular mortality after a myocardial infarction than did individuals who lived in more affluent neighborhoods. More