Woke Medicine's Got a Tricky Operation Coming Up: Grafting 'Systemic Racism' Onto Hard Science

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Real Clear Investigations

Just a few years ago, concepts such as “white supremacy,” “systemic racism,” and “structural intersectionality” were not the standard fare of prestigious medical journals. These are now the guiding ideas in a February special issue of “Health Affairs” that focuses on medicine and race.

Featuring nearly two dozen articles with titles such as “Racism Runs Through It” and “Sick and Tired of Being Excluded,” as well as a poem called “Identity,” the Washington, D.C.-based, peer-reviewed journal analyzes racial health disparities not through biology, behavior, or culture, but through the lens of  “whiteness,” along with concepts such as power, systems of oppression, state-sanctioned violence, and critical race praxis – a sampling of terms that come up in the February issue.

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Health Affairs, dubbed by a Washington Post columnist as “the bible of health policy,” represents something much more ambitious than woke virtue signaling. Its February issue reflects the effort of newly empowered “anti-racist” scholars to transform concepts that are still considered speculative and controversial – and some say unprovable – into scientific fact. This growing effort to document, measure, and quantify racism is being advanced by other high-profile publications, including The New England Journal of Medicine, The Journal of the American Medical Association, and Scientific American, which last year ran articles entitled “Modern Mathematics Confronts Its White, Patriarchal Past” and “Denial of Evolution Is a Form of White Supremacy.”

But this scientific aspiration faces major challenges. Science demands verification, testability, and replicability, whereas race is a social construct that can be difficult to separate from factors like class or culture, and explaining the data often remains dependent on academic theories about systemic racism. The articles in Health Affairs indicate that elevating the concept of systemic racism from moral certitude to scientific fact will require developing new tools and methods – and even more theories – in the face of skepticism and resistance from dissenters who view this direction in research as unscientific and ideological.

 

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For example, five co-authors of the Health Affairs article “Improving the Measurement of Structural Racism to Achieve Antiracist Policy” observe that “there is a disconnect between the conceptualization and measurement of structural racism in the public health literature” – that is to say that acceptance of the idea outpaces the evidence for it.