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63 pages 2 hours read

Dayna Bowen Matthew

Just Medicine: A Cure for Racial Inequality in American Health Care

Nonfiction | Book | Adult | Published in 2015

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Essay Topics

1.

How does Matthew’s Biased Care Model advance the conversation on health equity? In what way can such a model be used to shift implicit bias?

2.

Discuss Matthew’s argument that implicit biases are malleable. What interventions reduce these biases, and how can they be implemented effectively to address The Role of Implicit Bias in Healthcare Disparities?

3.

In what ways does Matthew suggest that the healthcare system’s structural constraints limit the effectiveness of individual efforts to address health disparities? How does her proposal for overcoming these limitations speak to The Systemic Challenge in Addressing Implicit Bias?

4.

Describe the role that institutions and social systems play in reinforcing racial and ethnic stereotypes in healthcare in Just Medicine. How can these systems be disrupted? Cite specific examples from the text to support your argument.

5.

Analyze Matthew’s critique of the narrow focus on black and white racial dynamics in research on health disparities. How does she propose addressing the complexity of overlapping patient characteristics?

6.

Examine the relationship between physicians’ unconscious biases and patients’ reactions, as analyzed in Just Medicine. How does this feedback loop contribute to worsening health disparities?

7.

How is pain management central to understanding the intersection of clinical uncertainty and racial bias in healthcare in Just Medicine? Discuss the implications of Matthew’s findings.

8.

Why does Matthew ultimately rely on legal reforms, such as changes to Title VI, in her effort to address the prevalence of unconscious racism in healthcare? Discuss any other options that institutions could adopt to address this issue, citing specific examples from the text to support your argument.

9.

Based on the information that Matthew provides in Just Medicine, does it seem possible to eradicate systemic discrimination that leads to health disparities? Why or why not?

10.

Discuss the role of nonverbal reciprocity in physician-patient interactions as described by Matthew. How can such interactions be used for legal purposes? What are some of the limitations of taking such interactions into account and how might they be helped by Legal Reforms that Address Implicit Bias?

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