Abstract

Structural racism prescribes systems in which policies, institutional practices, cultural representations, and other norms work in various reinforcing ways to perpetuate racial group inequity.1 Important differential outcomes are based upon race in medical care, within fields as diverse as paediatric surgical outcomes,2 biomedical device design,3 and health-care systems.4 Historically, the uneasy relationship between modern medicine and eugenics, expressed in such broad contexts as the horrors of Nazi “medicine”,5 the forced sterilisation of Indigenous women in settler colonial societies,6 and unethical research such as the Tuskegee syphilis studies,7 points to a troubling narrative of medicine as a tool in the enactment of racist policies.

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