Abstract

This chapter assesses social, racial, and economic injustice. The marginalization of communities of color in the United States is of unique concern, particularly the marginalization of Black Americans. While it is true that many communities of color have suffered from deep-seated structural injustice, it is Black Americans who have, since before the country's founding, been the group most vulnerable to racial injustice. The emergence of some excellent scholarship in the past few years that has highlighted the place of anti-Blackness specifically as a detrimental force that influences health cannot, and should not, be swept up into broader generalizations around the pernicious influence of racial injustice overall. COVID-19 revealed how the institution of slavery has, over hundreds of years, continued to shape racial injustice and consequent poor health for Black Americans. Before changes to this status quo can be achieved, movements must change public opinion around issues of injustice. Once we understand injustice, we have a responsibility to not look away, to fix the racial, social, and economic inequities which generate poor health. But the path to justice does not end with changes in public attitudes and the passage of civil rights legislation. Achieving this goal takes pursuing not just social, but economic justice.

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