Health Affairs January 16, 2025
Derek Griffith, Andrew Twinamatsiko

Laws and policies prohibiting the discussion of what the first Trump administration in 2020 labeled “divisive concepts” hamper efforts to discuss, teach, and use the best and most state-of-the-art science to understand and improve US population health and health equity in the context of a growing body of literature on the science of racism and its effects on health.

KEY POINTS:

  • During his first term in office, President Donald Trump issued an executive order labeling structural racism and related ideas “divisive concepts,” limiting discussion and teaching of these explanations for the patterns of inequities in the United States, including health inequities. The second Trump administration is likely to reinstitute and expand these efforts.
  • Some states used the blueprint of...

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