Health Affairs June 26, 2024
Vincent Guilamo-Ramos, Francis K. Amankwah, Kosali Simon, John Ayanian, Margarita Alegrìa, Sara Rosenbaum

More than twenty years have passed since the Institute of Medicine (now the National Academy of Medicine) published its 2003 landmark report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. The central conclusion of the report was that racial and ethnic disparities were a hallmark of the US health care system and that unequal treatment persisted even when controlling for health insurance coverage. That report also found that systemic and structural racism were major drivers and produced measurable adverse effects within the process of health care itself.

Recently, the National Institutes of Health and the Agency for Healthcare Research and Quality requested that the National Academies of Sciences, Engineering, and Medicine (NASEM) convene an expert committee to report...

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