Health Affairs January 15, 2020
Shantanu Agrawal and Adaeze Enekwechi

After many decades of study and exposition in the medical and sociological literature, policy makers and health care providers have finally turned their attention to social determinants of health (SDoH) and their effects on health outcomes. This is a welcome development. It brings needed focus on social and economic factors that play a vital role in how people live, both within and outside the health care system. These factors include demographic characteristics such as race; and socioeconomic factors such as education, income, housing, transportation, food insecurity, and many others according to the World Health Organization.

In addition to the long overdue focus on SDoH, there is another uncomfortable truth about the scope of bias within the health care...

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