Viewpoint: What is ‘abolition medicine’ — and why we must address racism in embedded in our healthcare system

Students and faculty members at Harvard Medical School held a "die-in" in 2014 to protest decisions by authorities not to indict police officers in the killings of Michael Brown in Ferguson, Mo., and Eric Garner in New York and to spotlight racial bias as a public health issue. Credit: David L. Ryan / Boston Globe
Students and faculty members at Harvard Medical School held a "die-in" in 2014 to protest decisions by authorities not to indict police officers in the killings of Michael Brown in Ferguson, Mo., and Eric Garner in New York and to spotlight racial bias as a public health issue. Credit: David L. Ryan / Boston Globe

Racial violence is a public health crisis.

Several organizations, including the American Medical Association (AMA) and the American Public Health Association (APHA), have recognized that police violence has devastating health consequences; the AMA has “denounced racism as an urgent threat to public health, pledging action to confront systemic racism, racial injustice and police brutality.”

Both organizations’ policy statements indicate that medicine and public health must work to dismantle racism not only at a societal level but also within the health professions.

In other words, we can choose to continue practices that perpetuate structural racism, or we can dismantle them and rebuild more just systems of care.

The question then becomes: What tools and models do medicine and public health have at their disposal to accomplish the latter goal?

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If the emphasis of medicine is to “first, do no harm,” then we must contend with medicine’s history of systemic racism and redefine how we understand health and safety.

Drawing on decades of abolitionist work, including policy visions by the organizers of #8toAbolition, abolition medicine calls for deconstructing and divesting from practices within health care that perpetuate systemic racism and criminalize the lives of marginalized people and for reinvesting in life-affirming systems that address structural harm.

This is an excerpt. Read the original post here. 

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