I think that the national discussion about racism and health care reform gets so abstract sometimes that we forget that when we’re talking about health, we’re talking about people’s lives. And, as this short clip (about 4 minutes) demonstrates very powerfully, leading researchers contend that racism plays an important role in infant mortality among African American women, even when controlling for income and education. This clip, from Episode 2, “When the Bough Breaks,” in the video series “Unnatural Causes,” (2007), features UCLA obstetrician and gynecologist Dr. Michael Lu. Lu believes that for many women of color, racism over a life time, not just during the nine months of pregnancy, increases the risk of preterm delivery, one of the leading risk factors for early infant death:

And, in an interesting piece of research by one of the experts featured in the full episode, Dr. Camara Jones, concludes that: “being classified by others as White is associated with large and statistically significant advantages in health status, no matter how one self-identifies.” So, there’s a very real, somatic level at which racism both takes a toll on some and provides an advantage to others.

I think we should keep this in mind as the health care debate rages on. What kind of society do we want to create?