We conclude from research that institutionalized white socioeconomic resources, discrimination, and racialized framing from centuries of slavery, segregation, and contemporary white oppression severely limit and restrict access of many Americans of color to adequate socioeconomic resources-and to adequate health care and health outcomes. Dealing justly with continuing racial "disparities" in health and health care requires a conceptual paradigm that realistically assesses U.S. society's white-racist roots and contemporary racist realities.
You can find our article in social science in medicine
Feagin, Joe and Zinobia Bennefield. 2014. “Systemic Racism and U.S. Health Care”.” Social Science and Medicine. 103:7-14.
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https://www.sciencedirect.com/science/article/abs/pii/S0277953613005121