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Are You Ready for ‘Medical Reparations’ in the Name of Equity?

Are You Ready for ‘Medical Reparations’ in the Name of Equity?

“perhaps the most dangerous victory for wokeness in health care to date”

Any time you think this stuff can’t get worse, it does.

City Journal reports:

Medical Reparations Have Arrived

The Organ Procurement and Transplantation Network (OPTN) and the United Network for Organ Sharing (UNOS) are implementing new policies to make skin color a crucial factor in who receives life-saving kidney transplants. The shift is perhaps the most dangerous victory for wokeness in health care to date.

In the name of “equity,” UNOS and OPTN purport to be expanding black patients’ access to kidney transplants. They essentially claim that the longstanding system for such transplants is racist, pointing to how black patients make up 30 percent of the dialysis population and transplant wait list but receive a smaller fraction of kidney transplants.

Activists assert that this disparity reflects bias on the part of treating physicians, particularly when referring black patients for early kidney care. But a study from the Veteran’s Administration found that more referrals for expert care did not improve outcomes or prevent progression of advanced kidney disease to the need for kidney replacement therapy.

If racism doesn’t explain the discrepancy, what does? The list of reasons is extensive, reflecting disheartening, stubborn problems that physicians and policymakers have long tried to address. One is the advanced age and complex medical conditions of many black patients with diabetes-related kidney failure; many of these patients are also relatively satisfied with dialysis treatments and unwilling to undergo extensive evaluation for transplant suitability. Others include insufficient health literacy, concern about the surgical procedures associated with transplantation, and lack of a support system for post-operative patients—an especially important factor in transplant suitability. Black families are also less likely to supply kidney donors from relatives.

UNOS and OPTN ignore these facts to advance a race-based agenda. They are forcing transplant centers to rework the waitlist for cadaveric kidneys in such a way that favors black patients. The rationale is that the longstanding formula used to estimate kidney function, which was race-conscious and required a second calculation for black patients, was racist.


Donations tax deductible
to the full extent allowed by law.


The wait list is ordered by severity of condition and donor compatibility. You can jump to the top of the list if a compatible kidney becomes available and nobody higher on the list is compatible.

I bet the big problem is donor compatibility, which one might think important in a transplant. Not enough blacks donate kidneys, and you are no longer permitted to say that blacks might be genetically different in any important way.

In-vitro sterilization may be coming of age.