What’s Wrong with Race-Based Medicine?: Genes, Drugs, and Health Disparities

Posted in Articles, Health/Medicine/Genetics, Media Archive, Politics/Public Policy, United States on 2013-09-30 21:31Z by Steven

What’s Wrong with Race-Based Medicine?: Genes, Drugs, and Health Disparities

Minnesota Journal of Law, Science & Technology
Volume 12, Issue 1 (Winter 2011)
pages 1-21

Dorothy E. Roberts, George A. Weiss University Professor of Law and Sociology; Raymond Pace and Sadie Tanner Mossell Alexander Professor of Civil Rights
University of Pennsylvania

In June 2005, the Food and Drug Administration (FDA) announced a historic decision: it approved the first pharmaceutical indicated for a specific race. BiDil, a combination drug that relaxes the blood vessels, was authorized to treat heart failure in self-identified black patients. BiDil had been tested in the African-American Heart Failure Trial (A-HeFT) launched in 2001. A-HeFT enrolled 1,050 subjects suffering from advanced heart failure, all self-identified African Americans. A-HeFT showed that BiDil worked; in fact, it worked so spectacularly that the trial was stopped ahead of schedule. BiDil in-creased survival by an astonishing 43 percent. Hospitalizations were reduced by 39 percent. It was a momentous accomplishment for Jay Cohn, the University of Minnesota cardiologist who invented BiDil and had pioneered vasodilators as an important treatment for heart failure.

Given evidence of BiDil’s efficacy, but little evidence that race mattered to its efficacy, the FDA should have made one of two decisions: reject the request for race-specific approval or approve BiDil for all heart failure patients, regardless of race. Instead, the FDA put race at the center of its decision, sparking controversy and paving the way for a new generation of racial medicines.

No one is complaining that BiDil is available to people who will benefit from it. The problem is that BiDil was made available on the basis of race. Its racial label elicited three types of criticism: scientific, commercial, and political. I will discuss the first two controversies en route to what I consider the main problem with race-based medicine, its political implications. By claiming that race, a political grouping, is important to the marketing of drugs and that race-based drugs can reduce health disparities, which are caused primarily by social inequality, those who promote racialized medicine have made it a political issue. Yet, having made these political claims, these very advocates answer criticism by saying that we must put aside social justice concerns in order to improve minority health. This article explains why marketing pharmaceuticals on the basis of race is more likely to worsen racial inequities than cure them…

Read the entire article here.

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But blackness also points to a history of mixed racialization that, although always acknowledged among blacks, is rarely understood or seen among other groups.

Posted in Excerpts/Quotes on 2013-09-30 18:21Z by Steven

But blackness also points to a history of mixed racialization that, although always acknowledged among blacks, is rarely understood or seen among other groups. I have argued elsewhere, for instance, that to add the claim of “mixture” to blacks in both American continents would be redundant, because blacks are their primary “mixed” populations to begin with. Mixture among blacks, in particular, functions as an organizing aesthetic, as well as a tragic history. On the aesthetic level, it signifies the divide between beauty and ugliness. On the social level, the divide is between being just and unjust, virtuous and vicious; “fair skin” is no accidental, alternative term for “light skin.” And on the historical level, the divide signifies concerns that often are denied.

Lewis R. Gordon, Her Majesty’s Other Children: Sketches of Racism from a Neocolonial Age (Lanham: Rowman & Littlefield, 1997). 57.

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An Inconvenient Truth: “Hispanic” is an ethnic origin, not a “race”

Posted in Articles, Census/Demographics, Latino Studies, Media Archive, United States on 2013-09-30 18:17Z by Steven

An Inconvenient Truth: “Hispanic” is an ethnic origin, not a “race”

National Institute for Latino Policy, Inc.
2013-08-24

Nancy López, Guest Commentator and Associate Professor of Sociology
University of New Mexico

Kenneth Prewitt’s provocative August 21st New York Times commentary calls us to “fix the census archaic racial categories.” He contends that the current national statistical system is untenable because it has not kept pace with post-1965 demographic shifts. However, it is puzzling that while Dr. Prewitt chides the Census for conflating race and nationality, he proceeds to do just that.

His solution is to ask two new questions: “One based on a streamlined version of today’s ethnic and racial categories/’ and a second, separate comprehensive nationality question. This recommendation would effectively conflate race with ethnic origin as if these were one and the same thing. But the inconvenient truth is that knowing a person’s ethnicity, (for example, their cultural background, nationality or ancestry), tells you nothing about their race or their social position in society that is usually related to the meanings assigned to a conglomeration of one’s physical traits, including skin color and facial features.

Perhaps the most troubling aspect of Dr. Prewitt’s recommendation for a streamlined version of today’s ethnic and racial categories is his proposal to make Hispanics a “race.” He points to the fact that 37% of Hispanics marked “some other race” in the 2010 Census race question as proof that the question is flawed. But could it be that it is that many Hispanics or Latinos occupy an in-between racial status that precludes them from being readily identified as white, black, Asian or Native American in the U.S. context?…

Read the entire article here.

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Never-Ending Story

Posted in Articles, History, Literary/Artistic Criticism, Media Archive, Slavery, United States on 2013-09-30 02:30Z by Steven

Never-Ending Story

The New York Times
2013-09-27

A. O. Scott, Chief Film Critic

‘Conversation About Race’ Has Not Brought Cultural Consensus

The “conversation about race” that public figures periodically claim to desire, the one that is always either about to happen or is being prevented from happening, has been going on, at full volume, at least since the day in 1619 when the first African slaves arrived in Jamestown. It has proceeded through every known form of discourse — passionate speeches, awkward silences, angry rants, sheepish whispers, jokes, insults, stories and songs — and just as often through double-talk, indirection and not-so-secret codes.

What are we really talking about, though? The habit of referring to it as “race” reflects a tendency toward euphemism and abstraction. Race is a biologically dubious concept and a notoriously slippery social reality, a matter of group identity and personal feelings, mutual misunderstandings and the dialectic of giving and taking offense. If that is what we are talking about, then we are not talking about the historical facts that continue to weigh heavily on present circumstances, which is to say about slavery, segregation and white supremacy.

But of course we are still talking about all that, with what seems like renewed concentration and vigor. Nor, in a year that is the sesquicentennial of the Gettysburg Address and the semicentennial of the Rev. Dr. Martin Luther King’sI Have a Dream” speech, are we simply looking back at bygone tragedies from the standpoint of a tranquil present. The two big racially themed movies of the year, “Lee Daniels’ The Butler” and Steve McQueen’s12 Years a Slave,” are notable for the urgency and intensity with which they unpack stories of the past, as if delivering their news of brutal bondage and stubborn discrimination for the first time…

Read the entire article here.

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Some Critical Thoughts on the Census Bureau’s Proposals to Change the Race and Hispanic Questions

Posted in Articles, Census/Demographics, Latino Studies, Media Archive, Social Science, United States on 2013-09-30 01:50Z by Steven

Some Critical Thoughts on the Census Bureau’s Proposals to Change the Race and Hispanic Questions

National Institute for Latino Policy, Inc.
2013-01-10

Nancy López, Guest Commentator and Associate Professor of Sociology
University of New Mexico

As a sociologist of racial, ethnic and gender stratification, I applaud the Census Bureau’s ongoing efforts to examine how we can collect race and ethnicity data that address our increasingly complex and changing demographics for generations to come. Among the key recommendations of their 2010 Alternative Questionnaire Experiment (AQE) Report is a call for further testing of the combined race and Hispanic origin question format.

Accordingly, the Census will continue testing questionnaire formats that include Hispanic as a racial category (the first and only time that a specific Hispanic origin group was included in the U.S. Census was in 1930 when “Mexican” was included as a racial group). Including Hispanic as a racial category is a significant departure from current Office of Management and Budget (OMB) guidelines that require that Hispanic Origin (ethnicity) is asked as a separate question from Race (racial status). It is important to note that since 2000, individuals may mark one or more race (but only one Hispanic ethnicity).

While the Census engages in further testing and refinement of questionnaire formats for race and ethnicity data collection, it is important that we consider why we collect and analyze race and ethnicity data in the first place: the focus is to assess our progress in Civil Rights enforcement. Data collection on race and ethnicity is used by federal, state and local agencies to monitor discrimination and segregation in housing (Fair Housing Act), labor market participation (Equal Employment Opportunity Commission), political participation (Voting Rights Act, Redistricting), educational attainment (Department of Education), health (Centers for Disease Control and Prevention), and criminal Justice (Department of Justice), among other policy areas…

Read the entire commentary here.

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Race, Biraciality, and Mixed Race—in Theory

Posted in Books, Chapter, Media Archive, Philosophy, United States on 2013-09-29 22:19Z by Steven

Race, Biraciality, and Mixed Race—in Theory

Chapter in: Her Majesty’s Other Children: Sketches of Racism from a Neocolonial Age

Rowman & Littlefield
288 pages
August 1997
Size: 6 1/4 x 9 1/4
Hardback ISBN: 978-0-8476-8447-2
eBook ISBN: 978-0-585-20172-6
pages 51-71

Lewis R. Gordon, Laura H. Carnell Professor of Philosophy, Director of the Institute for the Study of Race and Social Thought and Director of the Center for Afro-Jewish Studies
Temple University

“You, who are a doctor,” said I to my [American] interlocutor, “you do not believe, however, that the blood of blacks has some specific qualities?”

He shrugged his shoulders: “There are three blood types,” he responded to me, “which one finds nearly equally in blacks and whites.”

“Well?”

“It is not safe for black blood to circulate in our veins.”

Jean-Paul Sartre, “Return from the United States”

An African American couple found themselves taking their child, a few months of age, to a physician for an ear infection. Since their regular physician was out, an attending physician took their care. Opening the baby girl’s files, he was caught by some vital information. The charts revealed a diagnosis of “H level” alpha thalassemia, a genetic disease that is known to afflict 2 percent of northeast Asian populations. He looked at the couple. The father of the child, noticing the reticence and awkwardness of the physician, instantly spotted a behavior that he had experienced on many occasions.

“It’s from me,” he said. “She’s got the disease from me.”

“Now, how could she get the disease from you?” the physician asked with some irritation.

“My grandmother is Chinese,” the father explained.

The physician’s face suddenly shifted to an air of both surprise and relief. Then he made another remark. “Whew!” he said. “I was about to say, ‘But—you’re black.'”

The couple was not amused.

Realizing his error, the physician continued. “I mean, I shouldn’t have been surprised. After all, I know Hispanics who are also Asians, so why not African Americans?”

Yes. Why not?

The expression “mixed race” has achieved some popularity in contemporary discussions of racial significations in the United States, Canada, and the United Kingdom. It is significant that these three countries are marked by the dominance of an Anglo-cultural standpoint. In other countries, particularly with Spanish, Portuguese, and French influences, the question of racial mixture has enjoyed some specificity and simultaneous plurality. For the Anglos, however, the general matrix has been in terms of “whites” and” all others,” the consequence of which has been the rigid binary of whites and nonwhites. It can easily be shown, however, that the specific designations in Latin and Latin American countries are, for the most part, a dodge and that, ultimately, the primary distinctions focus on being either white or at least not being black.

We find in the contemporary Anglophone context, however, a movement that is not entirely based on the question of racial mixture per se. The current articulation of racial mixture focuses primarily upon the concerns of biracial people. Biracial mixture pertains to a specific group within the general matrix of racial mixing, for a biracial identity can only work once, as it were. If the biracial person has children with, say, a person of a supposedly pure race, the “mixture,” if you will, will be between a biracial “race” and a pure one. But it is unclear what race the child will then designate (a mixture of biraciality and X, perhaps, which means being a new biracial formation?).

To understand both mixed race and its biracial specification and some of the critical race theoretical problems raised by both, we need first to understand both race and racism in contemporary race discourse…

…But blackness also points to a history of mixed racialization that, although always acknowledged among blacks, is rarely understood or seen among other groups. I have argued elsewhere, for instance, that to add the claim of “mixture” to blacks in both American continents would be redundant, because blacks are their primary “mixed” populations to begin with. Mixture among blacks, in particular, functions as an organizing aesthetic, as well as a tragic history. On the aesthetic level, it signifies the divide between beauty and ugliness. On the social level, the divide is between being just and unjust, virtuous and vicious; “fair skin” is no accidental, alternative term for “light skin.” And on the historical level, the divide signifies concerns that often are denied…

Read the entire chapter here.

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The Era of Black Indian Transcendance

Posted in Articles, Autobiography, Media Archive, Native Americans/First Nation, United States on 2013-09-29 16:49Z by Steven

The Era of Black Indian Transcendance

Refixico
2013-09-29

Phil Wilkes Fixico, Seminole Maroon Descendant, California Seminole Mico (Nation of One) and Heniha for the Wildcat/John Horse Band of the Seminoles of Texas and Old Mexico

I was a 52 yr. old African-American, when I discovered that I was really an African-Native American. This epiphany took place 14 years ago. Since then, my quest for identity has been featured in the Smithsonian Institution’s, book and exhibit, entitled: indiVisible: African-Native American Lives in the Americas. It’s a banner show, that has been touring the U.S. since 2009.

A few years ago, I submitted a long held idea to Indian Voices, an online/on stand monthly newspaper, which is published by Rose Davis. My idea was to create a news entity, called the Bureau of Black Indian Affairs (BBIA).  A news column, designed to address some of the issues that affect Black Indians, who only have Oral History to go on. Mr. William L. Katz, the Father of Black Indian Studies in the United States, was fully in favor of my idea and came on board with the full force of his incredible body of work. I suggested that the BBIA be formed as a News Bureau—not as an organization whose mission it was to replicate what, the Official US Government’s Bureau of Indian Affairs has done, mostly for By-Bloods. It would report on the status of Black Indians. While the 3 co-founders were Phil Wilkes Fixico, Rose Davis and Wm. L. Katz; Rose Davis, a Black Seminole, is carrying on with it…

Read the entire article here.

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If race wasn’t determined by biology, why couldn’t a white woman feel black? Why couldn’t she repudiate her own culture to embrace another?

Posted in Excerpts/Quotes on 2013-09-29 03:11Z by Steven

What was race anyway? That’s the big question Miss Anne’s actions raised. If race was simply a myth or fiction, could one reimagine racial identity as something based on affiliation rather than blood? Some of the writers of the Harlem Renaissance asked much the same thing. In Nella Larsen’sPassing” and James Weldon Johnson’sAutobiography of an Ex-Colored Man,” for example, light-skinned protagonists of African-American heritage successfully pass as white, demonstrating that racial identity could hinge on voluntary association and careful self-presentation. Their radical acts blur the color line and expose the absurdity of the one-drop rule. Approaching the color line from the other side, Miss Anne reframed the issues. If race wasn’t determined by biology, why couldn’t a white woman feel black? Why couldn’t she repudiate her own culture to embrace another?

Martha A. Sandweiss, “Uptown Girls,” Sunday Review of Books, The New York Times, (September 22, 2013). http://www.nytimes.com/2013/09/22/books/review/miss-anne-in-harlem-by-carla-kaplan.html.

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Eating the Black Body: Miscegenation as Sexual Consumption in African American Literature and Culture

Posted in Anthropology, Books, Literary/Artistic Criticism, Media Archive, Monographs, United States on 2013-09-29 02:56Z by Steven

Eating the Black Body: Miscegenation as Sexual Consumption in African American Literature and Culture

Peter Lang
2006
231 pages
0.340 kg, 0.750 lbs
Softcover ISBN: 978-0-8204-7931-6

Carlyle Van Thompson, Dean, School of Liberal Arts and Education
Medgar Evers College, the City University of New York

In this provocative and original exploration of racial subjugation and its aftermath, Carlyle Van Thompson illumines the racialized sexual desire that reduces Black people to commodities for consumption. Eating the Black Body examines the often-sadistic forms of sexual violence during the period of slavery and its aftermath. By looking at one poem and three novels—Richard Wright’s Between the World and Me, John Oliver Killens’ Youngblood, Gayl Jones’ Corregidora, and Octavia Butler’s Kindred—that examine slavery and the Jim Crow period, Thompson investigates a wide variety of Black bodies as sites of miscegenation and sexual desire. Thompson also examines a horrific case of White male police brutality in New York City in which a Black man was sodomized. Bold and persuasively argued, Eating the Black Body will engage readers in a broad range of literary, historical, and cultural studies.

Table of Contents

  • Acknowledgments
  • Introduction
  • Chapter 1: Consuming Hot Black Bodies: Miscegenation as Sexual Violence in African American Literature and Culture
  • Chapter 2: Speaking Desire and Consumption of the Black Body in Richard Wright’s “Between the World and Me”
  • Chapter 3: Miscegenation as Sexual Consumption: The Enduring Legacy of America’s White-Supremacist Culture of Violence in John Oliver Killens’ Youngblood
  • Chapter 4: Miscegenation, Monstrous Memories, and Misogyny as Sexual Consumption in Gayl Jones’ Corregidora
  • Chapter 5: Moving Past the Present: Racialized Sexual Violence and Miscegenous Consumption in Octavia Butler’s Kindred
  • Chapter 6: White Police Penetrating. Probing, and Playing in the Black Man’s Ass: The Sadistic Sodomizing of Abner Louima
  • Conclusion
  • Notes
  • Bibliography
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“Makin a way Outta no way:” The dangerous business of racial masquerade in Nella Larsen’s Passing

Posted in Articles, Literary/Artistic Criticism, Media Archive, Passing on 2013-09-28 18:00Z by Steven

“Makin a way Outta no way:” The dangerous business of racial masquerade in Nella Larsen’s Passing

Women & Performance: a journal of feminist theory
Volume 15, Issue 1 (2005)
pages 79-104
DOI: 10.1080/07407700508571489

Carlyle Van Thompson, Acting Dean, School of Liberal Arts and Education
Medgar Evers College, the City University of New York

Early in Nella Larsen’s Passing (1929), Clare Kendry Bellew and Irene Westover Redfield (the light-skinned and middle-class black female protagonists) are both passing for white in Chicago at an elite and segregated restaurant atop the Drayton Hotel during the horrid heat of August. Here, in this coincidental meeting of two childhood friends, Irene and Clare have a conversation about the possibility of permanently assuming a white identity. Irene, who only passes sometime, superciliously relates her reason for not permanently passing herself off as white: “‘You see Clare, I’ve everything I want. Except, perhaps a little more money'” (1929, 190). in contrast, Clare responds: “‘Of course…that’s what everybody wants just a little more money, even the people who have it. And I must say I don’t blame them. Money’s awful nice to have. In fact, all things considered, I think, ‘Rene, that it’s even worth the price'” (1929, 190). Larsen reveals that economic security is a critical concern in the lives of these middle-class black women. Despite the vulnerabilities of revelation, Clare adamantly believes that the monetary and social advantages of passing for white surpass the disadvantages. Class, as inflected by gender within the nexus of race, con-…

Read or purchase the article here.

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