BLUF:
The co-opting of medicine by woke progressives could turbo-charge all that is dangerous about public health. AHE should worry any patient whose life, health and ease of mind depend on a doctor now focused on concerns other than the patient at hand.
The Pall of Politics Descends Upon American Medicine.
A new guidance document for medical professionals emphasizes critical race theory and social justice at the expense of patient care
Under new AMA guidelines, doctors’ bedside manner is to be replaced with an air of accusation
Politics, and in particular hard-left “wokeness,” is infecting American medicine’s bloodstream. The danger cannot be overstated. It threatens medical professionals, patients, medical science and America’s civic life. Like so many societal pathologies, this one seems to have turned septic during the COVID-19 pandemic. The most prominent symptom is a newly released document that is at once laughable and terrifying.
New Language for a New Orthodoxy
In October, two of the most powerful medical organizations in America—the American Medical Association (AMA) and the American Association of Medical Colleges—released “Advancing Health Equity: A Guide to Language, Narrative and Concepts,” or AHE. Its 54 densely packed pages admonish American physicians to regiment their speech to conform with woke terminology. The document implores doctors to abandon ordinary expressions in favor of politically charged, politically correct circumlocutions.
Medical professionals are now expected to traverse a linguistic minefield, abandoning hundreds of familiar expressions and replacing them with tortured academic cadences. Failure to conform, the document implies, is a severe moral failing.
This is not merely replacing the simple with the sesquipedalian. The doctor’s every utterance must contain an air of accusation. When someone is ill, it is because someone else is to blame. Previously, a caring doctor might have told an African American patient that his lineage makes him especially vulnerable to diabetes. No more. In woke-speak, the word “vulnerable” is verboten. Now, the doctor must refer to the patient as “oppressed,” “made vulnerable” or “disenfranchised.” Someone, or some grotesque societal failing, is to blame for the patient’s higher-than-average risk of diabetes. The explanation for this particular lexical shift is representative of AHE’s tone and worldview:
Vulnerable is a term often used to describe groups that have increased susceptibility to adverse health outcomes. We even describe individual people as vulnerable or not, often based on socioeconomic status.
If we pause to examine our taken-for-granted narrative, we see that vulnerability can be understood in very different ways. In this case, as a characteristic of people or groups. But what if we shift the narrative from an individualistic lens to an equity lens?
In doing so, we begin to ask questions about the structural origins of vulnerability. Vulnerability is the result of socially created processes that determine what resources and power groups have to avoid, resist, cope with, or recover from threats to their well-being.
Instead of stigmatizing individuals and communities for being vulnerable or labeling them as poor, we begin to name and question the power relations that create vulnerability and poverty. People are not vulnerable; they are made vulnerable.
The entire document reads like final exam essays written by a student who forgot to study—endless strings of half-remembered vocabulary words assembled randomly in hopes that the professor will count the words but not read them. Every med student, every doctor in America must endure hundreds of such homilies and conform or be weighed in the balance and found wanting. Doctors must abandon the notion that a patient bears some individual responsibility for his or her health status. Whatever ails you, somebody out there did it to you. In the search for scapegoats, AHE taps into the fashionable academic catechisms of critical race theory and intersectionality and swears fealty to both.
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