Invisible Visits: Black Middle-Class Women in the American Healthcare System

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Oxford University Press, Jan 17, 2019 - Medical - 160 pages
Although the United States spends almost one-fifth of all its resources funding healthcare, the American system continues to be dogged by persistent inequities in the treatment of racial and ethnic minorities and women. Invisible Visits analyzes how middle-class Black women navigate the complexities of dealing with doctors in this environment. It challenges the idea that race and gender discrimination--particularly in healthcare settings--is a thing of the past, and questions the persistent myth that discrimination only affects poor racial minorities. In so doing, the book expands our understanding of how Black middle-class women are treated when they go to the doctor, why they continue to face inequities in securing proper medical care, and what strategies they use to fight for the best treatment (as well as the consequential toll on their health). Based on original research, the author shines a light on how women perceive the persistently negative stereotypes that follow them into the exam room, and proceeds to illustrate that simply providing more cultural-competency or anti-bias training to doctors will not be enough to overcome the problem. For Americans to truly address these challenges, the deeply embedded discrimination in our prized institutions--including those in the healthcare sector--must be acknowledged.
 

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Contents

Introduction
1
Stereotyping and the Healthcare Encounter
17
Black MiddleClass Women in the American Healthcare System
38
The Relative UnImportance of Race and Gender Concordance
57
Race and Reproductive Healthcare
93
5 Conclusion
113
Research Methods
121
References
131
Index
143
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About the author (2019)


Tina K. Sacks, PhD, is an assistant professor in the School of Social Welfare at the University of California, Berkeley. She studies racial and gender inequities in healthcare settings, social determinants of health, and poverty and inequality. Professor Sacks' work has been published in Race and Social Problems, Health Affairs, and MSNBC News. Professor Sacks also frequently collaborates with the photographer and filmmaker Carlos Javier Ortiz on documentary film projects about issues affecting Black and Latino communities in the US and abroad. Their films have appeared in the Tribeca, AFI, and LA International Film Festivals, among others. Their work has also been published in The New Yorker and The Atlantic.

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