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Excellent book! This author presents a plethora of in depth research finding that point to overt, and at times unintended, systematic racism that has informed decision making in medicine. Extremely thorough review of how Blacks were used for medical experimentation from the time they were slaves until now. Having studied and read about inequality, I thought I would not find much that was new in this book. Wow, was I wrong. Washington put together and strong case, using a novel lens, that shined a light on how the medical decisions of yesterday are still informing the medical decisions of today. The health outcomes for black people, especially poor black people, is the worst of any group in America. Why and how did it get that way? Washington provides a very detailed answer.