People of color denied pain medication across the U.S.
By
Melissa Kleinman
Published Mar 7, 2008 11:31 PM
Imagine being in pain, serious pain that debilitates you in your day-to-day
life. Once you finally get in to see a doctor, you are asked on a scale of 1 to
10 to rate your pain, 10 being the worst pain you’ve ever felt. You flat
out know this pain is a 10, yet you are sent away from the doctor with no pain
medication and no real remedy for the source of your pain—even if you had
to sacrifice paying your electric and water bill to afford the visit.
Many people of color are being denied pain medication based on bigoted beliefs
and stereotypes that they are addicts, drug hustlers or don’t feel pain
as acutely as whites. Studies have shown that people of color receive less
treatment for pain than the broader population of people in the U.S.
A recent national study found that emergency room doctors are prescribing
strong narcotics more often to patients, but people of color are still less
likely to get them. The AP reports: “Even for the severe pain of kidney
stones, minorities were prescribed narcotics such as oxycodone and morphine
less frequently than whites.
“The analysis of more than 150,000 emergency room visits over 13 years
found differences in prescribing by race and ethnicity in both urban and rural
hospitals, in all U.S. regions and for every type of pain. ... In the study,
opioid narcotics were prescribed in 31 percent of the pain-related visits
involving whites, 28 percent for Asians, 24 percent for Hispanics and 23
percent for blacks. Minorities were slightly more likely than whites to get
aspirin, ibuprofen and similar drugs for pain.” (Jan. 2)
In a 2005 article on racial disparities in pain treatment, the Detroit News
profiled Donald Dillard, an African-American worker who survived having a dump
truck roll over his body. His pelvis and thighs were crushed and a large chunk
of flesh was cut from his torso.
Dillard had endured 15 years of excruciating pain, unable to get pain
medications strong enough to give him even the slightest respite. He had also
found getting workers compensation and medical care to be extremely difficult.
“It’s really depressing when you know there are things out there
that can help you, and you can’t get them,” Dillard said. (Feb. 20,
2005)
The article reported that a national study found that at cancer centers with
primarily Latin@ and African-American patients, 62 percent of patients received
inadequate pain treatment, compared to 42 percent receiving inadequate pain
treatment nationwide. A survey found that African-American cancer patients in
nursing homes were 63 percent more likely than whites to receive no pain
treatment.
In addition, pharmacies in poor communities of color are less likely to carry
strong pain medications, the Detroit News reported.
A 2002 federal study found that even when income, insurance and diagnoses are
the same, people of color in general receive lower-quality health care than
whites. (Detroit News, Feb. 20, 2005)
The ugly truth stands that people of color are not only denied health care and
proper treatment, but also the drugs they need to heal and become well again.
This is the result of not only a classist and racist society, but the
reflection of the racism passed down from the medical schools to generation
after generation of medical students.
Meanwhile, people in socialist Cuba—regardless of their race, gender or
sexuality—are, at no cost, provided with the best health care the country
is able to provide for its people.
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