6
" Believing in race can be compared to believing in astrology. People who have faith in astrology find constant confirmation that horoscope predictions are reliable and that astrological signs determine personality types. For the faithful, the twelve divisions of the zodiac are as accurate as Blumenbach’s five divisions of human beings. The funny thing is, biostatisticians can find significant medical differences according to astrological signs. In the 1990s, a major randomized clinical trial compared the effectiveness of an intravenous drug, an oral aspirin, and a placebo to treat 17,000 patients who were hospitalized with signs of a heart attack. The study found a huge overall statistical benefit for patients who got the aspirin over the placebo. To test the strength of the outcome, the researchers divided the patients into twelve subgroups by their astrological signs. They found that the zodiac made a difference: their statistical analysis showed that patients born under Gemini or Libra suffered an adverse effect from aspirin.72 Unsurprisingly, physicians laughed off this finding because it was more scientifically plausible to interpret the results as an insignificant coincidence. But an astrology enthusiast would take it as proof that zodiac signs determine people’s health and drug response. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
10
" Jewish immigrants from Eastern Europe had settled on the Lower East Side of New York City after arriving at Ellis Island in the Upper New York Bay. Between 1881 and 1914, more than 2 million Jews—one third of the Jewish population of Eastern Europe—came to the United States in flight from poverty and persecution. At this point in America’s racial history, the Jewish immigrants were not considered white. To the contrary, as medical historian Sander Gilman notes, the “general consensus of the ethnological literature of the late nineteenth century was that the Jews were ‘black’ or, at least, ‘swarthy.’ ”27 One anthropologist of the period explained the “predominant mouth of some Jews being the result of the presence of black blood.” Most Americans viewed Jews as a biologically inferior race stricken by a host of hereditary diseases that resulted from “inbreeding” and “racial incest.”28 Tay-Sachs disease was highlighted as a racial illness demonstrating that Jews were innately degenerate. Jews were susceptible to developing Tay-Sachs, known as a “Hebraic debility,” because, according to Dr. Isador Coriat, “the Jew possesses certain racial characteristics of organic inferiority through which he differs from the non-Jew.”29 The inferior organ Coriat meant was the Jewish brain. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
11
" Dr. Knox Todd began documenting how patients’ race affects the treatment of pain when he was a doctor in the UCLA Emergency Center in the 1990s.46 He and colleagues examined the way doctors treated 139 white and Latino patients coming to the emergency room over a two-year period with a single injury—fractures of a long bone in either the arm or leg. Because this type of fracture is extremely painful, there is no medical reason to distinguish between the two groups of patients. Yet the researchers discovered that Latinos were twice as likely as whites to receive no pain medication while in the emergency room.47 Although it’s possible that the Latino patients complained less of pain, the doctors should have been aware of the high degree of pain they suffered, given the nature of their injuries. When Todd moved to Emory University School of Medicine, he led an Atlanta-based study that confirmed his finding in Los Angeles. This time his research team analyzed medical charts of 217 patients who were treated for long-bone fractures at an inner-city emergency room that served both black and white patients. In a 2000 article in Annals of Emergency Medicine, Todd reported that 43 percent of blacks, but only 26 percent of whites, received no pain medication. In this study, Todd took the additional step of documenting whether or not the patients expressed pain to their doctors. By carefully looking at notations in the medical files, he found that black patients were about as likely as whites to complain of pain. Black patients thus received pain medication half as often as whites because doctors did not order it for them, not because blacks do not feel pain or do not want pain relief. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
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" The impact of second-class treatment on black people’s bodies is devastating. It is manifested not only in the black–white death gap but also in the drastic measures required when chronic disease is left unmanaged. Black patients are less likely than whites to be referred to kidney and liver transplant wait lists and are more likely to die while waiting for a transplant.68 If they are lucky enough to get a donated kidney or liver, blacks are sicker than whites at the time of transplantation and less likely to survive afterward. “Take a look at all the black amputees,” said a caller to a radio show I was speaking on, identifying the remarkable numbers of people with amputated legs you see in poor black communities as a sign of health inequities. According to a 2008 nationwide study of Medicare claims, whites in Louisiana and Mississippi have a higher rate of leg amputation than in other states, but the rate for blacks is five times higher than for whites.69 An earlier study of Medicare services found that physicians were less likely to treat their black patients with aggressive, curative therapies such as hospitalization for heart disease, coronary artery bypass surgery, coronary angioplasty, and hip-fracture repair.70 But there were two surgeries that blacks were far more likely to undergo than whites: amputation of a lower limb and removal of the testicles to treat prostate cancer. Blacks are less likely to get desirable medical interventions and more likely to get undesirable interventions that good medical care would avoid. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
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" The very first U.S. census began on August 2, 1790, a year after the inauguration of President George Washington. Census takers in 1790 counted the number of persons in each household according to the following categories: free white males sixteen years and older, free white males under sixteen years, free white females, all other free persons, and slaves. Since then, every U.S. census has sorted people by race—but the racial groupings have changed twenty-four times over the last two hundred years. In the second census, taken in 1800, Indians were specified as a separate category of free persons. Chinese were added to the 1870 census. In 1920, race had become even more complicated. That census included ten racial categories: white, black, mulatto, Indian, Chinese, Japanese, Filipino, Hindu, Korean, and other. By the end of the twentieth century, the racial groupings were consolidated into five main choices: American Indian or Alaska native, Asian, black or African American, native Hawaiian or other Pacific Islander, and white. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
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" What if I were born in Brazil? Brazilian society recognizes an even wider range of identities for people who are neither white (branco) nor black (preto). In the 1950s, anthropologist Harry Hutchinson found eight in-between categories in the community of Reconcavo, located in northeastern Brazil, ranging from Cabo verde (“lighter than the preto but still quite dark, but with straight hair, thin lips, and narrow, straight nose”) to Moreno (“light skin with straight hair, but not viewed as white”).54 I probably would have been classified as pardo, designating mulattoes who are the children of the union of pretos and brancos. Of course, my genetic makeup remains the same no matter where I was born. But my race, along with all the privileges and disadvantages that go with it, differs depending on which country I am born in or travel to, because race is a political category that is defined according to invented rules. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
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" In this study and others like it, guesswork about a peculiar black predisposition toward unhealthy births imports an old notion about sickle cell disease “afflicting the black race.”25 Whenever I give a talk on this topic, there is inevitably someone in the audience who invokes the mantra that sickle cell anemia is a black genetic disease and therefore proves that race is a genetic category. This misconception was first popularized in the early twentieth century by hematology experts who believed the capacity to develop sickled cells was uniquely inherent in “Negro blood.”26 Stereotypes about black resistance to malaria and susceptibility to sickle cell justified sending black workers to malaria-infested regions in the first part of the century and later led to discriminatory government, employer, and insurance-testing programs in the 1970s.27 The error is easily exposed by looking at two world maps, one highlighting the regions around the globe where malaria is prevalent, the other highlighting areas where sickle cell disease is present. The maps mirror each other perfectly. By comparing them, it is plain to see that malaria and sickle cell aren’t restricted to Africa and that much of Africa is unaffected. High frequencies of the trait also occur in parts of Europe, Oceania, India, and the Middle East, all places where there is malaria. In fact, people in the town of Orchomenos in central Greece have double the rate of sickle cell disease reported among African Americans.28 If frequency of the sickle cell gene determined racial boundaries, it certainly would not prove there is a black race. Instead, as Jared Diamond pointed out in the November 1994 issue of Discover , if we grouped together people by the presence or absence of the sickle cell gene, “we’d place Yemenites, Greeks, New Guineans, Thai, and Dinkas in one ‘race,’ Norwegians and several black African peoples in another.”29 It would be more accurate to call the groups with the sickle cell gene the “antimosquito race.” Of course, that would be a silly way of grouping people, except for studying the sickle cell gene. But “black race” is an equally silly way of grouping people for identifying genetic contributions to disease. "
― Dorothy Roberts , Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century
Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century