Race/ethnicity and carotid care
Separate and unequal
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It has been 53 years since Dr. Martin Luther King uttered the iconic words, “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.”1 The fact that more than a half century later, articles and editorials about health inequality are still necessary underscores the need for all of us in clinical medicine to act to remedy this situation. In this issue of Neurology®, Faigle et al.2 shift the attention away from individual demographic differences to focus on differences in the hospitals providing stroke care. The authors report that hospitals that predominantly serve minority populations (≥40% minority patients) perform fewer carotid procedures for stroke that are presumably caused by carotid disease, compared with hospitals with mostly non-Hispanic white clients (<40% minority patients). The difference was not large: 21.2% in the majority-serving hospitals vs 17.6% in the minority-serving hospitals.
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Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
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