Dorothy Roberts: The problem with race-based medicine
多萝西·罗伯茨: 基于种族的药品的危害
Global scholar, University of Pennsylvania civil rights sociologist and law professor Dorothy Roberts exposes the myths of race-based medicine. Full bio
Double-click the English transcript below to play the video.
to participate in a research study
参加了一个涉及
asked me to check a box for my race:
有一个让我选择自己的种族:
how to answer the question.
social backgrounds?
with my social identity,
were interested in investigating
and the risk for certain genetic traits?
something about my ancestry,
scientific findings about my genes
as a black woman?
a black woman with a white father
一个有着白人父亲的黑人女性,
with a black mother
一个有着黑人母亲的白人女性。
importance of this question
you identify yourself."
in the results of a study
对待一个关键的变量。
so unscientifically.
with the use of race in genetic testing
种族差异来做出错误的生物学推测结果?
to make false biological predictions?
throughout all of medical practice.
都有很深的影响。
the more disturbed I became.
white, Asian, Native American, Latina,
that have changed over time
但也随时间推移而改变,
definitions of races.
of social scientists.
of the human genome
初次展出的时候吗?
ceremony in June 2000?
人类基因组的成功探索中
of genetic difference
the Human Genome Project
人类基因组计划的领导者,
是人类这个种族。”
is the human race."
evidence-based medicine,
客观事实的诊疗方案,
to join the genomic revolution.
基因组研究的革命。
对待病人的坏习惯拖了后腿。
by race lags far behind.
用种族加以解读。
of kidney function, by race.
in the blood of the patient,
a different GFR estimate
the patient is African-American.
have more muscle mass
than that female bodybuilder?
and evidence-based
of individual patients
they're using race as a shortcut.
like muscle mass,
比如肌肉质量、
no relevant information at all.
提供任何相关的信息。
the clinical measures.
they might have --
还有自身可能患有的疾病的问题——
than the patient's race.
for these important clinical measures
这些重要的临床数据的,
race is just one of many factors
Asian patients differently
patients of color especially vulnerable
特别容易受到
are twice as likely
痛感相对更弱,
feel less pain,
一种针对特定种族的药品。
approved a race-specific medicine.
心脏衰竭的问题。
African-American patients.
without regard to race or genetics,
African-American subjects.
for some unknown genetic factor
是因为存在某种未知的基因因素
the dangerous message it sent,
are so substandard,
to work in other patients.
marketing scheme failed.
一种只有黑人能用的药品
were understandably wary
在社区集会上站起来大喊,
in a community meeting and shouted,
people are taking!"
medicine surprising,
一位外科医生所发明的,
during the slavery era,
of Pennsylvania Medical School.
before the Civil War,
一位著名专家。
on what was then called "Negro medicine."
suffer from different diseases
common diseases differently.
for black people
have lower lung capacity than whites,
至关重要的新鲜血液流经大脑时,
sent to the brain
when under the white man's control,
大脑得不到充足的新鲜血液,
of red vital blood
and barbarism when in freedom."
卡特赖特协助完善了
Cartwright helped to perfect
用于监测呼吸的医学仪器,
called the spirometer
in black people's lungs.
uphold Cartwright's claim
than white people.
according to his or her race.
called "correcting for race."
extends far beyond misdiagnosing patients.
racial differences in disease
注意力和资源发生了转移,
racial gaps in health:
to high-quality medical care;
of racial discrimination.
these health disparities
biological consequences,
会对民众健康造成直接冲击。
of social inequality on people's health.
这些健康差异问题
the answer to these gaps in health
社会架构不平等问题。
inequities that produce them.
about ending race medicine
a false and toxic view of humanity.
in medicine we've been learning about,
那么多富有远见的医药学突破,
stopped treating patients by race?
会发生什么事呢?
the most advanced knowledge
into biological races?
简单分类成生物学种族的结论?
as a crude proxy
那些更为重要的因素,会怎么样呢?
and addressed that more important factor?
the structural inequities
interpretation of humanity.
即社会的不平等现象。
that truly divide us.
ABOUT THE SPEAKER
Dorothy Roberts - Professor, author and social justice advocateGlobal scholar, University of Pennsylvania civil rights sociologist and law professor Dorothy Roberts exposes the myths of race-based medicine.
Why you should listen
Internationally recognized scholar, public intellectual and social justice advocate Dorothy Roberts studies the interplay of gender, race and class in legal issues. She has been a leader in transforming public thinking and policy on reproductive health, child welfare and bioethics.
Professor of Africana Studies, Law & Sociology at the University of Pennsylvania, Dorothy directs the Penn Program on Race, Science and Society. She has authored and co-edited ten books, including the award-winning Killing the Black Body and Shattered Bonds. Her latest book is Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century. She received the 2015 Solomon Carter Fuller Award from the American Psychiatric Association for "providing significant benefit for the quality of life for Black people."
Dorothy Roberts | Speaker | TED.com