Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

The Common Cause for Healthcare and Education

Over the past few decades in the field of education, we have engaged in expensive, energetic and well-intentioned reform to our systems of schooling. These changes, including accountability, curriculum and instruction, have been aimed at achieving a very ambitious goal, summed up in the titles of our two most recent federal policy initiatives: “No Child Left Behind” and “Every Student Succeeds.” Sadly, the results of these reforms at the local, state and federal levels have been modest. There have been pockets of success in individual schools and ...

What Americans Can Do to Address Systemic Racism and Achieve Health Equity

I can’t breathe! This has become an all too familiar cry for many African Americans who everyday struggle to breathe in a society suffocated by systemic racism and entrenched inequities. They struggle to live in a society that has intentionally erected barrier after barrier intended to weaken their bodies and hasten their deaths. What we have is the perfect storm for a disaster—a serious health crisis, an inequitable method of health delivery, millions of uninsured and under-insured people, an uneven and politically charged approach to dealing with the pandemic, police brutality, and other ...

Health Equity Through the Lenses of Intersectionality and Allostatic Load

Although the term health equity is widely used, a common understanding of this term is lacking. Viewing health equity through the lenses of allostatic load and intersectionality could help. This blog post considers three case scenarios, all of which are composites of actual cases that have occurred within the United States, to explore ideas of health equity related to intersectionality and the concept of allostatic load. Case 1 A young, black woman was admitted to Labor & Delivery and progressing well in her own labor. Shortly after ...