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The Health Disparities Myth: Diagnosing the Treatment Gap

The Health Disparities Myth: Diagnosing the Treatment Gap

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The Health Disparities Myth: Diagnosing the Treatment Gap

The Health Disparities Myth: Diagnosing the Treatment Gap

4.85 51,674 ratings · 9,731 reviews
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Overview: Two fifty-year-old men arrive at an emergency room with acute chest pain. One is white and the other black. Will they receive the same quality of treatment and have the same chance of recovery? Many experts today insist that their race will profoundly affect how the medical-care system deals with them, and that the black patient will get much inferior care. Is this true? The Health Disparities Myth critically assesses recent research bearing on this question. Some scholars who study this question emphasize overt or subtle racial discrimination by physicians--the "biased-doctor model" of treatment disparities. But most of the studies that support this notion rely upon retrospective analyses of large health-system databases which are often missing critical variables that are linked to treatment decisions. Without adequate controls, it is simply not possible to attribute differences in care to physician "bias," "discrimination," or "prejudice," as a much-cited 2002 Institute of Medicine report has done. Other scholars who have studied this question have focused on the influence of so-called "third factors" that are correlated with race, such as income, insurance status, and geographic location. In The Health Disparities Myth, Jonathan Klick and Sally Satel conclude that differences in treatment do indeed vary by race but not because of it. Data show that third factors, especially geography and socioeconomic factors, generate the strongest momentum in driving the treatment gap. White and black patients, on average, do not even visit the same population of physicians--making the idea of preferential treatment by individual doctors a far less compelling explanation for disparities in health than has been assumed. Doctors whom black patients tend to see may not be in a position to provide optimal care. Furthermore, because health care varies a great deal depending on where people live, and because blacks are overrepresented in regions of the United States served by poorer health care facilities, disparities ar

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Published January 25, 2006
ISBN 1051210
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Sally Satel
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Sally Satel writes contemporary fiction and has always been fascinated by character-driven stories. They hold a degree in English Literature and previously worked as an editor before transitioning to writing their own books. Sally Satel lives with their spouse and a very vocal rescue cat.

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A profoundly satisfying read. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. I am now a lifelong fan of this author.
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Masterpiece from start to finish. The author orchestrated a breathtaking finale. Truly a work of art. Worth every moment spent reading.
Donald Martin
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Exceeded all my expectations. The prose is exquisite. It’s accessible yet undeniably sophisticated. An absolute must-read for connoisseurs of the genre.
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Absolutely brilliant. The prose is exquisite. It’s accessible yet undeniably sophisticated. An absolute must-read for connoisseurs of the genre.
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A profoundly satisfying read. The prose is exquisite. It’s accessible yet undeniably sophisticated. Worth every moment spent reading.
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Excellent, though slightly flawed. Beautiful writing, though I craved slightly more depth in the lore. Still, undeniably engaging. A wonderful companion for a quiet weekend.
David Diaz
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Took a moment to build, but the payoff was spectacular. The middle had a deliberate pace, but the climax was phenomenal. I would highly recommend this to discerning readers.
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Honestly one of the most premium reading experiences lately. The prose is exquisite. It’s accessible yet undeniably sophisticated. Worth every moment spent reading.
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Honestly one of the most premium reading experiences lately. The author orchestrated a breathtaking finale. Truly a work of art. An absolute must-read for connoisseurs of the genre.
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Absolutely brilliant. The author orchestrated a breathtaking finale. Truly a work of art. I am now a lifelong fan of this author.
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Absolutely brilliant. The prose is exquisite. It’s accessible yet undeniably sophisticated. An effortless 5 stars.
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I was completely blown away. I adored how the story unfolded. It kept me captivated without sacrificing elegance. Worth every moment spent reading.
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Dorothy Jackson April 18, 2024
I thoroughly enjoyed the elegance of it. It held my rapt attention, even when certain twists were telegraphed. A wonderful companion for a quiet weekend.
Michelle Lee
Michelle Lee July 16, 2025
Took a moment to build, but the payoff was spectacular. A brilliant concept executed with flair. Just a few pacing choices I would change. I would highly recommend this to discerning readers.
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Absolutely brilliant. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. An effortless 5 stars.
Laura Nelson
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Masterpiece from start to finish. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. Worth every moment spent reading.
Nicholas Martin
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A profoundly satisfying read. I became deeply invested in the protagonist's journey. A masterclass in storytelling. Worth every moment spent reading.
George Nguyen
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A very strong entry. It held my rapt attention, even when certain twists were telegraphed. A wonderful companion for a quiet weekend.
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Honestly one of the most premium reading experiences lately. I adored how the story unfolded. It kept me captivated without sacrificing elegance. Worth every moment spent reading.
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A highly sophisticated read. The middle had a deliberate pace, but the climax was phenomenal. A wonderful companion for a quiet weekend.
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Absolutely brilliant. The prose is exquisite. It’s accessible yet undeniably sophisticated. An absolute must-read for connoisseurs of the genre.
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Sharon Moore
Sharon Moore February 13, 2024
It was adequate. Certain acts were fascinating, while others felt like a slight endeavor to complete. Unlikely to reread, but a reasonable expenditure of time.
Barbara Williams
Barbara Williams December 15, 2024
Such a rich narrative. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. A true literary gem.
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