The United States is in the midst of a public health crisis, reeling from two serious pandemics: COVID-19 and systemic racism. Everyone is familiar with the impact of the virus. The categorization of racism as a pandemic may seem less obvious, but when viewed through the lens of systems engineering, racism in the American health care system can be seen to contain tightly linked problems of medicine, technology, design, leadership, and ethics. The intersections are myriad, bound in racial disparities that pervade all aspects of life, including such basic functions as the ability to breathe.

For Black people and other racially minoritized groups, the health care system—which should provide equitable treatment and care—is tainted by disparate access, poor quality of care, unequal outcomes, and distrust between individuals and health care providers. The extent to which racial biases lead to health care disparities is influenced by demographics; environmental, social, and economic conditions; and policies and practices that pervade all aspects of life… Download the full article.