00:00So it's interesting that you talk about, you know, how it disproportionately affects the community and data, right?
00:05Because we really need to look at the data there and talk about it.
00:09And growing data shows that Black and Latinx Americans bear the brunt of these health care disparities.
00:15Why do you think these inequalities continue to manifest in the dermatology space and also just in the general health landscape?
00:21Yeah, I think it's really important to understand that the health care disparities and the determinants of health and health care outcomes are really nuanced in our nation.
00:33So just as we're seeing inequalities in other areas, we see those inequalities reflected in medicine as well because of the systemic racism that is pervasive in our nation.
00:47So within medicine, we see important disparities that we need to bring awareness to.
00:55For example, outside of dermatology in women's health, we see that Black women have a higher rate of maternal death.
01:02So when they are delivering, they are four times higher than national average at risk of dying during child labor.
01:11And also we see a higher rate in infant death and infertility that's also affecting the Black female community.
01:21And when we see these disparities, we can separate out, you know, different like socioeconomic and different factors.
01:28And we still see these disparities persist, which, like I said, brings us back to the issue of systemic racism.
01:36So outside of women's health, we can see this in cardiology.
01:40We see that with heart failure, Black patients are affected more, Black men specifically.
01:46We can see that in terms of stroke, Black communities are affected more.
01:52And when we're looking at the representation within the field of medicine, we see disparities there.
01:59We see disparities that only 5% to 6% of U.S. physicians are Black and only 5.8% are Latinx.
02:10And within dermatology, the numbers are worse.
02:13Sadly, in 2007 study, there were only 3% of dermatologists who were practicing actively were Black and 4.2% were Latinx.
02:25So in order to address all of these issues, I think we really need to address representation.
02:32We need to address the core of the disparities, which is systemic racism.
02:38Absolutely.
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