Race Realism and Racialized Medicine

I came across the passage below (pp. 143-145) which brings up one of the most important problems. I came across this in the essay “Evolutionary Versus Racial Medicine: Why It Matters” by Joseph L. Graves, Jr. It is from the collection Race and the Genetic Revolution: Science, Myth, and Culture:

Thus far, health disparity research and literature has not incorporated the full evolutionary medical approach. Generally, when biology is addressed as a cause of disparity and the focus has been on genetic differences that exist between reputed racial/ethnic groups, the evidence supporting the connection has been tenuous.5 The logical errors concerning genetic causality result from either ignoring or misunderstanding evolutionary genetics. The lack of training in evolutionary biology among medical researchers and practitioners accounts for this oversight.6 In particular, biomedical scientists often confuse the existence of geographically based genetic variation as proof of the existence of biological races. They also incorrectly assume that genetic differences in loci associated with complex diseases between populations is one of the causes of health disparity.7

[ . . . ] Despite the fact that most physicians practice medicine as if biological races are clearly defined in modern humans, there are few scientists or physicians who can or are willing to construct an argument to support racial medicine. The modern medical literature still utilizes nineteenth-century anthropological categories in group studies. For example, a recent search of Entrez Pubmed (conducted on January 6, 2010) utilizing the term “race” returned 114,305 articles from the human biomedical literature. More specifically, searches on Caucasian, Mongoloid, and Negroid race returned 52,846, 22,667, and 38,792 citations, respectively. While one can still debate the utility of the term “race” in the human biomedical literature, almost no one defends the idea that nineteenth-century racial categories are legitimate or that these (Caucasian, Mongoloid, or Negroid) are of much use in twenty-first-century research.

This touches upon a similar point I previously came across in a context that had nothing to do with race and racialized medicine.

It’s not just that most medical research about race is problematic. In general, medical research is one of the most problematic fields of research. It’s not just that most medical researchers and practitioners lack training in evolutionary biology. Most of them also lack training in research methodology and analysis. Anyone can do research and many doctors are interested in doing research, but it isn’t their field of expertise. Because of this, medical research is often of a lower quality and so less reliable.

We know so little about genetics. Considering what we do know, there appears to be many people doing research who don’t even understand that small amount. Medical researchers are still using obsolete racial terms from centuries ago, really?

The context for this is race realism which reminds me of capitalist realism. The two seem to go together. Both offer a pessimism about human nature, whether seen as humans constrained to their genetics or to their greed. This kind of false pragmatism is the most dangerous thing our society faces. It blinds us to the larger reality that surrounds us. It precludes new possibilities and unconsidered solutions.

When researchers think ideologically instead of scientifically, the entire scientific method is undermined. This racial realism isn’t reality. It is an ideology about reality. The racial ideology is being used as an assumption upon which to base research instead of a hypothesis to be tested. This makes it inevitable that the ideological results sought are found. By dividing the data according to a social construct, those social constructs are reified. This is how structural racism operates.

Race realists believe genetics causes and contributes to not just race but IQ, poverty, violence, mental illness, and just about every other aspect of society. All problems are the inevitable results of inborn traits. It is a genetic determinism that often goes hand in hand with a cultural determinism, ethnicity being the connection between the two. With this worldview, there is very little to be done about any problem other than keep the genetically inferior people out of our communities and out of our country. Build walls and gated communities.

There is no room for compassion and hope in such a reactionary worldview. There are no solutions, just damage control.

The Unimagined: Capitalism and Crappiness

It’s All Your Fault, You Fat Loser!

A Dangerous Pragmatism


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