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LETTER

Skin Color and Ethnicity

right arrow Robert M. Doroghazi, MD

15 October 1995 | Volume 123 Issue 8 | Pages 636-637


TO THE EDITOR:

I read with interest the recent article by Caldwell and Popenoe [1] and the accompanying editorial by Dr. Huth [2].

Caldwell and Popenoe suggest that designations of race be dropped from medical case presentations because these terms are "superficial and potentially misleading terms that fail to serve the patient's medical needs."

The questioning of a preconceived dogma is often intellectually stimulating and can have broad, useful, and practical applications. However, I am concerned that acceptance of their suggestions would unnecessarily interject politics into medicine. Specifically, who determines when race is or is not important? Are Dr. Caldwell and Ms. Popenoe more qualified than others to decide this?

What happens if an honest disagreement arises on the extent to which race is important? One could be labeled as "ethnically insensitive" or, worse, as a racist if such disagreement occurs.

After this issue has been decided, what would be next? I find the article by Caldwell and Popenone almost frightening. Have the "thought police" arrived at Annals?


Author and Article Information
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Boone Clinic; Columbia, MO 65201


References
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1. Caldwell SH, Popenoe R. Perceptions and misperceptions of skin color. Ann Intern Med. 1995; 122:614-7.

2. Huth EJ. Identifying ethnicity in medical papers. Ann Intern Med. 1995; 122:619-21.

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