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Joseph Wright

Joseph Wright

English philologist

Jun 17, 2026

8:42
Give me an example of a clinical guidance in pediatrics that used race.
8:47
In, uh, 2011, the American Academy of Pediatrics published a clinical practice guideline on the approach to urinary tract infection in young children.
9:00
In 2019, one of our members raised their hand and said, "You know, there's a problem here.
9:07
One of the steps in this algorithm stratifies approach based on race.
9:14
In fact, it says right here, you look at it.
9:16
For little Black girls, we do not have to offer a catheterized urine specimen because it's less likely that this child will have a urinary tract infection." In other words, "Oh, well, these kids are less likely to have a urinary tract infection than those kids.
9:33
So let's design our clinical pathway that literally dichotomizes the approach to their treatment." Race was being conflated with biologic variables to determine the course of treatment, and that is wrong.

10 MINS LATER

19:39
It's by acknowledging that there's no way to appease, um, some of the demands that are coming from the federal government, and that ultimately, the way that we are going to be able to succeed in addressing racial health inequities is by doing so in collaboration with each other across institutions, because that's how we build power to overcome this moment.

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