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February 7, 1996

"It Just Ain't Fair": The Ethics of Health Care for African-Americans

Author Affiliations

Harlem Hospital/Columbia University New York, NY

JAMA. 1996;275(5):406-407. doi:10.1001/jama.1996.03530290078045

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Ethics issues are increasingly important topics of discussion in the medical community, from bedside ethics related to use of technology and end-of-life decision making to a host of problems raised by health care financing and managed care. A number of new texts, manuals, and articles have been published in recent years addressing some of these issues. This book attempts to go beyond the ethical issues that surround caring for individual patients to deal with issues of social justice and resource allocation.

The editors are specialists in medical ethics and philosophy. Contributors come from varying backgrounds. Many are physicians, other health professionals, and students. Others are educators, sociologists, and philosophers. The book has four sections. The first, "Medical Ethics in a Political Context," according to the editors' introduction, "not only introduces the idea of African-American perspectives on biomedical ethics, but also shows some of the political underpinnings that have led to