The study by Hasnain-Wynia et al1(p1233) asks “are racial disparities the result of who you are or where you seek care?” Research on racial and ethnic disparities in health care suggests that the effects of patient race and hospital setting, among other factors, can both be significant and are not mutually exclusive.2 Thus, in our opinion, this proposed dichotomy warrants skepticism, as do several aspects of the study itself.
Shirazi M, Hood RG. Can It All Be So Simple?. Arch Intern Med. 2008;168(3):328. doi:10.1001/archinternmed.2007.100