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Do No Harm Files Amicus Brief in Florida Court

Do No Harm submitted an amicus, or “friend of the court,” brief on Friday in federal court to support the State of Florida’s decision to refuse providing Medicaid reimbursement for “gender affirming care” for minors. The case is Dekker v. Weida, No. 4:22-cv-325, and is being litigated in the United States District Court for the Northern District of Florida. The outcome of the case turns on whether the State of Florida could have reasonably concluded that “gender-affirming care” is an experimental treatment without an adequate scientific basis. Do No Harm’s amicus brief explains that the State of Florida’s decision was eminently reasonable with respect to minors given the extent of the known harms, unknown risks, and lack of benefit from these treatments. A decision is expected in the coming months.

Click here to read the full amicus brief.

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Dr. Stanley Goldfarb Joins The Howie Carr Show

Talk show host Howie Carr welcomes Dr. Stanley Goldfarb to discuss how DEI is dismantling quality healthcare in the United States.

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Medical Reparations Have Arrived

Changes designed to increase black patients’ access to kidney transplants pervert good medicine and punish white patients to right nonexistent wrongs.

The Organ Procurement and Transplantation Network (OPTN) and the United Network for Organ Sharing (UNOS) are implementing new policies to make skin color a crucial factor in who receives life-saving kidney transplants. The shift is perhaps the most dangerous victory for wokeness in health care to date.

In the name of “equity,” UNOS and OPTN purport to be expanding black patients’ access to kidney transplants. They essentially claim that the longstanding system for such transplants is racist, pointing to how black patients make up 30 percent of the dialysis population and transplant wait list but receive a smaller fraction of kidney transplants.

Read more at City Journal.

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UCSD Maintains Its Woke Ways With a Top Tier DICE Inventory Score

Just how woke is California’s UC San Diego School of Medicine (UCSD SOM)? Very woke indeed, as it reported the AAMC.

Here’s the background. In November 2022, the Association of American Medical Colleges released a report showing that the vast majority of medical schools have embraced identity politics, despite their divisive and even discriminatory nature. The report was based on surveys of specific medical schools, which the AAMC didn’t name.

For the sake of transparency and accountability, Do No Harm submitted freedom of information requests to public medical schools nationwide, including the UCSD School of Medicine. We asked for a copy of its survey response, so that California taxpayers and policymakers could learn the truth about this institution.

Here’s what the UCSD School of Medicine has self-reported:

  • It has adopted racially discriminatory admissions practices under the guise of “affirmative action.” This means it’s potentially lowering standards in the name of diversity, thereby threatening patient health. UCSD SOM has a “holistic admissions policy,” and puts its DEI efforts front and center on the Admissions landing page.
Figure 1. UCSD School of Medicine Admissions page: This Is Us.
Figure 2. Anti-Racism Coalition Day of Action at UCSD SOM on June 8, 2020.
  • It lobbies for woke policies at the federal, state, and/or local levels. This means it’s wading into toxic public debates instead of fully focusing on educating future physicians. UCSD SOM says its “Financial Aid Director sits on local and state committees that address financial aid inequities. California Association of Student Financial Aid Administration – State Issues Committee to provide approval or disapproval of possible assembly and senate bills related to financial aid and other student insecurities.”
  • It offers tenure and promotion to faculty who prove their commitment to extreme identity politics and woke priorities. This is a litmus test that requires faculty to toe the party line instead of teaching medicine at the highest level. The SOM cited the University of California academic policy on this topic from the Office of the President, stating, “Per APM 210-1-d – The University of California is committed to excellence and equity in every facet of its mission. Contributions in all areas of faculty achievement that promote equal opportunity and diversity should be given due recognition in the academic personnel process, and they should be evaluated and credited in the same way as other faculty achievements.”
  • Its administrators are active within local, regional, and national forums to promote equity, diversity, and inclusion. This means it’s wasting resources that would be better spent on real medical education. The UCSD SOM told the AAMC it participates in the Advisory Council for NIH’s National Institute on Minority Health and Health Disparities, with the chancellor and vice chancellor being involved in other DEI-related issues on the national level.
Figure 3. UCSD SOM overall DICE Inventory score.

All told, the UCSD SOM has instituted 95.4% of the divisive and discriminatory woke policies listed by the AAMC. And you can bet it is feeling pressure from activists and outside groups to go even further down the radical rabbit hole – doing even more damage to faculty, medical students, and ultimately, the millions of patients they’ll see.

California taxpayers help fund the UCSD School of Medicine. They, and the policymakers who represent them, should ask why they’re giving so much money to an institution that’s putting divisive and discriminatory ideology at the heart of medical education. More importantly, they should ensure the UCSD SOM stops, and soon.

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The Office for Civil Rights is Investigating the University of Minnesota Department of Medicine for a Title IX Violation

The Department of Medicine in the University of Minnesota Medical School is under investigation by the Department of Education’s Office for Civil Rights (OCR).

Mark Perry, senior fellow at Do No Harm, filed a complaint with the OCR in March for the Dr. Anne Joseph Women’s Early Research Career (WERC) Award. This award provides funding to supplement the research productivity of junior faculty researchers, but eligibility is exclusively limited to women. Sex-based discrimination is prohibited under Title IX of the Educational Amendments of 1972.

“Over the past four years, the University of Minnesota has been subject to no fewer than 25 federal civil rights complaints,” Perry said. “This illustrates just how widespread violations of Title VI and Title IX violations are in higher education.”

The Office of Diversity, Equity, and Inclusion in the Department of Medicine sponsors the WERC and other research awards “that support the career development of women and those who are under-represented in medicine and sciences (URiM).”

The Chicago OCR opened the investigation on April 6.

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Children’s Hospitals Need Doctors, Not Social Workers and Political Activists

Some things should be obvious, like the idea that children’s hospitals should focus on children’s health. Not so fast, say the experts at the Children’s Hospital Association. They want doctors at these critical institutions to be more like social workers and political activists than medical professionals.

The CHA made that clear in March when discussing “a creative way to make time for DEI training.” It wants doctors to spend more time learning about the “social determinants of health,” a clever phrase that woke activists use to describe things that aren’t in the domain of health care. That includes everything from homelessness to poverty to food insecurity and beyond.

Figure 1. From the March 30, 2023 edition of “Children’s Hospitals Today” by the Children’s Hospital Association.

These are serious problems that need real solutions, without question. But doctors – including those at children’s hospitals – aren’t suited to tackle them. A doctor’s job is to treat patients’ individual medical needs. Making them focus on things like homelessness and poverty turns them into political activists. For the people pushing this, that’s a feature, not a bug.

Proponents of DEI want doctors to be activists because it helps them achieve their goal of transforming society along divisive ideological lines. They want doctors to get behind things like a bigger welfare state, more government intervention in the economy, and a federal bureaucracy that picks winners and losers based on skin color. Apparently, sacrificing the mission of health care is an acceptable cost to achieving this vision.

Doctors should stick to treating individual patients’ medical needs. We already have social workers who help people address other challenges in life. We also already have plenty of activists who can advocate for the policies they want. Medical professionals should focus on medicine, at children’s hospitals and everywhere else.

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The Medical College of Wisconsin Scrubs Discriminatory Language From a Student Elective Program

The Medical College of Wisconsin (MCW) has removed specific race/ethnicity eligibility criteria from one of its programs.

Last year we reported that Do No Harm had filed a complaint with the Department of Education’s Office for Civil Rights (OCR) against MCW for its 2022 Visiting Underrepresented in Medicine (URiM) Student Elective Program (archived page). Acceptance into the program required applicants to “be a member of a group that is recognized as racially/ethnically URiM by MCW: Mexican American, Puerto Rican, Black/African American, Native American, and Hmong/Hmong American.” This requirement is a violation of Title VI of the civil Rights Act of 1964, which prohibit discrimination based on race/ethnicity.

Figure 1. Flyer for the 2022 Visiting URiM Student Elective program at the Medical College of Wisconsin.

Fast forward to the 2023 version of this program, and MCW has quietly updated the eligibility criteria for applicants. The new target population is fourth-year med students “who are from or have lived experience engaging people in underserved communities in the United States.”

Figure 2. Flyer for the 2023 Visiting URiM Student Elective program at the Medical College of Wisconsin.

MCW took this action despite no formal investigation being opened by the OCR.

If your college or university is offering or promoting discriminatory scholarships or programs in the health professions, Do No Harm wants to hear from you.

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A Physician’s Journey to Combat The Risk of Radical Politics in American Healthcare

Dr. Stanley Goldfarb joined the Association of American Physicians and Surgeons:

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Florida Atlantic University Schmidt College of Medicine Making “Moderate” Efforts – DICE Inventory Score 71.6%

Just how woke is the Florida Atlantic University (FAU) Schmidt College of Medicine? According to its Diversity, Inclusion, Culture, and Equity (DICE) Inventory, it is well on its way to woke, as it confirmed to Do No Harm.

Here’s the background. In November 2022, the Association of American Medical Colleges released a report showing that the vast majority of medical schools have embraced identity politics, despite their divisive and even discriminatory nature. The report was based on surveys of specific medical schools, which the AAMC didn’t name.

For the sake of transparency and accountability, Do No Harm submitted freedom of information requests to public medical schools nationwide, including the FAU Schmidt College of Medicine (SCOM). We asked for a copy of its survey response, so that Florida taxpayers and policymakers could learn the truth about this institution.

Here’s what the FAU Schmidt College of Medicine has self-reported:

  • It has adopted racially discriminatory admissions practices under the guise of “affirmative action.” This means it’s potentially lowering standards in the name of diversity, thereby threatening patient health. FAU SCOM reports that it “utilizes a holistic admissions process,” and told AAMC that the Graduate Programs Admissions Committee acted in “waiving the GRE requirement to increase inclusiveness.”
  • It has a “dedicated office, staff, or resources” dedicated to DEI. This means there’s a permanent woke bureaucracy pushing ideology on faculty and students. The Office for Justice, Equity, Diversity, and Inclusion (JEDI) supports programming and pathway programs with budget dollars “as well as donor funding.”
  • It lobbies for woke policies at the federal, state, and/or local levels. This means it’s wading into toxic public debates instead of fully focusing on educating future physicians.  “The College JEDI Officer participates on a DEI subcommittee of the Florida Medical Schools Council of Deans,” the DICE Inventory shows.
  • Its administrators are active within local, regional, and national forums to promote equity, diversity, and inclusion. This means it’s wasting resources that would be better spent on real medical education. This response on the DICE Inventory listed ten memberships, workgroups, and forums the FAU SCOM leadership is engaging in.
Figure 1. FAU overall DICE Inventory score.

All told, FAU SCOM has instituted 71.6% of the divisive and discriminatory woke policies listed by the AAMC. And you can bet it is feeling pressure from activists and outside groups to go even further down the radical rabbit hole – doing even more damage to faculty, medical students, and ultimately, the millions of patients they’ll see.

Florida taxpayers help fund the Florida Atlantic University Schmidt College of Medicine. They, and the policymakers who represent them, should ask why they’re giving so much money to an institution that’s putting divisive and discriminatory ideology at the heart of medical education. More importantly, they should ensure FAU SCOM stops, and soon.

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S1E11: Pushing Back Implicit Bias Training With Professionalism

Dr. Stanley Goldfarb explains the false premises behind Implicit Bias Training and details Do No Harm’s efforts in the states and Washington, D.C. to educate policymakers and leaders that this “training” should not be the basis for continuing medical education.

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Federal Judge Orders States Can Challenge HHS Anti-Racism Rule

United States District Judge Halil Suleyman Ozerden ruled yesterday that eight states can continue a civil rights lawsuit against Secretary of Health and Human Services (HHS) Xavier Becerra and Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-Lasure. The case challenges a Biden-era rule that enables higher compensation for doctors who adopt an “anti-racism” plan. The order indicates the plaintiffs have “plausibly alleged” that the anti-racism rule is illegal because it’s not authorized by the Medicare statute. 

Background: In May 2022, with the support of Do No Harm, Dr. Amber Colville and the states of Mississippi, Alabama, Arkansas, Arizona, Kentucky, Louisiana, Missouri and Montana sued the Biden administration. They argued that a HHS rule violates the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) by encouraging doctors to consider race when making important medical decisions.  

As detailed in the lawsuit, the plaintiffs believe that racial discrimination of any kind has no place in medicine. They oppose the concepts of “anti-racism” and “equity” because they inject race-based decision making into our health care system without any medical justification.

In response to the filing, the government moved to dismiss the case based on procedural technicalities and questioned whether or not the plaintiffs had legal standing to file the suit in the first place. 

In yesterday’s Order, Judge Ozerden denied the government’s request to dismiss the case. Instead, he determined that while Dr. Colville does not have legal standing to sue at this time, the eight states have standing “due to injury to their sovereign interest in the enforcement of their laws.”

The states will move forward, and in a solid sign for the future, the Court explained that the challengers have “plausibly alleged” that the anti-racism is illegal because it’s not authorized by the Medicare statute.

“We are encouraged by Judge Ozerden’s order that the case can continue and our concerns have merit,” said Dr. Stanley Goldfarb, chairman of Do No Harm. “Discrimination has no place in the provision of Medicare services nor anywhere else in medical practice.”

The case is being heard in the United States District Court for the Southern District of Mississippi Gulfport Division.

About Do No Harm

Do No Harm is a diverse group of physicians, healthcare professionals, medical students, patients, and policymakers united by an ethical mission: Protect healthcare from a radical, divisive, and discriminatory ideology. They believe in making healthcare better for all – not undermining it in pursuit of a political agenda. Learn more at www.donoharmmedicine.org.

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The Office for Civil Rights Declines to Investigate Harvard’s Racial Discrimination

The US. Department of Education’s Office for Civil Rights (OCR) has declined to investigate a complaint against Harvard Medical School (HMS), despite clear evidence of racial discrimination.

In 2021, HMS introduced the Black Staff Caucus (BSC) at its Longwood campus to address “the national discourse on racial injustice.” Black staff members at HMS are invited to participate this affinity group, described as “a safe space where Black Staff in the Longwood Medical Area” can collaborate.  The Longwood Campus in Boston is the home of Harvard Medical School, Harvard School of Dental Medicine, the Harvard T.H. Chan School of Public Health, and the Wyss Institute.

Figure 1.  Harvard Black Staff Caucus homepage.

Laura Morgan, Do No Harm’s program manager, filed a federal civil rights complaint against HMS regarding the BCS in February 2023. The complaint asked the OCR to investigate the university for illegal race-based segregation and racial discrimination in violation of Title VI of the Civil Rights Act of 1964.

However, instead of investigating the discrimination complaint OCR referred the case to the U.S. Equal Employment Opportunity Commission (EEOC), citing the complaint as an allegation of “employment discrimination” covered by Title VII (not Title VI) and notified HMS of the referral. OCR could have reviewed the complaint and either requested more information, opened a formal investigation, or dismissed the case outright if the review found no evidence of discrimination. A referral to EEOC is a departure from standard operating procedure.

“In the last year OCR agreed to evaluate eight different Title VI complaints against universities sponsoring segregated race-based affinity groups for faculty and it opened three of those complaints for federal investigations,” said Mark Perry, senior fellow at Do No Harm. One of those federal civil rights investigations was for race-based affinity group sessions for students and employees at Harvard’s T.H. Cham School of Public Health. After the school agreed to discontinue the racially segregated sessions, OCR closed the investigation.  

Under Title VII, complaints to EEOC generally require a complainant with legal standing, i.e., a Harvard employee who claims he or she was  personally discriminated against on the basis of race. “Referrals to EEOC is a recent departure from OCR’s past practices,” Perry stated, “and might be a strategy to derail a valid complaint.” The Black Staff Caucus is still an active affinity group at HMS, and recently affirmed that its purpose is “to provide a new model of engagement for Black staff members.” BSC members are expected to “promote the values of diversity and inclusion” and “support and uphold” the Harvard Medical School Diversity Statement. The BSC sponsors three “signature programs,” including “equity and social justice.”

  • The Career Advancement and Mentoring Subcommittee addresses “the critical need to bridge the diversity gap in leadership roles” in alignment with Harvard’s “commitment to advancing diversity, inclusion, and belonging.” Among the Diversity and Inclusion Resources is a January 2023 article that claims “taking a stand around social justice is necessary to recruitment, retention, and even the viability of your brand.”
  • The Cultural Programming & Member Engagement subcommittee provides “safe and affirming spaces” for “Black staff” and “others from the African Diaspora.” (Archived link here.)
  • The Equity and Social Justice subcommittee’s purpose is to “advance social justice issued internally and externally by providing tools to elicit action.” The group states that Harvard Longwood Campus employees “often deal with challenges based on perceptions of race and/or ethnicity” that manifest as “micro-aggressions or implicit/overt bias.”

Campus affinity groups that segregate faculty, students or staff based on race are examples of racial discrimination under Title VI that the Office for Civil Rights has investigated in the recent past. Why is Harvard apparently getting a pass for its Black Staff Caucus?

Is your school sponsoring discriminatory affinity groups for faculty, staff, or students? Please let us know via our secure online portal.

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The University of Louisville Strives to Be More Woke In Its DICE Inventory Responses

Just how woke is Kentucky’s University of Louisville School of Medicine (ULSOM)? Very woke indeed, as it just confirmed to Do No Harm.

Here’s the background. In November 2022, the Association of American Medical Colleges released a report showing that the vast majority of medical schools have embraced identity politics, despite their divisive and even discriminatory nature. The report was based on surveys of specific medical schools, which the AAMC didn’t name.

For the sake of transparency and accountability, Do No Harm submitted freedom of information requests to public medical schools nationwide, including ULSOM. We asked for a copy of its survey response, so that Kentucky taxpayers and policymakers could learn the truth about this institution.

Here’s what the University of Louisville School of Medicine has self-reported:

  • It has adopted racially discriminatory admissions practices under the guise of “affirmative action.” This means it’s potentially lowering standards in the name of diversity, thereby threatening patient health. The HSC Office of Diversity and Inclusion — Health Sciences Center states the school “places a major emphasis on increasing the number of students from racial/ethnic groups designated as underrepresented into the health professions system.” And, the Office of Admissions encourages students to apply for a scholarship that asks them how they will contribute to U of L’s dedication “to becoming a premier anti-racist community.”
Figure 1. U of L Woodford R. Porter scholarship essay questions.
  • It has a “dedicated office, staff, or resources” dedicated to DEI. This means there’s a permanent woke bureaucracy pushing ideology on faculty and students. In fact, the school told AAMC that its Office of Community Engagement and Diversity “would benefit from additional staff and resources to increase programming.” This is in addition to the initiatives promoted by the HSC Office of Diversity and Inclusion.
  • It lobbies for woke policies at the federal, state, and/or local levels. This means it’s wading into toxic public debates instead of fully focusing on educating future physicians. The DICE Inventory response says the school’s Government Relations Office “engages elected officials” on DEI-related issues. The link to this office’s page is broken.
  • It offers tenure and promotion to faculty who prove their commitment to extreme identity politics and woke priorities. This is a litmus test that requires faculty to toe the party line instead of teaching medicine at the highest level. As the ULSOM reported to AAMC, “Department Chairs’ performance review, salary support ($50K x 3 years) for URiM faculty,” and its promotion and tenure criteria are “under review for inclusion of DEI activities.” Even so, the school says it needs to conduct “DEI training for Search Committees” and “improve DEI participation in the hiring process schoolwide.”
  • Its administrators are active within local, regional, and national forums to promote equity, diversity, and inclusion. This means it’s wasting resources that would be better spent on real medical education.
Figure 2. University of Louisville School of medicine DICE Inventory overall score.

All told, ULSOM reported that it has instituted 78.7% of the divisive and discriminatory woke policies listed by the AAMC. And you can bet it is feeling pressure from activists and outside groups to go even further down the radical rabbit hole – doing even more damage to faculty, medical students, and ultimately, the millions of patients they’ll see.

Kentucky taxpayers help fund the University of Louisville School of Medicine. They, and the policymakers who represent them, should ask why they’re giving so much money to an institution that’s putting divisive and discriminatory ideology at the heart of medical education. More importantly, they should ensure ULSOM stops, and soon.

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MaineHealth’s Constant DEI Drumbeat Includes Employee Groups for BIPOC and LGBTQ+

MaineHealth in Portland says it is the state’s largest employer, and its woke footprint is equally prominent.

The organization has a robust Office of Diversity, Equity, & Inclusion (ODEI) that has been keeping employees very busy with endless messaging, training, and activities related to its commitment of “advancing DEI across our system.” As noted in the 2022-2026 DEI Strategic Plan, one of MaineHealth’s objectives is to advance DEI education for leadership and all care team members, and there are several methods in place for accomplishing that goal.

These actions have been taking place at MaineHealth since August 2020, when Ryan Polly, Vice President of Diversity, Equity, & Inclusion, addressed the organization’s “care team members” in an email signed by 24 company executives. This message states the need for MaineHealth to take “a closer look at our own shortcomings” regarding DEI efforts within the organization.

Figure 1. Email from Ryan Polly to MaineHealth employees (August 4, 2020).

To establish “lasting cultural change” across the system, the executive team promised to:

  • Develop “a formal DEI vision, strategy, and program”
  • Recruit a system leader for the DEI team
  • Establish a sub-committee of the Board of Trustees’ Governance Committee to oversee the implementation of the DEI plan
  • Create strategies to Identify ad minimize” implicit bias in recruitment and hiring practices
  • Formation of a DEI Council to advise MaineHealth leadership on ways “to eliminate disparities in the care we provide”
  • Expand system-wide DEI education programs to include the Board of Trustees
  • Partner with community-based organizations to “add our resources and our voice” to the advancement of DEI principles and addressing health disparities

    The tide of woke rhetoric has continued ever since. In another communication, Polly provided employees with the MaineHealth Inclusive Language Guide for employees “who want to be supportive but feel confused about the [ever-changing] language landscape.” In this guide, users are advised to avoid terms like “mom and dad” and “father and mother” in favor of “parents, adults, family” to prevent the assumption of a “heteronormative family structure.” It also offers a list of “commonly used pronouns” for gender identity such as “Xe/Xem/Xyrs/Xyrself.”

    Figure 2. MaineHealth Inclusive Language Guide, p. 10.

    In “Understanding Gender Identity & Pronouns,” employees can consult The Gender Unicorn if they still have questions about gender identities that are outside “the binary ends of the spectrum,” and have access to instructions on adding pronouns to their electronic profiles.

    Figure 3. From “Understanding Gender Identity & Pronouns” at MaineHealth, published 8/10/2022.
    Figure 4. Diversity, Equity, and Inclusion content published 6/9/2022.

    But the most troubling efforts promoted at MaineHealth are the creation of employee groups that are based on race/ethnicity and sexual orientation/gender identity. In an edition of the “Diversity, Equity, & Inclusion” newsletter, Polly introduced “Dream Sessions,” which were reported to be “open to all interested care team members.” However, Polly noted that some of the sessions were for “targeted groups;” specifically, BIPOC and LGBTQ+.

    Figure 5. “Dear colleagues” message from Ryan Polly.

    These groups are part of the “DEI at Work” initiative. DEI at Work is the ODEI’s strategy to involve MaineHealth employees in various DEI-related activities and trainings. For example, the “DEI Ambassador” program creates liaisons between the ODEI and local units within the system to help lead the cause and bring it into practice. In addition to Becoming a DEI Ambassador, “care team members” also have access to DEI education courses such as Effective Allyship in the Workplace; The Trans Patient Experience; Understanding Implicit Bias; and Microaggressions and Inclusive Communication. It also involves the current “Care Team Member Networks” (CTMN), which continue to endorse identity politics and segregation at MaineHealth. The BIPOC (Black, Indigenous and People of Color) CTMN “promotes the success” of patients, staff, and leaders who belong to this group. The goal of the LGBTQ+ CTMN is to “foster an environment inclusive of the LGBTQ+ experience” at MaineHealth.

    Figure 6. Current Care Team Member Networks at MaineHealth.

    Why does this major health system need a constant stream of woke messaging to its employees? Importantly, why does it promote employee groups that separate them according to race and sex? Given Maine’s demographics, this entire narrative appears to be more performative in nature rather than producing real changes in health outcomes in the state’s residents. If the objective is to make everyone feel “welcomed, respected, supported, and valued to fully participate,” MaineHealth must reconsider its methods and messaging.

    Is your healthcare employer engaging in identity politics by promoting groups that segregate employees based on race or sex? Do No Harm wants to hear from you.

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    The “Top Doctor” Company Is Moving Toward Racial Segregation

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    Forget finding the “top doctor” in your area. Castle Connolly, which publishes the famous top doctor rankings, is now interested in connecting patients with physicians based on shared race. It’s the latest example of one of the most worrisome woke trends in health care – the re-introduction of racial segregation.

    A tipster sent us an email they received from Castle Connolly, asking physicians to participate in its “diversity, equity, and inclusion initiative.” The email notes that Castle Connolly has never published information about the “diversity of our network.” The initiative will fix that, with the explicit goal of connecting patients by race.

    Figure 1. Castle Connolly email invitation to physicians (March 23, 2023).

    Castle Connolly justifies this move by stating that “studies show patient outcomes and satisfaction in minority populations are higher when patients are able to choose a doctor with a shared background and experience.” That’s code for the company’s desire to pair black patients with black doctors, white patients with white doctors, and so on.

    Contrary to the company’s claims, there’s no good evidence supporting this policy, which is known as “race concordance.” Just the opposite: The best and largest studies show that racial concordance has no health benefits. Naturally, woke activists dispute this, and they are willing to manipulate and cherry-pick data to bolster their baseless assertion.

    Figure 2. Castle Connolly survey invitation to physicians (March 23, 2023).

    Castle Connolly is also ignoring that racial concordance sows seeds of distrust in the doctor-patient relationship. It discourages black patients from seeing white doctors out of fear that their health may be in danger. It does the same for white patients, who will avoid black doctors. Is this really the message the “top-doctor” company wants to send?

    Patients should always be free to pick the physician that’s best for them. But companies like Castle Connolly should never push anyone into race-based doctor-patient relationships, nor should they falsely claim that such a system is better for patient health. Health care is in a bad place indeed when racial segregation is somehow seen as good for patients.

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    Multiple Federal Civil Rights Investigations Opened in Response to Complaints Filed by Do No Harm

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    This week, the U.S. Department of Education’s Office for Civil Rights (OCR) opened investigations into several universities for federal civil rights violations.

    Do No Harm senior fellow Mark Perry was notified of OCR investigations opened at two institutions. Wake Forest University and the University of Virginia were included in a joint complaint for using the schools’ resources “to advertise, promote, host, and partner with” The Perry Initiative, an external third-party organization. As we previously reported, the initiative’s two programs (one for female high school students interested in orthopedic surgery and one for women in medical school) are restricted to applicants who “gender-identity as female or non-binary,” in violation of Title IX of the Education Amendments of 1972.   

    Laura Morgan, program manager at Do No Harm, filed complaints that resulted in investigations being opened against the University of Rochester and Thomas Jefferson University, two schools that are participating in unrelated but similarly named programs that are operating in violation of Title VI of the Civil Rights Act of 1964.  

    • The Science and Technology Entry Program (STEP)–UP TO MEDICINE program at the University of Rochester requires applicants to be economically disadvantaged or a member of an underrepresented group, which the school defines as “African American/Black, Hispanic/Latinx, American Indian, Alaskan Native.”
    • The Summer Training & Enrichment Program for Underrepresented Persons in Medicine (STEP-UP) program at Thomas Jefferson University is open only to students who are “Underrepresented in Medicine (as defined by AAMC and/or HRSA).” This opportunity is limited to “Black/African American, Hispanic-Latino/a/x/e, American Indian or Alaskan Native, Native Hawaiian or Other Pacific Islander, Vietnamese” (see graphic below).
      Figure 1. Eligibility criteria from the TJU STEP-UP program application.

      It’s clear that there continue to be many medical education institutions that engage in discriminatory practices with programs that violate longstanding federal civil rights laws. We look forward to the OCR’s investigations resulting in making the offerings at these four universities available for all students – regardless of race or sex.

      If you are seeing programs or scholarships that discriminate on the basis of race or sex at your school, please let us know.

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      The Truth About State Transgender Laws and Child Suicide

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      State lawmakers are quickly and correctly moving to restrict so-called “gender-affirming care” for children. Transgender activists are loudly claiming this will cause children to commit suicide. It’s a powerful claim, and at Do No Harm, we are firmly committed to protecting children’s mental and physical health. Yet the claims of suicide due to these laws are as false as they are alarmist.

      Transgender activists used to know better. As the Manhattan Institute’s Leor Sapir notes, in 2017, pro-gender-affirming-care groups agreed not to blame “anti-LGBT” laws for causing suicide. Now, however, such accusations are rampant, driven by activists’ fear that they’re losing the policy fight. Yet the data don’t support the argument. As Sapir shows, “actual suicide in this population remains extremely rare,” with one United Kingdom study concluding that 0.03% of clinic-referred, transgender-identified youth committed suicide between 2010 and 2020. To be clear, even one suicide is too many. Digging down deeper further undermines activists’ claims.

      It appears that such suicidal behavior is driven by other mental health conditions, and likely not by gender issues per se. Sapir reviews the evidence:

      “Claims about trans identification being a proxy for suicidality typically rely on apples-to-oranges comparisons. They compare rates of suicidality among youth with trans identification or gender dysphoria with rates among youth in the general population. An apples-to-apples study would compare suicidality rates in the first group with suicidality among non-gender-distressed youth with similar mental health comorbidities (e.g., depression). A recent study did exactly that and found that the disparities in suicidality between gender-distressed and non-gender-distressed youth all but disappeared.”

      It turns out that mental health issues are extremely common among minors with gender dysphoria, further undermining the claim that state policies are driving suicide:

      “Studies from multiple countries that offer “gender-affirming care” have shown that the majority of minors referred to pediatric gender clinics are teenage girls with no history of gender-related distress before puberty and with at least one psychiatric diagnosis… In the U.S., one study found, 70 percent of pediatric patients are diagnosed with autism, ADHD, or some other mental-health problem prior to receiving a diagnosis of gender dysphoria.”

      The conclusion is both unmistakable and heartbreaking: “It is more likely that teenagers with suicidal tendencies are gravitating toward a trans identity than that some kids are born transgender and are suicidal as a result of being an embattled minority.” In other words, transgender activists are using the suicide narrative to stop states from doing the right thing. State lawmakers should continue to pass laws that restrict gender-affirming care for children, instead of giving into a false, ideology-driven narrative that actually puts vulnerable boys and girls at risk.

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      When Ibram Kendi Is Sad, Justice Is Winning

      Ibram X. Kendi, the most famous advocate of woke racial discrimination, is sad. That fact is clear in his recent CNN interview, which shows that the fight against wokeism has momentum. That’s a good thing, because when Kendi’s vision of “anti-racism” is losing, that means equality and justice are winning.

      Why is Kendi sad? Because “the current campaign against what one conservative commentator calls ‘systemic wokeness’ is an effort to halt the antiracist momentum.” He continues: “The momentum was just crushed by a pretty well-organized force and movement of people who are seeking to conserve racism… [they’ve] tried to change the problem from racism to antiracism.”

      False. We (and many others) are fighting against anti-racism precisely because it’s racist. Anti-racism demands that minorities be treated differently, for no other reason than skin color. As Kendi himself has said, “the only remedy to past discrimination is present discrimination. The only remedy to present discrimination is future discrimination.” Yet racial discrimination is never justified.

      Kendi says that amid his grief, “It’s important to care for yourself as well. I’ve been figuring out ways to do that, particularly around my physical and emotional health.” Thank God he has access to a medical system that provides world-class care – treating everyone equally, regardless of race. We’ll keep fighting to protect that system and the principles that make it possible.