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Op-Ed

Medical Doctors, or Social Workers?

  • By Stanley Goldfarb, MD
  • September 1, 2023
  • City Journal

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Physicians need to practice medicine, not worry about the “social determinants of health.”

Can your doctor cure poverty? How about homelessness? Food insecurity? For that matter, does your doctor treat the legacy of slavery and racial discrimination?

Most people answer this question readily: No. Doctors are trained to treat medical conditions, helping patients lead healthier, happier, longer lives. Yet the medical elite think the answer is “yes.” For years, health disparities between white and minority communities have been attributed to the so-called social determinants of health (SDH), which include the effects of poverty on communities, the residue of historic discrimination, and purported ongoing discriminatory practices in health care. But do these factors really determine health—or are they more properly termed “social factors affecting behaviors associated with health status”? That’s not nearly as catchy as SDH. It just happens to be more accurate.

Read more at City Journal.

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