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Original Articles

Against racial medicine

Pages 481-493 | Published online: 30 Nov 2006
 

ABSTRACT

Some scholars claim that recent studies of human genetic variation validate the existence of human biological races and falsify the idea that human races are socially constructed misconceptions. They assert that analyses of DNA polymorphisms unambiguously partition individuals into groups that are very similar to lay conceptions of race. Furthermore, they propose that this partitioning allows us to identify specific loci that can explain contemporary health disparities between the supposed human races. From this, it appears that racial medicine has risen again. In this essay Graves and Rose construct a case against racial medicine. Biological races in other species are strongly differentiated genetically. Because human populations do not have such strong genetic differentiation, they are not biological races. Nonetheless, the lack of population genetic knowledge among biomedical researchers has led to spuriously racialized human studies. But human populations are not genetically disjoint. Social dominance may lead to medical differences between socially constructed races. In order to resolve these issues, medicine should take both social environment and population genetics into account, instead of dubious ‘races’ that inappropriately conflate the two.

Notes

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6Ashley Montagu, Man's Most Dangerous Myth: The Fallacy of Race, rev. 5th edn (New York: Oxford University Press 1974).

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8Sewall Wright, Evolution and the Genetics of Populations. Vol. 4: Variability within and among Natural Populations (Chicago: University Chicago Press 1978).

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13Vincent Sarich and Frank Miele, Race: The Reality of Human Differences (Boulder, CO and Oxford: Westview 2004).

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19Luigi Luca Cavalli-Sforza, Paolo Menozzi and Alberto Piazza, The History and Geography of Human Genes (Princeton, NJ: Princeton University Press 1994). See also Alan R. Templeton, ‘The genetic and evolutionary significance of human races’, in Jefferson M. Fish (ed.), Race and Intelligence: Separating Science from Myth (Mahwah, NJ: Lawrence Erlbaum 2002); Frank B. Livingstone, ‘On the non-existence of human races’, Current Anthropology, vol. 3, no. 3, June 1962, 279–81.

20Templeton, ‘The genetic and evolutionary significance of human races’.

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26Jay S. Kaufman and Susan A. Hall, ‘The slavery hypertension hypothesis: dissemination and appeal of modern race theory’, Epidemiology, vol. 14, no. 1, January 2003, 111–26.

27Joseph L. Graves, Jr, The Race Myth: Why We Pretend Race Exists in America (New York: Dutton 2005), 126.

28James F. Wilson, Michael E. Weale, Alice C. Smith, Fiona Gratrix, Benjamin Fletcher, Mark G. Thomas, Neil Bradman and David B. Goldstein, ‘Population genetic structure of variable drug response’, Nature Genetics, vol. 29, no. 3, November 2001, 265–9; Sarah K. Tate and David B. Goldstein, ‘Will tomorrow's medicines work for everyone?’, Nature Genetics, vol. 36, no. 11 (Supplement), November 2004, S34–S42.

29Elissa S. Epel, Elizabeth H. Blackburn, Jue Lin, Firdaus S. Dhabhar, Nancy E. Adler, Jason D. Morrow and Richard M. Cawthon, ‘Accelerated telomere shortening in response to life stress’, Proceedings of the National Academy of Sciences, vol. 101, no. 49, December 2004, 17312–15.

30Jen'nan Ghazal Read, Michael O. Emerson and Alvin Tarlov, ‘Implications of black immigrant health for U.S. racial disparities in health’, Journal of Immigrant Health, vol. 7, no. 3, July 2005, 205-12; Jen'nan Ghazal Read and Michael O. Emerson, ‘Racial context of origin, black immigration, and the U.S. black/white health disparity’, Social Forces, vol. 84, no. 1, September 2005, 183–201.

31Steven H. Woolf, Robert E. Johnson, George E. Fryer, Jr, George Rust and David Satcher, ‘The health impact of resolving racial disparities: an analysis of US mortality data’, American Journal of Public Health, vol. 94, no. 12, December 2004, 2078–81.

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