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Lecture 10

HMED 3075 Lecture Notes - Lecture 10: Syphilis, Eugenics, Miscegenation

History of Medicine
Course Code
HMED 3075
Tobbell D

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HMED 3075 Lecture Notes: 10/19 D iag nos ing R ac e
L ec ture: Race and Medicine in the 20th Century
R eading : Ruth Schwartz Cowan, “Genetic Screening and Genocidal Claims.”
Segregation: 1877-1960s:
Ji Cro Las
Late 19th century
segregated medical care
Freedmen’s Bureau, 18-1872
o established to assist southern blacks and whites make the transition into a
society without slavery
Freedmen hospitals:
o set up hospitals in the southern and border states
o laked fudig ad orgaizatioal skills… so did’t attract well-qualified
physicians (low pay)
o established in temporary and abandoned buildings
Turn of the 20th century
separate but not equal hospitals for African Americans established by the white
o genuine, albeit paternalistic, interest in providing health care
o fear of contracting diseases from African Americans
o to prevent embarrassment of neglecting sick people
o (not all humanitarian reasons)
Local governments established municipal hospitals for AA
The black hospital movement, 1890-1945
African American physicians, educational institutions, churches, and fraternal
organizations established black hospitals
o To provide care within communities
Treat patients w respect
Fear of medical experimentation and demonstration by white physicians
o To provide AA physicians with hospital privileges
o To compete with white physicians for small number of paying AA patients
o To establish hospital-based nursing schools to train AA nurses
1923: 202 black hospitals, 6 internship programs, 0 residency programs. (by 1910
internship was required for residency
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