Original Communication
Segregation, Civil Rights, and Health Disparities: The Legacy of African American Physicians and Organized Medicine, 1910-1968

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Abstract

Between 1910 and 1968, the National Medical Association (NMA) repeatedly clashed with the American Medical Association (AMA) over the latter organization’s racial bars to membership and other health policy issues. The NMA, founded in 1895 as a nonexclusionary medical society to provide a voice for disenfranchised black physicians and patients, struggled in its early years, during which AMA leadership took scant notice of it. But skirmishes ensued over such actions as stigmatizing racial labels in the AMA’s American Medical Directory, which, beginning in 1906, listed all US physicians but designated African Americans with the notation col. The NMA also repeatedly asked the AMA to take action against overt racial bars on blacks’ membership in its constituent state and county societies. During the civil rights era, African American physicians received no AMA support in seeking legal remedies to hospital segregation. And the NMA and AMA found themselves opposed on other policy issues, including Medicaid and Medicare. These differences eventually catalyzed a series of direct confrontations. The 1965 AMA meeting in New York City, for example, was protested by about 200 NMA-led picketers. The NMA’s quest for racial equality in medicine was supported by some other medical organizations, such as the Medical Committee for Human Rights. In 1966, the AMA House voted to amend the AMA Constitution and Bylaws, giving its Judicial Council (now the Council on Ethical and Judicial Affairs) the authority to investigate allegations of discrimination. This paved the way for a subsequent era of increasing cooperation and understanding.

References (74)

  • R.M. Davis

    Achieving racial harmony for the benefit of patients and communities: Contrition, reconciliation and collaboration

    JAMA

    (2008)
  • R.B. Baker et al.

    African American physicians and organized medicine, 1846-1968: Origins of a racial divide

    JAMA

    (2008)
  • T. Savitt

    Abraham Flexner and the black medical schools

    J Natl Med Assoc

    (2006)
  • Baker R, Washington HA, Olakanmi O, et al. Creating a segregated medical profession: African American physicians and...
  • Past and Future Conventions. National Medical Association web site

    (2008)
  • Minutes of the business meeting of the board of trustees of the American Medical Association

    (May 23, 1931)
  • American Medical Directory

    (1906)
  • Minutes of the business meeting of the board of trustees of the American Medical Association

    (September 15-17, 1938)
  • New York Times. August 16, 1939. “Mayor asked equality for negro doctors. Says at convention that germs don’t obey Jim Crow laws.”

    (2008)
  • Minutes of the business meeting of the board of trustees of the American Medical Association

    (September 22-23, 1939)
  • C.V. Woodward

    The Strange Career of Jim Crow

    (1966)
  • V.M. Gamble

    Making a Place for Ourselves: The Black Hospital Movement, 1920-1945

    (1995)
  • W.M. Byrd et al.

    An American Health Dilemma: Race, Medicine, and Health Care in the United States, 1900-2000

    (2000)
  • D.R. Hyde et al.

    The American Medical Association: power, purpose, and politics in organized medicine

    Yale Law J

    (1954)
  • O. Hall

    The stages of a medical career

    Am J Sociol

    (1948)
  • H. Buckler

    Daniel Hale Williams: Negro Surgeon

    (1954)
  • William Harry Barnes, MD. American Academy of Otolaryngology -Head and Neck Surgery web site

    (2008)
  • Proceedings of the house of delegates of the American Medical Association

    (May 15-19, 1939)
  • Proceedings of the house of delegates of the American Medical Association

    (June 12-16, 1944)
  • M. Marable

    Race, Reform, and Rebellion: The Second Reconstruction in Black America, 1945-1990

    (1991)
  • H. Morais

    The History of the Negro in Medicine

    (1967)
  • Proceedings of the house of delegates of the American Medical Association

    (December 6-9, 1949)
  • Proceedings of the house of delegates of the American Medical Association

    (June 26-30, 1950)
  • D. Reitzes

    Negroes and Medicine

    (1958)
  • R.M. Raup et al.

    Negro students in medical schools in the United States

    J Med Ed

    (1964)
  • Proceedings of the house of delegates of the American Medical Association

    (December 2-5, 1952)
  • Proceedings of the house of delegates of the American Medical Association

    (December 2-4, 1963)
  • M.P. Richard

    The Negro physician: Babbitt or revolutionary?

    J Health and Soc Behav

    (1969)
  • R. Stevens

    American Medicine and the Public Interest: A History of Specialization

    (1971)
  • J.P. Brickman

    Minority politics in the house of medicine: the Physicians Forum and the New York County Medical Society, 1938-1965

    J Public Health Policy

    (1999)
  • R.A. Kessel

    The A.M.A. and the supply of physicians

    Law Contemp Prob, Health Care: Part 1. Spring

    (1970)
  • P.P. Reynolds

    Professional and hospital discrimination and the US court of appeals fourth circuit, 1956-1967

    Am J Public Health

    (2004)
  • P.P. Reynolds

    Hospitals and civil rights, 1945-1963: the case of Simkins v Moses H Cone Memorial Hospital

    Ann Intern Med

    (1997)
  • A.J. Walt et al.

    The anatomy of a civil disturbance

    JAMA

    (1967)
  • Clement statement on AMA proposed Hill-Burton amendment

    J Natl Med Assoc

    (1964)
  • J.G. Burrow

    AMA: Voice of American medicine

    (1963)
  • Civil Rights Act of 1964, 42 USC §2000d et seq. (1964). Seattle University Web site

    (2007)
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