The long-term solution is, of course, to dismantle structural inequalities, which may well take too long for anyone alive today to see the benefits. Fortunately, technology-based interim solutions may help improve outcomes for individuals, if not totally erode the barriers to health equity. “If there was one thing that could be done immediately, it’s for every hospital to do internal audits to make sure everyone is getting the same quality of care,” Penner says. “They have the data, they ask about race, they ask about income. Is the will there? I don’t know.” Grande envisions leveraging telemedicine and creating apps in partnership with the black community. “Clinicians are too damn busy to go back to school to learn how to be better,” Grande says. “If we can intervene with an app or some sort of electronic record, we could cut through the bullshit: overcome access challenges, money availability, lack of trust.” Technological interventions could, in the future, allow doctors to not only ensure that all patients are receiving the same standard of care, but that they’re receiving it in a way that suits their economic needs and communication preferences.
All the sources WIRED spoke with agree that no matter what is done now, minority groups—particularly black and Latinx communities—are still going to suffer higher rates of illness and death due to Covid-19. It is unacceptable, but it is real. “We need to move past disparities as a topic of interest and move towards action,” Grande says. “Covid is highlighting major, major gaps in the current health care system and exacerbating issues we’ve known have existed for generations, but now we’re seeing them play out in immediate, tangible ways. There’s a lot of work to be done, and I’m really hopeful.” The Covid-19 pandemic has made more people aware of one of the ugliest aspects of inequality in America; hopefully it will motivate change for the better. If not, the next time there’s a health crisis primarily weathered by America’s most vulnerable communities, nobody gets to be surprised.
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