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David Barton Smith

Malicious Intent: Murder and the Perpetuation of Jim Crow Health Care

Malicious Intent: Murder and the Perpetuation of Jim Crow Health Care

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  • More about Malicious Intent: Murder and the Perpetuation of Jim Crow Health Care

In 1966, a physician in Alabama asked if we wanted to perpetuate a Jim Crow health system, leading to her murder. David Barton Smith's book Race, Murder, and Medicine uncovers the truth of Jean Cowsert's life and death and the history of race-related disparities in American death rates, which have persisted since the birth of the modern U.S. medical system. It reveals the political, medical, and bureaucratic machinations motivated by a deliberate, racist design that have prevented the US from providing the kind of healthcare assurances taken for granted in other industrialized nations.

Format: Paperback / softback
Length: 244 pages
Publication date: 15 October 2023
Publisher: Vanderbilt University Press


A brilliant and idealistic physician posed a profound question in Alabama in 1966: Do we want to perpetuate a Jim Crow health system? Her resounding answer, a resounding no, tragically led to her untimely demise. In his captivating book, "Race, Murder, and Medicine," David Barton Smith delves deep into the life and tragic death of Jean Cowsert, shedding light on the profound truth of her story.

But Jean Cowsert's story is not just about her individual tragedy; it is also a poignant reflection of the broader history of our healthcare system. The book uncovers a grim reality that has persisted for decades: race-related disparities in American death rates, exacerbated by the recent COVID-19 pandemic, have existed since the birth of the modern U.S. medical system a century ago.

This unique and fundamentally racist history has prevented the United States from achieving the level of healthcare assurance that is taken for granted in other industrialized nations. The underlying narrative is a complex tapestry of political, medical, and bureaucratic maneuvers, driven by a deliberate and insidious racist design.

In "Race, Murder, and Medicine," David Barton Smith weaves the Jean Cowsert story seamlessly with the broader narrative of the struggle for universal healthcare in the wealthiest country on earth. He traces the efforts of those who have fought tirelessly for equal access to healthcare, highlighting the systemic failures and selective amnesia that have plagued this movement.

The book serves as a poignant reminder of the sacrifices made by those who have fought for a more just and equitable healthcare system. It sheds light on the ongoing challenges faced by Black Americans, who have historically faced systemic barriers and discrimination in healthcare. It also highlights the need for continued activism and advocacy to address the systemic inequalities that perpetuate health disparities and ensure that all Americans have access to quality healthcare.

Through his meticulous research and compelling storytelling, David Barton Smith has crafted a masterpiece that challenges our assumptions and inspires us to confront the ugly history of our healthcare system. "Race, Murder, and Medicine" is a must-read for anyone who cares about social justice, healthcare, and the pursuit of a more equitable society.

Weight: 450g
Dimension: 152 x 228 x 23 (mm)
ISBN-13: 9780826506139

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