King’s Words on Health Injustice: what did he actually say?
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Editor’s Note: This blog is a short version of the issue that author and feminist bioethicist Charlene Galarneau wrestles with in her article “Getting King’s Words Right” in the most recent issue of the Journal of Health Care for the Poor and Underserserved. For a more accurate image meme to circulate, scroll to the bottom for one that IJFAB Blog has made for just this purpose.

This image shows the most widely circulated version of the King quote. But is it accurate?

You may have read these commonly cited words of the Rev. Dr. Martin Luther King Jr.:

Of all the forms of inequality, injustice in health care is the most shocking and the most inhumane.

Or you may have read a slightly different quote that says, “injustice in health” rather than “in health care.”

The distinction between health and health care is crucial, and especially so as it relates to injustice. And so, I wondered, which did King actually say?

Though uncharacteristically difficult to locate, his words were documented by a newspaper reporter and published the following day. King spoke these words at a press conference before the 1966 convention of the Medical Committee on Human Rights in Chicago.This black and white photo from the 1960's shows a group of both white and black people in professional dress marching under a banner which reads "Medical Committee for Civil Rights." Behind them can be scene marchers receding into the distance, many carrying posters showing the symbol of medicine, the rod of Aesclepius or staff of Hermes, a staff with two winged snakes curled around it. At the bottom of those signs are the letters MD, for medical doctor.It turns out that King’s actual words were different than either of the common versions. He said:

Of all the forms of inequality, injustice in health is the most shocking and the most inhuman because it often results in physical death.

King spoke of health, not health care; he said that this injustice is inhuman, rather than inhumane; and he named death as an outcome of injustice. Furthermore, this sentence was sandwiched between two others that give us important context and pointed direction:
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We are concerned about the constant use of federal funds to support this most notorious expression of segregation [the racial segregation of hospitals]. Of all the forms of inequality, injustice in health is the most shocking and the most inhuman because it often results in physical death. I see no alternative to direct action and creative nonviolence to raise the conscience of the nation.

This blueprint is labeled as "Diagram of Fourth Floor of Detroit Memorial Hospital Where Negro Patients Are Concentrated." One hallway is labeled "ALL NEGRO SECTION man and women", another is labeled "NEGRO WOMEN WARD SECTION" and another is labeled "ALL WHITE (women)".

This blueprint is labeled as “Diagram of Fourth Floor of Detroit Memorial Hospital Where Negro Patients Are Concentrated.” One hallway is labeled “ALL NEGRO SECTION man and women”, another is labeled “NEGRO WOMEN WARD SECTION” and another is labeled “ALL WHITE (women)”. This illustrates the racial segregation of hospitals which was typical at the time, including hospitals supported by federal funding, and was the subject of King’s speech.

More than five decades later, we no longer have formal racial segregation of health care. But health disparities research done by social epidemiologists and others affirms the pervasive role of racism in health status and in access to health care. More than five decades later, few health care providers – and bioethicists – address the myriad oppressive social relations in their efforts to improve the health of individuals and communities.

What might “direct action and creative nonviolence to raise the conscience of the nation” mean 52 years after King called for them?

Please reply. We’re curious to know your thoughts.

 

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About Charlene Galarneau

Charlene Galarneau is Associate Professor of Women's and Gender Studies at Wellesley College where she teaches and does research on the ethics of US health care, health policy, and public health with emphases on gender, race, and class. She is also teaching faculty at Harvard Medical School's Center for Bioethics and author of Communities of Health Care Justice. Charlene’s academic interests are motivated in part by her early public health/health care work with rural community/migrant health centers and the communities they serve, with the Colorado Community Health Network (a state-wide primary health care association), and by her tenure on the National Migrant Health Advisory Committee (Secretary HHS appointment).

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