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A Medical History of African Americans and the Problem of Race, the first volume of An American Health Dilemma, is an ambitious and woefully overdue magnum opus. In it Byrd and Clayton present and analyze the historical roots of the apartheid that characterizes the health care experience of black Americans. Their thesis is clear: millennia of medical injustice have caused staggering racial disparities in health care. To demonstrate this point, the authors present a sweeping chronicle of the roles of people of African descent in medicine. They unflinchingly focus on the association between health care issues among blacks and the
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