CHICAGO, IL, June 7—“Ummm, it looks like there’s a room full of people behind you?”  The head boss of the local health system sounded surprised and nervous when they saw the numerous supporters who came to the online meeting with U.S. kidney leaders. Getting rid of racist kidney lab tests had proven to be no easy task!

This meeting was supposed to be just the two leaders of our antiracism group and U.S. kidney leadership to explain the struggle in medicine to change decades of racism in biology. The head boss was not expecting us to bring the whole group! We had to show that the number of people determined to remove biologic racism from medicine was large and ready to act outside the usual standards of academia and business.

A brief history of biologic racism
Capitalism and racism go hand in hand, and at this stage of capitalism are so intertwined that it is impossible to imagine one existing without the other. Because the economic benefits of slavery were so great, the U.S. ruling class (especially slave owners) created and codified the idea of race and racism into laws. As historian Lerone Bennett describes in The Road Not Taken (link), the development of racism in the U.S. can be traced through laws deliberately created to separate and control workers. He notes that when Black and white workers united in an uprising against their masters in 1676 in Virginia (Bacon’s rebellion), the laws separating workers by race were dramatically strengthened. To justify their brutal system, they couldn’t tell the truth: “we need free labor to become rich and it is easy to identify the enslaved workers by the color of their skin.”  Racist thinking thus permeated every facet of life including the science of medicine.

And so biologic racism was born. The ideas that there are biologic or genetic differences between races, and that the white race is superior, are lies. Biologic racism was used to justify slavery. Thomas Jefferson said that Black workers had “a difference of structure in the pulmonary apparatus.” This falsehood was used to justify slavery because such forced labor was a way to “vitalize the blood” of supposedly deficient Black workers.

The false idea of biologic racial differences persists despite the fact that the human genome studies show that there are more genetic similarities between racial categories than differences. Antiracist doctors and other health workers including Progressive Labor Party (PLP) members are leading struggles against this biologic racism.

The fight against biologic racism in kidney tests
A PLP member developed a lecture on biologic racism for her coworkers and students. The ensuing discussions led to a proposal to get their hospital to remove race from analyzing laboratory tests for kidney disease. The Covid-19 pandemic put everything on pause--until the George Floyd uprisings by workers against his murder by the kkkops! The ripple effect of militant antiracist struggle moved people at the hospital to form a multiracial antiracism committee that was led by the PLP member.

Race has been included as a component of kidney testing in the United States since 1999. The data to support such inclusion was weak and the biologic claim to support the idea—that Black people have more muscle mass—is racist. Still, this is the way that kidney function has been calculated for over two decades and has resulted in Black patients being diagnosed with kidney disease later than whites and judged not eligible for transplant until they were sicker than their white counterparts.

The PLP member guaranteed that the meetings of this antiracist committee would be more collective than usual staff meetings. Every meeting began with a discussion of an article so that the team built a common base of knowledge. They struggled together to come to mutual understanding and agreement so that all committee members could give leadership to the campaign. The team wrote a paper on removing race from kidney tests, gathered signatures in support, gave lectures on the topic, and emailed their coworkers and friends. By the time this group had started collecting signatures, we knew more about how and why race was included in kidney testing than many kidney specialists!

The local hospital committee voted in support of removing race from kidney function, but this decision was then scrapped by kidney specialists who disagreed and/or wanted to wait for national kidney organizations to okay such a change. The hospital leadership called for a meeting with the two chairs of the committee. Secretly we organized to make sure every member of our antiracist committee and coworkers would attend this meeting. When the camera was turned on at the beginning of the meeting to show 20 people in attendance, the bosses were not happy. When they tried to steer the meeting to the topics they wanted to discuss, we did not let the meeting proceed until our questions were answered. We had to be bold and confrontational backed by our 20 committee members. This meeting was a turning point. It showed the strength we had in numbers and our commitment to this change. When the national guidelines changed to be race-neutral one month later, our hospital was one of the first to apply them due to the work we had done.

Throughout this struggle, the PLP member challenged coworkers to understand the connection between racism and capitalism. There were many times the committee was tested by external forces and internal struggles, but PLP training in prior struggles helped advance this antiracist struggle. The antiracism committee is still fighting today and has gone on to succeed in removing race from lung testing, which previously has kept Black mine workers from getting compensation for Black Lung disease.

The fight continues but needs to be broadened and sharpened
The embedded nature of racism in healthcare will not be eliminated by making every medical test race-neutral. The structural racism built into capitalism to keep the working class divided and weakened is a much larger contributor to worse health outcomes for Black and brown workers. White workers suffer because a working class divided by race cannot fight back effectively for the health and health care they need.

The only way to end structural racism is to destroy capitalism. The billionaire bosses will never give up their wealth to create an equal society. They use structural racism and state violence to grow and maintain their wealth by any means necessary. We need to build a mass communist movement to lead a revolution to seize state power, also by any means necessary. Through communist revolution, we can end the structural racism and poverty that keeps the working class sick. Join PLP!