Getting the Numbers Right: Statistical Mischief and Racial Profiling in Heart Failure Research

Perspectives in Biology and Medicine, Vol. 46, p. 473, 2003

HEALTH AND HEALING IN COMPARATIVE PERSPECTIVE, E. Whitaker, ed., 2003

11 Pages Posted: 30 Oct 2011

See all articles by Jonathan D. Kahn

Jonathan D. Kahn

Northeastern University - School of Law; Northeastern University - Center for Law, Innovation and Creativity

Date Written: January 1, 2003

Abstract

The claim that blacks die from heart failure at a rate twice that of whites is informing efforts to develop and market the drug BiDil, which( at the time this article was written) was undergoing clinical trials to be approved by the FDA as the first drug ever specified to treat African Americans – and only African Americans – for heart failure. The drug and its companion statistic have since come to play prominent roles in debates about so-called “racial profiling” in medicine and the legitimacy of using social categories of race in biomedical research. Nonetheless, this statistic is wrong. The most current data available place the black: white mortality ratio for heart failure at approximately 1.1:1. The article tells the story of attempts to get to the source of the supposed 2:1 mortality ratio and explores some of the implications of the acceptance of these erroneous data, both for the allocation of resources to combat disease and for our broader understanding of the nature and meaning of race.

Keywords: BiDil, heart failure, African Americans, statistics, race, medicine

Suggested Citation

Kahn, Jonathan D., Getting the Numbers Right: Statistical Mischief and Racial Profiling in Heart Failure Research (January 1, 2003). Perspectives in Biology and Medicine, Vol. 46, p. 473, 2003, HEALTH AND HEALING IN COMPARATIVE PERSPECTIVE, E. Whitaker, ed., 2003, Available at SSRN: https://ssrn.com/abstract=1950293

Jonathan D. Kahn (Contact Author)

Northeastern University - School of Law ( email )

416 Huntington Avenue
Boston, MA 02115
United States

Northeastern University - Center for Law, Innovation and Creativity

416 Huntington Avenue
Boston, MA 02115
United States

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