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The Minority Tax: Stories from Family Physicians.

J Am Board Fam Med

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From the University of Texas Medical Branch, Galveston, TX (ZSD); University of Texas Medical Branch, Galveston, TX (NB); MPH University of Pittsburgh, Pittsburgh, PA (WTF); University of Texas Medical Branch, Galveston, TX (AC); Yuma Regional Medical Center, Yuma AZ (NOA); University of Arizona College of Medicine, Phoenix, AZ (NOA); University of Texas Medical Branch, Galveston, TX (KMC).

The minority tax has been defined as a set of disparities that those who are underrepresented in medicine face in addition to clinical care, education, and research responsibilities. These taxes include systemic racism, diversity efforts, clinical and promotion disparities, lack of faculty development, and isolation. Much has been added to the literature to better define and characterize the minority tax and propose suggestions for mitigations.

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Promoting autonomy in medical decision-making is an essential part of palliative care. Therefore, palliative care providers should prioritize supporting the autonomy of sexual and gender minority (SGM) older adults, a community that has historically suffered from healthcare disparities. This support is particularly significant when an illness or injury renders a patient unable to make medical decisions, necessitating the designation of a surrogate decision-maker.

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Study Design: Cross-Sectional Survey.

Objective: This study aimed to assess racial disparities in self-reported barriers to care, health literacy, and health status within a large cohort of cervical stenosis patients.

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