Intention to Treat
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About the show
Latest episodes
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The Attack on Equity in Medicine
June 24, 2026 · 28 minThe ripple effects of U.S. anti-DEI policies extend far beyond individual labs: scientific discovery is slowing, early‑career investigators are reconsidering their futures, and the pipeline of medical school applicants is shifting in real…
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Is Change Possible?
June 17, 2026 · 24 minThe use of race in medicine is harming patients. What is being done to move away from these practices and to change a culture of medicine based on the false premise that race is biological? A full transcript of this episode is available…
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The Myth of Race and Genetics
June 10, 2026 · 27 minWe now know that humans are more than 99.9% genetically alike. So why does medicine still link certain diseases to race? And what do genetics actually tell us about race, ancestry, and disease? A full transcript of this episode is…
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BiDil — The Story of the Black Pill
June 3, 2026 · 25 minHow did a drug for congestive heart failure get approved and marketed for Black people only? A full transcript of this episode is available at https://www.nejm.org/doi/full/10.1056/NEJMp2601978.
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When Race Matters
May 27, 2026 · 27 minThe story of the pulse oximeter demonstrates that sometimes consideration of race is critical to diagnosis and treatment — as came starkly into light during the Covid-19 pandemic. A full transcript of this episode is available at…
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Money and Misdiagnosis
May 20, 2026 · 24 minMany Black veterans live below the poverty line, often struggling to manage their illnesses. As V.A. hospitals began to stop using race-corrected interpretation of Black patients’ spirometer readings, there was an epiphany: the race…
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How Did Race Get Into Lung Testing?
May 13, 2026 · 31 minThe history of race-based correction of lung-capacity measures can be traced to a pre–Civil War belief among slave owners that slaves had naturally inferior lung capacity. Despite work to show that race-corrected spirometers mask…
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Meet the Equation
May 6, 2026 · 33 minMany clinical algorithms, including the eGFR test for kidney function, have actually had race baked into them and produce different results for Black patients. Most of us assume these algorithms are based on science, but what if the…