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Keisha Bentley-Edwards and colleagues argue that systemic racism and economic inequality are at the root of disparity in covid-19 outcomes and suggest how to distribute resources more equitably.

The story of covid-19 in the United States is one of many systemic failures to protect its residents from preventable illness and death. Racist stereotypes about disease susceptibility1 were subsequently discredited by the data.2 Covid-19 brought the US to a sobering standoff with race, a social construct that through systemic racism materializes as disparate outcomes (box 1).3 Once testing became available researchers disaggregated and analyzed data along racial lines, providing a more accurate understanding that was unsurprising to anyone who has examined health equity4: covid-19 is a preventable disease that disproportionately affects racial minorities. Although the effects were felt in all racialized communities, they were magnified most powerfully for black, Latino, and indigenous ....

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