The Atlantic

America's Health Segregation Problem

Has the country done enough to overcome its Jim Crow health care history?
Source: Marion Post Wolcott / Library of Congress

Editor’s Note: We’ve gathered dozens of the most important pieces from our archives on race and racism in America. Find the collection here.


Sixty-two years ago Tuesday, the Supreme Court passed down its decision in Brown v. Board of Education, finding that “segregation is a denial of the equal protection of the laws.” That decision, pertaining to de jure segregation in public schools, became the groundwork for dismantling many of the formal systems of racial segregation that pervaded both the South and the North in the century following the Civil War. Brown v. Board was a key milestone in the civil-rights movement, and a key weapon for that movement’s future successes.

Ever since, the anniversary of has provided an opportunity for assessing just how far the country has come since the Jim Crow days of naked segregation. The results have been, at best, mixed. Last year, detailed the rise of “apartheid schools” that are virtually all black, and the corresponding re-emergence of de facto segregation in public education. Some schools, such as those of Cleveland, Mississippi, still face to integrate. In other policy areas, the “new Jim Crow,” inspired by Michelle Alexander’s book of that name, has come to be used as an apt categorization of broad disparities in criminal-justice policy. Housing segregation is , and segregation of black people in has only accelerated in the past decade. But one of the most enduring—and least noticed—areas of racial segregation even after has been health care.

You’re reading a preview, subscribe to read more.

More from The Atlantic

The Atlantic5 min readAmerican Government
What Nikki Haley Is Trying to Prove
This is an edition of The Atlantic Daily, a newsletter that guides you through the biggest stories of the day, helps you discover new ideas, and recommends the best in culture. Sign up for it here. Nikki Haley faces terrible odds in her home state of
The Atlantic7 min readAmerican Government
The Americans Who Need Chaos
This is Work in Progress, a newsletter about work, technology, and how to solve some of America’s biggest problems. Sign up here. Several years ago, the political scientist Michael Bang Petersen, who is based in Denmark, wanted to understand why peop
The Atlantic3 min read
They Rode the Rails, Made Friends, and Fell Out of Love With America
The open road is the great American literary device. Whether the example is Jack Kerouac or Tracy Chapman, the national canon is full of travel tales that observe America’s idiosyncrasies and inequalities, its dark corners and lost wanderers, but ult

Related Books & Audiobooks