Who is accountable for racial equity in health care?

RACIAL DISPARITIES ARE A UBIQUITOUS FEATURE OF THE USmedical landscape,with health care delivery substantially segregated by race/ethnicity. Recent evidence fromhospitals, nursing homes, and physicians’ offices suggests that those caring forminority patients do not perform as well as those who care for nonminority patients, on average. This evidence is troubling but hardly surprising because the limited resources of those who care for the poor have helped to create and sustain racial disparities. As the United States enters an era of accountability in health care, it is time to consider these familiar circumstances from a new perspective.