Pima Indians of Arizona have the world's highest diabetes rates. With knowledge that his patient is a Pima Indian, it would probably be a best practice for a physician to order more thorough blood glucose tests to screen for diabetes. Prostate cancer is nearly twice as common among black men as white men. It would also be a best practice for a physician to be attentive to -- even risk false positive PSAs -- prostate cancer among his black patients. What about physicians who order routine mammograms for their 40-year and older female patients but not their male patients? The American Cancer Society predicts that about 400 men will die of breast cancer this year.
Because of a correlation between race, sex and disease, the physician is using a cheap-to-observe characteristic, such as race or sex, as an estimate for a more costly-to-observe characteristic, the presence of a disease. The physician is practicing both race and sex profiling. Does that make the physician a racist or sexist? Should he be brought up on charges of racial discrimination because he's guessing that his black patients are more likely to suffer from prostate cancer? Should sex discrimination or malpractice suits be brought against physicians who prescribe routine mammograms for their female patients but not their male patients? You say, "Williams, that would be lunacy!"
Is an individual's race or sex useful for guessing about other unseen characteristics? Suppose gambling becomes legal for an Olympic event such as the 100-meter sprint. I wouldn't place a bet on an Asian or white runner. Why? Blacks who trace their ancestry to West Africa, including black Americans, hold more than 95 percent of the top times in sprinting. That's not to say an Asian or white can never win but I know the correlations and I'm playing the odds. If women were permitted to be in the sprint event with men, I'd still put my money on a black male. Does that make me a sexist as well as a racist?
What about when a black hails a taxicab and the driver passes him up and picks up a white passenger down the street? Is that racism? Many people assume that it is but it might not be any different from a physician using race and sex as an estimator for some other characteristic. Ten years ago, a black D.C. commissioner warned cabbies, most of whom are black, against picking up dangerous-looking passengers. She described dangerous-looking as a "young black guy ... with shirttail hanging down longer than his coat, baggy pants, unlaced tennis shoes." She also warned cabbies to stay away from low-income black neighborhoods. Cabbies themselves have developed other profiling criteria.
Not every choice based on race represents racism and if you think so, you risk misidentifying and confusing human behavior. The Rev. Jesse Jackson once said, "There is nothing more painful for me at this stage in my life than to walk down the street and hear footsteps and start thinking about robbery -- then look around and see somebody white and feel relieved."
Walter E. Williams is a professor of economics at George Mason University.
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