• "Black women are 47% less likely than other women to undergo breast reconstruction after having a mastectomy, according to a study published in the November issue of Archives of Surgery, HealthDay/U.S. News & World Report reports. Undergoing breast reconstruction surgery immediately after having a mastectomy has several advantages, including aesthetic, psychosocial well-being and cost-effectiveness, according to the Johns Hopkins University researchers who conducted the study. … People have noticed that African-Americans have fewer referrals to plastic surgeons, and if they do have a referral, they have a lower rate of going to those referrals. Strangely, even once they see the plastic surgeon, reconstruction seems to be offered with less frequency."
Surprise surprise. Our beauty or appeal to men isn't as valued. That's a bad thing to some. A good thing to others. Women are more than their bodies. I wonder if the study collected data on the amount of family support in comparison to the choice not to reconstruct. Or self esteem before and after in comparison to reconstruction. Something to think about…
It doesn't help that some insurers don't cover reconstructive surgery.
Women who don't feel that they can afford the surgery aren't, you know, likely to pursue it.
I suspect that the reasons for the disparity are:
- Black women are less likely to have health insurance
- or if the're insured, they have bargain basement coverage like Medicaid, which doesn't cover a lot of stuff (like, for instance, plastic surgery)
- bias on the part of White and/or Asian oncologists and plastic surgeons, who are less likely to see a Black woman as a sexual being who has a psychological need to have her breasts reconstructed (especially since, on average, Black women are heavier than White or Asian women, and White and/or Asian doctors might be more likely to see their large bodies as "not attractive" and therefore not worth reconstructing)