Medical Education for South African Blacks (MESAB) was a 501(c)(3) organization that operated from 1985 to 2007. MESAB was a collaborative effort by Americans and South Africans to support the training of black South Africans in the health professions in an effort to improve health care for the black African population of South Africa. MESAB provided scholarships for black South African students at 26 South African universities and technikons, along with sundry training initiatives in community health clinics. MESAB was founded in 1985 by retired diplomat Herbert Kaiser and his wife Joy Kaiser and closed its doors in 2007. At the time of MESAB's founding, South Africa's apartheid policies dictated separate health facilities for blacks. These facilities were underfunded, underequipped, and understaffed compared with those provided to whites.
From 1985-2007, MESAB's scholarship program provided a total of 11,243 grants (or, "bursaries") to needy students at 26 South African universities and technikons. In addition:
MESAB was founded by Herbert Kaiser, a retired diplomat, and his wife Joy. They believed that additional black health professionals would immediately improve access to health care and that these new caregivers would play a greater role in formulating health policy and become leaders in a post-apartheid future. In 1984 there were fewer than 350 black doctors in a black population of over 20 million. Blacks comprised 70% of the population, but only 3% of all doctors were black. [1] The following statistics illuminate the problem:
The US Board of Directors was drawn from the worlds of medicine, academia, civil rights organizations, and business. Its role was to establish broad policy guidelines and raise funds. The first Chairman of the Board was Donald Kennedy, then president of Stanford University and former Director of the Federal Food and Drug Administration. He was succeeded by Dr. Louis W. Sullivan, president of the Morehouse School of Medicine and former US Secretary of Health and Human Services.
The South African Council recommended and administered MESAB programs, among them financial aid and personal counseling. Its first Chairman was Professor Phillip V. Tobias, the noted paleoanthropologist and long-time opponent of apartheid. He was succeeded by Professor Mervyn Shear, who was followed by Dr. Nthato Motlana, a civic leader in Soweto and a close associate of Nelson Mandela. Council members were leaders of medical, educational, business, and community organizations.
Funding for MESAB came from corporate, foundation, and individual donors. Major contributors included Peter Bing, Peter Kovler, George Soros, David Tabatznik Bristol-Myers Squibb, Coca-Cola Co., Ford Motor Company, Henry Schein Inc., Hewlett Packard, Johnson & Johnson, Kaiser Permanente, Kellogg Foundation, Levi Strauss & Co., Pfizer, the Starr Foundation, and USAID, among many others. Over its 22 years of operations, MESAB raised over $27 million to help over 10,000 black students enter the health professions. Its graduates are now doctors, nurses, dentists, pharmacists, and other skilled caregivers responding to the health needs of all South Africans, especially those of black communities previously denied access to healthcare.
Racial discrimination is any discrimination against any individual on the basis of their skin color, race or ethnic origin. Individuals can discriminate by refusing to do business with, socialize with, or share resources with people of a certain group. Governments can discriminate in a de facto fashion or explicitly in law, for example through policies of racial segregation, disparate enforcement of laws, or disproportionate allocation of resources. Some jurisdictions have anti-discrimination laws which prohibit the government or individuals from discriminating based on race in various circumstances. Some institutions and laws use affirmative action to attempt to overcome or compensate for the effects of racial discrimination. In some cases, this is simply enhanced recruitment of members of underrepresented groups; in other cases, there are firm racial quotas. Opponents of strong remedies like quotas characterize them as reverse discrimination, where members of a dominant or majority group are discriminated against.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual." In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, dementia or advanced heart disease than for injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. Life expectancy for terminal patients is a rough estimate given by the physician based on previous data and does not always reflect true longevity. An illness which is lifelong but not fatal is a chronic condition.
A comparison of the healthcare systems in Canada and the United States is often made by government, public health and public policy analysts. The two countries had similar healthcare systems before Canada changed its system in the 1960s and 1970s. The United States spends much more money on healthcare than Canada, on both a per-capita basis and as a percentage of GDP. In 2006, per-capita spending for health care in Canada was US$3,678; in the U.S., US$6,714. The U.S. spent 15.3% of GDP on healthcare in that year; Canada spent 10.0%. In 2006, 70% of healthcare spending in Canada was financed by government, versus 46% in the United States. Total government spending per capita in the U.S. on healthcare was 23% higher than Canadian government spending. And U.S. government expenditure on healthcare was just under 83% of total Canadian spending.
A medic is a medical practitioner or student such as a medical doctor or an emergency medical responder such as a paramedic.
Mamphela Aletta Ramphele is a South African, an activist against apartheid, a medical doctor, an academic and businesswoman. She was a partner of anti-apartheid activist Steve Biko, with whom she had two children. She is a former vice-chancellor at the University of Cape Town and a onetime managing director at the World Bank. Ramphele founded political party Agang South Africa in February 2013 but withdrew from politics in July 2014. Since 2018, she is the co-president of the Club of Rome
The University of the Western Cape is a public research university in Bellville, near Cape Town, South Africa. The university was established in 1959 by the South African government as a university for Coloured people only. Other universities in Cape Town are the University of Cape Town,, Cape Peninsula University of Technology (CPUT) and the Stellenbosch University. The establishing of UWC was a direct effect of the Extension of University Education Act, 1959. This law accomplished the segregation of higher education in South Africa. Coloured students were only allowed at a few non-white universities. In this period, other "ethnical" universities, such as the University of Zululand and the University of the North, were founded as well. Since well before the end of apartheid in South Africa in 1994, it has been an integrated and multiracial institution.
Walter Sisulu University (WSU) is a university of technology and science located in Mthatha, East London, Butterworth and Komani (Queenstown) in the Eastern Cape, South Africa, which came into existence on 1 July 2005 as a result of a merger between Border Technikon, Eastern Cape Technikon and the University of Transkei. The university is named after Walter Sisulu, a prominent figure in the struggle against apartheid.
A technikon was a post-secondary institute of technology (polytech) in South Africa. It focused on career-oriented vocational training. There were 15 technikons in the 1990s, but they were merged or restructured as universities in the early 2000s.
The Black Consciousness Movement (BCM) was a grassroots anti-Apartheid activist movement that emerged in South Africa in the mid-1960s out of the political vacuum created by the jailing and banning of the African National Congress and Pan Africanist Congress leadership after the Sharpeville Massacre in 1960. The BCM represented a social movement for political consciousness.
[Black Consciousness'] origins were deeply rooted in Christianity. In 1966, the Anglican Church under the incumbent, Archbishop Robert Selby Taylor, convened a meeting which later on led to the foundation of the University Christian Movement (UCM). This was to become the vehicle for Black Consciousness.
Cape Peninsula University of Technology is a university in Cape Town, South Africa. It is the only university of technology in the Western Cape province, and is also the largest university in the province, with over 32,000 students. It was formed by merging the Cape Technikon and Peninsula Technikon as well as a few other independent colleges.
Education in South Africa is governed by two national departments, namely the Department of Basic Education (DBE), which is responsible for primary and secondary schools, and the Department of Higher Education and Training (DHET), which is responsible for tertiary education and vocational training. Prior to 2009, both departments were represented in a single Department of Education. Among sub-Saharan African countries, South Africa has one of the highest literacy rates. According to The World Factbook - Central Intelligence Agency as of 2019, 95% of the population age 15 and over can read and write in South Africa were respectively literate.
Ga-Rankuwa is a large settlement located about 37 km north-west of Pretoria. Provincially it is in Gauteng province, but it used to fall in Bophuthatswana during the apartheid years, and under the North West province until the early 2000s.
In South Africa, private and public health systems exist in parallel. The public system serves the vast majority of the population. Authority and service delivery are divided between the national Department of Health, provincial health departments, and municipal health departments.
Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals.
After the 1959 Cuban Revolution, Cuba established a program to send its medical personnel overseas, particularly to Latin America, Africa, and Oceania, and to bring medical students and patients to Cuba for training and treatment respectively. In 2007, Cuba had 42,000 workers in international collaborations in 103 different countries, of whom more than 30,000 were health personnel, including at least 19,000 physicians. Cuba provides more medical personnel to the developing world than all the G8 countries combined. The Cuban missions have had substantial positive local impacts on the populations served. It is widely believed that medical workers are a vital export commodity for Cuba. According to Granma, the Cuban state newspaper, the number of Cuban medical staff abroad fell from 50,000 in 2015 to 28,000 in 2020.
Research shows many health disparities among different racial and ethnic groups in the United States. Different outcomes in mental and physical health exist between all U.S. Census-recognized racial groups, but these differences stem from different historical and current factors, including genetics, socioeconomic factors, and racism. Research has demonstrated that numerous health care professionals show implicit bias in the way that they treat patients. Certain diseases have a higher prevalence among specific racial groups, and life expectancy also varies across groups.
Lincoln Hospital was a medical facility located in Durham, North Carolina founded to serve the African Americans of Durham County and surrounding areas. With original hospital construction financed by the Duke family, Lincoln served as the primary African American hospital in Durham from its opening in 1901 until 1976, when it closed and transferred its inpatient services to Durham County General Hospital.
South Africa has one of the most extensive social welfare systems among developing countries in the world. In 2019, an estimated 18 million people received some form of social grant provided by the government.
The United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty-minute drive from a hospital with trauma care services. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes. Regions with higher rates of Medicaid and Medicare patients, as well patients who are uninsured are less likely to live within an hour's drive of a hospital emergency room.