In May, we took our son to the hospital because he’d been having a fever for about 5 days, and it was right when all the swine flu hoopla was swirling around. On top of that he had just started day care a week earlier. So just to be sure, we took him to the E.R. Big mistake. But that’s another post.
As a result of the E.R. visit my son was diagnosed with a Vitamin-D deficiency. I’m not really a biology guy, so I figured we just needed to make some changes to his diet. (I’m already a stickler for diet so any kind of vitamin deficiency is still shocking to me) We talked to his pediatrician, and he shrugged it off. Said something about most African Americans suffering from some form of mild vitamin-D deficiency simply as a result of the melanin in our skin being excellent at protecting us from the harmful rays of the sun, but hampering the conversion of sunlight to vitamin-D. But because his diagnosis worried us we got a referral to an endocrinologist. And that’s where it gets interesting.
We’re sitting in his office and he’s going over “blah, blah, sunlight, blah, blah, blah, black people, blah, blah, standards to low.” So now my interest is piqued right? Why didn’t our pediatrician recommend a Vitamin D supplement in the first place? There’s all kinds of info out there about SIDS, and flu and fevers, but nothing about Vitamin D. In his defense, how do you tell a parent that you need a certain medication because you are black. And since there really is no definitive answer, and in infants the liquid form of the vitamin D is expensive, I’m sure most parents would do a cost/benefit analysis and determine that $300 a month isn’t necessary for something with no proven and generally accepted benefit.
The other thing about this Vitamin D deficiency is that it is more prevalent in breast-fed babies. Infant formulas, milk etc., are all fortified with Vitamin D, but still for some black people that isn’t enough. So then I started thinking about the current health care debate.
So far we’ve been talking about the Health Care Debate in terms of who pays, government control, effects on insurers, the economy etc. That isn’t really the half of the health debate. Part of the reason this is on my mind is because of another post on the Insanity Report. But we don’t even have to go as far as end of life care. Let’s take something as simple as Vitamin D.
Humans get the majority of their daily vitamin D from sunlight. Melanin, found in higher amounts in blacks protected our skin from the UVA/B in those equatorial regions, however this also has the side effect of slowing the production of Vitamin D in our skin. So blacks living further from the equator need much more exposure to the sun in order to produce the Vitamin D they need. Apparently, vitamin D (like pretty much all vitamins) is a superstar in fighting high blood pressure, obesity, certain cancers, depression and diabetes. Coincidentally, these all have very high prevalence in the black community. Pause. Cholesterol. Vitamin D. Black People. Sunlight. Now, health standards require a minimum amount of vitamin d far below what some biologists recommend. And these recommendations come in diet (Vitamin D2) not Vitamin D3 which is more similar to what your bodies produces naturally. So basically it boils down to a different recommended level of vitamin D for black people than white people, because darker pigmentation causes vitamin d to be created in the body more slowly.
So, what happens in a single payer system? How would white people feel about paying (in taxes) for additional treatments for vitamin D deficiency in black people? $300 a month per black infant living above, say,
Adding to the complexity of this issue is the reason why black people are more affected by this than others. That is inhabiting areas far from the equator, namely, the Atlantic Slave Trade. Isn’t that fantastic?