I have a question for the “race-is-a-biological-reality” people.
I had to go to specialist a few weeks ago (some Dopers may have a vague recollection of this). He’s not absolutely sure, but he thinks I have a genetic neurogenerative disorder. I tested negative on the test for the most common of these diseases, but turns out there are other genetics diseases that present with symptoms similar to the most common, better-known one (Huntington’s). There are about four variants of this condition (Huntington’s like diseases). They are all very rare.
He immediately identified me as an African American, which does not always happen, so props to him. When coming up with a list of an additional tests to take, at the top was for a variant of the neurodenerative disease that, according to him, is “highly common among African Americans” (his exact words). When I read those words, my opinion dropped of him a million points. There is no disease that is “highly common among African Americans.” However, there are diseases, such as sickle cell, that are disproportionately represented among African Americans. I’m not generally a nit-picker, but I do like precise language in scientific and medical contexts. So that was the first annoyance.
I did research on the disorder he wants me tested for, because if I’m going to have pay out-of-pocket for something, then I want to know my chances of actually turning up something. I don’t like blindly fishing when it comes to my health, sorry. Well, what do you know? Turns out the disease is not even disproportionately represented in African Americans! Indeed, in all my searchings I couldn’t find a single case of this rare condition being found in African American families. However, the disease has been found in a tiny subset of South Africans. They represent over half of all the cases of this disorder ever found. The others have been in various populations scattered throughout the world (French, Mexicans, etc.) that have had little contact with South Africans. For the uninitiated, South Africans represented a very tiny fraction of the Trans-Atlantic slave trade. Almost all African Americans are descended from West and Central Africans. Very very few of us have recent ancestry going back to either East or South Africa, and even in those that do, the ancestry would represent a small contribution to their overall make-up.
So let’s see…here I am, a genetic mutt with some visible recent (West) African ancestry, being told I should get tested for a single variant of a disorder–the only one that can be linked to (South) Africans. And the reason I have explicitly been given for this is based strictly on my race. Not on my symptoms or family history, but on the doctor’s incorrect assumptions about my race. The doctor never asked about my pedigree. For all he knows, being tested for another variant would make more sense. I have Scots-Irish ancestry–perhaps there is a variant that is traceble to this group? I have been mistaken for everything from Samoan to Middle Eastern–but he did not ask if I have anything beyond “African” in my bloodline. He didn’t ask, “Besides African ancestry, what other recent ancestry do you have?” Apparently that one drop of black blood obliterates everything else. (utter frustration!)
So…racial biologists? Am I a jerk for refusing to take this expensive test? Or am I simply applying the common sense my Mama gave me?