02/19/2026
The System Doesn’t Get to Be Anonymous
We shortened the name to protect the guilty.
Not “Tuskegee.”
The U.S. Public Health Service Syphilis Study at Tuskegee.
Not a rogue doctor. Not a local clinic gone wrong. The United States government deliberately withheld treatment from 399 Black men for 40 years.
They told them they were being treated. They weren’t.
When penicillin became available in the 1940s? They still didn’t treat them.
The study didn’t end because someone grew a conscience. It ended in 1972 because a whistleblower leaked it to the press.
I think about this every time a Black patient hesitates before surgery.
Every time someone asks me three times if I’m sure about the diagnosis.
Every time a patient brings their entire family to the appointment—not for support, but for witnesses.
They’re not being difficult. They’re being descendants.
Medical mistrust isn’t irrational. It’s inherited. It’s a survival strategy passed down from people who trusted the system and paid with their lives.
As a Black physician, I carry a strange duality:
I represent the institution that harmed my people. And I represent the possibility that it can be different.
The least I can do is say the full name. Out loud. Teach it to my colleagues.
Because when we call it “Tuskegee” without the “United States Public Health Service,” we let the system off the hook.
And the system doesn’t get to be anonymous.
Beyond The Clinic. 🖤