The health of African American men and the role of African American men in
the health care system constitute a complex story of historical oppression
combined with incredible resilience and dedication. Social forces of racism
and discrimination coupled with economic disadvantage have worked against
the health of black men for centuries. Yet throughout the history of black
people in America, black men and women have been the principal providers of
care to one another, relying upon training at segregated yet proud medical
institutions of higher learning. African American physicians and scientist
s have made substantial yet unappreciated contributions to medical science
and practice. Still, the health status of African Americans lags behind tha
t of whites, and the health of African American men in particular has reach
ed crisis proportions. Future improvement in the health status of African A
merican men will depend upon improving access to effective medical insuranc
e, eliminating biases in the health care system that alienate black men fro
m health care, increasing the representation of people of color as medical
providers, and developing health education approaches that address health r
isks that are unique to men.