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Who Is the Parasite?—COVID-19 and Structural Narratives of Health Inequity

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

As the COVID-19 pandemic continues to exacerbate systemic inequities drawn along racial and socioeconomic lines,1 we may turn to the arts as a means of escape—or as a point of entry. Parasite, the 2019 social thriller from South Korean filmmaker Bong Joon Ho and winner of Best Picture at the 92nd Academy Awards, provides a unique study of class-based inequities, viewing wealth and poverty through a topographical lens.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Nina Y. Hu, MD, Department of Emergency Medicine, New York-Presbyterian Hospital, Columbia University Medical Center, 622 W 168th St, VC2-260, New York, NY 10032 (nyh2108@cumc.columbia.edu).

Published Online: December 21, 2020. doi:10.1001/jama.2020.21450

Conflict of Interest Disclosures: None reported.

Additional Contributions: I thank Sayantani DasGupta, MD (Columbia University) for her guidance and support of this article.

References
1.
Metzl  JM , Maybank  A , De Maio  F .  Responding to the COVID-19 pandemic: the need for a structurally competent health care system.   JAMA. 2020;324(3):231-232. doi:10.1001/jama.2020.9289PubMedGoogle ScholarCrossref
2.
Foucault  M.   Des espace autres  [Of other spaces: heterotopias]. Lecture, 1967.  Architecture /Mouvement/ Continuité. October 1984.Google Scholar
3.
Street  A , Coleman  S.   Introduction: real and imagined spaces.   Space Culture. 2012;15(1):4-17. doi:10.1177/1206331211421852Google ScholarCrossref
4.
Clarke  SL . How hospitals coddle the rich. New York Times. October 26, 2015. Accessed October 8, 2020. https://www.nytimes.com/2015/10/26/opinion/hospitals-red-blanket-problem.html
5.
Mays  JC , Newman  A . Virus is twice as deadly for Black and Latino people than whites in N.Y.C. New York Times. April 8, 2020. Accessed October 8, 2020. https://www.nytimes.com/2020/04/08/nyregion/coronavirus-race-deaths.html
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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