How Our “One-Size-Fits-All” Approach to Healthcare Fails Southeast Asian American Patients


One of the watershed moments in my development as an AANHPI race advocate happened at ECAASU in 2003. I was still a student activist, and president of my on-campus Asian American political group. That ECAASU was my first Asian American student conference, and my first real opportunity to interact with politically conscious Asian Americans outside of the gates of my Ivory Tower.

The only workshop I remember is the poorly attended workshop on AANHPI healthcare disparities I attended because mental health disparities were a growing issue on my campus. I emerged undeniably woken up.

An enduring problem for AANHPI racial discourse is the homogenizing effect that results from how the mainstream talks about us, and also from how some of us talk about ourselves. We paint the AANHPI identity with the broad brush of “sameness”, and in so doing we commit two unforgivable sins: 1) we universalize the narratives of East (and to a far lesser degree, South) Asian Americans as if they are wholly representative of the AANHPI identity; and 2) we shortchange the Southeast Asian American, Native Hawaiian and Pacific Islander members of our vibrant and diverse AANHPI community.

As evidence of this mainstream instinct towards AANHPI homogenization, we need look no further than Nicholas Kristof’s recent column in the New York Times, which patronizingly lauded Asian Americans as universally high-achieving. We also need look no further than the angst expressed by Governor Jerry Brown when he vetoed a widely popular California state bill that would have required sophisticated ethnic disaggregation of demographic data for AANHPI people. To date, most AANHPI racial data is aggregated during collection and analysis.

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