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The overall most developed country, the United States, is one of the most underdeveloped countries in health equity and delivery. Black Americans bear a disproportionate burden of morbidity and mortality from inequitable health care delivery, exacerbated by socioeconomic factors. Individuals who report experiencing racism exhibit worse health than people who do not report it. Biases and structural racism are entrenched in U.S. health care, and their influences are profound. This article illuminates the influences of racial bias on prescription medications – both through doctors’ prescribing habits for existing drugs and inequities in the development of new drugs. It begins by surveying the broader context in which structural inefficiencies racism operates in health care, then explores racial biases in prescribing habits and the development of new medicines within that context. The article concludes by identifying promising legal strategies Attached is a first “working” draft with 11 of 21 pages and sources to help in following. Further, additional notes at the conclusion of the attached piece.