{"id":26160,"date":"2025-02-10T23:48:43","date_gmt":"2025-02-10T23:48:43","guid":{"rendered":"https:\/\/familymedicine.uw.edu\/medex\/?p=26160"},"modified":"2025-08-18T22:55:49","modified_gmt":"2025-08-18T22:55:49","slug":"dr-richard-smith-and-the-call-to-desegregate-americas-hospitals","status":"publish","type":"post","link":"https:\/\/familymedicine.uw.edu\/medex\/magazine\/2025\/02\/10\/dr-richard-smith-and-the-call-to-desegregate-americas-hospitals\/","title":{"rendered":"Dr. Richard Smith  and the Call to Desegregate the Nation&#8217;s Hospitals"},"content":{"rendered":"\n<p style=\"text-align: left\"><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">In recognition of 2025 Black History Month, we are <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">posting<\/span> <span class=\"NormalTextRun SCXW113080797 BCX8\">the following <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">excerpt from the upcoming <\/span><\/span><strong><span class=\"TextRun MacChromeBold SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">Multiply My Hands: The Life of Dr. Richard A. Smith<\/span><\/span><\/strong><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">,<\/span> <span class=\"NormalTextRun SCXW113080797 BCX8\">the first complete telling of the life <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">and times <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">of this visionary civil rights and healthcare leader.<\/span> <\/span><\/p>\n<p style=\"text-align: left\"><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">Two years<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> before Dr. Smith moved from Washington, D.C. <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">to <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">Seattle, WA <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">to pursue an <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">idea that he had long fostered &#8212; <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">the creation and <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">launch<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> of <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">MEDEX Northwest &#8212; <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">he was<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> part of the executive staff within the<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">\u00a0<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">U.S. Surgeon General\u2019s Office. <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">His<\/span> <span class=\"NormalTextRun SCXW113080797 BCX8\">assignment in the Surgeon General\u2019s Office<\/span> <span class=\"NormalTextRun SCXW113080797 BCX8\">had <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">followed on the heels of his pivotal <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">leadership <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">work <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">in Nigeria <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">with <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">the <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">then <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">newly-created<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> Peace Corps<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">. <\/span><\/span><\/p>\n<p style=\"text-align: left\"><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">This excerpt, \u201cDr. Richard Smith and the Call to Desegregate America\u2019s Hospitals,\u201d b<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">egins with <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">Dr. <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">Smith sitting in the office of his boss<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> U.S. Surgeon General William Stewart and <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">learning of his new <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">assignment as <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">Deputy Director of the Office of Equal Health <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">Opportunity (OEHO)<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">. His specific <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">task in this new role was to <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">desegregate<\/span>\u00a0<span class=\"NormalTextRun SCXW113080797 BCX8\">the nation\u2019s <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\">hospitals, which numbered over 7000 at the time.<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\"> This daunting task would prove to be a transformative experience for the <\/span><\/span><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\">34-year-old<\/span><\/span><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW113080797 BCX8\"> Richard Smith, and \u201c<\/span><\/span><span class=\"TextRun SCXW113080797 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW113080797 BCX8\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;7ae5f1fa-7a6e-4b36-8586-462719a12762|34&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:[201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Aptos&quot;,469777842,&quot;&quot;,469777843,&quot;Aptos&quot;,469777844,&quot;Aptos&quot;,201341986,&quot;1&quot;,469769226,&quot;Aptos&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;]}\">the biggest contribution I\u2019ve made to my country,\u201d <\/span><span class=\"NormalTextRun SCXW113080797 BCX8\" data-ccp-charstyle=\"normaltextrun\">he<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\" data-ccp-charstyle=\"normaltextrun\"> would later claim<\/span><span class=\"NormalTextRun SCXW113080797 BCX8\" data-ccp-charstyle=\"normaltextrun\">. <\/span><\/span><\/p>\n<p><em>See the Editor&#8217;s Note at the bottom of this post for an explanation of the <strong>immersive historical narrative style<\/strong> being employed in this piece of writing.<\/em><\/p>\n<div class=\"text-center\"><div class=\"is-divider divider clearfix\" style=\"max-width:500px;background-color:rgba(33, 16, 233, 0.89);\"><\/div><\/div>\n\n\t<div id=\"gap-1205199174\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1205199174 {\n  padding-top: 30px;\n}\n<\/style>\n\t<\/div>\n\t\n\n<figure id=\"attachment_23962\" aria-describedby=\"caption-attachment-23962\" style=\"width: 150px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-23962 size-thumbnail\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/richard-a-smith-md-mph-150x150.png\" alt=\"Photo of Dr. Richard Smith\" width=\"150\" height=\"150\" \/><figcaption id=\"caption-attachment-23962\" class=\"wp-caption-text\">Dr. Richard Smith, at the time of his work in the U.S. Surgeon General&#8217;s Office.<\/figcaption><\/figure>\n<figure id=\"attachment_23990\" aria-describedby=\"caption-attachment-23990\" style=\"width: 150px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-23990 size-thumbnail\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/William_H._Stewart_photo_portrait_as_surgeon_general-150x150.jpg\" alt=\"Photo of Surgeon General William H. Stewart\" width=\"150\" height=\"150\" \/><figcaption id=\"caption-attachment-23990\" class=\"wp-caption-text\">Dr. William Stewart, U.S. Surgeon General (1965-1968)<\/figcaption><\/figure>\n<p><strong>The Assignment<\/strong><\/p>\n<p><span data-contrast=\"auto\">In February 1966, Richard Smith sat in U.S. Surgeon General William Stewart&#8217;s office. Outside, the cherry trees were just beginning to bud, though Richard barely noticed their delicate pink promise. His attention was fixed instead on Stewart&#8217;s demeanor, his thoughtful and measured expression. The atmosphere in the office crackled with anticipation of what Stewart was about to propose.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In July of the previous year, President Lyndon Johnson had signed the Medicare Act, a groundbreaking moment for American healthcare. Hidden among its transformative policies was a single line with seismic potential: hospitals receiving federal funds must desegregate\u2014not just their patient wards, but every facet of their operations. Now, less than a year later, the compliance deadline loomed like a storm cloud on the horizon.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Stewart leaned forward slightly, his gaze locking onto Smith. \u201cWe need someone to lead the field operations for hospital desegregation,\u201d he said, his voice calm but firm. \u201cSomeone who understands both medicine and civil rights. Someone who can handle delicate situations with diplomacy, but also with strength.\u201d A pause hung between them before he added, \u201cI want you to do it, Dick.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith&#8217;s mind raced.<\/span><i><span data-contrast=\"auto\"> Seven thousand hospitals.<\/span><\/i><span data-contrast=\"auto\"> The number staggered him.\u202f<\/span><i><span data-contrast=\"auto\">Seven thousand institutions entrenched in decades of discriminatory practices, now required to change, and quickly.<\/span><\/i><span data-contrast=\"auto\"> The newly passed Medicare legislation had given the Surgeon General\u2019s office leverage: hospitals would receive federal funds only if they ended their practices of segregation. Of course Smith knew from experience that laws alone didn\u2019t change hearts. Still, he took the assignment.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_26296\" aria-describedby=\"caption-attachment-26296\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26296\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-1024x385.png\" alt=\"Image of text to Title VI, Civil Rights Act of 1964\" width=\"550\" height=\"207\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-1024x385.png 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-300x113.png 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-768x289.png 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-1536x577.png 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-05-at-3.34.03-PM-2048x770.png 2048w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><figcaption id=\"caption-attachment-26296\" class=\"wp-caption-text\">Title VI of the Civil Rights Act of 1964 prohibits discrimination in programs receiving federal funds, but hospitals largely ignored this until Medicare enforcement tied compliance to funding.<\/figcaption><\/figure>\n<p>\u00a0<\/p>\n<figure id=\"attachment_9579\" aria-describedby=\"caption-attachment-9579\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-9579\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/10\/B2-medicare_bill_signing_lbj-300x200.jpeg\" alt=\"President Lyndon Baines Johnson signed the Medicare bill into law on July 30, 1965. Desegregation of all hospitals was a required component of the Medicare implementation.\" width=\"700\" height=\"467\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/10\/B2-medicare_bill_signing_lbj-300x200.jpeg 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/10\/B2-medicare_bill_signing_lbj-1024x683.jpeg 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/10\/B2-medicare_bill_signing_lbj-768x512.jpeg 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2016\/10\/B2-medicare_bill_signing_lbj.jpeg 1200w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-9579\" class=\"wp-caption-text\">President Lyndon Johnson signed the Medicare &amp; Medicaid Act into law on July 30, 1965. Desegregation of all hospitals was a required component of the Medicare implementation.<\/figcaption><\/figure>\n<p><strong>Getting Underway<\/strong><\/p>\n<p><span data-contrast=\"auto\">Working with Deputy Surgeon General Leo Gehrig and Bob Nash, a skilled administrator, Dr. Smith began assembling a team of 350 staff members. Their first task was deceptively simple: send questionnaires to every hospital in America, asking them to detail their racial policies. The responses revealed the sobering truth of segregation in medicine, particularly in the South. Separate wards, duplicated X-ray facilities, different waiting rooms, even segregated blood supplies\u2014these practices weren\u2019t just tolerated, they were systemic,<\/span> <span data-contrast=\"auto\">openly described and defended in many of the written responses.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Late one night, Smith sat alone in his office, reading through the damning documents. His stomach tightened as he read hospital administrators\u2019 justifications for these practices, written in cold bureaucratic language. <\/span><i><span data-contrast=\"auto\">Medicine is supposed to heal<\/span><\/i><span data-contrast=\"auto\">, he thought, his anger simmering beneath the surface. <\/span><i><span data-contrast=\"auto\">Not divide<\/span><\/i><span data-contrast=\"auto\">. <\/span><i><span data-contrast=\"auto\">How could institutions meant to save lives perpetuate a system that cost so many?<\/span><\/i><span data-contrast=\"auto\"> But he knew that his personal outrage wouldn\u2019t dismantle a legacy of injustice. Closing the file, he resolved to focus on what came next. This was a battle for the soul of healthcare, for the soul of America, and he was determined to see it through.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The work would prove to be both ambitious and dangerous. Smith and his team faced resistance from hospital administrators and local officials, and sometimes even faced violent threats. But <\/span><span data-contrast=\"none\">with President Johnson&#8217;s backing and the power of Medicare funding as leverage, they began the painstaking process of dismantling decades of institutional racism in American healthcare.<\/span> <span data-contrast=\"none\">One story of many stands out as an instructive one: the challenge of desegregating a hospital in Marshall, Texas, the hometown of Lady Bird Johnson, the First Lady of the United States. <\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_26196\" aria-describedby=\"caption-attachment-26196\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26196\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-300x168.png\" alt=\"Photo of Lyndon Johnson and Hubert Humphrey\" width=\"700\" height=\"393\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-300x168.png 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-1024x575.png 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-768x431.png 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-1536x863.png 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-06-at-11.14.01-AM-2048x1150.png 2048w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-26196\" class=\"wp-caption-text\">U.S. President Lyndon Johnson (left) and U.S. Vice President Hubert Humphrey (right).<\/figcaption><\/figure>\n<p><strong>A Call from the Vice President <\/strong><\/p>\n<p><span data-contrast=\"auto\">Just two months into his new role as Director of Field Operations for the Office of Equal Health Opportunity (OEHO), Dr. Smith was hard at work when his secretary knocked on the door.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">&#8220;Excuse me, Dr. Smith. I think you\u2019ll want to take this call. It\u2019s Vice President Humphrey\u2019s office.&#8221; Smith&#8217;s<\/span><span data-contrast=\"auto\">\u00a0steady hand betrayed none of the tension coursing through him as he reached for the phone.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cDick, this is Hubert Humphrey,\u201d came the Vice President\u2019s unmistakable voice, warm and full of energy. \u201cHow are you, my friend?\u201d It seems Vice President Humphrey had been keeping his eye on the important work that Richard Smith had been doing since the two of them met the previous year at the White House Conference on Health. \u201cThe Surgeon General speaks very highly of you, Dick, and I have to say, I\u2019m impressed.\u201d\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThank you, Mr. Vice President,\u201d Smith replied, his voice steady but curious about the reason for the call. \u201cWhat can I do for you?\u201d<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u201cWell Dick, I\u2019ve got a special request from the President himself,\u201d Humphrey continued. \u201cHe wants you to personally oversee the desegregation of the hospital in Lady Bird Johnson\u2019s hometown of Marshall, Texas.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith straightened in his chair. <\/span><i><span data-contrast=\"auto\">A direct order from the President.<\/span><\/i><span data-contrast=\"auto\"> \u201cI understand, sir,\u201d he said, already feeling the weight of the assignment settling on his shoulders.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe know it won\u2019t be easy,\u201d Humphrey added, his tone softening. \u201cBut this is an important step\u2014not just for Marshall, but for the entire country. I don\u2019t need to tell you how much is riding on this.\u201d\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cYou don\u2019t, sir,\u201d Smith said firmly. \u201cI\u2019ll get it done.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Humphrey\u2019s voice brightened. \u201cThat\u2019s exactly what I was hoping to hear. Good luck, Dick\u2014and let us know if you need anything.\u201d\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">As the line clicked off, Smith set the receiver down slowly. <\/span><i><span data-contrast=\"auto\">There can be no failure here<\/span><\/i><span data-contrast=\"auto\">, he thought.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<figure id=\"attachment_26309\" aria-describedby=\"caption-attachment-26309\" style=\"width: 700px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26309\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-300x194.png\" alt=\"A postcard image of the Texas and Pacific Hospital located in Lady Bird Johnson's hometown of Marshall, TX.\" width=\"700\" height=\"453\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-300x194.png 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-1024x663.png 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-768x497.png 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-1536x995.png 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.48.20-PM-1-2048x1326.png 2048w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-26309\" class=\"wp-caption-text\">A postcard of the Texas &amp; Pacific Railway Hospital located in Lady Bird Johnson&#8217;s hometown of Marshall, TX.<\/figcaption><\/figure>\n<p><strong>Coming Into Marshall<\/strong><\/p>\n<p><span data-contrast=\"auto\">The flight from Washington D.C. to Dallas, TX left Dr. Smith with knots in his stomach, though years of navigating racial tensions had taught him to maintain an outward calm. At the airport, he was met by the Regional Director of Health, Education, and Welfare, a man whose name briefly caught him off guard. \u201cDr. Bond, James Bond, at your service,\u201d the man said with a wry smile.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith raised an eyebrow at the absurdity. <\/span><i><span data-contrast=\"auto\">James Bond? You\u2019ve got to be kidding me.<\/span><\/i><span data-contrast=\"auto\"> A faint smile formed in the corners of his mouth, and for a moment, the tension eased. \u201cWell, I suppose it\u2019s fitting, given the mission,\u201d he said, shaking the man\u2019s hand firmly. <\/span><i><span data-contrast=\"auto\">Anything to break the ice before we step into the fire. <\/span><\/i><span data-contrast=\"none\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Any amusement at the coincidence of his encounter with \u201c007\u201d vanished as the two crossed into Harrison County on their way from Dallas to Marshall. Out of nowhere, more than a dozen pickup trucks had materialized behind them, gun racks prominently displayed through their rear windows. <\/span><i><span data-contrast=\"auto\">We notified the hospital administration,<\/span><\/i><span data-contrast=\"auto\"> he thought, watching another truck roar past with a blaring horn, <\/span><i><span data-contrast=\"auto\">but who told these hooligans we were coming?<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The convoy took turns tailgating their government car, each pass off accompanied by the obnoxious and threatening sounds of horns and engines. Bond maintained a steady speed. His calm presence countered the increasingly aggressive display around them. The harassment continued until they reached the Marshall city limits, where the trucks peeled away as suddenly as they had appeared. When they finally pulled into the hospital parking lot, Smith let out a long breath, the tension in his shoulders finally releasing. But the knot in his stomach didn\u2019t dissipate. <\/span><i><span data-contrast=\"auto\">That was just the welcome committee, <\/span><\/i><span data-contrast=\"auto\">he thought. <\/span><em>The real fight&#8217;s waiting inside.\u202f<\/em><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><strong>We Won&#8217;t Comply <\/strong><\/p>\n<p><span data-contrast=\"auto\">Inside the hospital, everything gleamed. The floors were polished to a mirror-like shine, and the staff\u2019s tight smiles felt rehearsed, their cheerfulness too perfect to be genuine. Dr. Smith could spot the performance\u2014years spent acting in his younger days in summer stock theater back in Norwalk, CT had taught him how to recognize when someone was putting on a show. The administrator\u2019s handshake was firm but fleeting, a practiced gesture that revealed little. He knew the real test would come in the boardroom.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\"><span data-contrast=\"auto\">The hospital board members arranged themselves around the long table, their faces offering little. Smith withdrew the documents from his briefcase with deliberate care &#8211; first the Surgeon General&#8217;s introductory materials outlining the new law, then the hospital&#8217;s own completed OEHO questionnaire. The familiar rhythm of these movements helped steady him. He&#8217;d done this in training sessions dozens of times, but this was different. This was the real thing. This was for the President.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/span><\/p>\n<p><span data-contrast=\"auto\">As Smith spoke, the administrator leaned back in his chair, arms crossed. His expression shifted from feigned politeness to open defiance. Then Smith reached for what those in his office had come to think of as their ace in the hole &#8211; the financial consequences of non-compliance. He laid out the stakes with absolute clarity. His voice remained steady as he explained that continuing their discriminatory practices would mean forfeiting millions in annual Medicare payments. The hospital would lose its access to Department of Defense surplus equipment and their supply of Department of Agriculture surplus food would be cut off.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cWe won\u2019t comply,\u201d the man said flatly. \u201cThis law is unfair, and we won\u2019t be bullied by Washington.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The silence that followed was deafening. Smith&#8217;s hand froze mid-motion as he reached for another document. His eyes met the man\u2019s gaze, and without blinking, the administrator said, \u201cWe don\u2019t need your money.\u201d\u202f\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">You will,<\/span><\/i><span data-contrast=\"auto\"> Smith thought, but he didn\u2019t say it aloud. Instead, he let the silence settle into the room, heavy and oppressive. His eyes quickly panned the room looking at each board member, searching for any sign of dissent. Nothing. Their faces were stone, their silence was complicit. <\/span><i><span data-contrast=\"auto\">They\u2019re united, every single one of them, <\/span><\/i>he<span data-contrast=\"auto\">\u00a0thought. <\/span><i><span data-contrast=\"auto\">There\u2019s no cracking this today.<\/span><\/i><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><strong>Doing the Math<\/strong><\/p>\n<p><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26305 size-medium alignleft\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-300x166.png\" alt=\"\" width=\"300\" height=\"166\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-300x166.png 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-1024x566.png 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-768x425.png 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-1536x849.png 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/Screenshot-2025-02-11-at-1.40.04-PM-2048x1132.png 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The drive back to Dallas was a somber one. As the Texas landscape rolled past, Dr. Smith&#8217;s mind churned with the implications of this apparent failure. Each mile marker seemed to bring him closer to the moment he\u2019d have to report back to Washington.\u202fAfter some time, Bond broke the silence, his voice calm and pragmatic.\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cDr. Smith,\u201d he said. \u201cTexans in power will fight tooth and nail to protect their pride\u2014until they realize it\u2019s costing them more than they\u2019re willing to pay.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith glanced over, the defiance of the hospital administrator still fresh in his mind. \u201cAnd when they do realize it, what happens?\u201d\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Bond smirked, his eyes steady on the road. \u201cThey find a way to save face while quietly doing what benefits them most. You hit them where it hurts today: their wallets. Trust me, they\u2019re already doing the math.\u201d\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith let out a tired laugh, shaking his head. \u201cYou seem pretty sure of yourself.\u201d<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Bond chuckled confidently. \u201cBecause I\u2019ve seen it before. Pride might keep them stubborn for a while, but it doesn\u2019t pay the bills. Once they figure out the dollars will dry up, they\u2019ll cave quicker than a sandcastle at high tide.\u201d<\/span><span data-contrast=\"none\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Smith stared at the fading horizon as his colleague&#8217;s words echoed in his mind. The tight knot in his chest began to ease, but his doubts didn\u2019t fully lift.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-26319 alignright\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/DC-1965-1-300x188.jpg\" alt=\"\" width=\"300\" height=\"188\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/DC-1965-1-300x188.jpg 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2025\/02\/DC-1965-1.jpg 673w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Back in Washington, D.C., Dr. Smith briefed his superiors on his failure to fulfill President Johnson\u2019s personal request. His senior colleagues at OEHO decided the best course was to let the situation simmer for a bit. Three days crawled by with no word from Marshall. Then, on the fourth morning, Smith&#8217;s phone rang. The chairman of the hospital board&#8217;s voice came through clear and firm: &#8220;The hospital will immediately end all racial discrimination.&#8221; When Smith reminded him of their administrator&#8217;s adamant stance just a few days prior, the chairman&#8217;s response was:\u202f &#8220;Well, Dr. Smith, the hospital just got a new administrator, and things have changed.&#8221; <\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">As Smith hung up, he allowed himself a brief smile. <\/span><i><span data-contrast=\"auto\">Bond was right, they had done the math<\/span><\/i><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><strong>The Biggest Contribution<\/strong><\/p>\n<p><span data-contrast=\"auto\">The work would continue, hospital by hospital, state by state. Some facilities chose compliance over financial ruin. Others required more persuasion. Resistance to change involved falsified hospital records, staged hospital scenes for influential tv news reports, and even the murder of internist committed to supporting desegregation. But the numbers told the story that mattered most. Every life saved, every child spared, was worth the struggle. For Dr. Smith, the fight for change was far from over, but he knew one truth: before you can heal, you have to stop the bleeding. <\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">By the spring of 1966, the OEHO was under siege. The midterm elections that year handed Republicans significant gains, empowering conservatives and Southern Democrats to attack civil rights enforcement. They targeted the OEHO, pushing for centralization under congressional control, effectively dissolving the office by 1967. For those who had fought to desegregate over 7,000 hospitals in <\/span><span data-contrast=\"none\">that short period of time, <\/span><span data-contrast=\"auto\">the dismantling of the OEHO was deeply disheartening.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Yet for Smith and his colleagues, those few months in 1966 were transformative. \u201cIt was the biggest contribution I\u2019ve made to my country,\u201d he would later claim. The relentless pace, the personal sacrifices, and the challenges faced in desegregating America\u2019s healthcare system became defining moments for all those involved. Though the OEHO closed, the impact of its work and the personal growth of its staff remained enduring legacies, shaping their careers and their commitment to justice for years to come.<\/span><span data-contrast=\"none\">\u202f<\/span><\/p>\n<p><span data-contrast=\"none\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-24115\" src=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-300x168.png\" alt=\"Photo of people marching with signs urging hospitals to desegregate.\" width=\"550\" height=\"309\" srcset=\"https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-300x168.png 300w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-1024x575.png 1024w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-768x431.png 768w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-1536x862.png 1536w, https:\/\/familymedicine.uw.edu\/medex\/wp-content\/uploads\/sites\/3\/2024\/02\/hospital-desegregation-2048x1150.png 2048w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/span><\/p>\n<div class=\"text-center\"><div class=\"is-divider divider clearfix\" style=\"max-width:500px;background-color:rgb(11, 11, 244);\"><\/div><\/div>\n\n<p style=\"text-align: center\"><strong>\u00a0<\/strong><i><span data-contrast=\"none\"><strong>Editor\u2019s note<\/strong>: <\/span><\/i><i><span data-contrast=\"auto\">Our approach in telling the impressive life story of Dr. Richard Smith is through what is called <\/span><\/i><strong><em>immersive historical narrative<\/em><\/strong><i><span data-contrast=\"auto\">. This is a form of historical writing that combines deep research and historical accuracy with a narrative style intended to highlight the lived experiences of Smith and those around him. It might be thought of as fact-based history presented in the narrative style of fiction. <\/span><\/i><i><span data-contrast=\"auto\">The historical figure we know as <\/span><\/i><i><span data-contrast=\"auto\">Richard Alfred Smith was by all accounts a compelling, engaging and dynamic person. We want the reader\u2019s engagement with him to be compelling, engaging and dynamic in equal measure. <\/span><\/i><i><span data-contrast=\"auto\">The <\/span><\/i><i><span data-contrast=\"auto\">narrative decisions at work here are never made at the expense of accuracy or fact. For instance, even when we include exchanges of imagined dialogue or assign certain interior thoughts, we rely on the historical record to do so. <\/span><\/i><i><span data-contrast=\"auto\">Primary among the resources we rely upon are materials collected in the growing Dr. Richard Smith Archives, which include drafted memoirs, diaries and personal notes, professional and private letters, published books and articles, transcripts of interviews, public talks and presentations, even television scripts and musical compositions! <\/span><\/i><i><span data-contrast=\"auto\">Our interest throughout is to place the reader in moments that certainly happened to Richard Smith, but to convey those moments as they might have played out in the context of <\/span><\/i><i><span data-contrast=\"auto\">this extraordinary life.\u00a0<\/span><\/i><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>In recognition of Black History Month 2025, this excerpt from The People Collector: The Life of Dr. Richard A. Smith, the first complete telling of his life and times, follows Smith as he takes on the challenge of desegregating the nation\u2019s hospitals.<\/p>\n","protected":false},"author":221,"featured_media":24095,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,24],"tags":[],"class_list":["post-26160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medex-stories","category-medex-historical"],"cp_meta_data":{"_edit_lock":["1747425938:173"],"_thumbnail_id":["24095"],"_edit_last":["221"]},"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/26160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/users\/221"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/comments?post=26160"}],"version-history":[{"count":154,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/26160\/revisions"}],"predecessor-version":[{"id":27859,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/posts\/26160\/revisions\/27859"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/media\/24095"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/media?parent=26160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/categories?post=26160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/medex\/wp-json\/wp\/v2\/tags?post=26160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}