The Science of Happiness The Science of Happiness

Introducing - Intention to Treat: Money and Misdiagnosis

Jun 10, 2026

Summary

This episode of The Race Equation examines how race-corrected lung function tests have led to underdiagnosis and reduced disability benefits for Black veterans. Reporter Rachel Gottbaum shares the stories of veterans Marcus and Richard, who suffered from undetected severe lung disease due to biased algorithms. Doctors Peter Sporn and Cheryl Connor discuss their efforts to implement race-neutral testing, highlighting the financial and health disparities caused by these flawed medical practices.

Topics discussed

Introduction: Race correction in medical disability benefits Marcus's story: Gulf War veteran with undiagnosed lung disease The impact of race-corrected spirometry on diagnosis Financial consequences: Lost disability benefits for Black veterans Doctors advocate for race-neutral testing at Jesse Brown VA How PFT scores determine VA compensation amounts Richard's story: Vietnam veteran re-evaluated with new tests VA freezes nationwide switch to race-neutral testing Study reveals $1 billion in potential benefit changes Federal DEI bans chill advocacy efforts within the VA Conclusion and preview of next episode on pulse oximeters
Listen ad-free on Castria