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Racial separatism, gender discrimination, and white dominance have historically thwarted black Americans' occupational aspirations. Access to medical education has also been limited, and mobility within the profession, leading to unequal access to health care. There have, however, been notable triumphs. In Against the Odds, Wilbur Watson describes successful efforts by determined individuals and small groups of black Americans, since the early nineteenth century, to establish a strong black presence in the medical profession. Changes in medical education and hospital management,...