We read with great interest the article by White et al., published in Anesthesiology, which found lower rates of antiemetic administration in Black patients undergoing surgery, compared to White patients. The authors painstakingly detailed why these findings should not be attributed to biologic differences between socially defined races, and instead, that we as providers need to consider that this disparity is rooted in bias, implicit, or possibly explicit. However, Drs. Sandberg and Davidson, in the accompanying editorial, tell us that The uncomfortable counterpoint [to the conclusion that implicit or explicit bias among anesthesiologists led to disparities in antiemetic administration] is that there might be a biologic basis for a link between race and postoperative nausea and vomiting susceptibility and that this biologic basis is implicitly recognized and accounted for by anesthesia care teams.

Herein lies our greatest concern—the juxtaposition of this flawed assertion alongside...

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