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Chronic kidney disease (CKD) is a major public health problem, and it provides an important example of health disparities in the US. Black individuals are 2 to 4 times more likely than others to progress to kidney failure and are less likely to receive optimal therapies, including kidney transplants. Reasons that contribute to these disparities include a variety of factors that are a direct result of structural racism, including poor access to health care, low educational attainment, and poverty. 1-3

Tension about the use of race in medicine and, in particular, algorithms to guide clinical decisions, has increased substantially. 4-7 As such, vigorous discussions have emerged regarding the ethics of including a Black race modifier in estimating glomerular filtration rate (eGFR) equations. 4, 8 The more visible realization that race is a sociopolitical construct and not a biological measure has led several institutions to remove the race …