- The American Heart Association, published a presidential advisory on structural racism as a fundamental driver of health disparities back in November, it was released at scientific sessions in November of 2020. And, the message from that really is that structural racism can create the conditions that lead to these disparities. And now we really need to go deeper and try to figure out how that happens. What is it about structural racism that leads to the disparities? And even more importantly, what can we do to reverse that?