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A study published in the Journal of Surgery states that pedestrians hit by a motor vehicle are much more likely to die if they’re uninsured or a member of a racial minority. It compared the number to whites or those who are insured and sustain similar injuries.

According to the study, minority pedestrians are far more likely than whites to be hit by a vehicle. Dr. Adil H. Haider, an assistant professor of surgery at the Johns Hopkins University School of Medicine and author of the study said, “It’s a double whammy. Minorities are much more likely to get injured by this mechanism and much more likely to die by this mechanism.”

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