A jury’s decision last week to award $21 million to Dr. Benjamin Danielson, the former Black medical director of the Odessa Brown Children’s Clinic, has cast a harsh spotlight on Seattle Children’s Hospital. The verdict, which found the institution guilty of fostering a race-based hostile work environment, serves as a powerful indictment of systemic racism within one of the nation’s most renowned pediatric hospitals.

Dr. Danielson, who resigned in 2020 after more than two decades of service, accused hospital leadership of perpetuating institutional racism against both patients and employees of color. His lawsuit cited a litany of alleged misconduct, including the use of racial slurs by a high-ranking administrator and the under-medication of Black patients with sickle cell disease due to racially charged stereotypes. An independent investigation led by former U.S. Attorney General Eric Holder corroborated Danielson’s claims, finding that the hospital’s culture discouraged addressing racial disparities and undermined trust among its diverse workforce.

The Odessa Brown Children’s Clinic, where Danielson served as director, was originally established to address racial health disparities and improve access for underserved communities. However, Danielson’s lawsuit revealed how far the hospital had strayed from that mission. Black patients were disproportionately targeted by security, while employees who raised concerns about inequities faced retaliation. One particularly harrowing case involved a Black father being escorted away by security for advocating for his sick child, a moment he described as leaving him “powerless” and “criminalized.”

Seattle Children’s leadership, now grappling with the fallout of the trial, has yet to address the broader systemic issues highlighted in the case. The findings against the hospital reflect widespread racial biases in the medical field, where Black patients are frequently labeled as aggressive, undermedicated, or treated with suspicion when advocating for themselves. Health Affairs has noted that these practices are part of a troubling pattern of healthcare inequity across the United States.

For Danielson, the verdict marks a moment of accountability, but it also underscores the urgent need for change. The implications of the case extend far beyond one hospital, raising pressing questions about the role of major healthcare institutions in perpetuating or dismantling systemic racism. As Danielson’s attorneys emphasized during the trial, confronting these disparities is not just a legal imperative—it is a moral one.