Title VI of the Civil Rights Act of 1964 prohibits racial discrimination by recipients of federal funds, including institutions that provide health care. This article assesses the current status of the Title VI enforcement program for health facilities and the problem of racial discrimination in these institutions that the Act is trying to resolve. After analyzing the legislative and political history of Title VI as it relates to health facilities, the author concludes that Title VI enforcement has been ineffective and misdirected and he suggests changes that could improve the program\u27s implementation
