Encountering segregation in North Carolina medical practice
Best was in "the eye of the storm" of the struggle over segregated medical practice in North Carolina, he recalls. He set up practice in 1954 and immediately encountered a state medical society that limited the participation of its African-American members. Pitt Memorial Hospital, where Best began working, accepted African-American doctors as early as 1954, perhaps because its construction used federal funds.
Citing this Excerpt
Oral History Interview with Andrew Best, April 19, 1997. Interview R-0011. Southern Oral History Program Collection (#4007) in the Southern Oral History Program Collection, Southern Historical Collection, Wilson Library, University of North Carolina at Chapel Hill.
Full Text of the Excerpt
- KAREN KRUISE THOMAS:
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What kind of training did you receive in your internship?
- ANDREW BEST:
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General practice, including obstetrics and gynecology. I had a rotation
in anesthesiology, too. They let me out of the army a little early, in
December 1953, and I came to Greenville to set up the practice of family
medicine. Then in 1954, I got affiliated with the Old North State
Medical Society as a formal organization. From my association with the
Old North State, I was right in the eye of the storm of changes in
health care delivery. We were fighting the problem of segregation, which
was a real problem for us minority doctors. I happened to be there when
the Medical Society of the State of North Carolina offered us scientific
membership. Of course, Dr. Emery Rand, a family practitioner from
Charlotte, and Dr. Joe Gordon, a radiologist from Winston-Salem,
accepted the scientific membership, but the organization as a whole
rejected it, because we could attend the scientific sessions, but none
of the social sessions. We of the Old North State, the majority of us
rejected that. I don't know what year they decided to offer
us full membership, do you happen to know?
- KAREN KRUISE THOMAS:
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When I talked to Dr. Cochran last weekend, I don't believe it
was until the late '60s.
- ANDREW BEST:
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It was some time. But after they offered us full membership, I joined
the North Carolina Medical Society also. I was a member of both groups.
In the late '60s and early '70s, when we started
to accelerate our efforts for a medical school here in Greenville, I was
on one of the reference committees. I was actively involved in the
workings of the North Carolina Medical Society because I was one of the
real members after that desegregation. There was a lot that I think I
was able to help get accomplished in helping to get the medical school
here [at Eastern Carolina University]. I might mention in passing
that when I got ready to go into practice, the
hospital in Kinston was owned by a group of private doctors, who had not
opened the staff of ( ) Hospital. Of course, when they built a new
structure, they named it Lenoir Memorial. In considering a place to
practice, Pitt County Memorial Hospital had been built, and there were
two minority doctors here in Greenville, and they had been accepted on
the staff. Presumably because this hospital had been constructed with
the help of Hill-Burton federal funds, with the implication that it
would have to have an open staff. The two minority physicians in
Greenville were members of the staff before I got here. One of these
members, Dr. James Battle, had a heart attack and died, and Dr. Harold
Kelly got drafted into the service. So that left the city open, as far
as any minority physicians were concerned. When I came aboard on January
1, 1954, I applied for staff privileges at Pitt Memorial, and I was
approved and got on the staff. There were some efforts to influence me
to come to Kinston, but one of the great deciding factors between
Greenville and Kinston was the hospital situation. Where the staff at
Pitt Memorial was already open, because the group managing this hospital
didn't feel like it had a good legal stance to keep
minorities out in Greenville, the door wasn't open in
Kinston. So that in itself largely decided where I would come to
practice.
- KAREN KRUISE THOMAS:
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Do you happen to know when the Pitt County Hospital was built?
- ANDREW BEST:
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After World War II, I don't know exactly. It was pretty new
when I got there in '54.
- KAREN KRUISE THOMAS:
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Lenoir Memorial, was it a county hospital?
- ANDREW BEST:
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It was a county hospital, but it was the successor to the old Parrot
Hospital. I don't know exactly what year it was built.
- KAREN KRUISE THOMAS:
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I wonder if Lenoir got any federal money to build their hospital?
- ANDREW BEST:
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It's only been in the last year that Lenoir has opened its
doors to a minority physician. But I am told by Dr. John J. Hannibal,
who was a minority physician in Kinston who just retired, that they
invited him and my family physician, Dr. Harrison, to join. But they did
not accept, because I understand that they wanted to limit their
privileges, so neither Dr. Hannibal nor Dr. Harrison accepted any sort
of invitation to become members of that staff. It's been only
recently, in the past two years or so, that any minority physicians were
members of the staff at Lenoir County.
- KAREN KRUISE THOMAS:
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It's interesting that as early as '54, Pitt County
was opening admitting rights to minority physicians, because a lot of
hospitals, even those built with Hill-Burton funds, didn't. I
wonder what made the difference at that hospital?
- ANDREW BEST:
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I have been told that the use of federal Hill-Burton funds set the stage
so that the attitude of the people here at Pitt Memorial would go ahead
and open their doors.
- KAREN KRUISE THOMAS:
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Some people must have taken that more seriously than others.
- ANDREW BEST:
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I'm sure that there were people who were segregationists
born, segregationist bred, and going to be segregationist even after
they're dead. Those "now and forevermore"
like George Wallaceߞof course, Governor Wallace has changed
now in his old decrepit age. But one of his pet statements was
"segregation foreverߞtoday, tomorrow and
forever."