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In a nutshell..FedGov thinks minorities are dying because they aren't getting healthcare. The only way to track that is to physically count them.
So now the PC questionnaire. I guess more states will be implementing them.
The PPT from Mass is just telling the EMT's what to ask, how many times to ask the same question if they refuse and tell them they are doing it so that EVERYONE gets fair healthcare. It tells the EMT's not to make up answers if they refuse to answer the questions.