The issue focused on medical records for patients who used medicine while unemployed and looking for work. It found that 45 percent of cases involved African Americans, compared with 13 percent of whites and 12 percent of Latinos. The Department of Labor reported that 26 percent of medical records included images that might have been altered by drug users or trafficking organizations.

Dr. Anne McDonald, an associate professor at Brown University School of Medicine and lead author of the study, said medical providers should consider creating policies to ensure medical records are accurate and