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Foreign Adoptions by Americans Reach Lowest Mark Since 1982

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A graph on foreign adoptions by Americans from 2008. Levels have dropped since this. (AP)

A graph on foreign adoptions by Americans from 2008. Levels have dropped since this. (AP)

DAVID CRARY, AP National Writer

NEW YORK (AP) — The number of foreign children adopted by U.S. parents dropped by 9 percent last year to the lowest level since 1982, according to new State Department figures.

The department’s report for the 2014 fiscal year shows 6,441 adoptions from abroad, down from 7,094 in 2013 and about 74 percent below the high of 22,884 in 2004. The number has fallen every year since then — a trend that has dismayed many adoption advocates in the U.S.

Trish Maskew, chief of the State Department’s Adoption Division, said it was difficult to predict when the number of foreign adoptions might start to rise again after so many years of decline.

“We’re trying to identify places where there’s potential, and work with them to see if we can improve the process,” Maskew said. “It would be great to be as powerful as some people think we are.”

As usual, China accounted for the most children adopted in the U.S., but its total of 2,040 was down more than 10 percent from 2013 and far below the peak of 7,903 in 2005. Since then, China has expanded its domestic adoption program and sought to curtail the rate of child abandonment.

Ethiopia was second at 716, a sharp drop over a two-year period from 1,568 adoptions in 2012. Ethiopian authorities have been trying to place more abandoned children with relatives or foster families, and have intensified scrutiny of orphanages to ensure that children placed for adoption are not part of any improper scheme.

The next three countries on the list showed increases — 521 children adopted from Ukraine, up from 438 in 2013; 464 adopted from Haiti, up from 388; and 370 from South Korea, up from 138.

Russia had been No. 3 on the list in 2012, with 748 of its children adopted by Americans, but that number dropped to 250 for 2013 and to just two in 2014 as an adoption ban imposed by Russia took effect. The ban served as retaliation for a U.S. law targeting alleged Russian human-rights violators.

The last time there were fewer foreign adoptions to the U.S. overall was in 1982, when, according to U.S. immigration figures, there were 5,749 adoptions from abroad.

Chuck Johnson, CEO of the National Council of Adoption and a critic of State Department adoption policy, said the department has worked hard to make international adoption more transparent and ethical, but has failed to advocate forcefully for adoption as a viable option for many of the world’s orphans.

“I want to prevent every instance of fraud,” Johnson wrote in an email. “But it appears that the Department of State has taken the view that we can’t help even eligible children on the often unsubstantiated fear that a child might be trafficked.”

Concerns about corruption, child-trafficking and baby-selling have prompted the United States to suspend adoptions from several countries in recent years, including Vietnam, Cambodia, Guatemala and Nepal.

The Cambodian government has expressed interest in resuming international adoptions, but U.S. officials say more improvements are needed in Cambodia’s child-protection policies.

Maskew said some adoptions are expected to be completed soon from Vietnam under a new, limited program involving children with special needs.

She said Guatemalan and U.S. officials were trying to complete the last batch of adoption cases — about 14 — that were pending when adoptions from Guatemala were suspended in 2007. Guatemala was once a top source of adopted children for U.S. couples, with more than 4,000 babies adopted each year.

Maskew said it was unclear when Guatemala would be ready to start processing new foreign adoption cases.

The State Department reported that 92 American children were adopted by residents of foreign countries last year — 46 of them went to Canada and 27 to the Netherlands.

___

Online:

State Department: http://travel.state.gov/content/adoptionsabroad/en.html

___

David Crary can be reached at http://twitter.com/CraryAP

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Alameda County

Stanford Health Care Collaborates with Alameda Health System Affiliate, Expanding Access to Care in East Bay

Introduced at a community event hosted at St. Rose Hospital in Hayward, an AHS affiliate, the partnership will enhance care for nearly 400,000 residents and solidify St. Rose’s position as a cornerstone of health and healing in the East Bay.

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At St. Rose Hospital in Hayward, Alameda Health System and Stanford Announce Partnership.(L-R) Mark Fratzke, COO Alameda Health System (AHS), James Jackson, CEO AHS, Richard Espinoza, chief administrative officer AHS, California Assemblymember Liz Ortega (D-San Leandro), Rick Shumway, COO Stanford Health Care (SHC), Alameda County Supervisor Elisa Márquez, and Hayward Mayor Mark Salinas. Photo by Carla Thomas.
At St. Rose Hospital in Hayward, Alameda Health System and Stanford Announce Partnership.(L-R) Mark Fratzke, COO Alameda Health System (AHS), James Jackson, CEO AHS, Richard Espinoza, chief administrative officer AHS, California Assemblymember Liz Ortega (D-San Leandro), Rick Shumway, COO Stanford Health Care (SHC), Alameda County Supervisor Elisa Márquez, and Hayward Mayor Mark Salinas. Photo by Carla Thomas.

By Carla Thomas

On April 9, Alameda Health System (AHS) and Stanford Health Care announced a new collaboration to expand access to specialized medical services across central and southern Alameda County.

Introduced at a community event hosted at St. Rose Hospital in Hayward, an AHS affiliate, the partnership will enhance care for nearly 400,000 residents and solidify St. Rose’s position as a cornerstone of health and healing in the East Bay.

The initiative marks a milestone for the region, uniting two leading institutions in a shared mission to deliver high-quality, patient-centered care closer to home. Through this collaboration, AHS and Stanford Health Care will expand rehabilitative and behavioral health services, increase use of St. Rose’s operating rooms for advanced procedures, and enhance inpatient medical-surgical units managed by Stanford Health Care physicians.

The partnership will also support the AHS/St. Rose Foundation to advance local health programs that directly benefit East Bay residents.

Alameda County Supervisor Elisa Márquez praised the collaboration’s impact on local stability.

“This hospital was on the brink of closing, and saving it became my top priority,” Márquez said. “With continued collaboration, we’ll not only strengthen St. Rose but restore vital services like labor and delivery so babies can be born in Hayward again.

“When Stanford Health Care in Santa Clara stepped up, it was a pivotal moment,” she said. Keeping St. Rose open protects the entire regional health care ecosystem.”

James Jackson, chief executive officer of Alameda Health System, highlighted how the effort builds on recent progress at St. Rose.

“In just two years, AHS has made St. Rose financially stable and thriving,” Jackson said. “We want to make sure patients no longer need to drive miles down the highway to get care.

“Our mission; caring, healing, teaching, and serving all, remains at the heart of this collaboration. While HR1 presents real challenges for health care funding nationwide, it also offers an opportunity to reimagine how we deliver care. I’m confident that, through innovation and partnership, we’ll emerge stronger than before.”

For Rick Shumway, executive vice president and chief operating officer of Stanford Health Care, the alignment between the two organizations is crucial.

“This partnership reflects exactly who we are and who we aspire to be,” he said. “Working alongside AHS and St. Rose allows us to better understand community needs and respond meaningfully. Partnerships like this will carry us forward. We’re stronger together.”

AHS Chief Operating Officer Mark Fratzke echoed the same sentiment.

“I’m excited that the communities of Hayward and S. Alameda have access to care like this, he said. “Never underestimate the power of collaborations and partnerships.”

For nearly six decades, St. Rose Hospital has served Alameda County as a community-based safety-net hospital. One of Hayward’s largest employers, it provides more than 800 jobs and 300 skilled physicians and is designated by Alameda County as a ST-Elevation Myocardial Infarction STEMI Receiving Center for heart attack care.

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Activism

COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

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Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo. Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.
Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners 

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author 

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.

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Activism

As California Hits Aging Milestone, State Releases Its Fifth Master Plan for Aging

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

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iStock.
iStock.

By Bo Tefu, California Black Media  

On Jan. 27, California released its Fifth Master Plan for Aging Annual Report,titled “Focusing on What Matters Most,” outlining the state’s progress and priorities as its population rapidly grows older.

The report, issued by the California Health and Human Services Agency (CalHHS), provides updates on the Master Plan for Aging’s “Five Bold Goals”: housing, health, inclusion and equity, caregiving, and affordability.

The report comes as Californians aged 60 and older now outnumber those under 18 for the first time, a demographic shift expected to accelerate over the next decade.

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

Launched in 2021, the Master Plan for Aging takes a “whole-of- government” and “whole-of-society” approach, coordinating state agencies, local governments, community organizations, and private partners. The annual report highlights significant milestones, including more than 100 California communities joining AARP’s Age-Friendly Network and $4 million in state funding awarded to local organizations to develop aging and disability action plans in 30 communities statewide.

The report also underscores California’s leadership at the national level, noting that dozens of states have followed its example and that federal legislation inspired by the plan was reintroduced in the U.S. Senate in December 2025.

CalHHS Secretary Kim Johnson emphasized the plan’s focus on equity and resilience amid ongoing challenges.

“The Master Plan for Aging continues to provide a vision, a focus, and a platform for collaboration,” Johnson said. “Equity is at the center of all that we do.”

Looking ahead, the report notes that by 2030, one in four Californians will be age 60 or older, positioning the Master Plan for Aging as a central framework for meeting the state’s long-term social, economic, and health needs.

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