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Research Finds Black Californians Prioritize Health, While System Fails to Prioritize Black Californians

The data that was collected showed that 90% of Black Californians say that they have health insurance coverage, and 92% of respondents said that they have seen a doctor or healthcare provider in the last year. Most people reported putting “a great deal” or “quite a bit” of effort into getting screenings and preventative care, tracking health indicators like blood pressure and cholesterol, and working to maintain a healthy weight. Four out of five reported focusing “a great deal” or “quite a bit” on mental health.

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More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.
More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.

Maxim Elramsisy | California Black Media

The California Health Care Foundation (CHCF) has released a study that found Black Californians are highly engaged with their health care, are active in advocating for their health and have strong and clear opinions about how the healthcare system can be improved.

“I think it’s surprising because of the pervasive myths about noncompliance among black patients,” said Shakari Byerly, managing partner of EVITARUS, a Los Angeles based Black-owned public opinion research firm who designed, conducted and analyzed the research. “The fact is that our traditional foods may not be as healthy. While that may have some degree of anecdotal resonance, what we’re seeing broadly is that people are working very hard.”

The study was staged in three different phases intended to get varying levels of insight from different cohorts of Black Californians.

Phase one consisted of hourlong interviews with 100 individuals to understand their views on health, perceptions of discrimination, and their vision for an ideal healthcare system.

In Phase Two, the researchers conducted 18 segmented focus groups to explore structural issues in the healthcare system.

In Phase Three, 3,325 Black Californians were surveyed to determine how well the findings in phases one and two captured and represented the views of the general population of Black Californians.

The data that was collected showed that 90% of Black Californians say that they have health insurance coverage, and 92% of respondents said that they have seen a doctor or healthcare provider in the last year. Most people reported putting “a great deal” or “quite a bit” of effort into getting screenings and preventative care, tracking health indicators like blood pressure and cholesterol, and working to maintain a healthy weight. Four out of five reported focusing “a great deal” or “quite a bit” on mental health.

One in three Black Californians and nearly half (47%) of Black women say they experienced inadequate treatment for pain by their health care provider. “We’ve heard story after story of Black women in particular, talking about not being believed, having their pain and agony inadequately treated,” Byerly said.

Nearly one in three Black Californians was found to be treated unfairly by a healthcare provider because of their race or ethnicity, and more than one in four Black Californians avoid care due to concerns that they will be treated unfairly or with disrespect. Unfair experiences are most common among Black Californians with mental health conditions, disabilities, identifying as LGBTQIA+, and women.

The study found that Black Californians have clear opinions on how to improve the health care system. Strong majorities (75%<) expressed that it is extremely important or very important to increase Black representation among health care leadership and in the healthcare workforce. The majority in each age group said that it was at least somewhat important to have a Black or African American Doctor. According to data released by the American Medical Association, 10% of medical school matriculants in 2021 self-identified as Black, or a combination of Black and Asian, Hispanic, or White.

“There needs to be additional support. Financial support. Upfront financial support, for those who want to be doctors. In nursing there’s also a need for financial support, but there’s also not a standard for advising people about the most efficient, most successful pathways to nursing careers … that’s a problem that can be corrected,” CHCF senior program officer Katherine Haynes told California Black Media. “There is another issue and this has to do with the environment in which physicians and nurses practice … Just as patients experience racism, providers experience racism, and they experience it from their peers, from their supervisors, from patients … building practices of reporting those instances of racist treatment need to be made more robust so that a system is created in which providers of color can do their best work for patients. That means having zero tolerance for racist behavior in our healthcare institution.”

The survey indicated that Black Californians believe that there should be an expansion of community-based education to teach about how to access health care options and an increase of Black community health care advocates. They believe that there should be accountability for providing equitable care using financial and accreditation incentives, and through additional training to providers.

More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.

“When you look at elders 65 and older, and really 75+, they are the sickest, yet, they appeared most satisfied with their care … that satisfaction is in contrast to younger people who tend to go to urgent care or emergency rooms for care” said Haynes. “I suspect … that it comes from familiarity, having relationships and knowing how to use the system.”

The CHCF study showed that Black Californians go to great lengths to prioritize their health, but the health care system fails to prioritize them.

Haynes recommended one solution. “You can report it to your health plan. You can return it to the state licensing board. You can contact the Department of Managed Health Care, which oversees health plans and to the Office of the Patient Advocate. Those are your rights,” said Haynes. “I will tell you that if you file a grievance versus a complaint, it poses legal liability and so those things that rise to that, or look like they might rise to that, are much more likely to get a response from a health care system.”

You can read the whole report here.

Activism

Up to the Job: How San Francisco’s PRC Is Providing Work Opportunities That Turn Into Lasting Stability

Each year, PRC serves more than 5,000 clients through a wide range of programs. These include housing navigation, legal advocacy to ensure access to health and public benefits, supportive housing, job and life-skills training, and residential treatment programs. 

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Black Leadership Council (BLC) Advocacy Day in Sacramento. BLC works to advance meaningful change through policy engagement to unlock the full potential of Black and low-income communities. Photo courtesy of PRC.
Black Leadership Council (BLC) Advocacy Day in Sacramento. BLC works to advance meaningful change through policy engagement to unlock the full potential of Black and low-income communities. Photo courtesy of PRC.

By Joe Kocurek, California Black Media

Seville Christian arrived in San Francisco in the 1990s from Kansas City, Mo., a transgender woman coming from a time and place still hostile to who she was.

San Francisco offered a deeper LGBTQ+ history and a more visible community of people like her, but even in a city known for acceptance, building a stable life from scratch was no small task.

After arriving in the city, she turned to Positive Resource Center (PRC) looking for work — and for a foothold — in a new place.

“PRC gave me my first job,” Christian said. “A simple gig — passing out magazines at the San Francisco Pride Parade.”

That first opportunity marked the beginning of a decades-long relationship with PRC, one that has seen Christian grow from client to valued employee, and eventually to policy fellow.

“Today, I’ve been with PRC for 27 years, going on 28,” she said.

Seville Christian’s decades-long relationship with PRC includes as a client, fellow and beloved employee. Photo courtesy of PRC.

Seville Christian’s decades-long relationship with PRC includes as a client, fellow and beloved employee. Photo courtesy of PRC.

Helping people access employment and build sustainable careers has been a cornerstone of PRC’s mission since its inception nearly four decades ago. In its most recent annual impact report, PRC served 443 clients through workforce development services, including career counseling, educational programs, hands-on training, and job search assistance. The average wage earned by PRC clients is $26.48 per hour — approximately 38% above San Francisco’s minimum wage.

To advance this work, organizations like PRC have benefited from funding through California’s Stop the Hate Program, which provides direct support to community-based organizations leading anti-hate initiatives.

Christian’s path was not without challenges. During some rocky years, she experienced periods of housing instability and struggled with addiction. Through PRC, she enrolled in a life-skills program that emphasized using her own lived experience as a means of helping others. The program helped set her on a path toward completing an associate’s degree and ultimately launching a career in case management.

“Today, whether someone is new to the city or has lived here their whole life, I know how to help them navigate to where they need to be,” Christian said.

Each year, PRC serves more than 5,000 clients through a wide range of programs. These include housing navigation, legal advocacy to ensure access to health and public benefits, supportive housing, job and life-skills training, and residential treatment programs.

Members of PRC’s Black Leadership Council meet with a lawmaker in Sacramento. Photo courtesy of PRC.

Members of PRC’s Black Leadership Council meet with a lawmaker in Sacramento. Photo courtesy of PRC.

While PRC was founded to serve people living with HIV, its mission has expanded over the decades to meet the needs of people with disabilities, individuals experiencing homelessness, and those facing mental health and substance use challenges.

According to PRC’s Chief of Public Policy and Public Affairs, Tasha Henneman, some of the organization’s earliest programs remain as vital today as they were at the start.

“Our emergency financial assistance program helped more than 1,200 people this year pay rent, cover medical bills, and keep the lights on,” Henneman said. “And over 1,400 people reached out for legal advocacy, resulting in more than $2.5 million in retroactive benefits unlocked.”

Beyond direct services, PRC is deeply committed to community empowerment and policy change. Programs such as the Black Leadership Council support community leaders in advocating for systemic reform, while the Black Trans Initiative focuses on addressing the unique challenges faced by Black transgender individuals.

A recent study from the Williams Institute highlighted findings that 71% of transgender homicide victims in the U.S. between 2010 and 2021 were Black and that nearly a third of the transgender homicides during that period were confirmed or suspected hate crimes.

PRC’s direct and indirect services can be a lifeline for people experiencing hate and are an example of the resources people can get connected with through the state’s CA vs Hate hotline.

PRC is now also producing a film project that centers the lived experiences of Black trans clients, including individuals like Christian.

PRC welcomed guests to their annual Open House in April, an evening dedicated to connection, reflection, and learning more about the programs and people working every day to support San Franciscans experiencing housing instability, unemployment, and behavioral health challenges. Photo courtesy of PRC.

PRC welcomed guests to their annual Open House in April, an evening dedicated to connection, reflection, and learning more about the programs and people working every day to support San Franciscans experiencing housing instability, unemployment, and behavioral health challenges. Photo courtesy of PRC.

“Our film highlights the health journeys and lived experiences of some of PRC’s Black trans clients,” Henneman said. “Our goal is to give voice, visibility, and agency to the participants — and to bring their stories, both harrowing and inspirational, to policymakers and the broader public.”

The film, expected to be released later this year, is directed by Yule Caise, with assistant director Zarina Codes, a Black transgender San Francisco resident.

Today, Christian continues her relationship with PRC as an ambassador, reflecting on a journey that began with a single job opportunity and grew into a lifelong commitment to service.

“Sometimes I’ll be riding the bus or standing in a grocery store, and someone will come up to me from a women’s shelter,” she said. “They’ll say, ‘Oh, Miss Seville, I just want to thank you. You really helped me with what I was dealing with.’”

She paused, smiling.

“And in those moments,” Christian said, “I think to myself, “Well!.”

A single word that sums up pride in a journey to find the best in herself.

Get Support After Hate:

California vs Hate is a non-emergency, multilingual hotline and online portal offering confidential support for hate crimes and incidents. Victims and witnesses can get help anonymously by calling 833-8-NO-HATE (833-866-4283), Monday to Friday, 9 a.m.–6 p.m. PT, or online at any time. Anonymous. Confidential. No Police. No ICE.

This story was produced in partnership with CA vs Hate. Join them for the first-ever CA Civil Rights Summit on May 11, 2026. More information at www.cavshate.org/summit.

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Activism

Oakland Post: Week of April 22 – 28, 2026

The printed Weekly Edition of the Oakland Post: Week of April 22 – 28, 2026

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To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.

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Activism

Up to the Job: How San Francisco’s PRC Is Providing Work Opportunities That Turn Into Lasting Stability

Each year, PRC serves more than 5,000 clients through a wide range of programs. These include housing navigation, legal advocacy to ensure access to health and public benefits, supportive housing, job and life-skills training, and residential treatment programs. 

Published

on

Black Leadership Council (BLC) Advocacy Day in Sacramento. BLC works to advance meaningful change through policy engagement to unlock the full potential of Black and low-income communities. Photo courtesy PRC.
Black Leadership Council (BLC) Advocacy Day in Sacramento. BLC works to advance meaningful change through policy engagement to unlock the full potential of Black and low-income communities. Photo courtesy PRC.

Joe Kocurek | California Black Media  

 Seville Christian arrived in San Francisco in the 1990s from Kansas City, Mo., a transgender woman coming from a time and place still hostile to who she was. 

 San Francisco offered a deeper LGBTQ+ history and a more visible community of people like her, but even in a city known for acceptance, building a stable life from scratch was no small task. 

 After arriving in the city, she turned to Positive Resource Center (PRC) looking for work — and for a foothold — in a new place. 

 “PRC gave me my first job,” Christian said. “A simple gig — passing out magazines at the San Francisco Pride Parade.” 

 That first opportunity marked the beginning of a decades-long relationship with PRC, one that has seen Christian grow from client to valued employee, and eventually to policy fellow. 

 “Today, I’ve been with PRC for 27 years, going on 28,” she said. 

Helping people access employment and build sustainable careers has been a cornerstone of PRC’s mission since its inception nearly four decades ago. In its most recent annual impact report, PRC served 443 clients through workforce development services, including career counseling, educational programs, hands-on training, and job search assistance. The average wage earned by PRC clients is $26.48 per hour — approximately 38% above San Francisco’s minimum wage. 

To advance this work, organizations like PRC have benefited from funding through California’s Stop the Hate Program, which provides direct support to community-based organizations leading anti-hate initiatives. 

Christian’s path was not without challenges. During some rocky years, she experienced periods of housing instability and struggled with addiction. Through PRC, she enrolled in a life-skills program that emphasized using her own lived experience as a means of helping others. The program helped set her on a path toward completing an associate’s degree and ultimately launching a career in case management. 

“Today, whether someone is new to the city or has lived here their whole life, I know how to help them navigate to where they need to be,” Christian said. 

PRC welcomed guests to their annual Open House in April, an evening dedicated to connection, reflection, and learning more about the programs and people working every day to support San Franciscans experiencing housing instability, unemployment, and behavioral health challenges.

PRC welcomed guests to their annual Open House in April, an evening dedicated to connection, reflection, and learning more about the programs and people working every day to support San Franciscans experiencing housing instability, unemployment, and behavioral health challenges.

Each year, PRC serves more than 5,000 clients through a wide range of programs. These include housing navigation, legal advocacy to ensure access to health and public benefits, supportive housing, job and life-skills training, and residential treatment programs. 

While PRC was founded to serve people living with HIV, its mission has expanded over the decades to meet the needs of people with disabilities, individuals experiencing homelessness, and those facing mental health and substance use challenges.  

According to PRC’s Chief of Public Policy and Public Affairs, Tasha Henneman, some of the organization’s earliest programs remain as vital today as they were at the start. 

“Our emergency financial assistance program helped more than 1,200 people this year pay rent, cover medical bills, and keep the lights on,” Henneman said. “And over 1,400 people reached out for legal advocacy, resulting in more than $2.5 million in retroactive benefits unlocked.” 

Beyond direct services, PRC is deeply committed to community empowerment and policy change. Programs such as the Black Leadership Council support community leaders in advocating for systemic reform, while the Black Trans Initiative focuses on addressing the unique challenges faced by Black transgender individuals. 

 A recent study from the Williams Institute highlighted findings that 71% of transgender homicide victims in the U.S. between 2010 and 2021 were Black and that nearly a third of the transgender homicides during that period were confirmed or suspected hate crimes.  

PRC’s direct and indirect services can be a lifeline for people experiencing hate and are an example of the resources people can get connected with through the state’s CA vs Hate hotline.  

PRC is now also producing a film project that centers the lived experiences of Black trans clients, including individuals like Christian.

 “Our film highlights the health journeys and lived experiences of some of PRC’s Black trans clients,” Henneman said. “Our goal is to give voice, visibility, and agency to the participants — and to bring their stories, both harrowing and inspirational, to policymakers and the broader public.” 

The film, expected to be released later this year, is directed by Yule Caise, with assistant director Zarina Codes, a Black transgender San Francisco resident. 

 Today, Christian continues her relationship with PRC as an ambassador, reflecting on a journey that began with a single job opportunity and grew into a lifelong commitment to service. 

“Sometimes I’ll be riding the bus or standing in a grocery store, and someone will come up to me from a women’s shelter,” she said. “They’ll say, ‘Oh, Miss Seville, I just want to thank you. You really helped me with what I was dealing with.’” 

She paused, smiling. 

“And in those moments,” Christian said, “I think to myself, “Well!.” 

A single word that sums up pride in a journey to find the best in herself.  

 Get Support After Hate:

California vs Hate is a non-emergency, multilingual hotline and online portal offering confidential support for hate crimes and incidents. Victims and witnesses can get help anonymously by calling 833-8-NO-HATE (833-866-4283), Monday to Friday, 9 a.m.–6 p.m. PT, or online at any time. Anonymous. Confidential. No Police. No ICE.This story was produced in partnership with CA vs Hate. Join them for the first-ever CA Civil Rights Summit on May 11, 2026. More information at www.cavshate.org/summit.

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