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Closing the Gap: What the Data and Frontline Experiences Reveal About Cancer in Black California

OAKLAND POST — According to a UC Davis study, “The Burden of Cancer Among Black/African Americans in California,” Black cancer patients were more likely than White patients to be diagnosed at a later stage and to have multiple health conditions, making treatment more difficult. They were also far more likely to live in low-income communities and rely on public insurance—evidence that economic inequality and barriers to care are helping drive disparities in the state’s cancer crisis.

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Kris Benz, a disabled Black veteran, was diagnosed with salivary duct carcinoma, a rare cancer that strikes only about 1 in a million people each year. Photo courtesy of Kris Benz.

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Kris Benz, a disabled Black veteran, is no stranger to cancer. In 2012, he was diagnosed with salivary duct carcinoma, a cancer so rare it strikes only about 1 in a million people each year.” But he beat it after six weeks of radiation and removal of his right salivary gland.

“I was cancer-free after six months,” he said.

Now, a new concerning mass has appeared in his neck despite months of scans. His doctor suspects it is cancerous, but Benz, who lives near Palm Springs, will not know for certain until a biopsy.

Compounding that uncertainty is a gap in his coverage. Benz is two work credits short of qualifying for Medicare, but returning to work could jeopardize his Department of Veterans Affairs (VA) disability status and funding. Buying Medicare Part A would cost $568 a month, leaving him “winging it.”

Benz is also frustrated that the VA will not schedule his scan and biopsy before his consultation, which will require another round of appointments afterward.

“It’s about money,” he said. “Doctor’s appointments, they get the money. There’s no preventive medicine here anymore.”

Although he calls the VA “a great organization,” he believes it is hampered by bureaucracy. For now, he remains “in limbo” waiting to complete his appointments. 

His experience reflects one of the most persistent health equity challenges facing Black communities: access to care.

According to a UC Davis study, “The Burden of Cancer Among Black/African Americans in California,” Black cancer patients were more likely than White patients to be diagnosed at a later stage and to have multiple health conditions, making treatment more difficult. They were also far more likely to live in low-income communities and rely on public insurance—evidence that economic inequality and barriers to care are helping drive disparities in the state’s cancer crisis.

That same study reports that between 2014 and 2018, the ten cancers most frequently diagnosed among Black/African American women in California were, from one to ten, breast, lung, colorectal, uterine, pancreatic, kidney, non-Hodgkin lymphoma, thyroid, myeloma, and ovarian cancers. During the same period, the ten most commonly occurring cancers among Black/African American men in California were, from one to ten, prostate, lung, colorectal, kidney, bladder, liver, non-Hodgkin lymphoma, pancreatic, myeloma, and oropharyngeal cancers. 

Researchers attribute the gaps not to biology but to social and economic inequality connected to structural racism. An American Cancer Society analysis found educational attainment was a stronger predictor of the mortality gap than race alone.

“These disparities are not because Black people are inherently less healthy,” said Rhonda Smith, executive director of the California Black Health Network. “They are the result of decades of inequitable policies, structural racism, unequal access to quality care, and chronic underinvestment in our communities.”

Dr. Flojaune Cofer, an epidemiologist and public health policy expert, said health outcomes are shaped as much by circumstances as by biology. She traced her understanding of disparities to her father’s death from heart disease at age 47. He began smoking as a child when tobacco companies marketed cigarettes aggressively and disproportionately to Black communities.

“My father’s story is not about individual choices,” Cofer said. “My father’s story speaks to institutional and systemic harm.”

“Health is not just what happens in the doctor’s office,” she added. Social determinants include neighborhood conditions, housing stability, nutritious food, transportation, and the ability to take time off work for care.

At federally qualified health centers, tight appointment schedules can make it difficult for medical providers to detect cancer early and earn the trust patients need to discuss troubling symptoms.

“We have only 15 minutes when you are working in a federally qualified health center — you have 15 minutes to assess, diagnose, treat, and write your note per patient,” said Jamie Garcia, a registered nurse who has been certified in oncology nursing for more than a decade and works at AdventHealth White Memorial in East Los Angeles.

Garcia said the rushed pace, driven partly by billing requirements tied to federal funding, leaves little time for providers to build relationships with patients. It can also allow health care professionals’ implicit biases to go unrecognized and unchallenged.

For Garcia’s patients, who are predominantly Black and Latino residents of surrounding communities, the consequences can be immediate and alarming. Many arrive with visibly advanced tumors after going without insurance, adequate coverage, a primary care physician or routine screenings.

Garcia recalled treating one patient whose tumor had grown large enough to be visible through the skin.

“The fact that I even got to see that is a failure and an atrocity,” she said.

Assemblymember Lori D. Wilson (D-Suisun City) sought to reduce another barrier through Assembly Bill 1570, which would have eliminated out-of-pocket costs for medically necessary diagnostic and supplemental breast imaging. It passed the Assembly Health Committee 16-0 but died in the Appropriations Committee. Wilson plans to reintroduce it during the next legislative session without biopsy coverage.

Wilson announced her breast cancer diagnosis in April 2023. She received timely, quality care but “saw others with similar diagnoses face different outcomes.”

“Some people who got diagnosed at the same time as me — their timing of their surgeries and treatment was delayed in comparison to my own,” she said. “Watching people go through and suffering unnecessarily was heartbreaking to me.”

Her follow-up imaging required only a $10 copay. “I’ve had friends have to pay $1,000 to get that secondary screening,” Wilson said.

Smith warned that policy changes could further erode access. California’s Every Woman Counts screening program is losing funding and being scaled back, she said. About one in three Black Californians relies on Medi-Cal, according to the state.

Smith also cited federal Medi-Cal work requirements projected to cause 1.1 million Californians to lose coverage by 2029-30. “Health equity is no longer simply about improving outcomes,” she said. “It’s about protecting access.” 

Californians seeking low-cost cancer screening can contact a local federally qualified health center or the California Department of Public Health’s Every Woman Counts program. The California Black Health Network also offers referrals and advocacy resources.



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Black History

IN MEMORIAM: Marcia Ann Gillespie, Editor of Essence and Ms. Magazines, Dies at 82

Marcia Ann Gillespie, the trailblazing journalist who served as the first editor-in-chief of Essence magazine, has died at age 82. After joining the publication at its inception in 1970, Gillespie spent a decade elevating the beauty and voices of Black women during a pivotal era of self-love and cultural revolution. She later broke barriers as the first Black woman to lead Ms. magazine, further solidifying her status as a titan of the publishing industry. Her expansive career also included authorship and teaching, leaving a profound impact on American media. Read more.

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Marcia Ann Gillespie. Facebook photo.

Marcia Anna Gillespie, the first editor in chief of Essence magazine, has died. She was 82.

Born in Rockville Centre, New York, in 1944. The daughter of a church sexton/small business owner and domestic worker/caterer, Gillespie parlayed her degree in American studies from Illinois’s Lake Forest College into a research job at Time-Life Books, Inc. in New York.

There she advocated for fairness and inclusion of Black life in its publications. When the owners of the standard bearer of Black life, Ebony magazine, ventured into creating a special publication for young, Black women, Gillespie was hired as managing editor in 1970, and became editor-in-chief a year later at the young age of 26.

At the time, the venture by the Johnson family – the owners of Ebony magazine and Jet – into creating a publication for young Black women met the growing revolution of self-love in the Black community.

In other words, the battle cry of the late 1960s, “Black is Beautiful,” had a place to be seen and not just heard.

Thousands of young women who had already abandoned straightening combs and European aesthetics learned more ways to wear their natural hair from Afros to cornrows. Young Black designers got a place in the spotlight not just in clothing but jewelry that expressed neo-African ideals. But one of the most important impacts was the magazine’s unapologetic elevation of the beauty of the dark-skinned Black female to the status she deserved.

Under Gillepie’s tenure, Essence championed storytelling that celebrated Black women’s identities, experiences, and contributions at a time when their voices were often overlooked in mainstream media,” Essence wrote in a statement posted to Instagram

For 10 years she steered the fledgling publication before joining Ms. Magazine as a contributor in 1980 later becoming the first Black woman to edit a mainstream American magazine when she took charge in 1992.

In 1998, she helped secure the publication’s future through a women-led ownership group. She stayed at Ms. In various capacities until 2001, during which time the magazine had the most diverse readership in its history.

She also mentored future Essence editor Susan L. Taylor and taught young journalists at SUNY Old Westbury.

Emmy-winning actor Sheryl Lee Ralph took to social media to honor Gillespie’s life. 

“Rest in peace, dear Marcia Gillespie,” she wrote on Threads. “Your voice, your brilliance, and your commitment to lifting up Black women leaves a legacy that will continue to inspire me and so many others.”

A professor at SUNY Old Westbury and Bennett College, she also co-authored the authorized biography “Maya Angelou: A Glorious Celebration” in 2008.

According to Wikipedia, she also served on various boards as a director or advisor, including: “…the Arthur Ashe Institute of Urban Health, the Black & Jewish Women of New York, the Violence Policy Center in Washington, D.C., Aspen Institute, …and the Studio Museum of Harlem. Gillespie is a member of the National Council of Negro Women and the American Association of Magazine Editors.”

She was the recipient of several awards, including: the Lake Forest College Outstanding Alumni Award (1973), the New York Women in Communications Matrix Award (1978); a Lifetime Achievement Award from the New York Association of Black Journalists for print journalism (1982); a ‘Top Ten Outstanding Women in Magazine Publishing’ recognition by the March of Dimes.

In later years she was inducted into the American Society of Magazine Editors’ Hall of Fame (2002); the NAACP President’s Award (2006) and the Barbara Graves Legacy Award at the Black Enterprise Women of Power Summit in 2017.

The conclusion for her online obituary reads: “She leaves behind a legacy written not just in the pages she edited, but in every editor, journalist, and reader who found themselves — finally — in the stories she chose to tell.”

Online sources for this report include “The History Makers,” The Washington Informer, Wikipedia, Essence magazine, Ms. Magazine and her obituary.

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Black History

U.S. Rep. John Garamendi Honors local ‘Women of the Year’ at Annual Awards Ceremony

Congressman John Garamendi recently honored 52 remarkable women during his 13th annual Women of the Year ceremony in Benicia. The event recognized leaders from California’s 8th District for their significant contributions to public service, education, business, and community life. The honorees, including 16 women from West Contra Costa County, were officially commemorated in the Congressional Record for their dedication to the region. The diverse group includes veterans, educators, and community advocates who have shaped the local landscape through decades of service. Read more about these influential leaders.

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Some of the Congressional Women of the Year. Photo courtesy of Congressmember John Garamendi's office.

Sixteen women from West Contra Costa County were among 52 honorees recognized by Congressman John Garamendi (D-CA-08) at his 13th annual Women of the Year ceremony in Benicia on Oct. 23.

The 2026 honorees from Solano and Contra Costa counties were recognized for contributions to public service, education, business and community life. 

“Every year, I’m honored to recognize the remarkable women of California’s Eighth District who serve as the backbone of our community,” Garamendi said.

Their contributions were also recognized in the Congressional Record. The following profiles summarize the ceremony remarks and supporting biographies.

Richmond

Annie King-Meredith

King-Meredith was honored for six decades of community service. An engineer and project manager whose professional career included defense-industry work, she has served organizations including the North Richmond Municipal Advisory Council and Shields-Reid Neighborhood Council. Her contributions also include environmental justice advocacy and artwork addressing social injustice.

Elana Bolds

Bolds was recognized for supporting Richmond youth and families and organizing community events. She established the annual “Put the Guns Down” event about 20 years ago in response to neighborhood violence. Through her organization, Visions of Hope, she brings together families, service providers, community leaders and public safety partners to address bullying and violence prevention.

Maria Del Rocio Martinez Luna

Martinez Luna was honored for her work supporting businesses and families along Richmond’s 23rd Street corridor. Born in Guadalajara, Mexico, she became the first person in her family to graduate from high school. A longtime Rigo’s Auto Sales employee and secretary of the 23rd Street Merchants Association, she helps organize community events, supports immigration information forums and works with local partners on neighborhood concerns.

Mary Ann Dawkins-Padigela

Dawkins-Padigela was recognized for her professional and community leadership. A U.S. Air Force veteran who served seven years as an aircraft mechanic, she later pursued graduate studies in marriage and family therapy and professional clinical counseling. As president of East Bay CAMFT, she supports professional education, networking and collaboration among mental health practitioners.

Dr. Mayra Padilla

Padilla, a dean at Contra Costa College, was honored for advancing educational equity and student success. A Richmond High School graduate, she began her higher education at Contra Costa College before earning a bachelor’s degree in applied physics from UC Davis and a doctorate in neuroscience from UC Berkeley. She later returned to CCC to lead initiatives expanding opportunities for students pursuing STEM careers.

Michelle Denise Milam

Milam was recognized for a public service career that began as a teenager with the East Bay Public Safety Corridor Partnership. As crime prevention manager for the Richmond Police Department, she has worked with government and community partners on violence prevention and homelessness response. Her congressional tribute credits her with helping secure nearly $30 million for outreach, shelter, treatment, encampment resolution and pathways to housing.

Nwaeze Nmereole

Nmereole was honored for supporting immigrant communities, young people and elderly residents throughout Contra Costa County and the greater Bay Area. Her volunteer work includes GED tutoring, vocational nursing exam preparation, computer instruction and youth mentorship. She also helps immigrants navigate services and assists elderly residents with transportation, prescriptions and groceries.

Shasa Curl

Curl was recognized for more than two decades of service to Richmond, beginning with the city’s redevelopment agency. She became interim city manager in November 2021 and permanent city manager in April 2022 before retiring in 2026. Garamendi credited her with helping secure more than $300 million in grants for infrastructure, housing and education, strengthening city finances and helping Richmond exit the state auditor’s high-risk designation.

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Black History

HISTORY MADE: Keisha Lance Bottoms Becomes First Black Woman Elected Governor in American History

ATLANTA DAILY WORLD — History has been made in Georgia. Keisha Lance Bottoms, the former mayor of Atlanta, has been elected governor of Georgia, becoming the first Black woman in American history to win the highest executive office in any state.

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Keisha Lance Bottoms during her 2026 Democratic gubernatorial primary victory speech. Photo: Sikis2021 / Wikimedia Commons.

History has been made in Georgia. Keisha Lance Bottoms, the former mayor of Atlanta, has been elected governor of Georgia, becoming the first Black woman in American history to win the highest executive office in any state.

Bottoms’ victory over Republican businessman Rick Jackson represents a defining moment in American politics, breaking a barrier that has stood since the nation’s founding and placing Georgia at the center of a historic political transformation.

For generations, Black women have played a critical role in American democracy, organizing communities, leading movements, mobilizing voters and shaping public policy. Yet despite their contributions, no Black woman had ever been elected governor of a U.S. state.

Until now.

Bottoms’ election also makes her the first woman and first Black person elected governor of Georgia, a state whose political history has been deeply shaped by slavery, segregation, the civil rights movement and the long struggle for equal representation.

Her victory carries particular significance in a state where Black women have been among the most influential forces in voter registration, political organizing and Democratic electoral success.

A fifth-generation Georgian, Bottoms previously served as Atlanta’s 60th mayor from 2018 to 2022. During her administration, she led the city through the COVID-19 pandemic, nationwide protests over racial injustice and a period of significant economic and population growth.

Following her time as mayor, Bottoms served as a senior adviser in President Joe Biden’s administration before returning to Georgia politics to pursue the governorship.

Her campaign focused on expanding access to health care, strengthening public education, increasing wages and addressing the rising cost of living. She also advocated for expanding Medicaid, raising Georgia’s minimum wage to $15 an hour and increasing compensation for teachers and other public employees.

Bottoms faced Jackson, a wealthy health care executive who invested heavily in his campaign and positioned himself as a political outsider. The contest drew national attention as Democrats sought to reclaim the Georgia governor’s office after more than two decades of Republican control.

The historic nature of Bottoms’ victory extends well beyond party politics.

Georgia, once at the center of some of America’s most consequential civil rights battles, has now elected a Black woman to lead its state government. It is a milestone that reflects generations of political participation, organizing and leadership by Black Georgians.

For Atlanta, the moment is especially significant. A former mayor of the city that helped shape the modern civil rights movement will now lead the entire state.

Bottoms’ election opens a new chapter in Georgia’s political history and establishes a milestone that will be remembered far beyond the 2026 election.

For continuing election coverage and results, visit AtlantaDailyWorld.com/election26.



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