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Commentary: It’s Time to Address the Disproportionate Impact of the Opioid Crisis on Black Californians

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies. As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action.

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Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.
Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

By Dr. Le Ondra Clark Harvey, Special to California Black Media Partners  

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies.

As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action. Slight declines or plateaus are not “wins.” We need proactive, comprehensive solutions that improve education, provide wraparound services, and increased access to proven treatment methods like medication assisted treatment and overdose reversal agents.

As an advocate, psychologist, and mother of two young children, today’s fentanyl crisis is difficult to process. On one hand, I understand how challenging it can be to pass meaningful policies that will save more lives — whether those of individuals injecting drugs on sidewalks or suburban teenagers poisoned by counterfeit pills they bought on Snapchat. These challenges are compounded by critical deficits, such as workforce shortages, minimal treatment beds and facilities, and a lack of culturally competent care, all of which disproportionately affect Black Californians.

I have witnessed the devastating impact of fentanyl on Black families. These deaths shatter families, destabilize communities, and perpetuate cycles of trauma and socio-economic hardship. For Black Californians specifically, grief is compounded by helplessness and frustration, knowing that more could – and should – have been done to prevent these tragedies.

As I sit in numerous health policy workgroups, task forces, and legislative hearings, I hear policymakers request more studies to better understand how vulnerable communities are impacted. This is critical, and it is not enough.

We don’t have time to waste.

Naloxone, a well-known opioid reversal medication, has saved hundreds of thousands of lives. However, as the opioid landscape evolves, so too must our response. California must adopt flexible policies that evolve with the rapidly changing drug landscape. We cannot rely on outdated, product-specific policies when the illicit drug landscape is changing faster than we can blink.

Efforts to do just that at the statewide level have been aggressively rebuffed by the Administration. Last year, Senate Bill 641, authored by Sen. Richard Roth (D-Riverside) would have expanded California’s statewide standing order for naloxone to encompass all FDA-approved opioid reversal agents. It passed out of the Legislature unanimously, yet Governor Newsom vetoed the bill.

Several months after the veto, Assemblymember Jasmeet Bains, (D-Delano), a physician who treats substance use disorder (SUD), led a sign-on letter among her colleagues calling on the California Department of Public Health to update the statewide standing order to no avail.

Fortunately, Los Angeles County has stepped up in the absence of statewide legislation being signed into law.

For decades, Dr. Brian Hurley, Medical Director of the Bureau of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health and President of the American Society of Addiction Medicine, has taken a comprehensive approach to addressing substance use disorder.

He has increased access to proven treatment models and implemented innovative initiatives to save lives. His department’s efforts have contributed to the plateau in overdose rates, and we hope to see further improvement through the expanded standing orders for the Los Angeles Unified School District and the LA County Sheriff’s Department, ensuring access to all FDA-approved reversal agents.

The time for action is now. With a united and informed approach, we can turn the tide on the devastating impact of opioid overdoses in Black communities.

About the Author 

Dr. Le Ondra Clark Harvey is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

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Oakland Post: Week of June 17 – 23, 2026

The printed Weekly Edition of the Oakland Post: Week of June 17 – 23, 2026

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IN MEMORIAM: Longtime OUSD Employee Debra King-Cooper, 73

Longtime OUSD Employee Debra King-Cooper, 73 Caption: Debra King-Cooper. Courtesy photo. Special to The Post Debra King-Cooper, a beloved mother, grandmother, queen, sister, church member, caregiver, and matriarch, transitioned peacefully on May 20 surrounded by family and love i

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Debra King-Cooper. Courtesy photo.
Debra King-Cooper. Courtesy photo.

Special to The Post

Debra King-Cooper, a beloved mother, grandmother, queen, sister, church member, caregiver, and matriarch, transitioned peacefully on May 20 surrounded by family and love in the comfort of her home. To her children, she was royalty, grace, strength, and unconditional love embodied.

Debra Diane Edgar was born on May 28, 1952, in San Francisco, California, to Charles Edgar Sr. and Mamie Arthur Edgar. She was raised alongside her younger brother, Charles Edgar Jr., affectionately known as “Little Brother” or “Lil Bruh.” She also shared close bonds with her older siblings Carol Edgar-Lang, Maryann Edgar Calloway, and Lonnie Lewis Sr.

A proud product of San Francisco’s historic Fillmore District, Debra attended Andrew Jackson Elementary School, where she met her lifelong best friend and adopted sister, Lynn Green, in the fifth grade. She later attended Robert Louis Stevenson Elementary School, Roosevelt Junior High School and Thomas Jefferson High School.

Debra’s mother transitioned when she was only 17 years old, and her father transitioned when she was 23. Despite these profound losses, Debra remained grounded through the love and support of extended family and lifelong family friends,

In 1971, she married Harold King. On Sept. 24, 1972, they welcomed their first son, Dajuan Artese King, affectionately called “Pop” or “Poppa.” On Aug. 5, 1976, they welcomed their second son, Dante Dupree King, affectionately called “Tay” or “Taboocoo the Baby.”

After her divorce in 1982, Debra assumed full responsibility for raising her sons.

She supported Dajuan’s passion for football by purchasing sports equipment and attending games faithfully. She supported Dante’s love of music by enrolling him in the San Francisco Boys Choir, Oakland Boys Choir, and the Castlemont Castleers.

Professionally, Debra built an exceptional career. She worked at Blue Shield of California from 1973 until 1994, earning multiple promotions.

She later joined the Oakland Unified School District, initially in a temporary role before being promoted into management within the Labor Relations Department. She retired from OUSD in 2015 after years of distinguished service. During her years at OUSD, she built meaningful friendships with her colleagues.

Faith was central to Debra’s life. During the 1980s, following personal hardship, she joined Love Center Church under the leadership of Bishop Walter Hawkins, where she brought her children regularly. She later became a member of Triumphant: A Church Without Walls Ministries under Pastor Dr. Larry Short, who became a beloved spiritual mentor.

After Triumphant closed in 1992, Debra joined Cosmopolitan Baptist Church in Oakland under the leadership of Pastor Larry Ashley, where she remained for the rest of her life.

At Cosmopolitan, she worked in numerous ministries. She served on the usher board, sang in the choir, participated in the AIDS ministry during the height of the HIV/AIDS epidemic, helped feed and support unhoused community members, and mentored and supported a group of young girls.

After retirement, she cared for older adults in her church community, driving them to appointments, cleaning their homes, managing finances, preparing meals, and helping families navigate funeral arrangements after loved ones transitioned.

Even while battling Stage 4 cancer herself, she continued caring for others.

Debra was preceded in death by her parents, Charles Edgar Sr. and Mamie Arthur Edgar; her brothers, Lonnie Lewis Sr. and Charles Edgar Jr.; her sisters, Maryann Edgar Calloway and Victoria Stephenson Knight; and her adopted mother, Clara Oliver.

She leaves to cherish her memory her beloved sons, Dajuan King and Dante King; grandson, Tiyler Dajuan Artese King; sister, Carol Edgar-Lang; goddaughters Monique Belle and Ricketa Matthews Jones (Leonard); daughter-in-love Quiona Sullivan; son-in-love Marcel Walker; sister-in-law Delores Lewis; adopted sisters and lifelong friends Lynn Green, Barbara Stephenson Hill, and Sarah Fine; a host of nieces, nephews, cousins, great-nieces, great-nephews, extended family members, her church family and dear friends.

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Oakland Post: Week of June 10 – 16, 2026

The printed Weekly Edition of the Oakland Post: Week of June 10 – 16, 2026

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