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Dialysis Nurses – Prop 23 Poses Grave Threat to Black Patients

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Ahead of the November election, a group of dialysis nurses and patients have come out in strong opposition to Proposition 23.  

If passed, Prop. 23 would require all kidney dialysis clinics to have a physician, nurse practitioner, or physician assistant on-site during dialysis treatment. It would also prohibit clinics from reducing their services without state approval and make it illegal for them to refuse treatment for patients based on their insurance or payment source. 

Although the proposition’s supporters say passing it would improve clinics across the board, opponents argue that requiring the presence of a physician at each clinic would force many clinics to shut down and increase healthcare costs for 80,000 California dialysis patients. Opponents also point out that the ballot measure would not require the physician to be a nephrologist or kidney specialist. 

Dialysis is an important medical procedure for patients with kidney failure, with the risk of death increasing by 30% after one missed appointment. Patients need to attend a regular clinic to avoid complications in treatment that may arise if patients were forced to visit emergency rooms.  

Opponents of Prop. 23 argue that many smaller clinics would not be able to afford the new staffing requirements and would be forced to shut down, leaving dialysis patients without a regular clinic. 

“They’re not going to be able to operate because they’re not going to be able to afford the additional expense of paying this doctor when some of these expenses could be utilized to improve the equipment we have and which basically impacts the improvement in the care of a patient. It’s a waste of money,” said Kim Bailey, an Inglewood-based dialysis nurse. 

African Americans make up the majority of dialysis patients. According to the National Kidney Foundation, more than 35% of all patients receiving dialysis for kidney failure in the U.S. are Black, even though Black people make up only 13.2% of the U.S. population. 

Bailey spoke about her staff, using tasks her employees perform as examples of the services that dialysis clinics already provide without Prop. 23 in place. She emphasized that the patients, who come three times a week, are treated by nurses who match their shifts. This allows the nurses to bond with their patients and understand their conditions through familiarity. 

“This clinic is one of the largest ones in Southern California. I have 58 chairs, I have about 350 in-center patients, and then I have a home program as well. I have a medical director and associate medical director that are very accessible to us at any given time. Each patient has an assigned nephrologist. My physicians frequent the clinic. There is always someone in this clinic,” said Bailey. 

Los Angeles-based dialysis patient DeWayne Cox spoke about his own experience with dialysis, including what happened when he missed a treatment, as an example of what might happen to other dialysis patients if the proposition passes. 

“I missed a shift for work on a Friday. I ended up in the emergency room that Saturday and the physicians there did not know how to treat me,” Cox said. “I am not diabetic, but the physician there treated me like I was a diabetic and gave me insulin. I’d never had insulin before in my life, and I nearly died. And other patients do because of something like that because they end up in the emergency room because they miss a session,” said Cox. 

Kathy Fairbanks, the No on Prop 23 spokesperson who hosted the presentation, also spoke about the political back story behind the ballot measure.  

Prop. 23, she said, is a predecessor of 2018’s Prop. 8, which was voted down. Both the previous proposition and this year are supported by the SEIU-UHW West, a labor union for healthcare workers. Opponents of Prop. 23 argue that Prop. 23 is the union’s latest attempt to unionize dialysis clinic workers. 

“I think this is all part of a plan to put these initiatives on the ballot every two years, and essentially use it as a lever to force the dialysis provider to allow a union,’’ Fairbanks said. “If that were to happen, these initiatives every two years would cease to exist. We’d never seen another one on the ballot.” 

“I don’t like the fact that it is involving patient care. They need to continue to address the teammates that work in the dialysis facilities in terms of their union and not involve the patients in this,” Bailey said. 

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NNPA – Black Press w/ Hendriks Video Interview

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Black Woman to Lead United States Park Police

 Chief Smith’s experience serving in leadership roles in every U.S. Park Police field office has provided her with an unmatched foundation to lead the diverse agency,” said Flynn, who oversees law enforcement programs at USPP.

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Pamela A. Smith

Pamela A. Smith, a 23-year veteran of the United States Park Police, will lead the nation’s oldest federal law enforcement agency.

Smith, who became the first African American woman to lead the 230-year-old agency, immediately remarked that she would establish a body-worn camera program for USPP within 90 days.

The program will initially begin in San Francisco and be implemented across the country by the end of the year, Smith said.

“Body-worn cameras are good for the public and good for our officers, which is why I am prioritizing implementing a body-worn camera program within my first 90 days,” Smith offered in a statement.

 “This is one of the many steps we must take to continue to build trust and credibility with the public we have been entrusted to serve.”

Smith earned a bachelor’s degree in Education from the University of Arkansas at Pine Bluff and graduated from the FBI National Academy. She is a member of the National Organization of Black Law Enforcement Executives and the International Association of Chiefs of Police.

During her law enforcement career, the proud Zeta Phi Beta Sorority sister has served as a patrol officer, field training officer, canine handler, and academy instructor at the Federal Law Enforcement Training Center.

 According to a news release, Smith also served as executive lieutenant to the chief of police, assistant commander of the San Francisco Field Office, commander of the New York Field Office, acting deputy chief of the Homeland Security Division, and deputy chief for the Field Operations Division.

Smith was the first woman to lead the New York Field Office as its Major.

At the USPP, she will lead a 560-member workforce that protects the public, parks, and the nation’s most iconic landmarks in Wash., D.C., New York City, and San Francisco metropolitan areas.

“Chief Smith’s commitment to policing as public service and her willingness to listen and collaborate make her the right person to lead the U.S. Park Police at this pivotal moment in our country,” Shawn Benge, deputy director exercising the delegated authority of the NPS director, noted in a statement.

 “Over the coming months, the leadership of the National Park Service will explore opportunities with Chief Smith designed to strengthen our organization’s commitment to transparency. Her personal and professional experience make her acutely aware of and ready to meet the challenges and responsibilities that face U.S. Park Police and law enforcement agencies across the nation.”

 Jennifer Flynn, the associate director for Visitor Resource Protection at the National Park Service added that she’s looking forward to Smith’s leadership.

“Chief Smith’s experience serving in leadership roles in every U.S. Park Police field office has provided her with an unmatched foundation to lead the diverse agency,” said Flynn, who oversees law enforcement programs at USPP.

 “As federal law enforcement officers, the U.S. Park Police officers have a new opportunity each day to give their best to the American people. Chief Smith exemplifies that approach as a colleague and mentor, and she will be instrumental in refining and shaping the future of the organization,” Flynn said.

Smith declared that she would lead by example and expects all officers to display integrity.

 “I have dedicated my career to the professionalism of law enforcement, and it is my highest honor and privilege to serve as chief of police,” Chief Smith declared. “Today’s officers face many challenges, and I firmly believe challenges present opportunities. I look forward to leading this exemplary team as we carry out our mission with honesty and integrity.”  

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Children’s Defense Fund: State of America’s Children Reveals that 71 Percent of Children of Color Live in Poverty

“While we reported on the 73 million children in the U.S. in 2019, which is 22 percent of the nation’s population, we also note that 2020 was the first year in American history that a majority of children are projected to be children of color,” said the Rev. Dr. Starsky Wilson, the president and CEO of the Children’s Defense Fund.

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Dr. Wilson did note that the Children’s Defense Fund is pleased about President Joe Biden’s American Rescue Plan, which, among other things, makes it easier for parents to keep their jobs and provides a lifeline for disadvantaged children. (Photo: iStockphoto / NNPA)
Dr. Wilson did note that the Children’s Defense Fund is pleased about President Joe Biden’s American Rescue Plan, which, among other things, makes it easier for parents to keep their jobs and provides a lifeline for disadvantaged children. (Photo: iStockphoto / NNPA)

Part One of an ongoing series on this impactful and informative report.

By Stacy M. Brown, NNPA Newswire Senior National Correspondent
@StacyBrownMedia

The child population in America is the most diverse in history, but children remain the poorest age group in the country with youth of color suffering the highest poverty rates.

“While we reported on the 73 million children in the U.S. in 2019, which is 22 percent of the nation’s population, we also note that 2020 was the first year in American history that a majority of children are projected to be children of color,” said the Rev. Dr. Starsky Wilson, the president and CEO of the Children’s Defense Fund.

Dr. Wilson’s remarks come as the Marian Wright Edelman founded nonprofit released “The State of America’s Children 2021.”

The comprehensive report is eye-opening.

It highlights how children remain the poorest age group in America, with children of color and young children suffering the highest poverty rates. For instance, of the more than 10.5 million poverty-stricken children in America in 2019, approximately 71 percent were those of color.

The stunning exposé revealed that income and wealth inequality are growing and harming children in low-income, Black and Brown families.

While the share of all wealth held by the top one percent of Americans grew from 30 percent to 37 percent, the share held by the bottom 90 percent fell from 33 percent to 23 percent between 1989 and 2019.

Today, a member of the top 10 percent of income earners makes about 39 times as much as the average earner in the bottom 90 percent.

The median family income of White households with children ($95,700) was more than double that of Black ($43,900), and Hispanic households with children ($52,300).

Further, the report noted that the lack of affordable housing and federal rental assistance leaves millions of children homeless or at risk of homelessness.

More than 1.5 million children enrolled in public schools experienced homelessness during the 2017-2018 school year, and 74 percent of unhoused students during the 2017-2018 school year were living temporarily with family or friends.

Millions of children live in food-insecure households, lacking reliable access to safe, sufficient, and nutritious food, and more than 1 in 7 children – 10.7 million – were food insecure, meaning they lived in households where not everyone had enough to eat.

Black and Hispanic children were twice as likely to live in food-insecure households as White children.

The report further found that America’s schools have continued to slip backwards into patterns of deep racial and socioeconomic segregation, perpetuating achievement gaps.

For instance, during the 2017-2018 public school year, 19 percent of Black, 21 percent of Hispanic, and more than 26 percent of American Indian/Alaska Native school students did not graduate on time compared with only 11 percent of White students.

More than 77 percent of Hispanic and more than 79 percent of Black fourth and eighth grade public school students were not proficient in reading or math in 2019, compared with less than 60 percent of White students.

“We find that in the course of the last year, we’ve come to the point where our conversations about child well-being and our dialogue and reckoning around racial justice has really met a point of intersection, and so we must consider child well-being in every conversation about racial justice and quite frankly you can only sustainably speak of racial justice if we’re talking about the state of our children,” Dr. Wilson observed.

Some more of the startling statistics found in the report include:

  • A White public school student is suspended every six seconds, while students of color and non-White students are suspended every two seconds.
  • Conditions leading to a person dropping out of high school occur with white students every 19 seconds, while it occurs every nine seconds for non-White and students of color.
  • A White child is arrested every 1 minute and 12 seconds, while students of color and non-whites are arrested every 45 seconds.
  • A White student in public school is corporally punished every two minutes, while students of color and non-Whites face such action every 49 seconds.

Dr. Wilson asserted that federal spending “reflects the nation’s skewed priorities.”

In the report, he notes that children are not receiving the investment they need to thrive, and despite making up such a large portion of the population, less than 7.5 percent of federal spending went towards children in fiscal year 2020.

Despite Congress raising statutory caps on discretionary spending in fiscal years 2018 to 2020, children did not receive their fair share of those increases and children’s share of total federal spending has continued to decline.

“Children continue to be the poorest segment of the population,” Dr. Wilson demanded. “We are headed into a dark place as it relates to poverty and inequity on the American landscape because our children become the canary in the coal mine.”

Dr. Wilson did note that the Children’s Defense Fund is pleased about President Joe Biden’s American Rescue Plan, which, among other things, makes it easier for parents to keep their jobs and provides a lifeline for disadvantaged children.

The $1.9 trillion plan not only contained $1,400 checks for individuals, it includes monthly allowances and other elements to help reduce child poverty.

The President’s plan expands home visitation programs that help at-risk parents from pregnancy through early childhood and is presents universal access to top-notch pre-K for 3- and 4-year-olds.

“The American Rescue Plan carried significant and powerful anti-poverty messages that will have remarkable benefits on the lives of children in America over the course of the next two years,” Dr. Wilson declared.

“The Children’s Defense Fund was quick to applaud the efforts of the President. We have worked with partners, including leading a child poverty coalition, to advance the ideas of that investment,” he continued.

“Most notably, the expansion of the child tax credit which has the impact of reducing poverty, lifting more than 50 percent of African American children out of poverty, 81 percent of Indigenous children, 45 percent of Hispanic children. It’s not only good policy, but it’s specifically good policy for Black and Brown children.”

Click here to view the full report.

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