Activism

Essay: Let’s Take an Honest Look at Distrust, Disparities and Discrimination in Medical Care

In medicine, we celebrate J. Marion Sims as the father of obstetrics, but until recently, we rarely mentioned that most of his medical breakthroughs were achieved through the suffering of Black women who were not adequately anesthetized as he experimented on some of the most delicate parts of their bodies. Books such as “Medical Apartheid” and “The Immortal Life of Henrietta Lacks” document the long history of Black bodies being used for scientific experimentation without any compensation or acknowledgement.

Published

1 year ago

February 17, 2025

Oakland Post

Dr. Imani McElroy. Photo courtesy of Dr. Imani McElroy.

By Dr. Imani McElroy,
Special to California Black Media

As I became part of the small community of Black female surgeons, who represent less than 1% of all physicians, I embraced the responsibility with an understanding that part of my career would be dedicated to being a voice for marginalized and disenfranchised people.

Growing up in the San Francisco Bay Area, I observed the vast economic divide that contributes to health care disparities. Unstable employment and housing, food deserts, underfunded schools, and escalating living expenses all play a significant role in poor health for Black patients.

They also are a direct reflection of centuries of systemic discrimination and racism that has crippled Black Americans dating back to the era of slavery.

The same issues have followed me personally. I live with asthma, which has quietly impacted my breathing since childhood. I have been fortunate to avoid long-term hospitalization, but I have had numerous visits to urgent care and emergency departments.

I discussed my symptoms with my primary care physicians over the years, but it wasn’t until my third year living in Boston that I found a physician who attended to my symptoms and made the necessary adjustments that finally controlled my asthma. My asthma had progressed steadily for 15 years and despite being in the medical field and being able to describe the decline, my symptoms were ignored.

This is a story that is too common among Black Americans. Even fame could not protect Serena Williams when she had to demand appropriate testing and treatment for blood clots in her lungs following the birth of her first child.

I understood that my role as a health care provider extended well beyond the walls of the operating room and the hospital.

The plight of Black Americans within health care and the discrimination we face is well documented in both medical and lay literature.

In medicine, we celebrate J. Marion Sims as the father of obstetrics, but until recently, we rarely mentioned that most of his medical breakthroughs were achieved through the suffering of Black women who were not adequately anesthetized as he experimented on some of the most delicate parts of their bodies. Books such as “Medical Apartheid” and “The Immortal Life of Henrietta Lacks” document the long history of Black bodies being used for scientific experimentation without any compensation or acknowledgment.

If we are going to have an honest discussion about the root cause of medical mistrust within the Black community, the conversation cannot simply begin and end with the United States Public Health Service (USPHS) Untreated Syphilis Study at Tuskegee.

It’s essential to recognize that the generational trauma endured by the Black community contributes significantly to its skepticism towards medical institutions.

Healthcare advocacy is multifaceted. From physician-led initiatives addressing policy and resource allocation, to research that intentionally and thoughtfully addresses disparities in access and outcomes, to development of integrated multidisciplinary treatment teams for personalized care plans, there is quite possibly no more important step than educating the lay person.

Gone are the days of blind trust in a physician simply because of their title.

Furthermore, being able to empower patients to advocate for their health care needs will also allow physicians to understand how medical conditions impact their patients’ quality of life and everyday activities. Shared decision-making rests on a patient’s ability to trust the providers caring for them. The medical community owes it to Black Americans to afford them this trust.

As an advocate, I aim to bridge the gap between medical literature and lay literature. Making sure that our community has updated and accessible information that can impact their understanding of their medical conditions and improve the quality of care they receive.

As a Black woman in America, I face my own challenges, including navigating the health care system, and finding providers who look like me, understand my unique needs, and are willing to engage with me despite my medical background.

As my family members grow older and begin to interact more frequently with medical providers, I find myself in the frustrating position of having to help them advocate for themselves in a system that does not always listen.

My white coat does not shield me from the realities of being Black in America and thus I feel it is my duty to become part of the solution in addressing disparities in healthcare.

While much of the work to fix this problem falls in the hands of physicians and providers, active participation is required from both sides.

Increased representation in clinical trials will improve our understanding of risk factors and treatment responses. Attending health fairs and community outreach events will help increase medical literacy and understanding. Being persistent and truthful about symptom progression or treatment side effects is equally as important to help inform decision making.

Most of our medical knowledge is hidden behind paywalls buried in medical jargon. My goal is to help make what is happening in the medical community more accessible to our community.

About the Author

A native of the Bay Area, Dr. Imani E. McElroy is a clinical fellow of Vascular Surgery at USC Keck School of Medicine. She completed general surgery training at the Massachusetts General Hospital in Boston, MA. She has a master of Public Health from the Harvard T.H. Chan School of Public Health and received a Doctor of Medicine from the Charles R. Drew University/UCLA David Geffen School of Medicine. She earned a bachelor’s degree in Biological Sciences from the University of California Irvine.

This article is supported by the California Black Health Journalism Project, a program created by California Black Media, that addresses the top health challenges African Americans in California face. It relies on the input of community and practitioners; an awareness of historical factors, social contexts and root causes; and a strong focus on solutions as determined by policymakers, advocates and patients.

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At the event, 16 entities signed the EIP pledge, vowing to take steps to increase public contracting opportunities in their spheres for small and historically underutilized businesses. The pledge signees included Hub International, the Port of San Francisco, the San Francisco Public Utilities Commission, California High-Speed Rail Authority, the Port of Oakland, Robert Graham of Webcor Builders, Holder Construction, the Weitz Company, Sky Blue Builders, Hornblower, Swinerton, Luster National, Talson Solutions, Center for Community Wealth Building, and the Construction Contractors Alliance.

Published

20 hours ago

June 24, 2026

Oakland Post

Toks Omishakin, secretary of the California State Transportation Agency, was one of the speakers at the event. Photo by Shellee Fisher Photography and Design.

By Calvin Naito, Special to The Post

On June 4, a national nonprofit named the Equity in Infrastructure Project (EIP) – which aims to increase public construction contracting opportunities for small and historically underutilized businesses – held a day-long event in downtown San Francisco to rally supporters and build momentum to its cause.

It was attended by more than 100 individuals from public agencies, private firms, and other organizations committed to increasing contracting opportunities with governmental agencies, thereby creating more competition and lowering public costs.

The EIP event was held the Hyatt Regency San Francisco in conjunction with BuildIT, which aims to increase contracting opportunities for LGBT-owned businesses.

At the event, 16 entities signed the EIP pledge, vowing to take steps to increase public contracting opportunities in their spheres for small and historically underutilized businesses.

The pledge signees included Hub International, the Port of San Francisco, the San Francisco Public Utilities Commission, California High-Speed Rail Authority, the Port of Oakland, Robert Graham of Webcor Builders, Holder Construction, the Weitz Company, Sky Blue Builders, Hornblower, Swinerton, Luster National, Talson Solutions, Center for Community Wealth Building, and the Construction Contractors Alliance.

Following the workshop, BuildIT hosted a VIP evening reception honoring EIP, whose principals – Phil Washington, John Procari, and Rick Jacobs – accepted the award.

The event also set in motion the coalition’s efforts to implement recommendations from EIP’s “Procurement for Prosperity: A Playbook.”

The Playbook is a practical guide for public agency leaders and procurement and contracting practitioners to grow the capacity of small and first-time contractors, strengthen competition, and deliver better value for taxpayers.

Toks Omishakin, Secretary of the California State Transportation Agency (CalSTA), a long-time EIP supporter, also told attendees, “This is about commitment. This has been a life’s work. This is a tailwind moment.”

The event’s presenting sponsor was Hub International, one of the largest insurance brokerages in the nation, which was joined by partners Travelers Insurance and the State Compensation Insurance Fund.

After the pledge-signing ceremony, attendees participated in a workshop in which they examined the policies, practices, and programs needed to meet EIP goals, learned from practitioners, and identified next steps toward utilizing the Playbook.

Ingrid Meriwether, formerly of Merriwether & Williams Insurance Services (MWIS) and current president of Hub International’s Aligned Risk Management, MWIS, described the hard-fought lessons she and her MWIS team have learned over the last three decades administering contractor development programs (CDPs) for the City and County of San Francisco, Alameda County, City of Los Angeles, LA Metro, and other municipalities.

The CDPs help small and local construction firms win public infrastructure contracts with these government agencies. The program provides bonding assistance, contract financing, technical support, training, and other services to underrepresented businesses funded by public agencies who seek greater contracting participation with these firms.

Merriwether said programs like these “break down systemic barriers, create greater fairness, and save taxpayers money by enabling more competition. The contractor development programs have, cumulatively, over two decades, helped contractors access over $1 billion in bonding, supporting over $380 million in awarded contracts, and maintaining a loss ratio 250 times lower than the industry average – while saving participating municipalities more than $27 million in contracting costs as a result of enabling more competition.”

Rick Jacobs, EIP co-founder and co-chair urged attendees make plans to meet again in the near future “to continue building on this work, share progress on organizational commitments, and discuss how we can collectively advance the goals of the EIP pledge.”

For more information on the EIP and to access a copy of the Playbook, go online to https://equityininfrastructure.org/

Calvin Naito is communications manager for Equity in Infrastructure Project.

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Oakland Museum Presents Landmark Retrospective Celebrating Beloved Bay Area Artist Mildred Howard

“Poetics of Memory” coincides with a year of major recognition for Howard. In 2026, she received the California Arts Council’s 50th Anniversary Award, honoring artists whose work has shaped California’s cultural and civic life, as well as the Museum of the African Diaspora’s Artist Impact Award. In 2025, she was awarded a prestigious Guggenheim Fellowship in recognition of her transformative contributions to American cultural life.

Published

20 hours ago

June 24, 2026

Oakland Post

Mildred Howard. Photo by Christine Cueto for the Oakland Museum of California, 2025.

Special to The Post

The Oakland Museum of California (OMCA) opened “Mildred Howard: Poetics of Memory,” the first major museum survey of Bay Area artist Mildred Howard, on June 12.

The exhibition spans five decades of Howard’s influential work, bringing together immersive installations, found-object sculptures, archival materials, and new commissions that explore memory, identity, and power in American life.

Howard was born in San Francisco in 1945 and raised in the East Bay, where she went on to study Afro-Haitian dance, make and sell clothing, and experiment with collage and sculpture.

Her multimedia art practice emerged from these experiences, later becoming associated with West Coast conceptual art, San Francisco funk, and a vibrant community of artists like Oliver Jackson, Betye Saar, and Raymond Saunders. Since the 1970s, she has used found materials and family stories to explore memory—both individual and collective.

At OMCA, visitors enter “Poetics of Memory” through a series of intimate galleries featuring Howard’s early mixed-media pieces and sculptures, along with a large video projection of a number of her public artworks.

Together, they emphasize Howard’s interest in everyday objects as powerful carriers of individual and shared stories. Highlights include collages that remix images of the artist herself; found-object sculptures like The History of the United States with a few Parts Missing (2007) that address omissions in dominant narratives; and public works like “Locks and Keys for Harry Bridges” (2001) that transform urban space into a meditation on access and labor.

This culminates in a richly detailed “studio” environment, where works in progress, archival exhibition flyers, historic photographs of Howard and her community, postcards from fellow artists, and other materials offer insight into her creative process and daily life.

The exhibition then opens into a high-ceilinged, dramatically lit space that brings together Howard’s signature immersive installations. On one end, “Crossings” (1997/2026) – a field of hundreds of ceramic eggs leading to an ornate mirror – suggests cycles of birth, motherhood, and transition, while drawing on the emotional echoes of the Middle Passage. On the other end, “Blackbird in a Red Sky” (a.k.a. “Fall of the Blood House”) (2002) – a red glass shack bordered by a pond – also uses reflection and transparency to draw viewers into the work and prompt consideration of themes of identity and home.

Howard’s newest video installation, “Moving Stills” (2026), repurposes never-before-seen family footage she took as a teenager on a train trip to the American South. Projected onto cascading layers of translucent fabric that stretch across an entire gallery wall, the piece immerses viewers in a layered meditation on memory, migration, and time.

The “Mildred Howard: Poetics of Memory” exhibit will be on display through Oct. 11 at the Oakland Museum of California, 1000 Oak St., Oakland, CA 94612. Museum hours are Wednesday through Sunday, 11 a.m. to 5 p.m., with extended hours on Fridays to 9 p.m.

This story is sourced from the Oakland Museum of California press office.

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Stop the Hate Symposium Brings Oakland Together Through Dialogue, Partnership, and Community Healing

More than a meeting and panel discussion, the annual symposium serves as a powerful example of what can happen when neighbors, community leaders, and organizations choose conversation over division, and unity over silence.

Published

20 hours ago

June 24, 2026

Oakland Post

Speakers and guests at the annual ‘Stop the Hate Symposium posed with Oakland Chinatown Improvement Council ambassadors. Photo by Marcus Calloway.

By Dr. Maritony Jones, Special to The Post

With the purpose of creating safer, stronger, and more inclusive communities, and in partnership with the Oakland Private Industry Council and other community organizations, the Oakland Chinatown Improvement Council (OCIC) hosted the ‘Stop the Hate Symposium’ on June 13 at the Oakland Asian Cultural Center.

The free event featured keynote speakers, breakout sessions, cultural programming, creating a space where people from many backgrounds sat together with a shared purpose.

The turnout itself reflected the urgency and importance of the topic. The room was packed with community members eager not only to listen, but also to participate. Throughout the event, speakers shared data, personal experiences, research, and practical solutions designed to address hate, violence, social inequity, and community safety.

The keynote panel featured respected leaders and advocates, including Ray Bobbitt, founder of the African American Sports & Entertainment Group (AASEG); Ryan Takemiya from RAMA; Caheri Gutierrez from the Unity Council; honorary guest speaker Oakland City Councilmember at-Large Rowena Brown and City Councilmember Charlene Wang; representatives for Oakland Mayor Barbara Lee and U.S. Rep. Lateefah Simon, with Gia Vang of NBC serving as moderator.

The symposium also offered multiple breakout sessions that addressed issues affecting communities across Oakland and Alameda County:

Session 1, 2, 3: Building Safer and More Inclusive Communities, led by Pastor Raymond Lankfort, CEO of Oakland Private Industry Council (OPIC), Jessica Kang, research manager for Stop AAPI Hate, Kara Guerra of The Unity Council, and Gabriela delaRiva of the Spanish Speaking Citizens Foundation
Session 4: Talk Story: Collective Healing and Relationship Repair, presented by Ryan Takemiya, executive director of RAMA
Session 5: Sexual Violence Prevention, presented by Tunisia Owens, interim deputy director of Realized Potential
Session 6: Violent Attacks on Teens, presented by MaryAnn Alvarado, program manager of Youth Alive

Every session contributed to an important truth: meaningful change begins within communities, through honest dialogue and a willingness to work together.

One of the strongest themes to emerge from the day was the need to create more conversations and stronger partnerships—not just during times of crisis, but consistently and intentionally. Relationships among organizations, neighborhoods, and community leaders often operate behind the scenes but are not always highlighted or celebrated.

Bobbitt spoke powerfully about this issue, noting that partnerships and relationships often go unrecognized despite being essential to community progress. He pointed to examples such as the partnership between OPIC and OCHIC, emphasizing that these collaborations deserve more visibility, investment, and expansion.

Perhaps his most memorable message resonated deeply throughout the room. Bobbitt explained that when a grandparent is attacked or harmed, the impact extends beyond race or ethnicity because today’s families and communities are increasingly multicultural and interconnected.

“We are not going to see our grandparents as just Latino, Asian, Caucasian, or African American,” he shared in essence. “We are going to see them simply as our grandparents.”

Those words reflected the heart of the symposium. Hate may target one group, but pain and loss are felt by everyone. Likewise, healing and progress are shared responsibilities.

For more information about the Stop The Hate Program visit the website: https://www.oaklandchinatownchamber.org/stop-the-hate (or) https://oaklandpic.or