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Impact of Roe v. Wade on Black Community an Ongoing Debate

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Women’s History Month

“This is the first in a series of articles about laws that have significantly impacted Black women in America.”

Protestors of all races at a pro-choice rally in Washington, D.C., January 2012. (Debra Sweet/Flickr/CreativeCommons)

Protestors of all races at a pro-choice rally in Washington, D.C., January 2012. (Debra Sweet/Flickr/Creative Commons)

In 1967, Dr. Dorothy Lavinia Brown, the first African-American woman surgeon in the South and a Tennessee state assemblywoman, was the first American lawmaker to sponsor a proposed bill to fully legalize abortion. The proposal failed. But, in 1970, pregnant Dallas-area resident Norma L. McCorvey (“Jane Roe”) sued then-District Attorney Henry Wade, claiming that a Texas law criminalizing most abortions violated McCorvey’s constitutional rights. On Jan. 22, 1973, the Supreme Court ruled 7-2 in Roe’s favour, asserting that the “right of privacy, whether it be founded in the Fourteenth Amendment’s concept of personal liberty and restrictions upon state action…or… in the Ninth Amendment’s reservation of rights to the people, is broad enough to encompass a woman’s decision whether or not to terminate her pregnancy.”

The high court’s controversial ruling in Roe v. Wade, which allowed women to have an abortion in the early stages of her pregnancy without government interference, has reverberated throughout the nation and across the decades. Divisive in nature, it has spawned acrimonious debate, sharp political partisanship and even violence.

Undoubtedly, however, Roe v. Wade has had an undeniable impact on American women, particularly African-American women—though the nature of the effect is, as expected, a source of debate. “This was a landmark case that absolutely changed the game for women of color in this country,” said Monica Simpson, executive director, Sistersong Women of Color Reproductive Justice Collective.

“This is the first case that really helped alleviate reproductive oppression and allowed women to make their own decisions over their body.”

On the other hand, pro-life advocates say the death of millions through abortion, rather than being a source of “justice,” has instead unleashed a “holocaust” and “genocide” in the African-American community.

That idea burst back into the mainstream during 2010’s Black History Month when the Radiance Foundation, a Georgia-based antiabortion group, erected dozens of billboards proclaiming the message, “Black children are an endangered species.” The following year,  the group Life Always sparked outrage with a billboard in lower Manhattan that declared, The most dangerous place for an African-American is the womb.”

Both groups, and other anti-abortion activists, have identified Planned Parenthood – the international non-profit and provider of reproductive health services, including abortion – as the villain in this so-called genocide. For example, in New York, the home of Planned Parenthood, more Black babies are aborted than are born alive (1,223 to 1,000), according to the Radiance Foundation, which cited the state’s health department. Activists say the group targets African Americans, pointing to its founder Margaret Sanger’s connection to the eugenics movement—which sought to cull the population of those considered “unfit,” usually the disabled, poor and minorities—and the location of the group’s clinics in poorer, minority communities.

The AFRO reached out to Planned Parenthood but did not receive a statement by deadline.

“As someone who is Black and has worked in the community all my life, I think Roe v. Wade has had a devastating impact on the Black community,” Ryan Scott Bomberger, chief creative officer and founder of the Radiance Foundation, told the AFRO. He added, “If you go off of the United Nations’ definition of genocide, it is exactly what has happened in the Black community.”

Fuelling these claims is the long-held fact: the comparatively high abortion rates among Black women. According to the Centers for Disease Control and Prevention, in 2008 (the last year for which information is available), White women accounted for 37.2 percent of abortions, Black women for 35.5 percent, Hispanic women for 21.1 percent and other races for 6.3 percent. But, Black women have the highest rates and ratios of abortion – almost four times that of White women: 33.5 abortions per 1,000 women aged 15-44 years and 472 abortions per 1,000 live births compared to 8.7 abortions per 1,000 women aged 15-44 years and 140 abortions per 1,000 live births. Reproductive rights and health advocates attribute the disproportionate number of abortions among Black women to the higher number of unintended pregnancy rates within the group. These higher unintended pregnancy rates reflect the challenge faced by many women of color in accessing high-quality contraceptive services and in using them consistently, they say, and also reflect the broader realities of racial and ethnic disparities in health care access and outcomes. For example, it was only when President Obama passed the Affordable Care Act that health insurance companies were required to offer free birth control coverage, and Medicaid—the source of health coverage for many low-income, minorities—is still not required to offer free contraceptives. Sonya Michel, an expert in women’s history, University of Maryland—College Park and senior scholar, Woodrow Wilson International Center for Scholars, said because of their relatively low incomes and lack of access to quality health care, AfricanAmerican women did not always have the full reproductive freedom other groups enjoyed.

“One of the ironies when you look across the political spectrum, the people who are the most opposed to abortion are also opposed to providing affordable birth control and welfare benefits to African-American people,” Michel said, adding that such detractors are basically saying Black people shouldn’t have sex.

The abortion-as-genocide supporters however, decry those claims, seeing abortion as another in a set of attempts—some government-sponsored—to decimate the Black community. Such fears are grounded in a history of medical—including reproductive health—abuses within the Black community.

“We’ve been accused of promoting conspiracy theories, but it is not conspiracy, it’s history,” Bomberger said.

In her book, Killing the Black Body author Dorothy Roberts outlines the history of the control and manipulation of the Black woman’s womb as a tool of racial oppression in the United States.

“The systematic, institutionalized denial of reproductive freedom has uniquely marked Black women’s history in America,” she wrote. “Considering this history—from slave masters’ economic stake in bonded women’s fertility to the racist strains of early birth control policy to sterilization abuse of Black women in the 1960s and 1970s to the current campaign to inject Norplant and Depo-Provera in the arms of Black teenagers and welfare mothers—paints a powerful picture of the powerful link between race and reproductive freedom in America.”

That tainted history prompted several within the Civil Rights and Black Nationalist movements to view birth control and abortion as a form of “race suicide,” and encouraged Black fertility as a means of empowering the Black race.

Bomberger echoes those sentiments, which—for him—is grounded in a deep personal history. The product of rape—which has long been accepted as a rationale for abortion—Bomberger was instead given up for adoption and raised in a Christian family of 15 children—10 of whom were adopted. He is, himself, the parent of two adopted children.

“It is a huge blow to Black voting power” and to other aspects of the Black community, he said of the “epidemic” of abortions.

“We’ve heard the term #BlackLivesMatter, but when do they matter?” Bomberger questioned, later adding, “We want to stop the destruction of beautiful possibility in the Black community, not only of the unborn children who are killed, but of potential mothers and fathers…. For a people who have overcome such a heinous past to believe killing our future is something to celebrate baffles me.”

Conversely, pro-choice advocates see the nation’s history of abuse against the Black woman and the costs of involuntary motherhood as even more reason why Roe v Wade is a matter of justice.

Among African female slaves, abortion and birth control methods were part of their heritage—used as part of their basic health care but also as a form of self-determination, protection of potential children from the horrors of slavery and protest against enslavers that viewed them as mere brood mares.

In an 1856 medical essay, Dr. E.M. Pendleton noted complaints by plantation owners that their slaves seemed to be “possessed of a secret by which they destroy the foetus at an early age of gestation.”

But the indigenous knowledge of those African slaves were lost as the gap between the generations grew wider–and as modern-day Black women began to lean more heavily on institutionalized medical care, Simpson said. And, then-illegal abortion became dangerous.

“Women were taking extreme measures to rid themselves of unwanted pregnancies,” the reproductive justice activist said. “Most of the women who lost their lives before Roe v. Wade were women of color.”

Given those and other socio-political realities, Simpson said it is “completely ridiculous” to “pressure” Black women with these abortion-as-genocide memes void of further discussion about the role of Black men who abandon their families, void of discussions about the economic inequalities Black women face, void of social issues such as police violence against young Black men, void of discussions about the lack of comprehensive sex education for Black boys and girls, etc.

“It is absolutely absurd and cruel to shame Black women in this way because at the end of the day, we don’t know why a woman may choose not to have a child,” she said. “What trips me out is people think women are making these choices lightly. This is never an easy decision for any person to make.”

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COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

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Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo. Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.
Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners 

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author 

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.

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As California Hits Aging Milestone, State Releases Its Fifth Master Plan for Aging

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

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By Bo Tefu, California Black Media  

On Jan. 27, California released its Fifth Master Plan for Aging Annual Report,titled “Focusing on What Matters Most,” outlining the state’s progress and priorities as its population rapidly grows older.

The report, issued by the California Health and Human Services Agency (CalHHS), provides updates on the Master Plan for Aging’s “Five Bold Goals”: housing, health, inclusion and equity, caregiving, and affordability.

The report comes as Californians aged 60 and older now outnumber those under 18 for the first time, a demographic shift expected to accelerate over the next decade.

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

Launched in 2021, the Master Plan for Aging takes a “whole-of- government” and “whole-of-society” approach, coordinating state agencies, local governments, community organizations, and private partners. The annual report highlights significant milestones, including more than 100 California communities joining AARP’s Age-Friendly Network and $4 million in state funding awarded to local organizations to develop aging and disability action plans in 30 communities statewide.

The report also underscores California’s leadership at the national level, noting that dozens of states have followed its example and that federal legislation inspired by the plan was reintroduced in the U.S. Senate in December 2025.

CalHHS Secretary Kim Johnson emphasized the plan’s focus on equity and resilience amid ongoing challenges.

“The Master Plan for Aging continues to provide a vision, a focus, and a platform for collaboration,” Johnson said. “Equity is at the center of all that we do.”

Looking ahead, the report notes that by 2030, one in four Californians will be age 60 or older, positioning the Master Plan for Aging as a central framework for meeting the state’s long-term social, economic, and health needs.

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Candidates Vying for Governor’s Seat Debate at Ruth Williams–Bayview Opera House in San Francisco

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

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The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.
The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.

By Carla Thomas 

 

On Tuesday, Feb. 3, seven candidates took the stage at the historic Ruth Williams–Bayview Opera House in San Francisco for the gubernatorial debate, hosted by the Black Action Alliance (BAA) in partnership with KTVU and sister station KTTV Fox 11 in Los Angeles.

 

For many voters, it marked a first opportunity to hear directly from several candidates seeking to lead the nation’s most populous state.

 

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

 

Crucial topics and issues addressed throughout the debate included housing, crime, immigration, climate change, health care and homelessness.

 

The debate was moderated by KTVU political reporter Greg Lee alongside KTVU’s Andre Senior and KTTV Fox 11’s Marla Tellez.

 

Candidates also addressed inflation and the rising costs across the state, impacting everything from groceries to childcare and health care. 

 

Thurmond vowed to generate 2.3 million units of housing by placing 12 units on each parcel of available land in the 58 counties of California. Steyer agreed that billionaires should pay their fair share of taxes.

 

Hilton wanted to cut taxes, help working-class families, and end the Democrats “climate crusade and insane regulations.”

 

Yee offered a more transparent governmental approach with accountability, given the state’s debt.

 

Gonzalez said, “This debate was a great way to see who has great ideas and who has substance.”

 

“It’s important to have the debate within a community that requires the most,” said business leader Linda Fadekye.

 

Attendees included State Controller Malia Cohen, representatives of the National Coalition of 100 Black Women, the National Coalition of 100 Black Men, the San Francisco African American Chamber of Commerce, and Black Women Organized for Political Action, among others. 

 

Event host, the Black Action Alliance (BAA) was established to amplify the voices of the Bay Area’s Black community, whose perspectives have too often been overlooked in politics and public policy.  

 

Loren Taylor, CEO of BAA, said it was important to bring the event to the Bayview in San Francisco and shared his organization’s mission.

 

“The Black Action Alliance (BAA) stands for practical, community-driven solutions that strengthen public safety, address homelessness, support small businesses, expand affordable housing, and ensure access to quality education—issues at the heart of the Black experience in the Bay Area,” said Taylor. 

 

California’s primary election will take place on June 2 and the general election will take place on Nov. 3. 

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