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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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Black History

Five Hospitals Said No! Who Will Help Annette Henry Recover?

Annette Henry, a 67-year-old Oakland woman, is struggling to access essential medical care after a devastating stroke left her with a rare neuropathic pain syndrome. Despite medical documentation confirming her need for inpatient rehabilitation, five different Bay Area hospitals have denied her admission, often citing her inability to meet rigid therapy thresholds. Her family’s efforts to seek intervention from state and federal lawmakers have yielded no results, leaving Henry at home without a clear path to recovery. To see how these systemic failures are impacting her health, read more.

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Annette Henry. Photo by Mario Decuir.

A tangle of red tape and contradictions between health providers and Medicare rules have impeded an Oakland woman’s ability to recover from a stroke she had last year.

Her family – who are her caretakers – have reached out to various professionals and state and federal lawmakers for help to no avail.

At 67, Annette Henry needs inpatient stroke rehabilitation after a devastating stroke in May 2025. Since then, multiple Bay Area hospitals have denied it. She was accepted into a rehabilitation facility in June 2025 but discharged prematurely in July, in essentially the same condition.

Three hospitals where she was a patient pushed skilled nursing over inpatient rehabilitation. Two more declined referrals.

Now at home, Henry is caught in a system that measures her need for treatment against the limitations treatment should address.

Medical professionals have documented her need for a higher level of care.

In August 2025, a Medicare Quality Improvement Organization (QIO) overturned Henry’s discharge from an inpatient rehabilitation facility (IRF).

The QIO’s independent physician reviewer found she had not received the “intensive therapy program outlined on admission,” according to the Aug. 30, 2025, determination letter. Yet the decision did not secure her readmission or guarantee continued rehabilitation.

Henry has central post-stroke pain, a rare neuropathic pain syndrome that can make movement and touch intensely painful. Her pain specialist recommended inpatient rehabilitation alongside pain management.

Nevertheless, facilities have cited her inability to tolerate three hours of daily therapy as a reason to deny inpatient rehabilitation.

That practice raises questions about Medicare coverage policy. In Hooper v. Sullivan, No. H-80-99 (D. Conn. 1989), the court recorded the parties’ agreement that denials based on numerical utilization screens, diagnostic screens, treatment norms, the “three-hour rule,” or other “rules of thumb” were not appropriate.

CMS subsequently cited Hooper in its Aug. 7, 2009, final rule (74 Fed. Reg. 39762, 39794). The policy is also addressed in the Medicare Benefit Policy Manual, Chapter 1, Section 110, and CMS’s June 1 Review Choice Demonstration for IRF Services: Operational Guide.

These authorities underscore the need for individualized assessments rather than rigid numerical thresholds.

The central contradiction is stark: the pain and disability that make rehabilitation necessary have been cited as reasons to deny it. UCSF Stanyan’s April 7 discharge summary for Henry states that acute rehabilitation unit (ARU) placement was declined for “inability to tolerate three hours of therapy daily.” Without appropriate treatment, Henry risks further decline.

Her records document complications associated with prolonged immobility.

Orthopedics documented flexion contractures of the small and ring fingers on March 19.

Chest imaging on April 1 showed bibasilar dependent atelectasis, a condition involving reduced inflation of the lower portions of both lungs. These concerns can be examined through her medical records and photographs.

“What does a ‘not reasonable’ discharge look like?” her family asks. For them, it looks like an appeal decision recognizing a problem without ensuring a remedy: repeated referrals, denials and a patient still without the rehabilitation her treating professionals have recommended.

The family has sought help from the California Department of Public Health and the federal Office for Civil Rights to no avail. They contacted U.S. Rep. Lateefah Simon in June 2025, while Henry was in rehabilitation; Senator Alex Padilla in May 2026; and Senator Adam Schiff in September 2026.

DeCuir says the family received no meaningful assistance and was redirected to the QIO or advised working with a social worker after Henry had already been discharged.

The consequences extend beyond rehabilitation. The family reports that Henry has struggled to attend in-person specialist or any appointments and needs in-person evaluation and treatment for complications, recommended evaluations, health screenings and preventive care.

Her mobility limitations have become barriers to broader medical care.  Every office tells her their office is not set up to accommodate her.  This has happened with specialty care, out-patient services, screenings and physical therapy.

Henry is a Black woman on Medicare, and her family believes her experience raises concerns about unequal access to intensive rehabilitation. Research has documented disparities in discharge to inpatient rehabilitation rather than skilled nursing, underscoring the importance of individualized review.

CMS, state regulators and healthcare providers should examine Henry’s records, assess her needs on their clinical merits and explain how the applicable coverage standards were applied, and whether they are being enforced.

Rehabilitation is not a reward for patients who can already tolerate treatment. It is care intended to help people recover function. Henry’s case asks whether a system designed to support recovery can leave a patient without a path to it.

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Business

SEIU Local 1000 and State of California Will Continue to Negotiate New Labor Contract

Thousands of California state employees represented by SEIU Local 1000 recently staged a one-day walkout to protest stalled contract negotiations with Governor Gavin Newsom’s administration. The union, which represents approximately 100,000 public workers, is demanding a 20% wage increase over three years and an end to mandatory four-day in-person work requirements. While the initial strike has concluded, union leadership warns that further demonstrations are likely if the state continues to reject their demands for better pay and telework flexibility. Negotiations are expected to continue as both sides seek a resolution. Read more.

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California state workers staged a one-day strike Oct. 21 to protest alleged unfair labor practices and stalled contract negotiations over wages, remote work requirements and health care costs. The workers' previous contract expired June 30. CBM photo by Antonio Ray Harvey.

After the Service Employees International Union (SEIU) Local 1000 labor contract expired June 30 and talks with Gov. Gavin Newsom’s administration stalled, the union stepped up its efforts to secure a new agreement, saying its demands had gone unheeded. 

On Oct. 21, thousands of state employees represented by SEIU Local 1000 staged a one-day walkout to protest alleged unfair labor practices during negotiations with Gov. Gavin Newsom’s administration. 

Although the strike has ended, SEIU Local 1000 President Anica Walls said further demonstrations or an expanded strike are highly likely if contract negotiations remain stalled. The union represents approximately 100,000 public employees statewide. 

“We are out here because our jobs matter,” Wells said. “If they continue to refuse to bargain with us in good faith, we are prepared to escalate.” 

Sen. Lola Smallwood-Cuevas (D-Los Angeles) expressed support for SEIU Local 1000’s labor action in an Instagram post, emphasizing the importance of fair treatment for workers. 

“I stand in complete solidarity with SEIU Local 1000,” Smallwood-Cuevas stated. “More than 100,000 state workers they represent are on strike today fighting for good-faith bargaining, fair treatment, and a contract that reflects the value of the essential public services they provide every day—all things that should be a given for the workers our state relies on the most.” 

Smallwood-Cuevas, a member of the California Legislative Black Caucus (CLBC) added, “When California’s workers hold the line, the whole nation pays attention.” 

According to union representatives, SEIU Local 1000 is seeking a contract that addresses rising living costs and provides greater workplace flexibility. The union is demanding a 20% wage increase over three years and an end to Gov. Gavin Newsom’s requirement that state employees work in person four days a week.

The union is also seeking increased state contributions toward employee health care benefits to reduce workers’ out-of-pocket costs. 

On Sept. 18, Newsom vetoed Assembly Bill 1729, authored by Assemblymember Alex Lee (D-San Jose), which sought to expand telework opportunities for state employees. 

The bill would have required state agencies to offer telework options or provide written justifications for requiring employees to work in person. Supporters argued that telework could save taxpayers approximately $225 million annually by reducing office space and parking costs while lowering vehicle emissions and improving employee retention. 

Newsom said the legislation would limit state departments’ flexibility to manage their workforces and evaluate telework exemptions individually. He has also emphasized the benefits of in-person collaboration. 

“I want people to come back to work, reengage, rediscover, collaborate, coordinate, develop relationships, friendships, and fall in love,” Newsom said in July. “You get three-day weekends. Four years ago, that would’ve been a triumph. Now it’s a burden.” 

Union organizers described the Oct. 21 walkout as a one-day unfair labor practice strike, rather than an indefinite work stoppage. The action was intended to demonstrate solidarity and increase pressure on the state during negotiations. 

SEIU Local 1000 has been without a contract since its previous three-year agreement expired June 30. Negotiations are expected to resume.

Responding to the statewide walkout, the California Department of Human Resources (CalHR) said it “remains focused on achieving a fair and responsible agreement with SEIU Local 1000 and continues to be available at the bargaining table.” 

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Black History

Oakland Strong: Building Champions and Healthier Generations

Entrepreneur Mike Jenkins is revitalizing youth wellness in Oakland through Oakland Strong, a world-class strength-training facility in Jack London Square. After providing a decade of free training in Fruitvale, the program moved and rebranded while continuing to produce national and international weightlifting champions. Jenkins aims to counter community health challenges by teaching Olympic-style lifting and nutrition to children ages 8 to 18. As the program seeks new ways to sustain its free services, local partnerships are forming to support these elite young athletes. Read more.

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Mike Jenkins is a serial entrepreneur with a vision to make a lasting impact in Oakland.

Raised in a military family in the Pinole area, Jenkins played basketball at Merritt College before continuing his athletic career at Sacramento State.

His lifelong interest in health and wellness led him to consider a troubling reality: as members of the Black community age, health challenges often increase. Jenkins believes investing in health is an investment in wealth, and he has made it his mission to give Oakland’s youth a stronger foundation for life.

Years ago, Jenkins invested in young people by building Speed Power Strength, a world-class strength-training facility in the Fruitvale neighborhood. For 10 years, the facility served hundreds of children, providing training entirely free of charge. Displaced by gentrification, the program eventually found a new home in Jack London Square.

That move inspired a new name: Oakland Strong, reflecting both the program’s mission and its pride in the city it represents.

“When we found the new home, I needed to put a spotlight on what we were doing– producing the strongest kids in Oakland – so I named our new location Oakland Strong,” Jenkins explained. “We are known nationally and internationally, so when we compete, our city’s name is on our chest.”

Through Olympic weightlifting, governed nationally by USA Weightlifting, the program has developed an extraordinary record. Its athletes have earned 10 national championships, a team national championship, and international titles. Today, two Oakland Strong athletes are Olympic hopefuls.

This past summer, Oakland had three athletes at the Olympic Training Center in Colorado Springs at the same time. One was Olympic figure skating champion Alysa Liu. The other two were Oakland Strong’s Robert Whitlock and Rucker Johnson, there for a weightlifting camp for Olympic hopefuls.

Whitlock, an Oakland Technical High School student, began training at age 10. Now a three-time consecutive national champion, two-time Pan American champion, and Team USA representative, Whitlock also holds an American record while maintaining straight A’s in school.

“If Oakland can’t support these kinds of kids, then what are we doing?” Jenkins asks.

Oakland Strong continues offering free training in Jack London Square to young people ages 8-18. The program welcomes girls as well as boys, with approximately 12 kids currently participating with room for 20.

With limited city support for free youth programs, Jenkins must find other ways to sustain the work.

When Carlyle Chicken Wings opened nearby, he approached the owner with an idea connecting nutrition and community investment. Because Oakland Strong teaches healthy eating alongside athletic training, they developed the Oakland Strong Bowl, a protein-focused meal. Carlyle will contribute $2 from each bowl sold to support the program.

For Jenkins, the mission extends far beyond medals and records. He wants to create generational health by teaching young people habits they can carry into adulthood and share with their families.

The strongest legacy, he believes, is not simply producing champions, but building healthier generations who understand their worth, their potential, and the importance of investing in themselves.

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