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Race and Health Care: New Report Shares Insights on Black Californians

EVITARUS, a Black-owned Los Angeles-based public opinion research firm, is conducting the three-phase study for CHCF. The firm has extensive experience polling California’s diverse constituencies and maintains long-standing relationships with Black-led community organizations and media.

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California Health Care Foundation interviewed 100 Black Californians for its study on discrimination in the summer of 2021. Graphic courtesy of California Black Media.
California Health Care Foundation interviewed 100 Black Californians for its study on discrimination in the summer of 2021. Graphic courtesy of California Black Media.

By Antonio Ray Harvey, California Black Media

In keeping with its commitment to ending health inequities, the California Health Care Foundation (CHCF) released the first phase of a three-part study documenting how race and racism shape the health care experiences of Black Californians.

The report, “In Their Own Words: Black Californians on Racism and Health Care,” was written by health services researcher Dr. Linda Cummings. The study synthesizes hour-long interviews with 100 Black Californians conducted from June to August 2021.

According to Katherine Haynes, a senior program officer serving on CHCF’s People-Centered Care team, “The project is to understand the interactions between racism, health and healthcare.” The first phase “is in-depth interviews that are really designed to gain a deep understanding of Black Californians’ perception of racism in this state’s healthcare system and its impact on them.”

CHCF’s main objective is to advance meaningful, measurable improvements in the way the health care delivery system provides care to the people of California, specifically individuals who are financially challenged and whose needs are not well served in the healthcare system.

EVITARUS, a Black-owned Los Angeles-based public opinion research firm, is conducting the three-phase study for CHCF. The firm has extensive experience polling California’s diverse constituencies and maintains long-standing relationships with Black-led community organizations and media.

“Dr. Linda Cummings wrote the report, and we did the research. We designed the study, performed the data collection as well as the data analysis that supported Dr. Cummings and her findings,” according to Shakari Byerly, EVITARUS managing partner. “It was a thorough recruitment process and screening of those that indicated an interest in participation. The participants also received an honorarium (of $125) for their participation.”

Findings from the first phase cautioned that just having a Black physician did not automatically result in better care. Negative experiences with Black physicians and other health providers of color can be an obstacle to health care, too.

“It is the subtle, the microaggressions that happen within the health care field. So, I am resistant to get help unless I feel comfortable with the person who may or may not look like me,” a 33-year-old Black woman from the San Francisco Bay Area said. “But I also have been discriminated against a lot from Black physicians as well.”

Cummings wrote that more than half of the respondents said that, at some time in their lives, they had been unhoused, without a stable place to live, or stayed with a family member or friend because they did not have a place of their own.

Notably, the study highlighted that the participants took their health care seriously.

“The respondents really spoke about how they were taking action to pursue health, advocating for themselves in the health care system and taking steps to protect themselves from harm in the health care system,” said Haynes.

Nearly all the respondents (93%) had some form of health insurance. The majority were covered through employer-sponsored plans at 40% or Medi-Cal at 26%, the study reports.

The mix of participants also reflected the ethnic diversity of Black Californians. The majority of respondents identified as Black or African American (83%), Black and multiracial (6%), African (5%), Afro-Caribbean (4%), Afro-Latino (1%), and Black-Native American (1%), Byerly said.

“Everyone identified as Black, but we recognize that people come from different backgrounds,” Byerly said. “It supports our research design to make sure that we show a full range of our community in California.”

Byerly also shared that 62% of the participants said they have experienced “some type of discrimination” based on their background while getting healthcare for themselves. About 59% said they were treated unfairly while getting healthcare for a family member, she added.

Phase II of the ‘Listening to Black Californians’ study examines “structural issues” in the health care system gleaned from focus group discussions with Black Californians and key health care stakeholders,” Haynes said.

The third and final phase of the study will be a statewide survey of Black California residents. It will be crafted to evaluate the extent to which the Phase I and Phase II findings are represented in the general Black Californian population.

“The second phase, with 18 focus groups, was completed right before the winter holidays. The third phase, we hope, will have over 3,000 Black-Californian participants,” Hayes said. “The final report is expected in the summer of 2022.”

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Oakland Post: Week of December 31, 2025 – January 6, 2026

The printed Weekly Edition of the Oakland Post: Week of – December 31, 2025 – January 6, 2026

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Big God Ministry Gives Away Toys in Marin City

Pastor Hall also gave a message of encouragement to the crowd, thanking Jesus for the “best year of their lives.” He asked each of the children what they wanted to be when they grow up.

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From top left: Pastor David Hall asking the children what they want to be when they grow up. Worship team Jake Monaghan, Ruby Friedman, and Keri Carpenter. Children lining up to receive their presents. Photos by Godfrey Lee.
From top left: Pastor David Hall asking the children what they want to be when they grow up. Worship team Jake Monaghan, Ruby Friedman, and Keri Carpenter. Children lining up to receive their presents. Photos by Godfrey Lee.

By Godfrey Lee

Big God Ministries, pastored by David Hall, gave toys to the children in Marin City on Monday, Dec. 15, on the lawn near the corner of Drake Avenue and Donahue Street.

Pastor Hall also gave a message of encouragement to the crowd, thanking Jesus for the “best year of their lives.” He asked each of the children what they wanted to be when they grew up.

Around 75 parents and children were there to receive the presents, which consisted mainly of Gideon Bibles, Cat in the Hat pillows, Barbie dolls, Tonka trucks, and Lego building sets.

A half dozen volunteers from the Big God Ministry, including Donnie Roary, helped to set up the tables for the toy giveaway. The worship music was sung by Ruby Friedman, Keri Carpenter, and Jake Monaghan, who also played the accordion.

Big God Ministries meets on Sundays at 10 a.m. at the Mill Valley Community Center, 180 Camino Alto, Mill Valley, CA Their phone number is (415) 797-2567.

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First 5 Alameda County Distributes Over $8 Million in First Wave of Critical Relief Funds for Historically Underpaid Caregivers

“Family, Friend, and Neighbor caregivers are lifelines for so many children and families in Alameda County,” said Kristin Spanos, CEO, First 5 Alameda County. “Yet, they often go unrecognized and undercompensated for their labor and ability to give individualized, culturally connected care. At First 5, we support the conditions that allow families to thrive, and getting this money into the hands of these caregivers and families at a time of heightened financial stress for parents is part of that commitment.”

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Costco. Courtesy image.
Costco. Courtesy image.

Family, Friend, and Neighbor Caregivers Can Now Opt Into $4,000 Grants to Help Bolster Economic Stability and Strengthen Early Learning Experiences

By Post Staff

Today, First 5 Alameda County announced the distribution of $4,000 relief grants to more than 2,000 Family, Friend, and Neighbor (FFN) caregivers, totaling over $8 million in the first round of funding. Over the full course of the funding initiative, First 5 Alameda County anticipates supporting over 3,000 FFN caregivers, who collectively care for an estimated 5,200 children across Alameda County. These grants are only a portion of the estimated $190 million being invested into expanding our early childcare system through direct caregiver relief to upcoming facilities, shelter, and long-term sustainability investments for providers fromMeasure C in its first year. This investment builds on the early rollout of Measure C and reflects a comprehensive, system-wide strategy to strengthen Alameda County’s early childhood ecosystem so families can rely on sustainable, accessible care,

These important caregivers provide child care in Alameda County to their relatives, friends, and neighbors. While public benefits continue to decrease for families, and inflation and the cost of living continue to rise, these grants provide direct economic support for FFN caregivers, whose wages have historically been very low or nonexistent, and very few of whom receive benefits. As families continue to face growing financial pressures, especially during the winter and holiday season, these grants will help these caregivers with living expenses such as rent, utilities, supplies, and food.

“Family, Friend, and Neighbor caregivers are lifelines for so many children and families in Alameda County,” said Kristin Spanos, CEO, First 5 Alameda County. “Yet, they often go unrecognized and undercompensated for their labor and ability to give individualized, culturally connected care. At First 5, we support the conditions that allow families to thrive, and getting this money into the hands of these caregivers and families at a time of heightened financial stress for parents is part of that commitment.”

The funding for these relief grants comes from Measure C, a local voter-approved sales tax in Alameda County that invests in young children, their families, communities, providers, and caregivers. Within the first year of First 5’s 5-Year Plan for Measure C, in addition to the relief grants to informal FFN caregivers, other significant investments will benefit licensed child care providers. These investments include over $40 million in Early Care and Education (ECE) Emergency Grants, which have already flowed to nearly 800 center-based and family child care providers. As part of First 5’s 5-Year Plan, preparations are also underway to distribute facilities grants early next year for child care providers who need to make urgent repairs or improvements, and to launch the Emergency Revolving Fund in Spring 2026 to support licensed child care providers in Alameda County who are at risk of closure.

The FFN Relief Grants recognize and support the essential work that an estimated 3,000 FFN caregivers provide to 5,200 children in Alameda County. There is still an opportunity to receive funds for FFN caregivers who have not yet received them.

In partnership with First 5 Alameda County, Child Care Payment Agencies play a critical role in identifying eligible caregivers and leading coordinated outreach efforts to ensure FFN caregivers are informed of and able to access these relief funds.FFN caregivers are eligible for the grant if they receive a child care payment from an Alameda County Child Care Payment Agency, 4Cs of Alameda County, BANANAS, Hively, and Davis Street, and are currently caring for a child 12 years old or younger in Alameda County. Additionally, FFN caregivers who provided care for a child 12 years or younger at any time since April 1, 2025, but are no longer doing so, are also eligible for the funds. Eligible caregivers are being contacted by their Child Care Payment Agency on a rolling basis, beginning with those who provided care between April and July 2025.

“This money is coming to me at a critical time of heightened economic strain,” said Jill Morton, a caregiver in Oakland, California. “Since I am a non-licensed childcare provider, I didn’t think I was eligible for this financial support. I was relieved that this money can help pay my rent, purchase learning materials for the children as well as enhance childcare, buy groceries and take care of grandchildren.”

Eligible FFN caregivers who provided care at any time between April 1, 2025 and July 31, 2025, who haven’t yet opted into the process, are encouraged to check their mail and email for an eligibility letter. Those who have cared for a child after this period should expect to receive communications from their child care payment agency in the coming months. FFN caregivers with questions may also contact the agency they work with to receive child care payments, or the First 5 Alameda help desk, Monday through Friday, from 9 a.m. to 5:00 p.m. PST, at 510-227-6964. The help desk will be closed 12/25/25 – 1/1/26. Additional grant payments will be made on a rolling basis as opt-ins are received by the four child care payment agencies in Alameda County.

Beginning in the second year of Measure C implementation, FFN caregivers who care for a child from birth to age five and receive an Alameda County subsidized voucher will get an additional $500 per month. This amounts to an annual increase of about $6,000 per child receiving a subsidy. Together with more Measure C funding expected to flow back into the community as part of First 5’s 5-Year Plan, investments will continue to become available in the coming year for addressing the needs of childcare providers in Alameda County.

About First 5 Alameda County

First 5 Alameda County builds the local childhood systems and supports needed to ensure our county’s youngest children are safe, healthy, and ready to succeed in school and life.

Our Mission

In partnership with the community, we support a county-wide continuous prevention and early intervention system that promotes optimal health and development, narrows disparities, and improves the lives of children from birth to age five and their families.

Our Vision

Every child in Alameda County will have optimal health, development, and well-being to reach their greatest potential. 

Learn more at www.first5alameda.org.

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