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Racial Bias Uncovered in Kidney Transplantation System: Thousands of Black Patients Prioritized After Years of Waiting

NNPA NEWSWIRE — “Not everyone approaches medicine with a health equity lens. Many clinicians are not aware of existing disparities — how Black patients do not get referred to nephrology as early as white patients and do not have sufficient access to transplant [procedures],” said Dr. Nwamaka Eneanya, an assistant professor at the Perelman School of Medicine at the University of Pennsylvania Health System. “In medicine, the tendency is to say, ‘This is what a study showed, so this is what we should do,’ focusing on biomarkers and statistical tests without examining issues of ethics or health equity.”
The post Racial Bias Uncovered in Kidney Transplantation System: Thousands of Black Patients Prioritized After Years of Waiting first appeared on BlackPressUSA.

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

Five years ago, Arlette Ebanks experienced severe kidney pain that she believed suggested a criminal need for a transplant. Her doctors disagreed, but the 52-year-old Northeast, D.C., resident, and mother of two who worked for the Department of Transportation for more than half of her life until her deteriorating health landed her on permanent disability, had grown ever more anxious as health care providers attempted various measures of maintenance.

Recently, physicians at George Washington University Hospital told Ebanks that she should have been on the transplant list, and understandably, Ebanks wondered why previous doctors hadn’t done so. Now, Ebanks knows why. “All this time, all this stress and worry, was all because I’m Black,” Ebanks stated with intense incredulity in an interview with the Washington Informer.

At issue is a once widely used test that overestimated how well Black people’s kidneys were functioning, making them look healthier than they really were. An automated formula calculated results for Black and non-Black patients that were far different from those of others, delaying organ failure diagnosis and, ultimately, proper evaluation for a kidney transplant.

The disparity only exacerbated existing inequities, with Black patients being more susceptible to needing a new kidney but less likely to receive one. “On the one hand,” Ebanks remarked, “I have not only been put on the waiting list, but moved up to where I am now more confident that I will get a new kidney. On the other hand, it’s infuriating that we keep seeing how racism in medicine, bias in healthcare, is causing unnecessary pain and suffering among African Americans.”

The U.S. organ transplant network has now ordered hospitals and care facilities to use race-neutral test results only when adding new patients to the kidney transplant waiting list. Further, the National Kidney Foundation and the American Society of Nephrology told laboratories to transition to race-neutral equations when calculating kidney function.

The policy shift has led to major adjustments, and between January 2023 and mid-March 2024, over 14,300 Black candidates had their wait times recalibrated, resulting in more than 2,800 successful transplants, including Ebanks.

Dr. Nwamaka Eneanya, an assistant professor at the Perelman School of Medicine at the University of Pennsylvania Health System, emphasized the detrimental impact of race-based equations on clinical decisions, particularly in assessing renal function.

Dr. Eneanya, a vocal advocate for removing race from medical equations, highlighted the lack of biological differences between races and the inherent flaws in using race-based multipliers. She told her university’s newspaper that, despite mounting evidence, many clinicians continue to rely on these outdated practices, perpetuating harm to Black patients.

“Human genome studies have shown there are no inherent biological differences between races,” Dr. Eneanya stated. “Those studies reporting that Black people had greater muscle mass were flawed, but no one questioned them.”

As the director of Health Equity, Anti-Racism, and Community Engagement at Penn Medicine, Dr. Eneanya spearheads internal initiatives to promote diversity and inclusion within the Renal Electrolyte and Hypertension Division. Additionally, she is actively involved in community outreach programs to address racial disparities in kidney disease awareness and screening.

“Not everyone approaches medicine with a health equity lens. Many clinicians are not aware of existing disparities — how Black patients do not get referred to nephrology as early as white patients and do not have sufficient access to transplant [procedures],” she asserted. “In medicine, the tendency is to say, ‘This is what a study showed, so this is what we should do,’ focusing on biomarkers and statistical tests without examining issues of ethics or health equity.”

Dr. Eneanya noted that the revelation of racial bias within the kidney transplantation system underscores the pressing need for reformative measures to ensure equitable healthcare access for all individuals, regardless of race or ethnicity.

“I sit on a joint American Society of Nephrology-National Kidney Foundation task force that is revising formal eGFR reporting guidelines to exclude racial bias,” Dr. Eneanya stated. “Many physicians across the country, including some at Penn, have stopped using the race multiplier already. And while the eGFR is a frontline test for kidney function, there are other tests that don’t incorporate race. When there is any doubt about the accuracy of an eGFR score, other confirmatory tests that do not use race should be performed.”

The post Racial Bias Uncovered in Kidney Transplantation System: Thousands of Black Patients Prioritized After Years of Waiting first appeared on BlackPressUSA.

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Trump Set to Sign Largest Cut to Medicaid After a Marathon Protest Speech by Leader Jeffries

BLACKPRESSUSA NEWSWIRE — The bill also represents the biggest cut in Medicare in history and is a threat to the health care coverage of over 15 million people. The spending in Trump’s signature legislation also opens the door to a second era of over-incarceration in the U.S.

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By Lauren Burke

By a vote of 218 to 214, the GOP-controlled U.S. House passed President Trump’s massive budget and spending bill that will add $3.5 trillion to the national debt, according to the Congressional Budget Office (CBO). The bill also represents the biggest cut in Medicare in history and is a threat to the health care coverage of over 15 million people. The spending in Trump’s signature legislation also opens the door to a second era of over-incarceration in the U.S. With $175 billion allocated in spending for immigration enforcement, the money for more police officers eclipsed the 2026 budget for the U.S. Marines, which is $57 billion. Almost all of the policy focus from the Trump Administration has focused on deporting immigrants of color from Mexico and Haiti.

The vote occurred as members were pressed to complete their work before the arbitrary deadline of the July 4 holiday set by President Trump. It also occurred after Democratic Leader Hakeem Jeffries took the House floor for over 8 hours in protest. Leader Jeffries broke the record in the U.S. House for the longest floor speech in history on the House floor. The Senate passed the bill days before and was tied at 50-50, with Republican Senator Lisa Murkowski saying that, “my hope is that the House is gonna look at this and recognize that we’re not there yet.” There were no changes made to the Senate bill by the House. A series of overnight phone calls to Republicans voting against, not changes, was what won over enough Republicans to pass the legislation, even though it adds trillions to the debt. The Trump spending bill also cuts money to Pell grants.

“The Big Ugly Bill steals food out of the hands of starving children, steals medicine from the cabinets of cancer patients, and equips ICE with more funding and more weapons of war than the United States Marine Corps. Is there any question of who those agents will be going to war for, or who they will be going to war against? Beyond these sadistic provisions, Republicans just voted nearly unanimously to close urban and rural hospitals, cripple the child tax credit, and to top it all off, add $3.3 trillion to the ticking time bomb that is the federal deficit – all from a party that embarrassingly pretends to stand for fiscal responsibility and lowering costs,” wrote Congressional Black Caucus Chairwoman Yvette Clarke (D-NY) in a statement on July 3.

“The Congressional Budget Office predicts that 17 million people will lose their health insurance, including over 322,000 Virginians. It will make college less affordable.  Three million people will lose access to food assistance through the Supplemental Nutrition Assistance Program (SNAP). And up to 16 million students could lose access to free school meals. The Republican bill does all of this to fund tax breaks for millionaires, billionaires, and corporations,” wrote Education and Workforce Committee ranking member Rep. Bobby Scott (D-VA) in a statement. The bill’s passage has prompted Democrats to start thinking about 2026 and the next election cycle. With the margins of victory in the U.S. House and U.S. Senate being so narrow, many are convinced that the balance of power and the question of millions being able to enjoy health care come down to only several thousand votes in congressional elections. But currently, Republicans controlled by the MAGA movement control all three branches of government. That reality was never made more stark and more clear than the last seven days of activity in the U.S. House and U.S. Senate.

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WATCH: NNPA Publishers Pivot To Survive

7.2.25 via NBC 4 Washington

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7.2.25 via NBC 4 Washington

https://youtube.com/watch?v=9oZc5Sz0jQQ&feature=oembed

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Congressional Black Caucus Challenges Target on Diversity

BLACKPRESSUSA NEWSWIRE — we found that the explanations offered by the leadership of the Target Corporation fell woefully short of what our communities deserve and of the values of inclusion that Target once touted

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By Stacy M. Brown
Black Press USA Senior National Correspondent

Target is grappling with worsening financial and reputational fallout as the national selective buying and public education program launched by the Black Press of America and other national and local leaders continues to erode the retailer’s sales and foot traffic. But a recent meeting that the retailer intended to keep quiet between CEO Brian Cornell and members of the Congressional Black Caucus Diversity Task Force was publicly reported after the Black Press discovered the session, and the CBC later put Target on blast.

“The Congressional Black Caucus met with the leadership of the Target Corporation on Capitol Hill to directly address deep concerns about the impact of the company’s unconscionable decision to end a number of its diversity, equity, and inclusion efforts,” CBC Chair Yvette Clarke stated. “Like many of the coalition leaders and partner organizations that have chosen to boycott their stores across the country, we found that the explanations offered by the leadership of the Target Corporation fell woefully short of what our communities deserve and of the values of inclusion that Target once touted,” Congresswoman emphasized.  “Black consumers contribute overwhelmingly to our economy and the Target Corporation’s bottom line. Our communities deserve to shop at businesses that publicly share our values without sacrificing our dignity. It is no longer acceptable to deliver promises to our communities in private without also demonstrating those values publicly.”

Lauren Burke, Capitol Hill correspondent for Black Press of America, was present when Target CEO Cornell and a contingent of Target officials arrived at the U.S. Capitol last month. “It’s always helpful to have meetings like this and get some candid feedback and continue to evolve our thinking,” Cornell told Burke as he exited the meeting. And walked down a long hallway in the Cannon House Office Building. “We look forward to follow-up conversations,” he stated. When asked if the issue of the ongoing boycott was discussed, Cornell’s response was, “That was not a big area of focus — we’re focused on running a great business each and every day. Take care of our teams. Take care of the guests who shop with us and do the right things in our communities.”

A national public education campaign on Target, spearheaded by Dr. Benjamin F. Chavis Jr., president and CEO of the National Newspaper Publishers Association (NNPA), the NNPA’s board of directors, and with other national African American leaders, has combined consumer education efforts with a call for selective buying. The NNPA is a trade association that represents the more than 220 African American-owned newspapers and media companies known as the Black Press of America, the voice of 50 million African Americans across the nation. The coalition has requested that Target restore and expand its stated commitment to do business with local community-owned businesses inclusive of the Black Press of  America, and to significantly increase investment in Black-owned businesses and media, Historically Black Colleges and Universities (HBCU, Black-owned Banks, national Black Church denominations, and grassroots and local organizations committed to improving the quality of life of all Americans, and especially those from underserved communities. According to Target’s latest earnings report, net sales for the first quarter of 2025 fell 2.8 percent to $23.85 billion compared to the same period last year. Comparable store sales dropped 3.8 percent, and in-store foot traffic slid 5.7 percent.

Shares of Target have also struggled under the pressure. The company’s stock traded around $103.85 early Wednesday afternoon, down significantly from roughly $145 before the controversy escalated. Analysts note that Target has lost more than $12 billion in market value since the beginning of the year. “We will continue to inform and to mobilize Black consumers in every state in the United States,” Chavis said. “Target today has a profound opportunity to respond with respect and restorative commitment.”

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