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Racial Disparities in Early Childhood Hurts U.S.

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Ready Freddy visits prekindergarten students at a public school in Buffalo, N.Y. (David Duprey/AP Photo)

Ready Freddy visits prekindergarten students at a public school in Buffalo, N.Y. (David Duprey/AP Photo)

By Jazelle Hunt
Washington Correspondent

WASHINGTON (NNPA) –Increased investment in early childhood education and care can eradicate many of the racial success gaps that persist throughout society, according to a new report from the Center for American Progress (CAP).

Early childhood encompasses birth through 3 years old, and children of color are already the majority in this as-yet-unnamed generation.

The report, titled, “Investing in Infants and Toddlers to Combat Inequality,” shows that despite being the majority, children of color are generally faring poorly on a number of social and educational metrics. One -in-three toddlers of color lives in poverty. By 5 years old, children from low-income homes have heard millions of words fewer than their more affluent peers (a vocabulary deficit known as the word gap).

According to an earlier CAP report, even among middle- and upper-class families, 25 percent of all kindergarteners are not school-ready – they may not know any letters, numbers, or colors, for example.

“While the United States as a whole has become an increasingly educated country over time, very significant educational disparities exist between whites and people of color,” the report states. “Since the majority of infants are children of color, improving the continuum of early childhood programs available to children under age 3 and their families provides an opportunity to stifle these disparities before they begin.”

Data suggests that without intervention to beef up early education programs, this generation may not be able to meet economic demands to maintain the United States as a world leader. Among 25 to 29 year olds in 2012, only 37 percent of Whites, 17 percent of Blacks, and 13 percent of Hispanics held at least a bachelor’s degree.

According to the report, if current educational attainment trends continue, 5 million jobs over the next decade will go unfilled or be outsourced for lack of skilled, educated American workers.

Further, if racial income gaps had been closed in 2011, national GDP would have increased by $1.2 trillion and an additional $192 billion in taxes would have been generated.

“If the heart doesn’t get us – the importance of helping [the babies]…the other thing that should get us are the economic implications,” said David Johns, executive director of the White House Initiative on Educational Excellence for African Americans, speaking as part of a panel event connected to the report release. “So many of our communities would be saved if we would just find the time to make intentional investments in children and families, early.”

The foundation for today’s early childhood programs were the result of largely successful social and educational experiments primarily tested with Black children and families. Generally, families of color now lack access to affordable, high quality programs. Part of it is cost. The report asserts that the cost of childcare is higher than the median rent in all 50 states. It also asserts that most of the nation’s childcare options are poor or mediocre in quality, despite this high cost.

The federal government offers several provisions for the youngest among us, and their parents. Some are more effective than others. The Child Care Development Block Grant, for example, allows states to give low-income families childcare subsidies. But, the report points out, while the subsidies free up low-income parents to attend school, work, or technical training, the subsidies don’t match the cost of high-quality programs; so such programs usually do not accept these vouchers.

There’s also Early Head Start (EHS) and the very popular Head Start program. These programs, which have benefitted Black families in particular, provide a spread of pre- and post-natal health services, child development, and educational services to low-income infants and toddlers.

“Research on the effectiveness of EHS shows positive effects on development for infants and toddlers, including a wide range of cognitive and social-behavioral out- comes, and on child-rearing practices for mothers,” the report explains. “These beneficial effects were markedly large for African American children, including an increase in parental support for early language and literacy, daily reading, and teaching activities through age 5.”

But, Head Start is “severely underfunded,” serving less than 5 percent of the nation’s infants and toddlers.

During the CAP panel, the speakers explained that parents can bolster early childhood development by spending a lot of face time with their children: talking, reading, and making up stories. The simple activities can go along way toward academic success later in life.

“We spend a lot of time and a lot of resources attempting to catch up, and to close both opportunity and achievement gaps that would not exist if we were to start early – at the time that baby is in utero, and at the time in which the foundation upon which all future learning and development is taking place and is actually being formed,” Johns said.

“There’s so much more work to do to ensure that everyone understand the importance of [early childhood] and then that they’re able to properly invest in it.”

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Commentary

Preventing Amputation: A Doctor’s Guide for Diabetes Patients

POST NEWS GROUP — Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

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For many diabetes patients, amputation becomes a last-resort measure after infections, ulcers, or poor circulation worsen rapidly and leave few other treatment options.

But according to Dr. Estelle Everett, a physician and researcher specializing in endocrinology, diabetes, and metabolism at the

University of California Los Angeles (UCLA), most diabetes-related amputations can be prevented through early intervention, consistent medical care, and patient education.

For Everett, her commitment to diabetes prevention is deeply personal. Watching her younger sister navigate Type 1 diabetes exposed her early to the challenges many patients face, including barriers to advanced diabetes technologies such as continuous glucose monitors and insulin pumps due to racial disparities in patient care.

Those experiences helped shape her focus on prevention, education, and equitable access to care.

Dr. Everett spoke with California Black Media (CBM) about the warning signs of diabetic complications, prevention strategies, healthcare access, and the role of diabetes technology in improving outcomes.

What are some of the early warning signs that a person with diabetes may be developing circulation and nerve problems that could potentially lead to amputation?

Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

Poor circulation is another warning sign. Symptoms can include calf pain while walking, foot pain at rest, cold feet, skin color changes, or wounds that do not heal properly. Foot ulcers, thick calluses, and untreated cuts can also become serious infections that may eventually lead to amputation if they are not treated early.

Before complications reach that stage, what are some early signs of diabetes itself that people should be looking out for?

Many people are walking around with diabetes and do not even realize it. Some patients first seek medical care only after they’ve already developed complications because they’ve had diabetes for years without knowing it.

That’s why routine screenings are so important. If you have diabetes, controlling it early can significantly reduce the risk of severe complications later on.

Many Black Californians harbor a degree of distrust in the healthcare system. What message would you send to encourage people to get regular checkups?

 Distrust is real, and there are many reasons people may avoid healthcare. Some fear discrimination or worry they’ll simply be judged instead of helped.

Personally, I realized some of the care my sister received may have been influenced by racial bias. Although she had diabetes for years, she was never offered diabetes technology like insulin pumps or continuous glucose monitors. When she finally asked about them, she was told she had to jump through many hoops.

Later, I realized her experience wasn’t unique. Research shows that minority patients and people from lower-income backgrounds are less likely to be offered diabetes technology. That inspired me to focus my research on improving access for the populations that need these tools the most.

I think building trust is important. Finding the right doctor is almost like dating. If you don’t feel comfortable with your provider, it may help to find someone you connect with and feel understands your concerns. That relationship can make a major difference in getting consistent care.

Are there newer technologies or innovations in diabetes care that people should know about?

One of the biggest advances has been continuous glucose monitors, or CGMs. These small wearable devices track blood sugar levels in real time and have really changed diabetes care over the past decade.

For providers, CGMs give a much clearer picture of blood sugar patterns throughout the day. For patients, they provide immediate feedback about how food, exercise, and other daily habits affect blood sugar levels.

Someone may notice that certain foods cause major spikes while certain exercises lower their blood sugar. That real-time information helps people make healthier decisions and improve blood sugar control. Research shows these technologies can significantly improve outcomes.

What daily habits or preventative measures can reduce the risk of complications or even amputation?

The biggest thing is controlling your diabetes. A lot of people automatically think diabetes will lead to amputations, but research shows the risk is much lower when diabetes is well managed.

That means taking medications as prescribed, making dietary changes, and working to keep your A1C below 7. Managing high blood pressure and high cholesterol is also important because both contribute to circulation problems.

People should also inspect their feet every day, especially if they’ve already lost sensation. Some patients injure their feet without realizing it because they can’t feel the damage. Catching wounds early is critical. Good foot hygiene also plays a major role in prevention.

Are there any common misconceptions about diabetes that stand out to you in your clinical work with Black patients?

One major misconception is that diabetes medications cause complications like kidney failure or amputations. In reality, poorly controlled diabetes causes those complications — not the medications used to treat it.

Those misconceptions sometimes cause patients to avoid medications or stop taking them altogether. Another issue is that some people believe diet and exercise alone should always control diabetes. While lifestyle changes are important, some patients have severe diabetes that also requires medication.

Needing medication is not a personal failure. Sometimes diet and exercise alone are simply not enough, and medication is necessary to prevent serious complications.

This article is supported by the California Health Care Foundation (CHCF). Visit www.chcf.org 

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Activism

Oakland Post: Week of July 8 – 14, 2026

The printed Weekly Edition of the Oakland Post: Week of July 8 – 14, 2026

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To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.

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Black History

IN MEMORIAM: A Queen Mother’s Journey Home

BLACKPRESSUSA NEWSWIRE — She opened doors for those to come with wisdom, strength, and grace,
She challenged wrong, uplifted youth, and quickened justice’s pace.
Her scholarship and generous heart shall bloom through future years,
Transforming dreams to living hope beyond our grief and tears.

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A Memorial Tribute to Rosetta Miller-Perry, July 7, 1934 – June 26, 2026

From truth’s bright flame she lit the way, so bold and wise each day,
Her fearless voice inspired us all and never lost its sway.
A Queen Mother crowned by faith, whose love would never cease,
She sowed the seeds of justice well and harvested God’s peace.

She marched where freedom’s banners waved and answered duty’s call,
She stood with King through history’s storms, courageous through them all.
With pen and press she raised our voice for every soul unheard,
She proved that hope is strongest still when carried by the Word.

The Tennessee Tribune became a beacon shining bright,
Its pages told our stories true and championed the right.
She taught that Black lives, dreams, and truths deserved the highest place,
And every headline proudly bore the beauty of our race.

She opened doors for those to come with wisdom, strength, and grace,
She challenged wrong, uplifted youth, and quickened justice’s pace.
Her scholarship and generous heart shall bloom through future years,
Transforming dreams to living hope beyond our grief and tears.

Now Heaven’s presses joyfully proclaim her work complete,
As angels sing and saints arise our Queen Mother to greet.
Though earth now mourns her gentle voice, her light will never pass,
For Rosetta lives forevermore in truth, in love, and in the Black Press.

May Rosetta Miller-Perry’s memory continue to inspire all who believe in truth, justice, freedom, and the enduring mission of the Black Press of America. May her legacy remain a guiding light for generations to come.



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