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Research Finds Black Californians Prioritize Health, While System Fails to Prioritize Black Californians

The data that was collected showed that 90% of Black Californians say that they have health insurance coverage, and 92% of respondents said that they have seen a doctor or healthcare provider in the last year. Most people reported putting “a great deal” or “quite a bit” of effort into getting screenings and preventative care, tracking health indicators like blood pressure and cholesterol, and working to maintain a healthy weight. Four out of five reported focusing “a great deal” or “quite a bit” on mental health.

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More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.
More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.

Maxim Elramsisy | California Black Media

The California Health Care Foundation (CHCF) has released a study that found Black Californians are highly engaged with their health care, are active in advocating for their health and have strong and clear opinions about how the healthcare system can be improved.

“I think it’s surprising because of the pervasive myths about noncompliance among black patients,” said Shakari Byerly, managing partner of EVITARUS, a Los Angeles based Black-owned public opinion research firm who designed, conducted and analyzed the research. “The fact is that our traditional foods may not be as healthy. While that may have some degree of anecdotal resonance, what we’re seeing broadly is that people are working very hard.”

The study was staged in three different phases intended to get varying levels of insight from different cohorts of Black Californians.

Phase one consisted of hourlong interviews with 100 individuals to understand their views on health, perceptions of discrimination, and their vision for an ideal healthcare system.

In Phase Two, the researchers conducted 18 segmented focus groups to explore structural issues in the healthcare system.

In Phase Three, 3,325 Black Californians were surveyed to determine how well the findings in phases one and two captured and represented the views of the general population of Black Californians.

The data that was collected showed that 90% of Black Californians say that they have health insurance coverage, and 92% of respondents said that they have seen a doctor or healthcare provider in the last year. Most people reported putting “a great deal” or “quite a bit” of effort into getting screenings and preventative care, tracking health indicators like blood pressure and cholesterol, and working to maintain a healthy weight. Four out of five reported focusing “a great deal” or “quite a bit” on mental health.

One in three Black Californians and nearly half (47%) of Black women say they experienced inadequate treatment for pain by their health care provider. “We’ve heard story after story of Black women in particular, talking about not being believed, having their pain and agony inadequately treated,” Byerly said.

Nearly one in three Black Californians was found to be treated unfairly by a healthcare provider because of their race or ethnicity, and more than one in four Black Californians avoid care due to concerns that they will be treated unfairly or with disrespect. Unfair experiences are most common among Black Californians with mental health conditions, disabilities, identifying as LGBTQIA+, and women.

The study found that Black Californians have clear opinions on how to improve the health care system. Strong majorities (75%<) expressed that it is extremely important or very important to increase Black representation among health care leadership and in the healthcare workforce. The majority in each age group said that it was at least somewhat important to have a Black or African American Doctor. According to data released by the American Medical Association, 10% of medical school matriculants in 2021 self-identified as Black, or a combination of Black and Asian, Hispanic, or White.

“There needs to be additional support. Financial support. Upfront financial support, for those who want to be doctors. In nursing there’s also a need for financial support, but there’s also not a standard for advising people about the most efficient, most successful pathways to nursing careers … that’s a problem that can be corrected,” CHCF senior program officer Katherine Haynes told California Black Media. “There is another issue and this has to do with the environment in which physicians and nurses practice … Just as patients experience racism, providers experience racism, and they experience it from their peers, from their supervisors, from patients … building practices of reporting those instances of racist treatment need to be made more robust so that a system is created in which providers of color can do their best work for patients. That means having zero tolerance for racist behavior in our healthcare institution.”

The survey indicated that Black Californians believe that there should be an expansion of community-based education to teach about how to access health care options and an increase of Black community health care advocates. They believe that there should be accountability for providing equitable care using financial and accreditation incentives, and through additional training to providers.

More than 80% of the survey respondents said that they are very satisfied or somewhat satisfied with their main source of healthcare. Satisfaction rates were inversely related to age.

“When you look at elders 65 and older, and really 75+, they are the sickest, yet, they appeared most satisfied with their care … that satisfaction is in contrast to younger people who tend to go to urgent care or emergency rooms for care” said Haynes. “I suspect … that it comes from familiarity, having relationships and knowing how to use the system.”

The CHCF study showed that Black Californians go to great lengths to prioritize their health, but the health care system fails to prioritize them.

Haynes recommended one solution. “You can report it to your health plan. You can return it to the state licensing board. You can contact the Department of Managed Health Care, which oversees health plans and to the Office of the Patient Advocate. Those are your rights,” said Haynes. “I will tell you that if you file a grievance versus a complaint, it poses legal liability and so those things that rise to that, or look like they might rise to that, are much more likely to get a response from a health care system.”

You can read the whole report here.

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OPINION: Why the N-Word Should Be Eliminated from Schools: A Call to Educators, Parents and Students

The N-word’s use in schools, intentionally or otherwise, preserves a cycle of racial abuse, degradation, and discrimination which are violations to the dignity of African American students.  Its usage perpetuates a legacy of hate and is a dignity violation that makes it a pressing issue for educators to address. Not addressing use of the N word in school contradicts the principles of equity and inclusion that educational institutions strive to uphold. 

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Zetha Nobles. Courtesy photo.
Zetha Nobles. Courtesy photo.

By Zetha A. Nobles,

The presence and rampant use of the N-word in educational settings poses significant challenges to the social-emotional learning (SEL) and psychological well-being of students and teachers.

The historical and contemporary usage of the N-word carries deep-seated racial connotations and trauma, making it imperative to address its impact in the school environment.

Here’s why the N-word should be eradicated from schools and its detrimental effects on SEL and psychological health.

Historical Context and Significance

The use of the N-word is considered a severe violation of dignity due to its deeply hurtful and dehumanizing nature. The N-word is historically rooted in a long and sordid history of racism, oppression and dehumanization.

It was and is used to dehumanize, degrade, demean and denigrate African American people. Its historical presence is marked by extreme violence and pernicious systemic oppression.

Despite the evolving societal appropriation and the exploitation of the word in hip hop music and other media forms, its controversial use has morphed or mutated into a word now used to signify friendship or endearment.

In schools its use is complex, representing camaraderie, being cool and defiant while consciously and unconsciously dehumanizing African American students and staff.

The N-word has a long history of being used as a tool of oppression and degradation against Black people. It was employed during periods of slavery, segregation, and ongoing racial discrimination to strip individuals of their humanity and reinforce systemic racism.

Its use is a painful reminder of this history and the ongoing struggle against racism. Its impact:

  • Dehumanization: When the N-word is used, it reduces Black individuals to a derogatory stereotype, stripping away their identity and worth as human beings. It perpetuates the idea that certain groups are inferior and unworthy of respect and dignity.
  • Impact on Self-Worth: Hearing or being called the N-word can have profound psychological and emotional impacts, leading to feelings of shame, anger, and diminished self-worth. It communicates to individuals that they are lesser or undeserving solely because of their race.
  • Interpersonal Harm: The use of the N-word in interpersonal interactions conveys disrespect, hostility, and a lack of regard for the feelings and dignity of others. It undermines efforts to build inclusive and respectful relationships.
  • Symbol of Structural Injustice: The N-word symbolizes larger societal injustices and inequalities. Its continued use reflects ongoing racial prejudice and discrimination, perpetuating harmful attitudes and behaviors.

Given these reasons, using the N-word is not just a matter of inappropriate language; it represents a significant violation of human dignity and reinforces harmful racial stereotypes and hierarchies. It is crucial to reject and actively challenge the use of this word to promote equality, respect, and dignity for all individuals.

In schools, the word retains its harmful and damaging impact and remains a powerful symbol of racial animosity. The N-word’s use in schools, intentionally or otherwise, preserves a cycle of racial abuse, degradation, and discrimination which are violations to the dignity of African American students.  Its usage perpetuates a legacy of hate and is a dignity violation that makes it a pressing issue for educators to address. Not addressing use of the N word in school contradicts the principles of equity and inclusion that educational institutions strive to uphold.

Impact on Social-Emotional Learning (SEL)

Social-emotional learning is crucial for students’ development as it encompasses the skills needed to manage emotions, establish positive relationships, and make responsible decisions. The use of the N-word in schools disrupts this process in several key and critical ways:

  •  Emotional Trauma: The N-word is a trigger for emotional pain, particularly for African American students and teachers.  It can evoke feelings of anger, sadness, shame and humiliation, which hinder the ability to engage fully in the learning process.
  • Hostile Learning Environment: A safe and supportive learning environment is essential for effective SEL. The use of the N-word creates a hostile and unsafe atmosphere, leading to increased anxiety, disrespect, and stress among students and teachers.
  • Relationship Building: One of the goals of SEL is to foster positive relationships. The use of derogatory language such as the N-word fosters division and mistrust among students and staff.

Psychological Impact on Students and Teachers

The psychological effects of the N-word on students and teachers are profound and far-reaching. For students, especially those of African American descent, the word can lead to feelings of inferiority and exclusion. This not only affects their academic performance but also their self-esteem and mental health. Studies have shown that exposure to racial slurs can increase levels of depression, anxiety, and other mental health issues.

For teachers, addressing the use of the N-word in the classroom is a significant challenge. It places an emotional burden on them, particularly for teachers of color who may feel personally targeted. The stress of managing such situations can lead to burnout and affect their ability to provide a supportive learning environment.

Strategies for Eliminating the N-Word from Schools

To effectively eliminate the N-word from schools, a comprehensive approach is necessary. Here are some strategies:

  •  Clear Policies and Consequences: Schools must implement and enforce policies that explicitly prohibit the use of the N-word and other derogatory language. Clear consequences for violations should be established and communicated to all members of the school community.
  • Cultural Competency Training: Providing cultural competency and anti-racism training for teachers, staff, and students can foster a more inclusive and respectful environment. This training should include the historical context of the N-word and its impact on individuals and communities as well as alternative language.
  •  Support Systems: Schools should offer culturally congruent support systems, such as counseling and peer support groups, for students and teachers affected by the use of the N-word. These resources can help individuals process their experiences, mitigate psychological harm and co-create a culture of dignity.
  • Community Engagement: Engaging the broader school community, including parents and local organizations, in dialogue about the impact of the N-word can reinforce the school’s commitment to creating a respectful and inclusive environment.

In addition to the moral and ethical arguments against the use of the N-word, there are also legal and policy considerations that support its prohibition in schools. Many school districts have anti-bullying and anti-discrimination policies that explicitly prohibit the use of derogatory language, including racial slurs. The use of the N-word in schools can lead to disciplinary actions and legal consequences for both students and staff who violate these policies.

Furthermore, federal laws such as Title VI of the Civil Rights Act of 1964 prohibit discrimination on the basis of race, color, or national origin in programs and activities receiving federal financial assistance. Schools that fail to address the use of the N-word and other forms of racial harassment may be in violation of these laws, potentially resulting in investigations and penalties from the U.S. Department of Education’s Office for Civil Rights.

Addressing the N-word in educational settings is not just about prohibiting a word; it is about dismantling a symbol of hate and fostering an environment where all students and teachers can thrive.

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Oakland Post: Week of September 11 -17, 2024

The printed Weekly Edition of the Oakland Post: Week of September 11 – 17, 2024

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Congresswoman Barbara Lee introduced Senatorial Candidate Adam Schiff to the congregants of Allen Temple Baptist Church and to a reception of the California Black Elected Officials organization co-sponsored by BWOPA (Black Women Organized for Political Action). Left to right Wanda Williams, Barbara Lee Adam Schiff, Keith Carson, Lynette Gibson McElhaney, Angela Andrews. Photo by Conway Jones, Jr.

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