Community
State Attorney General Bonta a Leading Force in Fight That Saved Obamacare
“No one should live in fear of being denied the lifesaving care they are entitled to, especially as our nation continues to battle the COVID-19 pandemic,” said Bonta.
The United States Supreme Court ruled 7-2 in favor of keeping the core of the Patient Protection and Affordable Care Act (ACA), also known as Obamacare, intact.
That June 17 decision resolved the Democrat vs. Republican legal tug-of-war about the federal government’s role in health care coverage that has lasted more than 10 years.
At the end of that grueling battle, California Attorney General Rob Bonta, a former Assemblymember from Oakland, emerged a quiet victor.
In March, when Gov. Gavin Newsom appointed Bonta California’s 34th Attorney General, he stepped into a respected and carefully built legacy of successful legal advocacy and litigation against conservative foes that his predecessor Xavier Becerra left behind. Pres. Biden appointed Becerra Health and Human Services Secretary.
Bonta said the Supreme Court’s decision, “affirms, once again and hopefully for the last time, that the ACA is the law of the land.”
“Americans know health coverage can mean the difference between life and death, so families across the country should rest easy tonight knowing their healthcare is safe,” said Bonta.
Bonta led a coalition of more than 20 states challenging Republican efforts to undo the Obama-era health care act. He was joined by the governor of Kentucky as well as the attorneys general of Colorado, Connecticut, Delaware, Hawaii, Illinois, Iowa, Massachusetts, Michigan, Minnesota, Nevada, New Jersey, New York, North Carolina, Oregon, Rhode Island, Vermont, Virginia, Washington, and the District of Columbia.
The coalition successfully pushed back a lawsuit spearheaded by more than a dozen Republican states led by Texas and upheld benefits of the ACA including patient protections, affordability measures, and coverage expansions.
In the court case California versus Texas, Republican attorney generals tried to overturn a monetary penalty for individuals who fail to obtain minimum health insurance. The ACA, enacted in 2010, required individuals to get minimum health essential health insurance coverage and individuals who failed to do so would have to pay a penalty.
However, the requirement was amended in 2017 to cost $0 which voided the penalty fee.
Republican attorneys general filed a lawsuit in the Fifth Circuit Court of Appeals claiming that the amendments were unconstitutional. However, the Supreme Court’s decision upheld the ACA provisions after Republicans were unsuccessful in making their case.
“No one should live in fear of being denied the lifesaving care they are entitled to, especially as our nation continues to battle the COVID-19 pandemic,” said Bonta.
According to the California Health Care Foundation, 3.7 million out of the 12.5 million people covered by Medi-Cal have health insurance through the ACA.
Health Advocates from community-based organizations across California say they are relieved by the Supreme Court’s ruling to keep the ACA but say that there is still room to make the law better.
Leaders from the California Black Health Network (CBHN), urged the state to focus on equity in healthcare.
Rhonda Smith, the executive director of CBHN highlighted that the court’s ruling helps reduce the lack of access to health care now that people get to keep their health care.
“One of the reasons why we have health disparities is because of the lack of access to healthcare services,” said Smith.
“It definitely plays a key role in trying to minimize health disparities, especially the impact of COVID on black and brown communities,” she said.
California Black Media’s coverage of COVID-19 is supported by the California Health Care Foundation.
Activism
Oakland Post: Week of November 27 – December 3, 2024
The printed Weekly Edition of the Oakland Post: Week of November 27 – December 3, 2024, 2024
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.
#NNPA BlackPress
Giving Birth Shouldn’t Be a Nightmare for Black Women
WORD IN BLACK — Now, more than two years after the fact, the overturn of Roe v. Wade, the landmark decision that protected a women’s right to an abortion, has complicated things for physicians like Joy Baker, an OB-GYN in LaGrange, Georgia. In Southern states with some of the strictest abortion bans like Georgia, Louisiana, Mississippi, and South Carolina, Black women are facing more barriers to access reproductive health care.
By Anissa Durham | Word In Black
(WIB) – At 40 weeks pregnant, Georgina Dukes-Harris drove to her weekly OB-GYN appointment in Clemson, South Carolina. It was 8 a.m. on Dec. 14, 2011. The doctor told her there’s no need for her son to “bake any longer.” So, the first-time mom returned, as instructed, at 6 p.m. on the same day. Health care providers gave her Pitocin to induce labor.
Next, they gave her an epidural and broke her water. Dukes-Harris was now on a time clock. She had 48 hours to give birth before complications could set in for her and the baby. Even though her cervix wasn’t fully dilated to 10 centimeters, doctors told her to push.
Four to five hours of pushing and nothing was happening.
“I was pushing, and they used forceps to try to pull him out, and it left a big scar on his head.” she says, “It’s like I had two births in one.”
At that point, Dukes-Harris’ heart rate spiked, and the baby showed signs of distress. Doctors decided to give her an emergency C-section on Dec. 16, which she describes as a deeply traumatic experience.
At 19-years-old and in the best shape of her life, Dukes-Harris recalls following her doctors’ instructions to a T. But the trauma that came with her unplanned C-section left her dealing with postpartum depression and anxiety for more than a year afterward.
Dukes-Harris’s story is one of many that highlight the challenges Black birthing people face in America. Maternal care deserts, abortion bans, and the overutilization of C-section have all traumatized and even ended the lives of Black women. Now Black birthing people, physicians, and holistic care providers are pushing for a more patient-centered approach.
Black Mothers Face Higher Risks and Limited Options
A 2024 March of Dimes report found that 35% of U.S. counties are maternity care deserts, which are counties with no birthing facilities or obstetric clinicians. Chronic conditions related to poor health outcomes for birthing people like pre-pregnancy obesity, hypertension, and diabetes have increased since 2015 and are most common in maternity care deserts. These conditions are also most common among Black and American Indian and Alaska Native birthing people.
Pregnant people who give birth in counties that are identified as maternity care deserts or low access areas have poorer health before pregnancy, receive less prenatal care, and experience higher rates of preterm births. Most states have between one and nine birth centers, but that still leaves 70% of all birth centers residing within 10 states.
“We serve four different counties that do not have any OB-GYNs at all,” says Joy Baker, an OB-GYN in LaGrange, Georgia. “The real issue is these are communities that already have diminished access to social determinants of health … I think of them as political determinants of health. These places don’t become under resourced by accident.”
Barriers to Maternal Health Care
Pregnant people in areas identified as maternity care deserts often travel between 26 to 38 minutes for obstetric care. During pregnancy and childbirth, longer travel time is associated with higher risk of maternal morbidity, stillbirth, and neonatal intensive care unit admission, the report states. And Black women are already at a higher risk for gestational diabetes, preeclampsia, and postpartum hemorrhage.
“There’s not one condition that I can think of that gets better in pregnancy,” Baker says. “It’s usually exacerbated.”
Now, more than two years after fact, the overturn of Roe v. Wade, the landmark decision that protected a women’s right to an abortion, has complicated things for physicians like Baker. In Southern states with some of the strictest abortion bans like Georgia, Louisiana, Mississippi, and South Carolina, Black women are facing more barriers to access reproductive health care.
But it’s not just patients who are struggling.
Each state has a different abortion ban or restriction, often making it unclear as to what a physician is able to do. For example, in Georgia, abortion is restricted to six weeks or less. Although the law has exceptions to protect the “life of the mother,” the language is vague and can leave loopholes for doctors to be prosecuted if a physician intervenes too early.
In Baker’s personal practice, she hasn’t been affected too much by the abortion bans. But she says there are physicians in neighboring counties that have struggled with caring for their patients due to the law.
“Doctors are afraid. When you have spent your entire life training and building a career, the last thing you want is to go to prison for just doing your job,” Baker says. “There is a lot of fear surrounding that. It’s been horrible to the physician patient relationship.”
Birthing Shouldn’t Be Traumatic
At 38 weeks pregnant, Lauren Elliot’s doctor told her the umbilical cord was wrapped around her son’s neck at least three times. Later, they realized it was wrapped around his neck five times. Delivering vaginally no longer became an option when her son was in distress. Elliot, 29 at the time, had a C-section.
“I was paralyzed with emotion from wanting him to be OK,” she says.
Shortly afterward she developed postpartum preeclampsia. And like Dukes-Harris, Elliot, now 36, described a C-section as a traumatic experience. Although her son was delivered healthy, the mental health toll from her first birthing experience loomed over her for two years. She struggled with anxiety and panic attacks. To cope she created Candlelit Care, an app-based behavioral health clinic that supports Black birthing people throughout a pregnancy and afterwards.
For her next pregnancy, Elliot determined to have a vaginal birth after a cesarean section or VBAC. But many doctors worry about a uterine rupture even if a patient has fully healed from a C-section. She also made the intentional decision to have a Black OB-GYN.
But even that wasn’t enough.
During labor with her second child, Elliot wasn’t dilating fast enough. Then, doctors informed her she would need to have a second cesarean. Initially, she felt like a failure for not being able to have a vaginal birth. But she finds comfort in knowing she at least experienced labor.
In 2023, according to the World Health Organization, about one in three births in the United States were C-sections.
There are a few reasons why.
The overutilization of C-sections, Baker says, is because physicians are afraid of malpractice claims and lawsuits. While in training, she recalls physicians encouraging a C-section because “you never have to apologize when the baby comes out.” But this default decision has increased the risk of complications for patients.
“Not only is it a traumatic mental imprint that is forever left (on a patient),” Baker says, but they also face an increased risk of hemorrhage, infection, and postpartum complications. “There is a time where a C-section is needed … but this whole knee-jerk reaction to just do a C-section, if you’re unsure, needs to stop.”
Will I Die Giving Birth?
In 2023, when Dukes-Harris became pregnant again at 33, she was determined to do things differently with her birthing experience. To prepare for her daughter’s arrival, Dukes-Harris got a prenatal chiropractor and hired a team of three doulas and a home birth midwife.
“I can’t die giving birth,” she says. “My OB-GYN said that having a baby at 30-plus, over 300 pounds, is basically a death sentence.”
But her diagnosed anxiety kicked in and led her back to the hospital at 4 a.m.
“I physically prepared, but I didn’t mentally prepare for birth,” she says. “I was having an out-of-body experience.”
Doctors wanted to push for a C-section, but Dukes-Harris refused. Once her 6-foot-5 husband and midwife entered the room, she was able to successfully deliver her daughter vaginally. Now, after two birthing experiences that didn’t go exactly as planned, she created swishvo, a platform that connects patients and providers to access holistic health options.
On a national scale, certified nurse midwives have been shown to improve birth outcomes for Black and American Indian, and Alaska Native communities. Currently, 27 states and D.C. have policies that allow certified nurse midwives full practice authority.
“Community-based birth workers, doulas, nurse navigators, lactation consultants, childbirth educators, we need all of that,” Baker says. “Our doulas are magnificent; they educate patients. We’re not able to do this by ourselves as physicians and midwives. We need a community of care for our patients.”
____________________________________________________________
Photo Captions:
Website Tags and Keywords:
Twitter Tags/Handles:
#NNPA BlackPress
Odessa Woolfolk Honored at Reception with 2024 Shuttlesworth Human Rights Award
BIRMINGHAM TIMES — “That is an award of a lifetime,” Woolfolk said before the ceremony. “Rev. Shuttlesworth has been my idol since I first met him when he was here doing his work in the late ’50s and ’60s. To be associated with his values, his mission, his courage, his belief in people, equality and justice to … have something on my shelf that associates me with those values doesn’t get better than that.”
The Birmingham Times
The Birmingham Civil Rights Institute (BCRI) last week presented Odessa Woolfolk, the city’s renowned educator, civic leader and lifelong advocate for civil and human rights, with the 2024 Fred L. Shuttlesworth Human Rights Award.
“That is an award of a lifetime,” Woolfolk said before the ceremony. “Rev. Shuttlesworth has been my idol since I first met him when he was here doing his work in the late ’50s and ’60s. To be associated with his values, his mission, his courage, his belief in people, equality and justice to … have something on my shelf that associates me with those values doesn’t get better than that.”
The award, named after the legendary civil rights leader and co-founder of the Southern Christian Leadership Conference (SCLC), recognizes individuals who have made enduring contributions to the ongoing fight for equality, justice and human dignity.
“We are honored to present the Fred L. Shuttlesworth Human Rights Award to Odessa Woolfolk, whose lifelong dedication to human and civil rights has shaped the course of history in Birmingham and beyond,” said Rosilyn Houston, newly elected chair of the BCRI Board of Directors, in a statement. “Her vision, leadership and tireless advocacy continue to inspire new generations to stand up for justice and equality. Odessa Woolfolk exemplifies the very essence of what this award stands for.”
-
Activism4 weeks ago
LIVE! — TOWN HALL ON RACISM AND ITS IMPACT — THURS. 11.14.24 5PM PST
-
Activism4 weeks ago
Oakland Post: Week of November 6 – 12, 2024
-
#NNPA BlackPress4 weeks ago
OP-ED: The Illusion of Allyship. White Women, Your Yard Signs Mean Nothing to Me
-
Activism2 weeks ago
An Inside Look into How San Francisco Analyzes Homeless Encampments
-
#NNPA BlackPress2 weeks ago
PRESS ROOM: Clyburn, Pressley, Scanlon, Colleagues Urge Biden to Use Clemency Power to Address Mass Incarceration Before Leaving Office
-
Activism2 weeks ago
Oakland Post: Week of November 20 – 26, 2024
-
#NNPA BlackPress3 weeks ago
Five HBCUs Leading the Charge in Creating Black Excellence
-
Activism2 weeks ago
OCCUR Hosts “Faith Forward” Conference in Oakland