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Cal Reparations Task Force: Yale Professor Traces Long History of Racism in Public Health

“It is important for us to recognize that many critical issues that we are wrestling with today have long, old, and deep historical roots,” said Dr. Carolyn Roberts, a professor at Yale University. “These include racial bias and disparate medical treatment, race-based medicine, and medical exploitation. In our historical analysis, we must consider not only American slavery and its afterlife, but also the transatlantic slave trade.”

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Yale Professor Carolyn Roberts is a historian of medicine and science.
Yale Professor Carolyn Roberts is a historian of medicine and science.

By Antonio Ray Harvey, California Black Media

Dr. Carolyn Roberts, a professor at Yale University, provided to the California Task Force to Study and Develop Reparation Proposals for African Americans detailed descriptions, both verbal and visual, of the horrific experiences Africans endured during the transatlantic slave trade.

A historian of medicine and science, Roberts said the trauma descendants of enslaved Africans suffered during transportation to the United States was only the beginning of a “broken relationship” between African Americans and the United States’ healthcare system.

“It is important for us to recognize that many critical issues that we are wrestling with today have long, old, and deep historical roots,” Roberts said. “These include racial bias and disparate medical treatment, race-based medicine, and medical exploitation. In our historical analysis, we must consider not only American slavery and its afterlife, but also the transatlantic slave trade.”

The transatlantic slave trade was the “largest forced oceanic migration in human history,” a passage that was responsible for transferring between 10 million and 12 million enslaved Africans across the Atlantic Ocean to the Americas from the 16th to the 19th century, Roberts said.

A majority of the African people taken captive were young women and men who were on the cusp of starting families. This generation of Africans ended up contributing to the enrichment of the enslavers, Roberts said.

For the voyage, Africans were placed in tiers below the decks of cargo ships that would sail up to 5,000 miles across the ocean Roberts said. To make sure that the enslaved stayed healthy for the duration of the trip and arrive to their destination alive, slave traders hired medical doctors.

“A majority of enslaved people who arrived in the United States arrived onboard British slave ships,” Roberts said. “British slave ship medicine was based on systemic violence and dehumanization. (The doctors) performed invasive and forced medical inspections. Women and girls were pinned down and their legs were held open so that doctors could see if they had previously borne children.”

Drugs, whips, and pistols were used by slave traders if the enslaved women and men did not comply with the medical practitioners’ orders. Roberts said it was common for doctors to assume that Africans had the capacity to withstand extreme physical pain.

Roberts was one of several experts that spoke during the public, mental and physical health segment of the two-day meeting held in January.

Dr. Tina Sacks, an associate professor at UC Berkeley’s School of Social Welfare; Dr. Cassondra Marshall, UC Berkeley Public Health professor of Maternal, Child, and Adolescent Health; Brett Andrews, CEO of PRC (formally Positive Resource Center) in San Francisco; and Melissa Jones, executive director of Bay Area Regional Health Inequities Initiative (BARHII) were other panelists during the meeting.

Roberts did not stop with the horrific details captured Africans suffered on the high seas. She forewarned the nine-member panel about a graphic image she was about to display. It was a black-and-white photo of a human cadaver on a gurney. Surrounded by white doctors, the image depicted a surgical examination being performed on a Black man.

These acts of inhumanity had an adverse effect on Black Americans, Roberts said, and the resulting cruelty and racism endured 157 years after slavery was abolished in the United States.

“So, a new management of healthcare enters the world. This is a form of healthcare where medical violence against Africans and African descended people became an acceptable normative, an institutionalized practice for over a century in the context of the British slave trade. This forced Black people into a unique and troubling relationship with Western medicine before they set foot in the United States,” Roberts explains.

“It also created a new understanding of the doctor-patient relationship, a relationship that was violent, personalized, extractive, and exploitative,” she argues.

Over the years, the enslaved Africans and their freed descendants learned to trust themselves by concocting their own medicinal formulas.

“They developed their own medical systems. They blended medical knowledge from Africa with medicinal plants in the Americas,” Roberts said. “However, they could not avoid white doctors who began to use their bodies to advance medical science.

Roberts holds a joint appointment in the departments of History/History of Science and Medicine, and African American Studies and a secondary appointment at Yale School of Medicine.

Roberts’ research interests concern the history of race, science, and medicine in the context of slavery and the Atlantic slave trade.

“It’s a sobering moment when we began to understand the health impacts of multigenerational racism and oppression,” Dr. Cheryl Grills, a member of the Task Force, said.

The Task Force to Study and Develop Reparation Proposals for African Americans will have its eighth meeting at 9 a.m. on March 29 and March 30.

Antonio Ray Harvey

Antonio Ray Harvey

Arts and Culture

Book Review: Building the Worlds That Kill Us: Disease, Death, and Inequality in American History

Nearly five years ago, while interviewing residents along the Mississippi River in Louisiana for a book they were writing, authors Rosner and Markowitz learned that they’d caused a little brouhaha. Large corporations in the area, ones that the residents of “a small, largely African American community” had battled over air and soil contamination and illness, didn’t want any more “’agitators’” poking around. They’d asked a state trooper to see if the authors were going to cause trouble.

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Courtesy of Columbia University Press
Courtesy of Columbia University Press.

By Terri Schlichenmeyer

 Author: David Rosner and Gerald Markowitz, c.2024, Columbia University Press, $28.00

Get lots of rest.

That’s always good advice when you’re ailing. Don’t overdo. Don’t try to be Superman or Supermom, just rest and follow your doctor’s orders.

And if, as in the new book, “Building the Worlds That Kill Us” by David Rosner and Gerald Markowitz, the color of your skin and your social strata are a certain way, you’ll feel better soon.

Nearly five years ago, while interviewing residents along the Mississippi River in Louisiana for a book they were writing, authors Rosner and Markowitz learned that they’d caused a little brouhaha. Large corporations in the area, ones that the residents of “a small, largely African American community” had battled over air and soil contamination and illness, didn’t want any more “’agitators’” poking around. They’d asked a state trooper to see if the authors were going to cause trouble.

For Rosner and Markowitz, this underscored “what every thoughtful person at least suspects”: that age, geography, immigrant status, “income, wealth, race, gender, sexuality, and social position” largely impacts the quality and availability of medical care.

It’s been this way since Europeans first arrived on North American shores.

Native Americans “had their share of illness and disease” even before the Europeans arrived and brought diseases that decimated established populations. There was little-to-no medicine offered to slaves on the Middle Passage because a ship owner’s “financial calculus… included the price of disease and death.”  According to the authors, many enslavers weren’t even “convinced” that the cost of feeding their slaves was worth the work received.

Factory workers in the late 1800s and early 1900s worked long weeks and long days under sometimes dangerous conditions, and health care was meager; Depression-era workers didn’t fare much better. Black Americans were used for medical experimentation. And just three years ago, the American Lung Association reported that “’people of color’ disproportionately” lived in areas where the air quality was particularly dangerous.

So, what does all this mean? Authors David Rosner and Gerald Markowitz don’t seem to be too optimistic, for one thing, but in “Building the Worlds That Kill Us,” they do leave readers with a thought-provoker: “we as a nation … created this dark moment and we have the ability to change it.” Finding the “how” in this book, however, will take serious between-the-lines reading.

If that sounds ominous, it is. Most of this book is, in fact, quite dismaying, despite that there are glimpses of pushback here and there, in the form of protests and strikes throughout many decades. You may notice, if this is a subject you’re passionate about, that the histories may be familiar but deeper than you might’ve learned in high school. You’ll also notice the relevance to today’s healthcare issues and questions, and that’s likewise disturbing.

This is by no means a happy-happy vacation book, but it is essential reading if you care about national health issues, worker safety, public attitudes, and government involvement in medical care inequality. You may know some of what’s inside “Building the Worlds That Kill Us,” but now you can learn the rest.

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Activism

2024 in Review: 7 Questions for Former Assemblymember Chris Holden

While in office, Holden championed efforts to improve education outcomes for students and advocated for social and racial justice. Legislation he wrote or sponsored also focused on, innovation in transportation, protecting developmental disability service providers and improving public health, more broadly.  

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Hon. Chris Holden. File photo.
Hon. Chris Holden. File photo.

By Edward Henderson, California Black Media  

In 2012, Assemblymember Chris Holden was first elected to the California State Assembly representing the 41st District in the San Gabriel Valley.

He was re-elected to that position for the following four terms.

While in office, Holden championed efforts to improve education outcomes for students and advocated for social and racial justice. Legislation he wrote or sponsored also focused on, innovation in transportation, protecting developmental disability service providers and improving public health, more broadly.

Holden, a graduate of San Diego State University, lives in Pasadena with his wife, Melanie, and children Nicholas, Alexander, Austin, Mariah and Noah. Holden is the son of former State Senator and LA City Councilmember Nate Holden.

Before he closed out his final year of service in the Assembly, California Black Media (CBM) spoke with Holden. He reflected on his accomplishments this year and his goals moving forward.

Looking back at 2024, what stands out to you as your most important achievement and why? 

A project I’ve been working on for well over 36 years — the light rail system — made its way into Pasadena from downtown LA. Now it’s making its way through the San Gabriel Valley to Pomona.

How did your leadership and investments contribute to improving the lives of Black Californians? 

Having an opportunity to represent a multi-ethnic and diverse district is exciting, but to be able to bring a voice for a lived African American experience from the San Gabriel Valley is very important.

What frustrated you the most over the last year?

I still am frustrated that we aren’t seeing the kind of progress on affordable housing to allow underrepresented communities to be able to afford to live in the community that they grew up in.

What inspired you the most over the last year?

There has been a lot of movement around reparations through community engagement. Dr. Shirley Weber put forth the bill to establish a reparations task force and that task force met for a number of years. Two members of our caucus served on it, Sen. Steven Bradford and Assemblymember Reggie Jones-Sawyer. A thousand-page report and a hundred recommendations or more came out of that. And now we’re in the process of finding ways to implement some of those recommendations. It’s going to be a longer process, but I’m hopeful because California, once again, is on the front end of taking on a really challenging issue.

What is one lesson you learned in 2024 that will inform your decision-making next year?

Always be mindful how quickly the winds can change. We’ve gone from 10 years of having budget surpluses to this year having a $45 billion deficit.

In one word, what is the biggest challenge Black Californians face?

Inequality.

What is the goal you want to achieve most in 2025?

Well, I won’t be in the legislature in 2025, but I love public policy. I’d like to find myself in a position where I’m continuing to have an influence on how public policy is shaped and formed. I’m just looking forward to being a vital voice going into next year in a different role. It will also be an opportunity to lay a foundation to take another run, possibly for a seat on the LA County Board of Supervisors in 2028.

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Activism

2024 in Review: 7 Questions for Equality California Political Director Shay Franco-Clausen

Shay Franco-Clausen is an award-winning public advocate, speaker, political strategist and former elected official. She has contributed her thought leadership to drafting seventeen pieces of legislation in California. Notable among these accomplishments is her role in extending the statute of limitations for felony domestic violence survivors, advocating for the rights of foster youth, preserving endangered open spaces, and championing the restoration of voting rights for individuals on parole.  

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Shay Franco-Clausen Equality California Political Director (Facebook).
Shay Franco-Clausen Equality California Political Director (Facebook).

By Edward Henderson, California Black Media  

Shay Franco-Clausen is Political Director for Equality California, the nation’s largest statewide LGBTQ+ civil rights organization.

Franco-Clausen is an award-winning public advocate, speaker, political strategist and former elected official. She has contributed her thought leadership to drafting seventeen pieces of legislation in California. Notable among these accomplishments is her role in extending the statute of limitations for felony domestic violence survivors, advocating for the rights of foster youth, preserving endangered open spaces, and championing the restoration of voting rights for individuals on parole.

California Black Media (CBM) spoke with Franco-Clausen about her successes, frustrations and future plans heading into 2025.

Looking back at 2024, what stands out to you as your most important achievement and why? 

In the role that I sit in as the political director for Equality California, we endorsed 216 candidates. I think the one achievement after this election that I’m proud of is that we overturned Prop 8 to protect same-sex marriages here because they’re about to attack our rights on the federal level, come 2025.

I’m glad at least we changed our California constitution to reflect and protect my marriage.

How did your leadership and investments contribute to improving the lives of Black Californians? 

I contribute through my lived experience. I may have achieved a lot, but I come from those same communities that are marginalized, East Oakland, East San Jose, Watts. It gives me a different perspective. I am a formerly incarcerated youth who was in foster care. I think I contribute that bit of understanding, and I operate from an equity lens. I’m willing to push people to make them recognize that hey, you cannot forget about Black people. We are the most marginalized.

What frustrated you the most over the last year?

What frustrates me is our inability to recognize that we forget people. I was tapped to work on the Harris campaign from Equality California. And through that, being at that table, I was frustrated that they weren’t listening to Americans and not looking at the data.

The reason Trump won is because he had consistent messaging, and we didn’t debunk it. I think I’m more frustrated that we don’t fully listen to people all the time when they’re critiquing us.

What inspired you the most over the last year?

All those people that came out to support Kamala Harris. I was proud that my son voted for the first time for a Black woman for President.

What is one lesson you learned in 2024 that will inform your decision-making next year?

Be fearless. Sometimes I second-guess myself. I push back, but I could push more because I’m qualified. I have the education, I have the experience, and I know what I’m talking about in all the rooms that I go in. And I must be confident in that.

In one word, what is the biggest challenge Black Californians face?

Prioritization.

We’re still not seen as a priority, but everyone likes to add us to their talking points.

What is the goal you want to achieve most in 2025?

Writing a book. I think it’s important for us to tell our stories.

I am also kicking off my campaign for Hayward City Council.

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