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Commentary: It’s Time to Address the Disproportionate Impact of the Opioid Crisis on Black Californians

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies. As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action.

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Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.
Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

By Dr. Le Ondra Clark Harvey, Special to California Black Media Partners  

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies.

As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action. Slight declines or plateaus are not “wins.” We need proactive, comprehensive solutions that improve education, provide wraparound services, and increased access to proven treatment methods like medication assisted treatment and overdose reversal agents.

As an advocate, psychologist, and mother of two young children, today’s fentanyl crisis is difficult to process. On one hand, I understand how challenging it can be to pass meaningful policies that will save more lives — whether those of individuals injecting drugs on sidewalks or suburban teenagers poisoned by counterfeit pills they bought on Snapchat. These challenges are compounded by critical deficits, such as workforce shortages, minimal treatment beds and facilities, and a lack of culturally competent care, all of which disproportionately affect Black Californians.

I have witnessed the devastating impact of fentanyl on Black families. These deaths shatter families, destabilize communities, and perpetuate cycles of trauma and socio-economic hardship. For Black Californians specifically, grief is compounded by helplessness and frustration, knowing that more could – and should – have been done to prevent these tragedies.

As I sit in numerous health policy workgroups, task forces, and legislative hearings, I hear policymakers request more studies to better understand how vulnerable communities are impacted. This is critical, and it is not enough.

We don’t have time to waste.

Naloxone, a well-known opioid reversal medication, has saved hundreds of thousands of lives. However, as the opioid landscape evolves, so too must our response. California must adopt flexible policies that evolve with the rapidly changing drug landscape. We cannot rely on outdated, product-specific policies when the illicit drug landscape is changing faster than we can blink.

Efforts to do just that at the statewide level have been aggressively rebuffed by the Administration. Last year, Senate Bill 641, authored by Sen. Richard Roth (D-Riverside) would have expanded California’s statewide standing order for naloxone to encompass all FDA-approved opioid reversal agents. It passed out of the Legislature unanimously, yet Governor Newsom vetoed the bill.

Several months after the veto, Assemblymember Jasmeet Bains, (D-Delano), a physician who treats substance use disorder (SUD), led a sign-on letter among her colleagues calling on the California Department of Public Health to update the statewide standing order to no avail.

Fortunately, Los Angeles County has stepped up in the absence of statewide legislation being signed into law.

For decades, Dr. Brian Hurley, Medical Director of the Bureau of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health and President of the American Society of Addiction Medicine, has taken a comprehensive approach to addressing substance use disorder.

He has increased access to proven treatment models and implemented innovative initiatives to save lives. His department’s efforts have contributed to the plateau in overdose rates, and we hope to see further improvement through the expanded standing orders for the Los Angeles Unified School District and the LA County Sheriff’s Department, ensuring access to all FDA-approved reversal agents.

The time for action is now. With a united and informed approach, we can turn the tide on the devastating impact of opioid overdoses in Black communities.

About the Author 

Dr. Le Ondra Clark Harvey is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

Activism

Oakland Post: Week of May 21 – 27, 2025

The printed Weekly Edition of the Oakland Post: Week of May 21 – 27, 2025

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OPINION: Your Voice and Vote Impact the Quality of Your Health Care

One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare. 

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Rhonda M. Smith.
Rhonda M. Smith.

By Rhonda M. Smith, Special to California Black Media Partners

Shortly after last year’s election, I hopped into a Lyft and struck up a conversation with the driver. As we talked, the topic inevitably turned to politics. He confidently told me that he didn’t vote — not because he supported Donald Trump, but because he didn’t like Kamala Harris’ résumé. When I asked what exactly he didn’t like, he couldn’t specifically articulate his dislike or point to anything specific. In his words, he “just didn’t like her résumé.”

That moment really hit hard for me. As a Black woman, I’ve lived through enough election cycles to recognize how often uncertainty, misinformation, or political apathy keep people from voting, especially Black voters whose voices are historically left out of the conversation and whose health, economic security, and opportunities are directly impacted by the individual elected to office, and the legislative branches and political parties that push forth their agenda.

That conversation with the Lyft driver reflects a troubling surge in fear-driven politics across our country. We’ve seen White House executive orders gut federal programs meant to help our most vulnerable populations and policies that systematically exclude or harm Black and underserved communities.

One of the most dangerous developments we’re seeing now? Deep federal cuts are being proposed to Medicaid, the life-saving health insurance program that covers nearly 80 million lower-income individuals nationwide. That is approximately 15 million Californians and about 1 million of the state’s nearly 3 million Black Californians who are at risk of losing their healthcare.

Medicaid, called Medi-Cal in California, doesn’t just cover care. It protects individuals and families from medical debt, keeps rural hospitals open, creates jobs, and helps our communities thrive. Simply put; Medicaid is a lifeline for 1 in 5 Black Americans. For many, it’s the only thing standing between them and a medical emergency they can’t afford, especially with the skyrocketing costs of health care. The proposed cuts mean up to 7.2 million Black Americans could lose their healthcare coverage, making it harder for them to receive timely, life-saving care. Cuts to Medicaid would also result in fewer prenatal visits, delayed cancer screenings, unfilled prescriptions, and closures of community clinics. When healthcare is inaccessible or unaffordable, it doesn’t just harm individuals, it weakens entire communities and widens inequities.

The reality is Black Americans already face disproportionately higher rates of poorer health outcomes. Our life expectancy is nearly five years shorter in comparison to White Americans. Black pregnant people are 3.6 times more likely to die during pregnancy or postpartum than their white counterparts.

These policies don’t happen in a vacuum. They are determined by who holds power and who shows up to vote. Showing up amplifies our voices. Taking action and exercising our right to vote is how we express our power.

I urge you to start today. Call your representatives, on both sides of the aisle, and demand they protect Medicaid (Medi-Cal), the Affordable Care Act (Covered CA), and access to food assistance programs, maternal health resources, mental health services, and protect our basic freedoms and human rights. Stay informed, talk to your neighbors and register to vote.

About the Author

Rhonda M. Smith is the Executive Director of the California Black Health Network, a statewide nonprofit dedicated to advancing health equity for all Black Californians.

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Activism

OPINION: Supreme Court Case Highlights Clash Between Parental Rights and Progressive Indoctrination

At the center of this controversy are some parents from Montgomery County in Maryland, who assert a fundamental principle: the right to shield their children from exposure to sexual content that is inappropriate for their age, while also steering their moral and ethical upbringing in alignment with their faith. The local school board decided to introduce a curriculum that includes LGBTQ+ themes — often embracing controversial discussions of human sexuality and gender identity.

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Craig J. DeLuz. Courtesy of Craig J. DeLuz.
Craig J. DeLuz. Courtesy of Craig J. DeLuz.

By Craig J. DeLuz, Special to California Black Media Partners

In America’s schools, the tension between parental rights and learning curricula has created a contentious battlefield.

In this debate, it is essential to recognize that parents are, first and foremost, their children’s primary educators. When they send their children to school — public or private — they do not surrender their rights or responsibilities. Yet, the education establishment has been increasingly encroaching on this vital paradigm.

A case recently argued before the Supreme Court regarding Maryland parents’ rights to opt out of lessons that infringe upon their religious beliefs epitomizes this growing conflict. This case, Mahmoud v. Taylor, is not simply about retreating from progressive educational mandates. It is fundamentally a defense of First Amendment rights, a defense of parents’ rights to be parents.

At the center of this controversy are some parents from Montgomery County in Maryland, who assert a fundamental principle: the right to shield their children from exposure to sexual content that is inappropriate for their age, while also steering their moral and ethical upbringing in alignment with their faith. The local school board decided to introduce a curriculum that includes LGBTQ+ themes, often embracing controversial discussions of human sexuality and gender identity. The parents argue that the subject matter is age-inappropriate, and the school board does not give parents the option to withdraw their children when those lessons are taught.

This case raises profound questions about the role of public education in a democratic society. In their fervent quest for inclusivity, some educators seem to have overlooked an essential truth: that the promotion of inclusivity should never infringe upon parental rights and the deeply held convictions that guide families of different faith backgrounds.

This matter goes well beyond mere exposure. It veers into indoctrination when children are repeatedly confronted with concepts that clash with their family values. 

“I don’t think anybody can read that and say: well, this is just telling children that there are occasions when men marry other men,” noted Justice Samuel Alito. “It has a clear moral message, and it may be a good message. It’s just a message that a lot of religious people disagree with.”

Justice Amy Coney Barrett raised a crucial point, noting that it is one thing to merely expose students to diverse ideas; it is quite another to present certain viewpoints as indisputable truths. By framing an ideology with the certainty of “this is the right view of the world,” educators risk indoctrination rather than enlightenment. This distinction is not merely academic; it speaks to the very essence of cultivating a truly informed citizenry.

Even Justice Elena Kagan expressed concern regarding the exposure of young children to certain materials in Montgomery County.

“I, too, was struck by these young kids’ picture books and, on matters concerning sexuality, I suspect there are a lot of non-religious parents who weren’t all that thrilled about this,” she said.

Justice John Roberts aptly questioned the practicality of expecting young children to compartmentalize their beliefs in the classroom.

“It is unreasonable to expect five-year-olds, still forming their worldviews, to reconcile lessons that conflict fundamentally with the teachings they receive at home,” he said.

As was noted in my previous commentary, “The Hidden Truth In The Battle Over Books In American Schools”, what lies at the heart of these debates is a moral disconnect between the values held by the majority of Americans and those promoted by the educational establishment. While the majority rightly argue that material containing controversial content of a sexual nature should have no place in our children’s classrooms, the education establishment continues to tout the necessity of exposing children to such content under the guise of inclusivity. This disregards the legitimate values held by the wider community.

Highlighted in this case that is before the Supreme Court is a crucial truth: parents must resolutely maintain their right to direct their children’s education, according to their values. This struggle is not simply a skirmish; it reflects a broader movement aimed at reshaping education by privileging a state-sanctioned narrative while marginalizing dissenting voices.

It is imperative that we assert, without hesitation, that parents are — and must remain — the primary educators of their children.

When parents enroll a child in a school, it should in no way be interpreted as a relinquishment of parental authority or the moral guidance essential to their upbringing. We must stand firm in defending parental rights against the encroaching ideologies of the education establishment.

About the Author

Craig J. DeLuz has almost 30 years of experience in public policy and advocacy. He has served as a member of The Robla School District Board of Trustees for over 20 years. He also currently hosts a daily news and commentary show called “The RUNDOWN.” You can follow him on X at @CraigDeLuz.

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