Activism
ESSAY: Let’s Take an Honest Look at Distrust, Disparities and Discrimination in Medical Care
Healthcare advocacy is multifaceted. From physician-led initiatives addressing policy and resource allocation, to research that intentionally and thoughtfully addresses disparities in access and outcomes, to development of integrated multidisciplinary treatment teams for personalized care plans, there is quite possibly no more important step than educating the lay person.

By Dr. Imani McElroy, Special to California Black Media
As I became part of the small community of Black female surgeons, who represent less than 1% of all physicians, I embraced the responsibility with an understanding that part of my career would be dedicated to being a voice for marginalized and disenfranchised people.
Growing up in the San Francisco Bay Area, I observed the vast economic divide that that contributes to health care disparities. Unstable employment and housing, food deserts, underfunded schools, and escalating living expenses all play a significant role in poor health for Black patients.
They also are a direct reflection of centuries of systemic discrimination and racism that has crippled Black Americans dating back to the era of slavery.
The same issues have followed me personally. I live with asthma, which has quietly impacted my breathing since childhood. I have been fortunate to avoid long-term hospitalization, but I have had numerous visits to urgent care and emergency departments. I discussed my symptoms with my primary care physicians over the years, but it wasn’t until my third year living in Boston that I found a physician who attended to my symptoms and made the necessary adjustments that finally controlled my asthma. My asthma had progressed steadily for 15 years and despite being in the medical field and being able to describe the decline, my symptoms were ignored. This is a story that is too common amongst Black Americans. Even fame could not protect Serena Williams when she had to demand appropriate testing and treatment for blood clots in her lungs following the birth of her first child.
I understood that my role as health care provider extended well beyond the walls of the operating room and the hospital.
The plight of Black Americans within health care and the discrimination we face is well documented in both medical and lay literature.
In medicine, we celebrate J. Marion Sims as the father of obstetrics, but until recently, we rarely mentioned that most of his medical breakthroughs were achieved through the suffering of Black women who were not adequately anesthetized as he experimented on some of the most delicate parts of their bodies. Books such as Medical Apartheid and The Immortal Life of Henrietta Lacks document the long history of Black bodies being used for scientific experimentation without any compensation or acknowledgement.
If we are going to have an honest discussion about the root cause of medical mistrust within the Black community, the conversation cannot simply begin and end with The United States Public Health Service (USPHS) Untreated Syphilis Study at Tuskegee.
It’s essential to recognize that the generational trauma endured by the Black community contributes significantly to its skepticism towards medical institutions.
Healthcare advocacy is multifaceted. From physician-led initiatives addressing policy and resource allocation, to research that intentionally and thoughtfully addresses disparities in access and outcomes, to development of integrated multidisciplinary treatment teams for personalized care plans, there is quite possibly no more important step than educating the lay person.
Gone are the days of blind trust in a physician simply because of their title.
Furthermore, being able to empower patients to advocate for their health care needs will also allow physicians to understand how medical conditions impact their patients’ quality of life and everyday activities. Shared decision-making rests on a patient’s ability to trust the providers caring for them. The medical community owes it to Black Americans to afford them this trust.
As an advocate, I aim to bridge the gap between medical literature and lay literature. Making sure that our community has updated and accessible information that can impact their understanding of their medical conditions and improve the quality of care they receive.
As a Black woman in America, I face my own challenges, including navigating the health care system, and finding providers who look like me, understand my unique needs, and are willing to engage with me despite my medical background.
As my family members grow older and begin to interact more frequently with medical providers, I find myself in the frustrating position of having to help them advocate for themselves in a system that does not always listen.
My white coat does not shield me from the realities of being Black in America and thus I feel it is my duty to become part of the solution in addressing disparities in healthcare.
While much of the work to fix this problem falls in the hands of physicians and providers, active participation is required from both sides.
Increased representation in clinical trials will improve our understanding of risk factors and treatment responses. Attending health fairs and community outreach events will help increase medical literacy and understanding. Being persistent and truthful about symptom progression or treatment side effects is equally as important to help inform decision making.
Most of our medical knowledge is hidden behind paywalls buried in medical jargon. My goal is to help make what is happening in the medical community more accessible to our community.
About the Author
A native of the Bay Area, Dr. Imani E. McElroy is a Clinical Fellow of Vascular Surgery at USC Keck School of Medicine. She completed general surgery training at the Massachusetts General Hospital in Boston, MA. She has a Master of Public Health from the Harvard T.H. Chan School of Public Health and received a Doctor of Medicine from the Charles R. Drew University/UCLA David Geffen School of Medicine. She earned a bachelor’s degree in Biological Sciences from the University of California Irvine.
This article is supported by the California Black Health Journalism Project, a program created by California Black Media, that addresses the top health challenges African Americans in California face. It relies on the input of community and practitioners; an awareness of historical factors, social contexts and root causes; and a strong focus on solutions as determined by policymakers, advocates and patients.
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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Activism
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.

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.
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.

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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