By Barbara Fluhrer

I met Karen Lewis on a park bench in Berkeley. She wrote her story on the spot.

“My life has been a roller-coaster with an unlimited ride wristband! I was raised in Berkeley during the time of Ron Dellums, the Black Panthers, and People’s Park. I was a Hippie kid, my Auntie cut off all our hair so we could wear  the natural styles like her and Angela Davis.

I got married young, then ended up getting divorced, raising two boys into men. After my divorce, I had a stroke that left me blind and paralyzed. I was homeless, lost in a fog with blurred vision.

Jesus healed me! I now have two beautiful grandkids. At 61, this age and this stage, I am finally free indeed. Our Lord Jesus Christ saved my soul. I now know how to be still. I lay at his feet. I surrender and just rest. My life and every step on my path have already been ordered. So, I have learned in this life…it’s nice to be nice. No stressing,  just blessings. Pray for the best and deal with the rest.

Nobody is perfect, so forgive quickly and love easily!”

Lewis’ book “Detour to Straight Street” is available on Amazon.

Oakland Post

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By Antonio‌ ‌Ray‌ ‌Harvey‌,
California‌ ‌Black‌ ‌Media‌

 As a candidate for mayor, former U.S. Representative Barbara Lee released a “10-point plan” last week to reassure residents that she will tackle Oakland’s most pressing challenges.

Now that she has edged out her competitors in the ranked-choice special election with 50% or more of the vote, the former Congresswoman, who represented parts of the Bay Area in the U.S. House of Representatives, can put her vision in motion as the city’s first Black woman mayor.

“I accept your choice with a deep sense of responsibility, humility, and love. Oakland is a deeply divided City,” Lee said in an April 19 statement. “I answered the call to run to unite our community, so that I can represent every voter, and we can all work together as One Oakland to solve our most pressing problems.”

On Saturday evening, Taylor conceded to Lee. There are still about 300 Vote-by-Mail ballots left to be verified, according to county election officials. The ballots will be processed on April 21 and April 22.

“This morning, I called Congresswoman Barbara Lee to congratulate her on becoming the next Mayor of Oakland,” Taylor said in a statement.

“I pray that Mayor-Elect Lee fulfills her commitment to unify Oakland by authentically engaging the 47% of Oaklanders who voted for me and who want pragmatic, results-driven leadership.”

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The influential Oakland Post endorsed Lee’s campaign, commending her leadership on the local, state, and federal levels.

Paul Cobb, The Post’s publisher, told California Black Media that Lee will bring back “respect and accountability” to the mayor’s office.

“She is going to be a collegial leader drawing on the advice of community nonprofit organizations and those who have experience in dealing with various issues,” Cobb said. “She’s going to try to do a consensus-building thing among those who know the present problems that face the city.”

Born in El Paso, Texas, Lee’s family moved to California while she was in high school. At 20 years old, Lee divorced her husband after the birth of her first child. After the split, Lee went through a tough period, becoming homeless and having to apply for public assistance to make ends meet.

But destitution did not deter the young woman.

Lee groomed herself to become an activist and advocate in Oakland and committed to standing up for the most vulnerable citizens in her community.

Lee traveled to Washington, D.C. to work for then U.S. Congressman Ron Dellums after receiving a Bachelor of Arts degree from Mills College in Oakland in 1973. Lee later won a U.S. Department of Housing and Urban Development (HUD) fellowship to attend the School of Social Welfare, and she earned a Master of Social Work from the University of California-Berkeley in 1975.

Lee later served in the California State Assembly and State Senate before she was elected to Congress in 1998.

After serving in the U.S. Congress for more than 25 years, Lee ran unsuccessfully for California’s U.S. Senate in the 2024 primary election.

Lee joins current Los Angeles mayor Karen Bass and former San Francisco Mayor London Breed as Black women serving as chief executives of major cities in California over the last few years.

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Joe W. Bowers Jr.
California Black Media

Artificial intelligence (AI) is changing how Californians receive medical care – diagnosing diseases, predicting patient needs, streamlining treatments, and even generating medical notes for doctors.

While AI holds promise, it also poses risks, particularly for Black patients. It can provide faster diagnoses and expand access to care, but it may also misdiagnose conditions, delay treatment, or overlook patient’s critical needs. AI’s impact on Black patients depends on how biases in medical data and algorithms are addressed in its development.

“As we progress toward a society with increased use of AI technology, it is critical that the biases and stereotypes that Black Americans have faced are not perpetuated in our future innovations,” said Dr. Akilah Weber Pierson (D – San Diego), a physician and state senator spearheading legislative efforts to address AI bias in healthcare.

Why AI Matters for Black Californians

Black Californians experience some of the worst health outcomes in the state due to systemic inequities, limited healthcare access, and exclusion from medical research. 16.7% of Black adults report fair or poor health, versus 11.5% of Whites. Black adults have the highest death rates from prostate, breast, colorectal, and lung cancer. Statewide, diabetes affects 13.6% of Black adults versus 9.1% of Whites, and 27% of Black adults over 65 have heart disease, compared to 22% of Whites. Life expectancy for Black Californians is about five years shorter than the state average.

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Benefits and Risks of AI in Healthcare

AI processes vast amounts of medical data using computer algorithms designed to identify patient health patterns, helping doctors to diagnose diseases, recommend treatment, and increase patient care efficiency. By analyzing scans, lab results, and patient history, AI can detect diseases

earlier, giving it the potential to improve care for Black patients, who face higher risks of prostate cancer, diabetes, heart disease and hypertension.

Dr. Judy Gichoya, an Interventional radiologist at the Emory University Winship Cancer Institute and AI researcher at Emory’s Healthcare AI Innovation and Translational Informatics (HITI) Lab, sees AI as a tool with great potential but cautions that its effectiveness depends on the diversity of the data it is trained on. She says, “Without diverse datasets, AI could overlook critical signs of diseases, especially in underrepresented populations like Black patients.”

Dr. Timnit Gebru, a computer scientist and AI ethics expert, is the founder and Executive Director of DAIR (Distributed AI Research Institute) in Oakland. She has extensively studied bias in AI systems and their impact on marginalized groups.

Gebru acknowledges that AI has the potential to improve healthcare by enhancing efficiency and expanding access to medical resources. But, like Gichoya she strongly stresses that for AI to be effective and equitable it needs to be subject to rigorous oversight.

AI is already helping doctors personalize cancer treatment by identifying biomarkers and genetic mutations. UCSF and Stanford Health use AI to analyze tumor DNA to match patients with the most effective chemotherapy or immunotherapy.

In diabetes care, AI predicts blood sugar fluctuations, helping doctors adjust treatment. It helps radiologists in early disease detection and identifies sepsis sooner, reducing hospital deaths. In cardiology, AI detects early signs of heart disease, spotting plaque buildup or abnormal heart rhythms before symptoms appear. It also helps predict strokes by analyzing brain scans to determine risk and guide intervention.

Kaiser Permanente uses AI scribes to reduce paperwork and improve patient interactions. Covered California has partnered with Google

Cloud to use AI to streamline document verification and eligibility decisions.

Despite these advancements, AI systems trained on biased medical data can perpetuate inequities for Black patients.

Gebru explains, “If AI learns from historically discriminatory medical decisions—such as undertreating Black patients—it will scale those biases.”

A notable example is in dermatology, where AI frequently misdiagnoses conditions in Black patients because most training datasets are based on lighter-skinned individuals. “Melanoma looks very different on darker skin,” Gebru notes. “It’s not just darker—it often appears differently, like under toenails, a pattern AI trained mostly on lighter skin won’t detect.”

Another risk of AI in healthcare is automation bias, where healthcare providers over-rely on AI, even when it contradicts medical expertise. “Doctors who would have prescribed medications accurately without AI sometimes make mistakes while using automated tools because they over-trust these systems,” Gebru adds.

AI-driven health insurance claim denials are a growing concern. UnitedHealthcare faces a class-action lawsuit for allegedly using an unregulated AI algorithm to deny rehabilitation coverage to elderly and disabled patients.

Beyond bias, AI also poses an environmental threat. AI systems require enormous amounts of energy for computing and massive amounts of water to cool data centers, which exacerbates climate change, an issue that already disproportionately impacts Black communities.

Trump Administration and DEI Impact

The Trump administration’s efforts to dismantle Diversity, Equity, and Inclusion (DEI) threatens funding for AI bias research in healthcare.

Less federal support could stall progress in making AI systems fairer and more accurate, increasing discrimination risks for Black patients.

California’s Legislative and Regulatory Response

Recognizing AI’s risks in healthcare, California lawmakers and state officials are implementing regulations. Weber Pierson introduced Senate Bill (SB) 503 to ensure that AI algorithms used in healthcare are tested for racial bias before implementation.

“We’ve already seen how biased medical devices like pulse oximeters can fail Black patients,” Weber Pierson explains. “If algorithms used in patient care aren’t inclusive, they’re not going to accurately serve melanated individuals.”

At a press conference introducing SB 503, Weber Pierson stressed that AI must be held accountable. “This bill focuses on ensuring that software used as an accessory to healthcare staff delivers sound, nondiscriminatory decisions that promote equitable outcomes.”

Other legislative efforts include Senate Bill (SB) 1120, by Sen. Josh Becker (D-Menlo Park), which stops insurance companies from using AI alone to deny or delay care and Assembly Bill (AB) 3030, by Assemblymember Lisa Calderon (D-Whittier), which requires healthcare providers to inform patients when AI is used in their care.

Attorney General Rob Bonta has issued a legal advisory barring AI from unfairly denying healthcare claims, falsifying records, or restricting access to care based on medical history. Gov. Gavin Newsom’s 2023 executive order directs state agencies to assess AI’s impact and establish consumer protections, particularly in healthcare.

Actions Black Patients and Families Can Take

As AI becomes more common in healthcare, Black Californians can ensure fair treatment by asking if AI is used, seeking second opinions, and supporting groups addressing algorithmic bias.

They can:

• Ask their healthcare providers whether AI played a role in their diagnosis or treatment.
• Request second opinions if an AI-generated diagnosis seems questionable.
• Advocate for AI policies and legislation promoting fairness and accountability. · Engage with community health organizations like the California Black Health Network (CBHN) that is engaged in ensuring AI is developed in ways to improve health outcomes for Black patients.

Rhonda Smith, CBHN’s executive director, says bias in medical algorithms must be eliminated. “There should never be any race-based adjustment in delivering patient care,” she said.

CBHN supports inclusive research and legislation like SB 503 to ensure AI promotes equity.

Ensuring AI Benefits All Communities

As a legislator, Weber Pierson is pushing for stronger safeguards to ensure AI serves all patients equitably. She says, “Innovation and technology are good, but new challenges arise if we don’t move in a direction inclusive and thoughtful of all people who utilize the healthcare space.”

AI has the potential to revolutionize healthcare, but experts warn it must be developed and regulated with transparency, accountability, and fairness – ensuring it reduces rather than worsens, racial health disparities.

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