Will Health Care Reform Help the Racial Legacy of Health Disparities? Or Will Race Matters Get In The Way?

With people of color representing 50 percent of the uninsured in America, the new Affordable Health Care Act stands to represent the biggest social movement to impact our communities since civil rights.

But will it solve the health disparity issues that continue to plagues African Americans?

Recently, I attended the Families USA conference in Washington, D.C., where among other distinguished speakers, the 44th President of the United States, Barack Obama, spoke live addressing the conference attendees.

The president eloquently spoke of the benefits of the act, which has already dismantled that pesky "pre-existing condition" clause, which forced millions of Americans to be uninsurable by deep-pocketed insurance companies and caused thousands of others to die because of it. He was candid about the flaws in the law and reiterated his willingness to make changes in some areas.

As a self-employed mother of two who has struggled with my own health insurance issues, I listened intently to the debate that preceded the current law. And the still unfolding drama since it became law---and I just couldn't figure out why there was so much vehement dialogue against health care reform.

Was it really debatable that our system needed a major overhaul?

Having lived in London, England, and having experienced their medical care for myself and my children, I couldn't really understand what was the real problem with a universal health care system. Or with creating more options and lower costs. Not the political excuses and grandstanding, but the real issues. Especially since most of the most vocal objectors have some of the best health coverage this country has to offer. Lucky them.

The answer came to me at the conference in a dynamic panel discussion led by an extremely passionate woman--Gail Christopher, vice president for health at the W.K. Kellogg Foundation. (Full disclosure: The Black Maternal Health Project is funded by the Kellogg Foundation)

After sharing her personal story of arriving at a hospital to deliver a baby only to be left in the corner because someone just assumed she was a black woman on Medicaid, she said something so simple, yet true: "Where you stand is often based on where you sit."

It took all my strength not to jump out of my seat with an uncharacteristic, "You said it, sister!!"

I clapped instead.

But where most detractors "sit" is at the table of the haves with little concern for the have-nots and a lot of selective amnesia.

They've forgotten that this country got its haves by raping, killing and stealing from the people of color they found when they got here. They forget that their history of racism and segregation, left blacks concentrated in communities with severe health risks and without access to any remedies. They choose to ignore the cumulative impact of this racial legacy and the scores of women and vulnerable children it disproportionately impacts.

They forget about environmental racism, doctor deserts, food deserts and other gaping holes that have created and maintained a systemic inequity in access to health care.

An inequity and legacy that plays out every day in high maternal mortality and infant mortality rates and poor birth outcomes in black women across all socioeconomic levels, among others.

And multiple studies have already proven that people of color receive inferior care regardless of their insurance status or socioeconomic status. (I was happy to learn that the health care law has over 75 provisions to address equity issues, including more community based health care services.)

This is an important step in the right direction.

And so, unfortunately, like so many other issues in this country, it really comes down to race. Racial tensions in this country are getting worse, not better.

Everybody knows the true wealth of a nation is the health of its people. Yet, in this country any concept of a publicly supported health care system has a stigma of helping poor people. And by poor, they think lazy. So what if your children suffer? This stigma needs to be removed.

Politicians have pulled off a near-Reagan like maneuver duping Americans into believing who really benefits from the new health care act.

Every one benefits.

But the same patriotic, Federalist Papers-reading countrymen who "want their country back" should take a fast forward real look at the country they hold so dear. By 2042 it is estimated that one in four people will be a person of color. You can take the health care reform issue to the Supreme Court if you'd like, masking your political agenda in a baseless legal challenge. But we're all in this together, with our futures inextricably linked. And we are a constituency not to be ignored.

Because unfortunately for you, my memory is not like your memory.

Hatred After Health Care Reform. Racism Rears Its Head

I'm sorry, where exactly are all the people who vehemently declared after President Obama's election that we were living in a post-racial America? Please stand up.

Seriously.

Let's recap a recent scene: The president of the United States passes a historic bill to reform health care in this country and actually save lives and protestors resort to allegedly hurling racial slurs at black lawmakers? I won't even mention the choice words being thrown at our nation's commander in chief? Protesters, what about the million things that are supposedly wrong with the bill? Why not use those as your sticking points?

It really goes to show how far we have not come in this country. Whenever there is passionate disagreement, which, by the way is a good thing and what makes this country great, someone somewhere is going to resort to race. It's as if racial bias consistently sits just under the skin of the culture of this country, and if anything slightly irritates or pricks that delicate skin, the ugly truth just comes oozing out.

Then you wonder why I fear for my black children. The reason: I'm in fear of many white parents, who are acting out their racial biases for everyone to see on CNN, YouTube, at Tea Party conventions and on the local news for crying out loud. What kind of messages are these children getting at home and then bringing to the playground?

In fact, the whole health care reform process has been an embarrassing stain on our reputation. As I watched the drama play out in total "SMH" mode, I desperately tried to extract a few lessons:

The ridiculous myths about death panels and the alleged slippery slide into socialism reminded me how important it is for me to teach my children to be independent thinkers willing to research the facts on their own, rather than have that dangerous herd mentality where people foolishly rally behind buzz words that speak to their issues and biases.

The fact that not one Republican took a stand for better healthcare said to me that partisan politics was more important than saving lives. I hope my children never lose their humanity in their quest to get ahead. I will remember to remind them of that.

And watching the racial slurs and Obama assassination threats on Twitter (even allegedly by two conservative blacks, no less) reminded me of something my Daddy taught me long ago: people who resort to mud-slinging and in-the-gutter tactics, are desperate and pathetic because they really have nothing of substance to say.

Our so-called post-racial America has a lot of road ahead of it. In the meantime, the impact of racism is still seen everywhere from our political circles to our health disparities to our educational system.

Vanity Fair's Cover Sends a Dangerous Message to Young Black Girls

I often find it stressful to see how the media stereotypes black women or how it sends subliminal yet painful messages to our children. I had this unsettling feeling recently when looking at the latest issue of Vanity Fair heralding the next generation of Hollywood starlets.

It was bad enough that they couldn't (or didn't try) to find at least one person of color to include in their annual "New Hollywood" spread in the March issue. They've been taking a little heat for this ridiculous oversight. What about Gabourey Sidibe from "Precious" and Zoe Saldana? Even as an Avatar, she was still in one of the highest grossing movies of the year. Or even Penelope Cruz.

I could have stomached the photo spread, I'm pretty much used to African Americans being excluded from mainstream Hollywood. But they really went too far with the descriptive language in the accompanying story with each waiflike actress getting her respective props for "downy-soft cheeks," a "button nose," "patrician looks and celebrated pedigree," "dewy, wide-eyed loveliness," or "Ivory-soap-girl features." Ivory soap-girl features???

But is this Vanity Fair's journalistic failure and bad PR problem (hitting the stands during Black History Month no less. The horror!!) or just an accurate depiction of hot Hollywood these days?

Either way, as a mom raising a daughter, it sends dangerous messaging to all girls in general and African American girls, in particular. We've often criticized the beauty industry for their unrealistic images of Barbie-like girls and women. We've told young girls they are beautiful as they are in all shapes, sizes, skin tones and features (ivory soap or not), but then stories like these show the reality of the world all of our girls are growing up in. And what a challenge we have as moms to counteract these influences to raise confident, self-assured black girls who love their bodies, their skin, their hair and everything in between.

Quite frankly, I'm no fan of Hollywood lately, anyway. And if Sandra Bullock wins an Oscar for The Blind Side, I will be on a very long personal boycott of the award show. I mean, yet another movie about a (albeit well intentioned) white woman saving a large, menacing in appearance, from the hood with nobody else, black person. This blog isn't long enough for me to list the stereotypes in that Hollywood gem (Or in movies like Dangerous minds, Freedom Writers, The Soloist. etc.). And this is Oscar-worthy movie making??

Puh-leeze.

Attention Hollywood: there a thousands of equally inspirational stories of African Americans saving themselves (gasp!) or white people too (double gasp!), but those don't get told because they don't fit into your stereotype of who we are.

But I digress. Slightly.

My point is Vanity Fair has a problem and Hollywood has an even bigger problem. When a major media outlet ignores its responsibility to represent all its readers and its messaging to the young girls who aspire to be in Vanity Fair (or Hollywood), that's just irresponsible journalism. Read: only "button noses" and ivory-soap girls need apply.

Hollywood on the other hand has a more deeply rooted issue that concerns me as mom. For years extremely talented black female actresses like Halle Berry, Regina King, Jada Pinkett Smith, Kerry Washington, Sanaa Lathan, Kimberly Elise, Nicole Ari Parker, Lynn Whitfield, Lela Rochon (I could do this for three more pages . . . ) have lamented the dearth of quality movie roles (no crackheads

please) available to black actresses. Meanwhile, Jennifer Aniston (no disrespect, I'm a huge fan Rachel)has played the same exact character 50 million times with no end in sight.

Thankfully, my own little black girl has not mentioned any dreams of a Hollywood career because, even in this "Yes We Can" era, I'd feel some parenting compulsion to say, "probably not, sweetie." I wish I didn't feel that way. But this very "fair" article only confirms my fears.

Unfortunately for us all, Vanity Fair did a great job of highlighting the inconvenient truth of exactly how Hollywood is. New or old. And I find that reality very, very stressful.