An estimated 50 percent of children in the United States do not receive regular dental care because of social, economic and geographic barriers to care. Mexican American and Black preschool children have a higher prevalence of cavities than their white peers. More than 50 percent of low-income adults and even 20 percent of those above the poverty line have untreated cavities.
We have recommendations that can help end these disparities.
We cannot achieve health equity for Black patients without expanding the Black physician workforce.
Medical institutions have yet to honestly examine and address how they perpetuate the problem of a White-dominated physician training system that unjustly excludes, punishes, and dismisses Black medical students, trainees, and attending physicians.
Health systems must acknowledge racism’s role in patient harm and medical errors.
That starts with more systematically collecting race, ethnicity and other data on both patient health and patient safety — which, incredibly, is not required today.
Black Californians have one of the lowest life expectancies in California. This is despite the fact that the vast majority of these residents have some form of insurance coverage and consistently demonstrate a strong interest in taking care of their health.
This contradiction begs the question: What is wrong with health care for Black Californians?
In California, 34 jurisdictions have declared racism a public health crisis. Governor Newsom, unfortunately, has failed to do so at the state level, just as he failed to support broader investments supported by the legislature to advance health equity last year.
His inaction seems to be rooted in two issues: failure to prioritize racial equity and conflating investments in health care with investments in prevention and public health.
Long-standing racist policies and practices have determined where and how Californians live, work, receive health care, attend schools and more. For Black Californians, Latinx Californians, and other Californians of color these racist policies block opportunities to be healthy.
When the pandemic started, it became abundantly clear that the virus was disproportionately harming communities of color, who are at increased risk of severe illness due to long-standing inequities.
Since the death of George Floyd nine months ago prompted America to re-examine entrenched racism in all its institutions – from police departments to corporations and colleges – the child welfare system too, has had to reckon with its troubled past and deeply flawed present.
Driven by evidence that child welfare decision-makers judge parents of color more harshly and are more likely to remove their children, calls for systemic change have grown more urgent among parent advocates, scholars and even agency leaders.
California’s leaders must build a diverse and culturally competent health workforce. This starts with making investments in the communities that are most vulnerable and medically underserved.
Policymakers should work to expand health career pipeline programs for underrepresented students. Programs such as Health Career Connection have driven talented students of color into health care and public health careers for years. Full disclosure: I’m an alum.
Many parents of children with special needs — regardless of race — struggle to receive prompt diagnoses and services. But for families of color, the challenge is more acute.
“There’s just a lot of systemic racism,” said Kausha King, director of the Community Empowerment Project, a program that provides navigation support and training to Black families of children with special needs in Alameda and Contra Costa counties.
As cries to “defund the police” reverberate across the country, cities are looking at ways to shift funds from policing into communities. In California, tax revenues from marijuana should be a clear point of entry.
When voters legalized cannabis in 2016, they expected the taxes would be invested in communities that were adversely impacted by the war on drugs. Instead, a new report finds that these revenues are actually funding the police.