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1/ Q. What can to address racial inequities in #COVID19 and health more generally?

A: We must dismantle #racism at each level it operates on: individual, institutional, and structural.
2/
1) Individual/interpersonal—check our own biases, and those of others, to end discrimination against people of color. Also work toward reconciliation in populations through open dialogue and share learning experiences with people from different cultural groups.
3/
2) Institutional- overhaul policies, practices and procedures that benefit Whites at the expense of people of color. Especially for healthcare: in addition to implicit bias training, ensure that social determinants of health and racial justice are covered by school curricula.
4/
3) Structural- reparations. People hate the word, but you cannot truly atone for FOUR CENTURIES of #injustice without supporting those who are affected.
5/ How can we do this?
🏠Creative mortgage and community improvement programs can increase home ownership and improve the built environment in neighborhoods. (versus gentrifying them, which displaces non-White residents and makes the areas better for Whites to move in).
6/
🏥 Universal healthcare, so that health can be a right and not a privilege.
🏫 Investment in struggling public school systems can help close the gap in education quality between low-income and affluent public schools.

So many others, but I defer to the reparations experts.
7/ In addition to addressing racism, we can curb coronavirus in its tracks in Black and Brown communities if we:
1) increase testing and connection to care,
2) require employers to take care of their workers, particularly essential staff (e.g., PPE, paid sick leave), and...
8/
3) consider alternative childcare opportunities to promote safety and avoid/minimize potential exposures.

Just keep one critical thing in mind:
9/ This all has to be done in partnership with existing community organizations in those areas (e.g., faith-based institutions, grassroots organizations).
There is no need to reinvent the wheel or ignore the expertise of those already engaged in this work.
10/ The virus is only shedding light on what was already going on. Many of us have been speaking on it for decades. As devastating as #COVIDー19 is, it has been the impetus to engage more people in the fight against #racism and #health #inequities, and toward #racialjustice.
11/ My insights may sound like doom and gloom, but they aren’t. Hope is NOT lost. We can each play a role in dismantling #racism and its aftermath, eradicating health inequities, and ensuring we are better prepared to fight future health challenges together. 💪
12/ Suggested Resources:

Dorothy Robert’s “Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-first Century”

Ta-Nehisi Coate’s “Between the World and Me”

Ibram X. Kendi’s “How to be an Antiracist”
13/
Sue et al. “Disarming Racial Microaggressions: Microintervention Strategies for Targets, White Allies, and Bystanders” psycnet.apa.org/fulltext/2019-…

More from Dr. Brawner here: nursing.upenn.edu/live/profiles/…
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