You know when you wake up and your day starts with violence?
1⃣So, received an email asking me to speak on implicit bias for a major organization. "No worries", I say. "Let me check my iCal for availability. But, in the meantime, what is your budget for speaker fee/honorarium?"
2⃣"Oh, I don't know...none of our previous speakers have asked and it's only for an hour and virtual."
***Cue music change to violence
"Only 1 hr" and "virtual"?????
Chiiiiiiiiiiiiiiile! But for the grace of GAWD!
3⃣So, I had to lovingly & kindly remind friend that
🔅1 hr is not "only"
🔅In 1hr, I can see patients, do an interview,
teach/coach/mentor, and put out 3 fires - all of which
are compensated labor
🔅Speaking is labor
🔅Compensation isn't just for the time per se...
.....but for the labor in prep, all that went into developing this expertise, the expertise itself, and the value added to the org
4⃣So, again, as a reminder, you do not ask a Black woman or any woman of color, of any professional background, to come add value to you......
5⃣
....and your organization by expending labor and bringing the heft of their professional AND lived experience as well as expertise and not offer financial compensation.
It is not equitable.
It is not just
It is violence.
6⃣If you (leader/organization) value Justice, Equity, Diversity, Inclusion/Belonging (JEDI), you will demonstrate it by allocating adequate resources to JEDI programming in your budget. This includes equitable & just compensation for JEDI speakers/facilitators etc. Upfront.
7⃣An antiracist organization recognizes why this is critical for changing systems and structures of oppression that devalue and marginalize the contributions of Black, Indigenous, People of Color, women, LGBTQ, immigrant etc. and the topics that center them.
8⃣These antiracist organizations understand that the value that is added to them through the work of BIPOC leaders in JEDI/B and antiracism translates to those organizations' success and benefits everyone.
In summary:
Pay your BIPOC speakers/facilitators of JEDI/B
Abundantly.
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I need it to be clear that this pathological intentional fear of brown skin is not a commentary about anything being wrong with us - our bodies, our minds, our ways, our joy.
It is rooted in this pathological invention of the identity/idea/ideology of whiteness.
1/
Intrinsic to this idea/ideology/identity of whiteness is the need to turn everything that is not white into an “enemy” to be feared and therefore destroyed/conquered/controlled.
2/
Intrinsic to justifying this way of being is to establish non-white “others” as inherently (biologically & culturally) inferior, in fact, sub-human. Thus, deserving of genocide, terrorism, destruction, rape, desecration, murder, poverty, hunger, pain, suffering. Bombs.
3/
1️⃣Black History moment: Dr. Charles Drew, A Black doc, invented the blood banking system we use today which has saved millions of lives & directed the nation’s first blood bank, mobile blood bank units, Red Cross’s pilot blood program excluded Black donors until 1942, 79yrs ago.
2️⃣So their are living Black folks today who remember a time they were not allowed to donate blood because their blood was considered inferior. When Black folks were allowed to donate in 1942, our blood was segregated from white blood. Till 1950.
3️⃣And it is told that Dr. Drew himself was not able to benefit from own innovation, dying from injuries sustained in a car accident and refused care for white hospitals due to segregation.
🧵🧶🧵 1/ I respectfully push back VERY strongly against the “play the game” & “change from the inside” crowd. Emmm...since when? When has that happened? What is the historical evidence to show that that is how the vast majority of change occurred? The inside, keh? In medicine?
2/ Most people I know that played the game to get in, rationalizing that they’ll change the system once they got in, got stuck playing the game forever & never developed the tools for changing the system which they thought they would naturally be able to do once “in”.
3/ The code switching never ended.
And they severely underestimated the resultant wear and tear on their bodies, minds & souls for the constant codeswitching, perpetual guarding, fighting, advocating, etc that we endure in this predominantly white spaces.
🧵 1/ With the epidemic of Medical Establishment-induced hemorrhaging of Black physicians, particularly, Black Women, from academic & clinical medicine, what better time than Black History Month for the entire establishment to turn the mirror on itself & ask the question:
2/ “Why are we like this?”
3/ I’m talking the same degree of root cause analyses conducted on a case of Catheter Associated UTI or Hospital Acquired decubitus ulcer. A thorough internal and external investigation to why the system is chewing and spitting out Black women physicians needs to be conducted .
I feel the need to reiterate a few PSAs:
1️⃣There is still no vaccine for racism. So, vaccinating Black folks will reduce mortality, but will not eliminate disparities cos the disproportionate impact of COVID on our community is due to Structural Racism not biological differences
Speaking of which...
2️⃣Our bodies are not physiologically or genetically different from white bodies. Our community is also incredibly diverse/heterogenous.
Race is not biological.
It is a sociopolitical construct.
Health & disease differences between racialized groups are driven by inequitable & unjust structural/systemic forces. Period.
3️⃣Ultimately, eliminating structural racism in all its manifestations so that BIPOC have increased wealth, improved education, secure housing...
On the subject of “Who is entitled to the title of ‘Doctor’?” regarding the WSJ hot mess article, I thought it important to offer a linguistic & historical perspective.
Bottomline, if we adopt the historical (& linguistic lens), PhDs are the the real “doctors”.
A thread 1/
“Doctor” comes from the latin “Docere” which means “To teach”. From the 1300s, It was donned on eminent scholars who have distinguished themselves after many years of learning and research to earn a doctorate so they could teach in Universities. 2/
It was around the 1600s that medical schools started according their graduates the title of “Doctor” after graduation from what is considered an undergraduate program in the hierarchy of university programs. 3/