Super excited to witness the celebration of @drtlaleng’s report on Racism @UN special rapporteur on the Right to Health, to United States General Assembly & the @TheLancet Commission on Racism, Structural Discrimination and Global Health, along with the co-leadership of @udnore✊🏾
Watch:
“I think of my 8 yr old self living in Apartheid South Africa… none of this is normal, yet a so much of it is normalized.”
“I bring a true anti racist, anti-colonial, intersectional lens to my analysis.”
“Racism is a key determinant of health.”
“We want 2 use targeted research & collaboration to foster cross-sectoral policy conversations…we need 2 address the power shifts that need to happen.”
“I’m intentionally not using the term “decolonization” becos true decolonization requires a humility that is not yet present.”
“We want to inspire new questions & new solutions about racism in health that is currently not being brought up.”
“It is critical for us to identify where power shifts need to happen within the global health infrastructure.”
@D_R_Williams1 Why we need to act NOW:
1️⃣This is a global issue that requires a global solution
2️⃣What we say we’re doing isn’t working - people talk about progress but there’s been little change over time
3️⃣Racism is SPUNSIVE💰. We lose 200 Black folks daily to Racial inequity
@globalgamechngr breaking down that we can’t keep dancing around the role of racism in producing health inequities & emphasizing the government policy standpoint.
I love how the Black women in this space are intentional about stating their positionality & intersectioanlity💕💕
@rasanathan now lifting up how critical it is to ✅adopt a structural lens & transcend the interpersonal & unpack how structural discrimination (aka violence) underpins larger issues of economics & government beyond institutional & organizational levels
✅examine structural discrimination (violence) within global health itself
✅embody bold and unflinching solutions to the problem
@richardhorton1@lancet editor now speaking about the erasure of history in the United Kingdom (& world) & how critical the transatlantic slave trade was to the development of UK (& the world) & the complicity & participation of many Institutions in the legacy of the …
…transAtlantic slave trade. He also lifts up the heavy need to reconcile to true history & for ✨reparations✨ to be paid.
Chyyyyyle, he went to the there.
Now begins the panel, moderated by @DrDMGriffith co-founder of Racial Justice Institute & center of Men’s Health Equity
“It is a matter of dignity. And is the people most affected by structural oppression that get to define what that means for them. Dignity & self-determination.”
“Why have you not adopted a human rights approach to your fiscal mechanisms?”
“Re entering & decentering power structures.”
“Intersectional feminist decolonial human rights advocacy indigenous perceptives are needed to be centered in commission.”
I love the historian’s perspective baby!
She brings up the role of Anglo-Saxon religious theology in convincing people of the dignity of struggle & that destiny is related to the individual choices & divine judgment with reward designated for the after life.
She says:
✅Be impatient. “Patients” are not gonna be patient any longer. *Look up the history of the word “patient”*
✅accept the difficulty of people to accept the multilayered complicated roots of their lived realities
Medical training curriculum needs 2 radically change. We’re still producing Doctors & Nurses who r unable to improve our healthcare landscape becos they r unable 2 interrogate the practice they were taught.
@drtlaleng reminding us that civil society is POWERFUL and can demand for the agenda they want from all actors & stakeholders including the philanthropic sector.
“We need to understand that those in dominant categories are not as powerful as they think they are.”
But WE are✊🏾
“What do we need to unlearn?”
Global philanthropic Funders are still holding on to outdated philosophies and ideologies that make their mechanisms unsustainable & incompatible with communities’ priorities.
Hello!
The closing speaker is now reminding us about the difference between being a “non-racist” & “anti-racist” based on his personal journey on traveling that continuum.
✅the starting point for this commission is that “It’s bad. It hasn’t gotten better but worse.”
✅these systems are intentional & by design. & it’s gonna take a. Lot.
✅it’s all connected
✅the current response is inadequate esp with the lack of introspection
✅Global health manifests the impact of racism & structural discrimination as the bellwether & platform of power
He calls the Commission to hold the global health community accountable, propose bold solutions, & issue specific calls to action 2 specific actors.
We’re talking - WHO, USAID, UN, Bill & Melinda and dem.
GREAT JOB @udnore@drtlaleng & team!!! Outstanding event. I’m honored, excited, & grateful 2 be a commissioner on this initiative led by 2 phenomenal African women.
Let’s GEAUX!!!!
~End~
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This is one example of how to start an article when you’re about to get into disparity data. From Dr. Montoya-Williams & team. You set the table with ✨Context✨ because the “why” behind racial disparities has been beyond settled. No one should be “surprised” anymore. @DrDianaMW
More on the article⬆️
I’m still trying to figure out how to make Dr. Lisinkova’s study accessible as it is not open access. Here are screenshots of the abstract.
Firstly, wow.
I had NO idea this story would strike such a nerve. I just put it out as a means of processing my own feelings & experience.
Thank you for your love, compassion, humanism, & shared anger, sadness, & determination to create better for our children & each other. 1/
Super importantly, I want to shout out my intern, Dr. G (she’s not on Twitter) who was also on the case & handled an extremely challenging encounter w/ grace & compassion. I’m grateful to her providing me the opportunity to pass on the valuable lessons my teachers taught me.
2/
It helps remind me as well as keep me accountable.
Also, I’d like to share that I called her after clinic to debrief with her. When something so jolting happens, we cannot just push it under the emotional carpet &move on to the next patient, the next task, the next whatever.
3/
Today was a tough one. Little baby girl comes in for “recurrent UTIs”. Parent is frustrated because she’s been to ER multiple times this year when these symptoms started where she’s given antibiotics & sent home. But symptoms always come back - belly pain, pain in urination,…
discharge, foul odor. She goes back to ER - antibiotics & sent home. & the cycle continues.
But, wayment - vaginal discharge? Foul odor?
UTI?
Nope. Nope. That ain’t right. Okay, let’s consciously avoid anchoring bias and THINK.
I want to say that God is good & God comes in the form of my residents, students, & trainees. Yesterday, my chest was heavy & I was feeling so discouraged. This morning, I get mail from @ACPinternists stating 1 of my residents nominated me for women in medicine recognition😭😭😭
I call Dr. Green this morning & let her know how much she has filled my heart with encouragement & love. She barely lets me speak as she pours into me how much she & her colleagues love & appreciate my work & tell me to keep doing what I’m doing the way I’m doing it.
She says “I love you, Dr. Opara. We all love you. Thank you for how you show up. We see you. We see that you do what you do with love and that you care. That you speak up for us, for all our communities loudly & not giving a crap. Please never change…
Good morntint💕🌞 to everyone who rejects Performative civility & respectability politics for the coddling of white feelings. To Black folx who resist “etiquette” that kowtows to white supremacy and supplants their own humanity & freedom to hold unpopular but true opinions.☕️☕️☕️
Good morntint💕🌞 to rich folk who choose not to use their platform to censor Black scholars, particularly Black women speaking difficult truths, especially when it’s essentially pettiness in response to their support of the unionization of your company- led by a young Black man.
Good morntint💕🌞 to folk who understand that ❗️gasp❗️Some of your beloved s/heroes are other people’s villains because…reality. To folk who understand they are not in a place to tell oppressed people how to respond to their truth, just because it doesn’t meet your “standards”.
“WHAT, TO THE SLAVE, IS THE FOURTH OF JULY”
- Frederick Douglass, July 5, 1852 🧵
Excerpts:
“The task be4 me is 1 which requires much thought & study 4 its proper performance…Should I seem at ease, my appearance would much misrepresent me.
“The fact is, ladies and gentlemen, the distance between this platform and the slave plantation, from which I escaped, is considerable—and the difficulties to be overcome in getting from the latter to the former, are by no means slight.”
2/
“This, for the purpose of this celebration, is the 4th of July. It is the birthday of your National Independence, and of your political freedom. This, to you, is what the Passover was to the emancipated people of God.”
3/