Oni Blackstock Profile picture
Mar 28 5 tweets 2 min read Twitter logo Read on Twitter
This is necropolitics.

Mississippi, a state which ranks among the lowest in health indicators & among the highest in poverty rates, is refusing to accept $1.35 billion in Medicaid dollars to cover medical care.

This is also a state with a largest % of Black residents in the US. Image
Necropolitics = “necropolitics as “the capacity to define who matters and who does not, who is disposable and who is not…

[It] is a framework that illuminates how governments assign differential value to human life.”

teenvogue.com/story/what-is-…
Of note, Medicaid has expansion has led to a cross-section of health-related benefits for people in those states which adopted expansion.

“In a 2021 analysis, researchers for the National Bureau of Economic Research estimated that in one four-year period, 19,200 more adults…”
“… aged 55 to 64 survived because of expanded coverage, and nearly 16,000 more would have lived if that coverage was nationwide.

Other studies suggest why: Making medical care more affordable led to increases in regular checkups, cancer screenings,…”
“diagnoses of chronic diseases and prescriptions for needed medicines.”

In other words, not accepted Medicaid dollars to expand Medicaid is a death-making policy decision.

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More from @oni_blackstock

Mar 26
It is more than obvious that the current status quo* is NOT working for most of us - most USians are harmed, Black, Latinx, Indig. ppl are disproportionately so.

*lack of health care for all, of a social safety net, of workplace protections, prioritizing profits > people, etc. Image
Read more about the US’s declining life expectancy (not seen among peer nations):

npr.org/sections/healt…
Jonathan Metzl’s “Dying of Whitenes/“ discusses how in order to stay aligned with whiteness, poor and white working class people often vote against policies that would otherwise benefit them.
Read 4 tweets
Dec 26, 2022
This is a long thread so I may have missed it but nowhere do I recall seeing reference to risk of transmission *to others* & in particular to people who are at high risk for severe illness.

Mitigation measures aren’t just abt just the individual risk, but about the collective.
I am not just concerned about *my* individual risk of getting COVID.

I’m also concerned about whether I were to pass it *to others* who may not be more vulnerable to serious illness/death.
It’s almost as if some have forgotten that COVID is an infectious/commmunicable disease - a reminder of our interdependence.

Even the examples of the risk decisions we make every day don’t reflect this critical aspect of COVID.
Read 10 tweets
Dec 4, 2022
Even white USian pregant ppl have worse maternal mortality rates than counterparts in peer nations.

Yet another example that while the status quo in the US (lack of universal health care, etc.) disproportionately harms Black USians, almost everyone pays a price.
Yet another reason why it’s important when examining inequities to go beyond just having white USians as the standard (as Bor et al did in their must-read research paper “Missing Americans”and consider comparisons to counterparts in other high income countries.
Missing Americans: Early Death in the United States, 1933-2021

medrxiv.org/content/10.110…
Read 4 tweets

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