Our Zip Code May Be More Important Than Our Genetic Code: Social Determinants of Health, Law and Policy

Posted in Articles, Health/Medicine/Genetics, Law, Media Archive, Politics/Public Policy, United States on 2013-08-05 05:05Z by Steven

Our Zip Code May Be More Important Than Our Genetic Code: Social Determinants of Health, Law and Policy

Social Determinants of Health
Rhode Island Medical Journal
Volume 96, Number 7 (July 2013)

Dannie Ritchie, MD, MPH, Clinical Assistant Professor of Family Medicine
Lead, Transcultural Community Health Initiative
Brown University Center for Primary Care and Prevention

Public health is defined as “what we, as a society, do collectively to assure the condition for people to be healthy.” (Institute of Medicine (IOM), 1988, 2003). This evokes the social determinants of health – where we live, learn, work and play has a greater impact on individual and population health than does access to health care. However, when we discuss health and health disparities, clinical care problems are often framed as the problems with the health-care system. Recently, the Institute of Medicine has moved to make the distinction that in public health, the clinical care system is but one part of the overall health system, which should help to avoid the conflation of health as only a product of medical care (IOM 2010)…

This special issue contains a series of papers expanding key themes addressed in the seminars. Making real improvements in the health of our communities, especially the economically, socially and environmentally impoverished communities, requires much more than “fixing” our wasteful, fragmented and misdirected medical-care systems. If we are to achieve health equity, it is time for us to evaluate how to truly shift the dialogue, and not inadvertently replicate the same disparities we are trying to eliminate. We must examine how disparities impact us all across demographics and not only the most vulnerable, though they bear the greater burden. It is our intent with this edition to provide tools to better equip us to evaluate the social determinants of health and ways to take action through law and policy…

Read the entire article here.

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Obama Warms To Speaking Personally About Race

Posted in Articles, Audio, Barack Obama, Media Archive, Politics/Public Policy, United States on 2013-08-05 01:08Z by Steven

Obama Warms To Speaking Personally About Race

Weekend Edition Saturday
National Public Radio
2013-08-13

Linda Wertheimer, Senior National Correspondent and Host

Ari Schapiro, White House Correspondent

On race, Barack Obama often says he is not president of black America, but of the United States of America. Though he has not avoided the subject during his time in office, he tends not to seek out opportunities to discuss racial issues.

“He wanted to address them in a time and a way that accomplished specific objectives,” says Joshua Dubois, who ran the White House’s faith-based initiatives during Obama’s first term.

Obama addressed race most comprehensively in a Philadelphia speech during his first presidential campaign, after incendiary sermons by the pastor Jeremiah Wright came to light. “Race is an issue that I believe this nation cannot afford to ignore right now,” he said.

A handful of other events followed in the next four years, including a White House “beer summit” between a black Harvard professor and a white police officer; and the occasional commencement address at a historically black college.

Sherrilyn Ifill, who leads the NAACP Legal Defense Fund, believes Obama’s posture is typical for African-Americans who lead racially diverse groups. “It’s not as though many of us relish wading into issues of race,” she says. “We often feel we must, or we feel compelled to, but very few of us are eager to do it, and certainly I think the president was not eager to do it.”…

…During his recent travels through Africa, Obama talked repeatedly and explicitly about the significance of his skin color. “As an African-American president, to be able to visit this site I think gives me even greater motivation in terms of defense of human rights around the world,” he said at a slave port in Senegal…

Listen to the story here.  Download the audio here. Read the entire transcript here.

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Colleges Help Ithaca Thrive In a Region Of Struggles

Posted in Articles, Campus Life, Economics, Media Archive, Politics/Public Policy, United States on 2013-08-05 00:34Z by Steven

Colleges Help Ithaca Thrive In a Region Of Struggles

The New York Times
2013-08-04

Jesse McKinley

ITHACA, N.Y. — In many ways, this city is not so special. It has a nice lake, some attractive houses with lawns, and a couple of colleges. But many places in upstate New York have lakes and lawns and places of high learning.

What most sets this city of 30,000 apart from many of its neighbors these days is what is absent: fear for its future.

Led by a young mayor with an inspiring back story and an idealist’s approach — he talks about sidewalks in philosophical terms — Ithaca is the upstate exception: a successful liberal enclave in a largely conservative region troubled by unemployment woes, declining or stagnant population, and post-Detroit talk of bankruptcy.

“It’s like a little San Francisco,” Nicole Roulstin, 32, an Ithaca resident, said recently, “or the Berkeley of the East.”

Much of that optimism comes from a reciprocal relationship with two institutions — Cornell University and, to a lesser degree, Ithaca College — which have poured hundreds of millions of dollars into the economy and created thousands of jobs for everyone from professors to landscapers, and also fostered new companies. Ithaca and its home county, Tompkins, regularly post the lowest unemployment rate in the state. In June, Ithaca’s was 5.7 percent, tied with another college city, Saratoga Springs, where a racetrack drives an annual summer boom.

Ithaca’s model of education as an economic engine is one that Gov. Andrew M. Cuomo has made a priority this year as a strategy for all of upstate, where there are dozens of universities. In June, he signed into law a bill that would allow State University of New York branches and some private schools to offer tax-free zones for new businesses that open on or adjacent to campuses.

Ithaca’s mayor, Svante L. Myrick, who was invited to speak alongside the governor when he promoted the plan in May, playfully challenged other leaders of Ivy League cities in the Northeast to come to his. “And I’ll show you how we built in Ithaca the lowest unemployment rate in the state,” he said, adding that the city had been successful “because our universities have partnered with our private industries,” and did not just rely on businesses selling “sandwiches and beds” to visitors and students…

…Soft-spoken and slyly funny, Mr. Myrick is a striking success story. Living in the tiny town of Earlville, N.Y., he overcame a childhood that included stints living in shelters and sometimes sleeping in a family car. His father struggled with drug abuse, and his mother raised him and his three siblings on minimum-wage jobs, with help from his grandparents.

Mr. Myrick, whose mother is white and whose father is African-American, said he vividly remembers reading about Barack Obama as a teenager. “I thought, ‘Holy moly,’” Mr. Myrick said. “Here’s this guy, he’s mixed race, he’s got a funny name, he’s just like me. And it made me think I could go to a good school. I could do something.”…

Read the entire article here.

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Blurring the “Color-Line”?: Reflections on Interracial and Multiracial America

Posted in Articles, Media Archive, Politics/Public Policy, Social Science, United States on 2013-08-04 02:47Z by Steven

Blurring the “Color-Line”?: Reflections on Interracial and Multiracial America

49th Parallel: An Interdisciplinary Journal of North American Studies
Issue 6: Special Issue – Race and Ethnicity (Fall 2000)
ISSN: 1753-5794

Yasuhiro Katagiri, Ph.D., Associate Professor of American History and Government,
Tokai University, Kanagawa, Japan

“[N]o matter how we articulate this [case] [and] no matter which theory of the due process clause . . . we attach to it, no one can articulate it better than Richard Loving, when he said to me: ‘Mr. Cohen, tell the Court I love my wife, and it is just unfair that I can’t live with her in Virginia.’” —Bernard S. Cohen, Counsel for Appellants, Oral Argument, Loving v. Virginia, United States Supreme Court, April 10, 1967

“We basically accept that there are three races–Caucasians, Negroes and Orientals.  Caucasians can’t date Orientals, Orientals can’t date Caucasians, and neither of them can date Negroes.” —Bob Jones III, President, Bob Jones University

On August 28, 1963, Martin Luther King, Jr., eloquently delivered his “dream” to the American people on the steps of the Lincoln Memorial in Washington, D.C.  “I have a dream,” King’s voice reverberated to “let freedom ring” from the nation’s capital, “that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character.”  However, in the years since one of America’s foremost civil rights crusaders spoke these noble words during the March on Washington, divisions between races have refused to go away, and the American society, as if to punctuate the words “E Pluribus” rather than the word “Unum,” still splinters into “disparate factions” divided by race and ethnicity.

Almost four decades after his father challenged the conscience of America, Martin Luther King III stood before the Lincoln Memorial on a hot and steamy day in August 2000.  Speaking before several thousand people at a rally billed as  “Redeem the Dream,” which was organized to protest police brutality and its racial profiling, King—one of those “four little children”—told the gathered crowd: “I dare you to fulfill the dream.”  Though race of course has something to do with “biological makeup,” as Jon M. Spencer argues in his book on what he terms America’s “mixed-race movement,” it also is “a sociopolitical construct,”  which “was created and has been maintained and modified by the powerful” to perpetuate themselves as a privileged group.  And the United States, in this regard, has been no stranger.

But on the verge of a new millennium, while the underpinnings of the nation’s affirmative action seem to be somewhat crumbling, an accelerating social trend—the increase of interracial marriages and the growing number of multiracial citizens—is beginning to engulf American society, which might well contribute to bringing about a long-hoped-for “color-blind” society.  And this  important, but heretofore imperceptible, social and demographic trend has been in evidence during the 2000 presidential election year, which is also a decennial census-taking year in the United States.  As an illustration, the embracement of, or at least the recognition of, the nation’s multiracial citizens could be manifestly observed during the national convention of the Republican Party, which has been recognized for some time as the party of, by, and for “the powerful.”  One of the keynote speakers on the final day of the Philadelphia convention was Republican Nominee George W. Bush’s nephew—George P. Bush.  He is not only the son of Florida Governor Jeb Bush and a descendant of a new political dynasty, but also the son of Columba, his Mexican-born mother.  “I am an American, but like many, I come from a diverse background,”  the youth chairman of the Republican National Convention proudly proclaimed, “[a]nd I respect leaders who respect my [multiracial and multicultural] heritage.”…

Read the entire article here.

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‘Koreans are not racist’

Posted in Articles, Asian Diaspora, Media Archive, Politics/Public Policy, Social Science on 2013-08-02 21:18Z by Steven

‘Koreans are not racist’

The Korea Times
2013-08-02

Jonathan Breen

Koreans can be close-minded to issues of race and culture, but they know it and they want to learn, says the head of a foundation that helps multiethnic children here.

Yang Chan-wook, chairman of the Movement for the Advancement of the Cultural Diversity of Koreans (MACK) — told The Korea Times that Korea is not a racist or prejudiced country, but a country going through change.

“Racism is usually based on hate — Korea is nothing like that,” he said…

…“We focus on the diversity of Koreans — anyone with a mixed heritage. And we help Koreans accept them,” he said.

Like many MACK members, Yang is mixed-race — part Korean from his mother and part African-American from his father. He prefers to go by his Korean name rather than his Western name, Gregory Diggs…

…The segregation of school children in Korea is what first led the recently appointed MACK president Frank Brannen to work with multiethnic Koreans.

“I thought all multicultural children attended Korean schools, but then I learnt that wasn’t the case, so that is when I got involved,” said the 32-year-old, adding, “In some aspects for student’s futures, I don’t think going to multicultural schools is the way forward.”…

Read the entire article here.

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Trayvon Martin Could Have Been Me: A Watershed Moment for the U.S.

Posted in Articles, Barack Obama, Media Archive, Politics/Public Policy, Social Science, United States on 2013-07-29 02:46Z by Steven

Trayvon Martin Could Have Been Me: A Watershed Moment for the U.S.

Racism Review
2013-07-21

Joe Feagin, Ella C. McFadden Professor of Sociology
Texas A & M University

President Obama’s poignant comments on the white-racist discrimination that Black men regularly face were pathbreaking for this country. First, in the history of the U.S. never has such a high government official so forthrightly called out key elements of white racism and condemned persisting patterns of racial harassment and profiling of Black boys and men.

Secondly, Obama’s commentary, together with his speech during the 2008 election, mark the first time that whites and many other nonblack Americans have heard important elements of the Black counter-frame to the centuries-old white racial framing of this society—at least not from such a “bully pulpit,” as Teddy Roosevelt put it.

One cannot imagine any white president saying, or being able to say, what Obama has said in his two explicit commentaries on U.S. racism. He certainly did not say enough about this racism, but his commentaries so far have been pathbreaking, especially for a white population much of which is in terminal denial of that racism.

Obama assessed the killing of Trayvon Martin from a Black perspective, one rarely taken seriously by most white Americans. Now, for a time, it has to be taken seriously and provides the basis to expand on his analysis later on…

Read the entire article here.

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Obama’s “Double Consciousness” On Race

Posted in Articles, Barack Obama, Media Archive, Politics/Public Policy, United States on 2013-07-26 15:36Z by Steven

Obama’s “Double Consciousness” On Race

The New Yorker
2013-07-26

Jonathan Alter, Author, Reporter, Columnist, TV Analyst, Lecturer

More than a century ago, W. E. B. Du Bois wrote of the “double consciousness” of the black man: “One ever feels his two-ness,—an American, a Negro; two souls, two thoughts, two unreconciled strivings.” President Barack Obama’s extemporaneous remarks in the press room last week about the Trayvon Martin case and the plight of young black men were pitch-perfect in part because they let no one off the hook, not even well-intentioned people who want him to lead what he predicted would be a “stilted” national conversation on race.

But the surprise appearance will have lasting importance if it keeps the President on the hook, too—if it helps reconcile a double consciousness that had left the Obama White House facing some of the most important issues of the day as if under a veil (another of Du Bois’s concepts).

Those who know the President well attest that, for the most part, there aren’t “two Obamas” the way that there were famously “two Clintons” (the policy wonk and the man of appetites). The gap between the public and the private Obama is much smaller than it is for most politicians—except when the subject is race.

In public, he has, until now, tread gingerly; in private, after hours and especially with friends and family, race is often an overt part of the conversation—or else it inhabits a place close to its surface.

The President’s Trayvon talk, and its generally positive response, represents the narrowing of the gap between the public and private Obama. The caution that grew out of his status as the first black President, which one close aide described to me as “the President’s inability to swing at certain pitches” before being reelected, made it harder to confront social issues that have engaged him deeply since he was a young man…

Read the entire article here.

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Obama bares his ‘blackness’ in Trayvon speech

Posted in Articles, Barack Obama, Law, Media Archive, Politics/Public Policy, Social Science, United States on 2013-07-23 19:51Z by Steven

Obama bares his ‘blackness’ in Trayvon speech

The Buffalo News
2013-07-20

Sonya Ross
The Associated Press

In a move unparalleled among presidents, Barack Obama reflects on being black in America.

WASHINGTON – Something in President Obama’s voice caught Gregory C. Ellison’s ear. It was fleeting, subtle, and easy to miss — unless you’re a black man, too.

“In between his personal reflections on what it feels like to be an African-American man, and the history of pain and his strategic plan, there was what I call a very pregnant pause,” says Ellison, a theology professor in Atlanta.

“If I ever have an opportunity to talk to President Obama, I would ask him what was he searching in his soul during that pregnant pause?”

Obama was wrapped in presidential authority Friday as he talked to a nation rubbed emotionally raw in the week since the man who shot and killed 17-year-old Trayvon Martin was acquitted in a Florida courtroom.

Then, in a move hardly anyone saw coming, Obama unwrapped himself, and put his own young, black face on Trayvon’s dead, young, black body.

This first black president, the guy accused by some of running from his blackness, of trying to address black folks’ needs on the down low, suddenly lifted the veil off his black male identity and showed it to the world. It was something no American president before him could have done.

He had to do it, Obama said, because “Trayvon Martin could have been me, 35 years ago.”…

Greg Carr, chairman of the Afro-American Studies department at Howard University in Washington, said the president “has an authenticity, because he does signal to the black community that he too has experienced what we experienced.”…

Read the entire article here.

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Discussing Trayvon Martin, Obama Embraces his Blackness

Posted in Articles, Barack Obama, Media Archive, Politics/Public Policy, United States on 2013-07-23 19:01Z by Steven

Discussing Trayvon Martin, Obama Embraces his Blackness

The American Prospect
2013-07-19

Jamelle Bouie, Staff Writer

On Obama’s remarks this afternoon.

When President Obama issued a pro forma statement following last week’s verdict in the Zimmerman trial, there was some disappointment—“Why didn’t he say more?” It only takes a small step back to see the answer; not only would it have been inappropriate for the president to question the decision of the jury, but given wide outrage at the ruling, it could have inflamed passions on both sides.

But it isn’t out of bounds for Obama to speak on the meaning of Trayvon Martin, which he did this afternoon, during a White House press briefing. And unlike his earlier statement, this was a frank and heartfelt take on the racial issues surrounding the shooting and the trial.

Which, to be honest, came as a surprise. Barack Obama’s entire political career has been about de-racializing his personal identity. Yes, he was a black senator from Illinois, but for white audiences at least, he wasn’t a black one. It’s why the Jeremiah Wright controversy was so dangerous for his candidacy—it emphasized his blackness at a time when he was trying most to build a universal appeal…

…Obama gains nothing by identifying with his blackness, but in talking about Martin, he did exactly that. “You know, when Trayvon Martin was first shot, I said that this could have been my son,” said the president, “Another way of saying that is Trayvon Martin could have been me 35 years ago.” He continued, “There are very few African-American men in this country who haven’t had the experience of being followed when they were shopping in a department store. That includes me.”…

Read the entire article here.

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Obama on Trayvon Martin: The first black president speaks out first as a black American

Posted in Articles, Barack Obama, Media Archive, Politics/Public Policy, United States on 2013-07-21 20:25Z by Steven

Obama on Trayvon Martin: The first black president speaks out first as a black American

The Washington Post
2013-07-20

David Maraniss

Trayvon Martin, the president said, could have been him 35 years ago. That would have been Barack Obama at age 17, then known as Barry and living in Honolulu. He had a bushy Afro. Hoodies were not in style then, or often needed in balmy Hawaii. His customary hangout outfit was flip-flops, called “slippers” on the island, shell bracelet, OP shorts and a tee.

Imagine if Barry Obama had been shot and killed, unarmed, during a confrontation with a self-deputized neighborhood watch enforcer, perhaps in some exclusive development on the far side of Diamond Head after leaving home to get shave ice. The news reports would have painted a complicated picture of the young victim, a variation on how Martin was portrayed decades later in Florida:

Lives with his grandparents; father not around, mother somewhere overseas. Pretty good student, sometimes distracted. Likes to play pickup hoops and smoke pot. Hangs out with buddies who call themselves the Choom Gang. Depending on who is providing the physical description, he could seem unprepossessing or intimidating, easygoing or brooding. And black.

On the inside, the young Obama had already begun a long search for identity — and by extension a study of the meaning and context of race. His mother and maternal grandparents were white. He was not. He lived in one culture, and the skin color passed along to him by his absent father placed him inalterably in another, in the eyes of others. How and why did race define him, limit him, grace him, frustrate him, alienate him, propel him and connect him to the world?

His effort to reconcile those questions and figure himself out was his quest. It took him off the island to Los Angeles, New York and Chicago, where he finally found a sense of belonging and comfort in the black community. It took him into writing, and then politics. He wrote a book about it. “Dreams From My Father” is not so much an autobiography as a coming-of-age memoir filtered through the lens of race. As a state senator in Illinois, where he worked on legislation to overcome racial profiling, some African American colleagues dismissed him as not being black enough. As a candidate for president, when he was linked to a fiery black preacher, some white detractors said he hated white people. He eventually reached the presidency on a theme meant to answer both extremes. His idealistic message was that people yearned to transcend the differences that kept them apart, race prime among them…

Read the entire article here.

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