scholarly journals Black physicians and black communities.

1977 ◽  
Vol 67 (6) ◽  
pp. 511-512
Author(s):  
A S Yerby
Author(s):  
David McBride

Throughout history African American doctors have been held in high esteem in the culture and political affairs of Black America. Reflecting the major phases of black American history, the literature on black doctors reveals black medical leaders are seen as an elite because they have promoted simultaneously improving their professional status and the plight of the black race pursuing national equality. The first body of writings covers the slavery era, Civil War and Reconstruction, and the so-called Nadir through the early 20th century. This literature asserts folk medicine practitioners, along with indigenous midwives helped to hold slave and free black communities together. As proprietary medical schools sprouted up throughout the antebellum North, a few blacks managed to gain apprenticeships or attend medical schools and then finally became practicing doctors. Like other trained physicians of this era, black doctors promoted their practices and medicines as entrepreneurs throughout the free black communities. Early black physicians were also abolitionists and enthusiastically supported the health-care efforts of the federal government during the Civil War and Reconstruction. A second body of writings focuses on the black doctor from the start of the 20th century through World War II. They cover leading black physicians who, with the support of white professional and philanthropic allies, struggled to accommodate the segregated or, that is, “Jim Crow” health-care institutions. In the South, segregation laws and customs barred blacks from treatment in mainstream hospitals as well as black physicians from using these hospitals. In health-care facilities Jim Crow practices included separate, less-equipped wards for black patients and few privileges for black doctors and nurses to serve in these facilities. Nonetheless, black medical professionals and civic activists built independent hospitals, medical schools, and public health campaigns. Black physicians, surgeons, and nurse leaders inspired the black community’s collective esteem, public health initiatives, and political elevation. A third stream of publications emerged concerning black medical students and doctors involved in the civil rights movement. These black doctors played major roles locally and nationally to integrate medical schools, hospitals, and health agencies. A fourth body of writings developed in the last two decades of the 20th century and early 21st century. These published works center on the struggle by blacks to overcome personal handicaps and become exemplary professionals. These writings also focus on black doctors and the urban black health crisis, as well as black medical life in a new highly technological medical system The final stream of contemporary books on black doctors involve those who became national figures in the nation’s attempt to reform medical education and policies. These doctors became prominent in the face of persistent racial health disparities as well as other national health problems such as inadequate family health care and mass disasters like Hurricane Katrina.


Author(s):  
Andrew Valls

The criminal justice system in the United States both reflects racial inequality in the broader society and contributes to it. The overrepresentation of African Americans among those in prison is a result of both the conditions in poor black neighborhoods and racial bias in the criminal justice system. The American system of criminal justice today is excessively punitive, when compared to previous periods and to other countries, and its harsh treatment disproportionately harms African Americans. In addition, those released from prison face a number of obstacles to housing, employment, and other prerequisites of decent life, and the concentration of prisoners and ex-prisoners in black communities does much to perpetuate racial inequality.


2021 ◽  
pp. 153851322098415
Author(s):  
L. Katie OConnell ◽  
Nisha Botchwey

Since the early days of the planning profession, city agencies relied on a public health crisis narrative as a rationale for mass displacement efforts that targeted black communities. Over time, as cities gentrified with white, middle-class residents, the narrative shifted toward the city as a place of health. This article compares Atlanta’s redevelopment narratives from urban renewal to its current citywide greenway project, the BeltLine, to understand how city officials utilized public health language to rationalize displacement and how the narratives ran counter to residents’ lived experience.


2021 ◽  
pp. 088626052110280
Author(s):  
Gibran C. Mancus ◽  
Andrea N. Cimino ◽  
Md Zabir Hasan ◽  
Jacquelyn C. Campbell ◽  
Phyllis Sharps ◽  
...  

There is increasing evidence that green space in communities reduces the risk of aggression and violence, and increases wellbeing. Positive associations between green space and resilience have been found among children, older adults and university students in the United States, China and Bulgaria. Little is known about these associations among predominately Black communities with structural disadvantage. This study explored the potential community resilience in predominately Black neighborhoods with elevated violent crime and different amounts of green space. This embedded mixed-methods study started with quantitative analysis of women who self-identified as “Black and/or African American.” We found inequality in environments, including the amount of green space, traffic density, vacant property, and violent crime. This led to 10 indepth interviews representing communities with elevated crime and different amounts of green space. Emergent coding of the first 3 interviews, a subset of the 98 in the quantitative analysis, led to a priori coding of barriers and facilitators to potential green space supported community resilience applied to the final 7 interview data. Barriers were a combination of the physical and social environment, including traffic patterns, vacant property, and crime. Facilitators included subjective qualities of green space. Green spaces drew people in through community building and promoting feelings of calmness. The transformation of vacant lots into green spaces by community members affords space for people to come together and build community. Green spaces, a modifiable factor, may serve to increase community resilience and decrease the risk of violence.


2021 ◽  
Vol 7 (1) ◽  
pp. 205630512098444
Author(s):  
Loren Saxton Coleman

This cultural analysis explores how D.C. natives represented themselves on Twitter via #DCNativesDay. The analysis found that Twitter users engaged in hashtag activism to share stories about their connection to place(s) (e.g., movie theaters, neighborhoods, public schools) in the city that were integral in the construction of their individual and collective Black D.C. native identities. Constructed identities were not monolithic, and users engaged in some self-reflexivity. The users’ emphasis on place seemed to signify reclamation of changing city landscapes and legitimacy in the city. Ultimately, this research raises questions about how alternative representations that map marginalized communities onto city spaces in online spaces can create possibilities of transformation for Black communities during gentrification in offline spaces.


2021 ◽  
pp. 089692052098661
Author(s):  
Amanda T. Boston

Gentrification’s racial consequences are garnering increased attention as the process advances into majority–minority urban neighborhoods. This study examines the EB-5 Immigrant Investor Program’s implementation in Brooklyn, New York to ground these trends in policies through which gentrification is promoted, histories of racism and uneven development against which they are unfolding, and their disparate impacts on Black communities. While the program purports to use foreign investment to promote job growth in high unemployment areas, its financing of multimillion and billion-dollar development projects facilitates the displacement of longtime residents of the very places the initiative was designed to improve. Central Brooklyn and its outlying areas, home to one of the largest contiguous Black communities in the United States, are host to numerous EB-5 projects that have failed to produce sustainable job growth for existing residents and heightened the growing crisis of unaffordability. My analysis shows how EB-5 projects have enabled investors to use distressed areas disproportionately inhabited by poor and working-class Black communities to qualify for funding, while redistributing benefits upward to wealthy developers and affluent residents and consumers. Ultimately, the EB-5 program and other neoliberal, colorblind urban development policies exacerbate existing racial inequalities in the organization and operation of urban space.


2021 ◽  
pp. medethics-2020-106856
Author(s):  
Harald Schmidt ◽  
Dorothy E Roberts ◽  
Nwamaka D Eneanya

Withholding or withdrawing life-saving ventilators can become necessary when resources are insufficient. In the USA, such rationing has unique social justice dimensions. Structural elements of dominant allocation frameworks simultaneously advantage white communities, and disadvantage Black communities—who already experience a disproportionate burden of COVID-19-related job losses, hospitalisations and mortality. Using the example of New Jersey’s Crisis Standard of Care policy, we describe how dominant rationing guidance compounds for many Black patients prior unfair structural disadvantage, chiefly due to the way creatinine and life expectancy are typically considered.We outline six possible policy options towards a more just approach: improving diversity in decision processes, adjusting creatinine scores, replacing creatinine, dropping creatinine, finding alternative measures, adding equity weights and rejecting the dominant model altogether. We also contrast these options with making no changes, which is not a neutral default, but in separate need of justification, despite a prominent claim that it is simply based on ‘objective medical knowledge’. In the regrettable absence of fair federal guidance, hospital and state-level policymakers should reflect on which of these, or further options, seem feasible and justifiable.Irrespective of which approach is taken, all guidance should be supplemented with a monitoring and reporting requirement on possible disparate impacts. The hope that we will be able to continue to avoid rationing ventilators must not stand in the way of revising guidance in a way that better promotes health equity and racial justice, both to be prepared, and given the significant expressive value of ventilator guidance.


English Today ◽  
2003 ◽  
Vol 19 (3) ◽  
pp. 50-56
Author(s):  
Gwendolyn Gong

In the biracial southern American state of Mississippi, the Chinese represent a “third culture,” an enclave with their own distinct Mississippi Chinese (MC) culture and community. The MC have learned to negotiate culturally and linguistically between white and black communities, developing speech strategies influenced by both Southern Genteelism and Confucianism. This essay begins with a review of deference, a key rhetorical feature used with particular adroitness by MC living in the Delta. Deference is defined as the courteous yielding to others and may occur in two forms: accommodation (i.e., making the non-MC speaker feel comfortable and welcome) and topic shifting (i.e., changing the subject of conversation). Next, the article includes examples of how this feature has changed or subsided in the speech of urban MC and concludes with some possible reasons for this shift.


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