Today I am reflecting on the article in the 1619 Project by Jeneen Interlandi titled, “Why doesn’t the United States have universal health care? The answer has everything to do with race,” as well as the parallel podcast called “Episode 4: How the Bad Blood Started.”
As always, I prefer not to summarize, so again I will instead highlight a line that stood out for me.
The author cites Jim Downs’ 2012 book Sick from Freedom, explaining that white leaders were ambivalent about addressing a small pox outbreak that was hitting Black communities especially hard because:
They worried about black epidemics spilling into their own communities and wanted the formerly enslaved to be healthy enough to return to plantation work. But they also feared that free and healthy African-Americans would upend the racial hierarchy (Interlandi)
The phrase “free and healthy” jumped out at me when I reread this essay. To have good health and access to healthcare is liberating, and liberation is something that people in power want to deny people of color. This arises directly from the racist ideology that made a slave economy possible.
A very wise friend of mine reflected recently on the direct line between healthcare and poverty in our country, encompassing not only the devastation caused by chronic and major illnesses, but also the challenges of drug addiction and/or mental illness. To limit access to healthcare is to impoverish, endanger, and disempower people, a harm and threat to us all. In our country, though, there continues to be disproportionate harm to Black people in terms of quality of and access to healthcare.
Yesterday I kvetched about the foolishness of sabotaging our environment to maintain racist power structures. Today I am staring at a history in which people preferred to see our fellow Americans suffer in order to maintain those same systems. I hasten to state the obvious: it is immoral, it is unacceptable, it is heartbreaking.
But I have to add that the stupidity of it is breathtaking. We all breathe the same air. Whether it is polluted or carries a plague, we all go down together.
In the accompanying podcast, Nikole Hannah-Jones starts by sharing her own personal story of injustices that connect the past to the present (spoiler: it made me cry). This leads to an interview with and narrative by Janeen Interlandi which further unpacks this history, including a spotlight on a famous Black doctor, Dr. Montague Cobb, who taught anatomy at Howard University and joined the fight for Medicare (which played a central role in the actual integration of hospitals, which had otherwise ignored the newly passed laws against racial discrimination).
The podcast ends with a reading of the story “Bad Blood” by Yaa Gyasi, which was one of my favorites of the collection of poetry and stories in this series (okay, they were all my favorite).