Arkansas Democrat-Gazette

The system is killing us

- ROBIN KELLY AND EBONY J. HILTON Rep. Robin Kelly represents Chicago in Congress and chairs the Congressio­nal Black Caucus Health Braintrust. Dr. Ebony J. Hilton, M.D., is the medical director of Goodstock Consulting.

As our nation continues struggling to address the covid-19 pandemic, we are seeing a shocking trend in deaths among African Americans.

According to reporting from ProPublica on April 3, African Americans accounted for 15 percent of Americans in the 2010 census but represent 35 percent of covid-19 diagnoses and 40 percent of covid-19 deaths. This dataset is based on just a handful of states and occurred weeks before the peak, meaning the numbers have likely gotten worse.

In the communitie­s reporting demographi­c data, we see the harsh reality of these statistics as human lives.

As we work to protect the immediate health and safety of American families, we need the best possible data, especially demographi­c data, to target resources, establish appropriat­e policies and better prepare for the future.

While news outlets are finally paying attention to disproport­ionate health impact on African Americans, these numbers are not shocking to experts who have studied our nation’s health care inequities.

This pandemic did not create these health disparitie­s; it merely highlights centuries of health disparitie­s and inequities that have negatively impacted African Americans.

Covid-19 is stressing an already broken system. Our system’s massive gaps in access and services that prevent too many African Americans from living longer, healthier lives, are being widened to a shocking level.

Recent years of bad policies have only compounded these disparitie­s. For nearly a decade, congressio­nal Republican­s were almost exclusivel­y focused on repealing the most expansive health-care access legislatio­n in a generation, the Affordable Care Act. They attacked funding for community health centers and other community health resources, which play a critical role in testing, diagnosing and treating diseases.

To be crystal clear, many deaths from this pandemic and the shocking disparity facing African Americans are the direct result of systemic disinvestm­ent and access reduction pushed by congressio­nal Republican­s.

When it comes to addressing and managing a pandemic, we need a strong system in place before the virus arrives. One cannot build a strong system under pandemic conditions. It must be built beforehand.

Unfortunat­ely, we cannot go back in time and better prepare. We need to act based on the reality of the moment and the best possible data.

Looking at the facts, it is clear that our immediate response must be to scramble for all available resources for the most impacted communitie­s.

To do this effectivel­y, we require good data from the U.S. Department of Health and Human Services and the Centers for Disease Control and Prevention. Members of Congress continue demanding this informatio­n with no response from the Trump administra­tion.

Not only will this data help us make better decisions now, it will also help us prepare to prevent and combat future pandemics, which are predicted to become more common thanks to climate change and globalizat­ion.

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