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We don’t often think of racism impacting people’s health. But Dr. Amber Johnson has made a career of studying how the two issues are intertwined.“We’re in Los Angeles at this moment. Black women are the most rent-burdened in this area, so you think about having the stresses of being in a low-class environment and having to deal with racism and cope with racism," said Dr. Johnson, a professor at California State Long Beach who focuses on racism in health care. "And a lot of times, there’s feelings of isolation and loneliness all those things contribute to early physiological wear and tear on our body. Our bodies are literally wearing down."Dr. Johnson says racism is ingrained in our health system. One reason she says implicit bias, which are attitudes or stereotypes that affect our understanding and our decisions, even if we don’t realize it.“These implicit biases are passed down through practice, beliefs, experimentation, all these other things that really contribute to these implicit biases that we see, that are, that become very apparent when black people present in health care fields,” she explained.But systemic racism may start before you get to the doctor's office. Some experts say it begins with access.“People of color face long-standing and persistent disparities in health and healthcare, and these span across a wide array of measures,” said Samantha Artiga, the Director of the Disparities Policy Project at the Kaiser Family Foundation. Artiga's job is to look at how people of different races, genders, and classes are treated differently within the health care system. She says disparities in health care and health outcomes start with access to care and works their way up through every imaginable facet of life.“People of color are more likely to be uninsured than white individuals. That translates into increased barriers to access and care because they’re more concerned about costs, may have less access to a provider, not have a huge source of care outside of the emergency room,” she explained.Those healthcare woes can then be tied directly to jobs because 159 million Americans of all races get health insurance through their employers.But experts say the root of the race and health care problem lies in the kinds of jobs filled mostly by Black and Brown Americans. This is because they are more likely to be working in industries that may not offer coverage to their employees, or when it is offered it may not be affordable to individualsResearch from the National Institute of Health and the Center for American Progress shows African Americans in the US are less likely to have health care coverage than white people. That may be why Black women are more likely to be overweight. Black children are more likely to have asthma. Black adults are more likely to have hypertension. Cancer kills Black people at a higher rate than any other group. Black people are more likely to be diabetic than white people. Black babies die at more than double the rates of all other races in the US, and Black women die more than three times as often during childbirth as white women.Those are just some of the disparities that exist.Over and over again while researching this story, we heard about another major healthcare issue for many people of color: a shortage of doctors, nurses, and other health care workers that look like them, sound like them and have similar life experiences.“Black physicians make up 4-5 percent of all doctors practicing nationwide, whereas, Blacks make up 13 percent of the US population,” said Dr. Leon McDougle, the president of the National Medical Association, a national group that represents Black physicians in the US. He says when he was in medical school, he didn’t have a lot of Black classmates.“I went to medical school here at the Ohio State in the mid-’80s and there weren’t many faculty doctors that looked like me, and when you saw a Black doctor, it almost became a mental image. So, that was inspiration for me to say this has to change,” said Dr. McDougle.He says in 2020 when he sees patients of color, it has an impact on them and they have an impact on him and his students.“More than half the time when I see patients, I have a medical student, and not too uncommonly, that student will be African-American or LatinX. And to just hear the patients give them, cause most of my patients are African American, and to hear them help uplift them in their pursuit of becoming a physician, I hear that all the time,” he said.So, there is hope that there will be more healthcare workers of color, but there is still a long way to go. According to the Association of American Medical Colleges, over the last five years, the number of Black medical students has gone up about one percent, from 6 percent to 7 percent.Many say that's not enough.And the people working for change say the opportunity to make it happen is now.“It’s hard work to move systems and move structures and I just hope we don’t miss the opportunity that is presented at this current time, in terms of the attention, focus, and movement to do something about it,”“It’s not just for me to say I did this, but it’s for me, it’s for my mom, for my grandmother, it’s for my daughter. That’s four generations of black women that I’ve seen negatively affected by racism,” said Artiga.“It’s killing Black people. It’s killing, it’s killing us,” said Dr. Johnson. 5410

Washington, D.C. (KGTV) - A bombshell surprise in the form of a mystery allegation led to the postponement for Darrell Issa's confirmation to serve in the Trump administration. The unusual machinations at Thursday's hearing in the Senate could derail the nomination and push Issa to run for Congress, instead.The scheduled hearing came one year to the day after President Donald Trump nominated Issa, a former nine-term congressman serving parts of San Diego and Orange County, to run the U.S. Trade and Development Agency. But as the hearing began, ranking Democrat Robert Menendez (D-New Jersey) moved that the hearing be held in private. "There's information in his FBI background investigation that concerns me greatly, and that I believe members may find problematic, and potentially disqualifying for Senate confirmation," Menendez said. "I firmly believe that every member of this committee should have the opportunity to review that information." He went on to suggest that holding the hearing in public could bring embarrassment or harm to Issa.Chairman James Risch (R-Idaho) initially suggested continuing in public, but then left the room for a brief conference with Menendez and Issa. When the senators returned, Issa was not with them. Risch revealed his decision to postpone the confirmation hearing indefinitely. Risch later told reporters he had seen nothing in Issa's FBI file that he found disqualifying.Afterward, in an interview with CNN, Issa suggested that Menendez was simply trying to defeat his nomination out of politics and that there is nothing in the background check that hasn't been previously reported in the media. "Senator Menendez has only brought up — and perhaps it's anecdotal but it's what he chose to bring up — my being disciplined for false ID when I was 17," Issa said."I was a Boy Scout, but I wasn't the perfect Boy Scout, so to speak, as a young man," Issa added. "I've dealt with that for 20 years in public life."Previously reported brushes with trouble when Issa was young include a guilty plea to carrying a concealed weapon, an arrest for car theft (the charge was later dropped) and a poor record for his service in the Army.Issa has reportedly said that if he is not confirmed soon, he will run for a return to Congress, challenging fellow Republican in the 50th District. While Issa has launched an exploratory committee, he told the Los Angeles Times Thursday he needs more time before making an official decision. 2477

WASHINGTON, D.C. – The U.S. remains in the grip of the coronavirus pandemic with more than 8 million cases, spiking in multiple states, like Montana.“There are many, many people not taking this seriously and not playing their part in mitigating the spread of this virus,” said Trisha Gardner, Cascade City-County, Montana health officer.Now, there are concerns that getting COVID-19 could land you in the same category as someone with diabetes or high-blood pressure – having a preexisting condition.“This has flown under the radar to some extent,” said Dr. Eric Schneider, senior vice president of policy and research at The Commonwealth Fund, a century-old foundation that examines health policy in the U.S.Since COVID-19 can have lingering effects on people who contract it, Dr. Schenider says there’s a possibility it could be labeled as a preexisting condition.So, who decides that?“The preexisting condition language really traces to the insurance industry,” Dr. Schneider said, “really on a case by case basis, which diseases, which conditions, will actually count.”That hasn’t mattered so much lately because the Affordable Care Act – Obamacare – prohibits health insurers from denying people coverage based on preexisting conditions.Next month, though, a case before the U.S. Supreme Court could get Obamacare thrown out.If that happens, there is no official plan yet from either party to replace it, nor to protect people with preexisting conditions.“If the Supreme Court undoes that solution, there will definitely be a need for a new solution,” Dr. Schneider said.How many could be affected?The U.S. Department of Health and Human Services says about 133 million people in the country currently have a preexisting condition. The Commonwealth Fund looked at how COVID-19 survivors would affect that number.Researchers excluded people who already had a preexisting condition before contracting the coronavirus, as well as anyone over the age of 65. They found that 3.4 million people who recovered from the coronavirus but never had a preexisting condition before could join the ranks of now having a preexisting condition.What’s more, based on current COVID-19 infection rates, that number is growing in the U.S. by 20,000 people a day.“That number is also tied to how well we control the pandemic,” Dr. Schneider said.So far, no insurance company has indicated it will add COVID-19 as a potential preexisting condition.However, health care policy experts warn it could all come down to what the justices decide about the health care law in next month’s case before the Supreme Court. 2603

WASHINGTON (AP) — The Pentagon has ordered the military's independent newspaper, Stars and Stripes, to cease publication at the end of the month. The plan includes closing all of its offices worldwide.This is despite congressional efforts to continue funding the century-old publication. On Wednesday, at least 15 US senators sent a letter to Defense Secretary Mark Esper protesting the move.“Stars and Stripes is an essential part of our nation’s freedom of the press that serves the very population charged with defending that freedom,” the lawmakers said. “Therefore, we respectfully request that you rescind your decision to discontinue support for Stars and Stripes and that you reinstate the funding necessary for it to continue operations.” 755

WASHINGTON (AP) — The Trump administration is celebrating the first birthday of the U.S. Space Force by announcing that its members will be known as “guardians.” Vice President Mike Pence made the announcement during a celebratory event Friday tracing the development of the newest branch of the military over the past year. Pence says the men and women of the Space Force “will be known as guardians.” He adds that "soldiers, sailors, airmen, Marines and guardians will be defending our nation for generations to come.” President-elect Joe Biden has yet to reveal his plans for the Space Force in the next administration. 630

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