Getting to root cause of racism


Enola Aird | 8/23/2019, 6 a.m.

It’s amazing how often the news media give big play to an academic report that tells us something black mothers already knew. Another example of the old wisdom nothing is real until white people discover or acknowledge it.

Does that seem harsh?


Enola Aird

Consider the splashy coverage given to a recent policy statement from the American Academy of Pediatrics entitled “The Impact of Racism on Child and Adolescent Health.” The AAP’s statement warned that the health dangers posed to children by racism “have become acute” and that racism, including racism experienced by the mother, “can have devastating long-term effects on children’s health.”

While it has received plenty of favorable news coverage, every black mother in America has known this for as long as there have been black mothers in America. We didn’t need an academic statement to tell us. Every precious baby to whom we have given birth over the course of the last 600 years has come into a world that profoundly devalues black life.

What may be new to us is the devastating detail contained in the report: “The stress generated by experiences of racism may start through maternal exposures while in utero and continue after birth with the potential to create toxic stress. This transforms how the brain and body respond to stress, resulting in short- and long-term health impacts on achievement and mental and physical health. We see the manifestations of this stress as pre-term births and low birth weights in newborns to subsequent development of heart disease, diabetes and depression as children become adults.”

This should set off alarm bells throughout the black community, particularly for black mothers. We urgently need to find a way to protect the health and well being of our beloved children in light of this deepening health crisis, the recent mass shootings in which children were among the victims and the resurgence of white supremacy.

Let’s begin with the AAP’s entirely accurate description of racism as “a socially transmitted disease passed down through generations leading to the inequities observed in our population today.”

Exactly right. Here in the United States and around the world, black children are seen as “less than” — less beautiful, less lovable, less capable, less intelligent, less worthy and less valuable.

The AAP has made a range of reasonable recommendations using the usual language from our culture’s standard dictionary on racism, including “racial equality,” “racial equity,” “institutional structures” and “implicit and explicit biases.” They point to the need for strategies to “optimize clinical care, workforce development, professional education, systems engagement and research in a manner designed to reduce the health effects of structural, personally mediated, and internalized racism, and improve the health and well-being of all children.”

These are all good ideas, but we’ve heard some version of them before. What’s missing is a diagnosis and a cure that get to the root of the problem.

What can we, black people, do to open the door to fresh recommendations that will yield something new and much better for our children?