Between the Lines: Everything Your Medical School Didn't Teach You About Health Equity Downstate Students for HEAL (Health Equity Advocacy and Leadership)

Everyone deserves to die with dignity. But does every individual have an equal opportunity to do so? Hospice care was established to give patients some control over the dying process, but what factors are necessary to ensure access to adequate end of life care? Join us as MS1s Cameron Klepper and Peter Khouri discuss these question and more under the heading of "Death Justice." We welcome Toni Warren and Amanda Neveu of the Joan Nicole Prince Home who shed light on this topic through their many years of experience running an end-of-life care center.

Black individuals face a 3 to 4 times higher rate of maternal mortality than their white counterparts. In this episode, medical students Kayla Schacher and Iqra Nadeem highlight the stories of Sha-Asia Washington, Amber Rose Isaac, and Shamony Gibson, three Black women who died during or shortly after giving birth, in order to illustrate the tragic impact of this disparity. They are joined by Christine Miller, a full-spectrum community doula and spiritual herbalist to discuss how doulas can support and advocate for people before, during, and after they give birth to help avoid tragedies like these.


Background on Racial Disparities in Maternal Mortality:

Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016‒2017 | AJPH | Vol. 111 Issue 9 (aphapublications.org)



Information about Momnibus Legislation:
Black Maternal Health Momnibus | Black Maternal Health Caucus (house.gov)
Tracking Progress of the Black Maternal Health Momnibus (tcf.org)


Information on our speaker, Christine Miller, and her work:

JustBirth Space

Beloved Birth Village
Ancient Song Doula Services

In this full length episode, medical students Luke Morales and Katty Wu are joined by Cara Page a Black Queer Feminist cultural/memory worker, curator, and organizer of 30 years in a conversation to explore the concept of healing justice and where the medical community stands in terms of harm and help. 

In part 2, Andrea and Vivek are joined by Seongun Chun, the Senior Manager of Health Policy at the New York Immigration Coalition (NYIC). Ms. Chun describes the unique experience of healthcare for immigrant Americans, drawing on her experiences as a Korean-American immigrant and her expertise in the field of health policy. She reviews the barriers to healthcare access for immigrants and talks about how we can improve the healthcare system to benefit all patients. She recognizes the drastic rise in anti- Asian American hate crimes and names the sources of pervasive racist ideologies. We learn about the devastating effects that the COVID-19 pandemic have had on the immigrant NYC community and delineate the effects of Public Charge on healthcare access.

In part 1, medical students Andrea Martinez and Vivek Shah reflect on immigrant healthcare, discussing the negative impacts of public charge, ICE detention centers, and cultural incompetence on mental and physical health of patients with an immigrant background. By relating this topic to their personal experiences as the children of immigrants, they give the audience an introduction to the tangible effects of healthcare inequity on life, health and attitudes in the household. In this episode, they review the xenophobic history of public charge, the horrifying condition of immigrant detention centers and the value of culture competence on adherence to treatment plans and attitdues towards the healthcare industry. They are joined by Bharat Shah,  a 79-year-old South Asian immigrant from India who moved to the U.S. in 1992 as he comments on his experiences receiving healthcare in America. Bharat shares his opinions on the US healthcare system, comments on the value of having healthcare providers who communicate in language, and compares the virtues Indian healthcare.

Andrea discusses the effects COVID-19 has had on interpretation services before our next episode on Immigration Healthcare.



Read the article this episode was based on: https://jamanetwork.com/channels/health-forum/fullarticle/2771859