Melanated Docs Episode 17: "At What Cost?" Black Women, Job Loss, and the Price of Resilience Black women are often celebrated for their strength, but who pays when that strength is expected to absorb every blow? In 2025, Black women lost a net 113,000 jobs. At one point they accounted for more than half of all job losses among women, despite making up just 14% of the female workforce. In September 2026, Black unemployment jumped to 7%, nearly double the rate for white workers. In this episode, Dr. Trina and Dr. Keisha unpack the numbers behind these losses: federal layoffs, the rollback of DEI programs, and the surprising finding that college-educated Black women were hit hardest. As doctors, they also look at what this means for health care, both for Black women working in the field and for the patients and communities who depend on them. Resilience has a price. This episode asks who's been paying it. In this episode: • Dr. Peggy Carr's dismissal and what it symbolizes for Black women in public service • The latest labor data, and why the Office of Personnel Management's pause on workforce demographic reporting matters • How DEI rollbacks disproportionately removed roles held by highly qualified Black women • Economist William Spriggs's "canary in the coal mine" warning: rising Black unemployment signals risk for the whole labor market • Why the Institute for Women's Policy Research expects healthcare, education, and social work to be affected • Lost benefits, extended-family households, and the multi-person ripple of a single layoff • Entrepreneurship as a lifeline, and its hidden costs (no benefits, inconsistent revenue) • Federal cuts to safety-net clinics, medication nonadherence, and chronic disease risk • The toll on professional identity and mental health after years of overperformance • Pushing back on the "lazy" stereotype: this is structural, and it crosses income levels Practical takeaways: 1 Keep an up-to-date record of your accomplishments, credentials, and performance reviews. 2 Know your COBRA and marketplace insurance enrollment deadlines before you need them. 3 Tap Black-focused job boards, group chats, and professional networks. 4 Diversify your income streams, and keep watching for opportunities even while employed. 5 Lean on community. Sharing your story reduces isolation. 6 Make your mental health a priority, not an afterthought. Resources mentioned: • U.S. Bureau of Labor Statistics: bls.gov • Institute for Women's Policy Research: iwpr.org • Health insurance marketplace: healthcare.gov • COBRA information: dol.gov/general/topic/health-plans/cobra • Therapy for Black Girls directory: therapyforblackgirls.com • 988 Suicide & Crisis Lifeline: call or text 988 Sources: U.S. Bureau of Labor Statistics, "The Employment Situation — September 2026" (Oct. 2, 2026): https://www.bls.gov/news.release/empsit.nr0.htm Institute for Women's Policy Research, "Black Women Disproportionately Sidelined in Year One of Trump's Second Term" (Feb. 10, 2026): https://iwpr.org/press/iwpr-new-report-black-women-disproportionately-sidelined-in-year-one-of-trumps-second-term/ Economic Policy Institute, "Black women suffered large employment losses in 2025—particularly among college graduates and public-sector workers" (Feb. 10, 2026): https://www.epi.org/blog/black-women-suffered-large-employment-losses-in-2025-particularly-among-college-graduates-and-public-sector-workers/ The New York Times, "Black Unemployment Rose Sharply in September, Jobs Report Shows" (Oct. 2, 2026) The New York Times, "In Trump's Federal Work Force Cuts, Black Women Among the Hardest Hit" (Aug. 31, 2025): https://www.nytimes.com/2025/08/31/us/politics/trump-federal-work-force-black-women.html Join the conversation: Has a layoff affected you or someone you love? Share your story or suggest a future topic in the comments. New episodes drop every two week. Subscribe so you don't miss what's next. Check out our episodes on Apple Podcasts, Spotify. Stay Connected on Social Media: Instagram: @melanateddocs Facebook: Melanated Docs The hashtag for this podcast is #melanateddocs X: @melanated_docs Our Production Team: Dr. Keisha Butler, Dr. Catrina Johnson, @gaspargomez, @parallelplaypopup