Health

Black Wealth is Key to Health Equity

The nation’s dominant narrative, which states that people can achieve the American Dream of economic success through resilience and grit and by taking personal responsibility, causes great harm. We have stigmatized poverty with racist and misogynistic language such as “welfare queens and deadbeat dads,” instead of acknowledging our history. This narrative perpetuates White privilege and tells those in stigmatized groups that opportunity is there if they seize it and work twice as hard.

Working twice as hard to overcome systemic and structural barriers harms health. Evidence shows how disparities in health outcomes increase with education and income, which contradicts a narrative that emphasizes personal responsibility and hard work.

For example, racial differences in infant mortality actually worsen with higher levels of both education and income. It’s clear that the stigma and burden of overcoming racist structures leads to pernicious health consequences.

Are there solutions to counter this narrative and address the racial wealth gap?

We must move away from incentivizing people to adopt attitudes, norms, and behaviors largely considered beneficial and instead empower them with resources that provide agency to achieve success. And we must recognize government’s responsibility to ensure access and adequate wealth.

To address this, the two anti-racist policies I support are reparations and baby bonds. Reparations are direct and retrospectively acknowledge dignity and redress while addressing resource deprivation. Acknowledgement is critical for dignity and government must take responsibility for state-facilitated exploitation.

However, given our egregious history and especially the on-going ways that capital tends to consolidate and iterate for some at the exclusion of others, a onetime redress is not enough. Everyone has an economic right to wealth and that’s where baby bonds come in. Baby bonds are trust accounts for children. The money is held in public trust until a child becomes an adult. Funds can then be used for buying a house, starting a business, and/or financing education. To redress wealth disparity and advance racial equity, this year Connecticut became the first state to pass a Baby Bonds type program for each child whose birth is covered through Medicaid. The laudable goal is to allow children who don’t have the benefit of inherited wealth to pursue the same asset-building opportunities as others.

How have the past year’s events—the pandemic, economic fallout, racial reckoning and political unrest—shifted the dominant narrative?

The events of the past year have created a pivotal moment when we can change the narrative. The pandemic, the summer of protest in response to George Floyd’s murder, the many dimensions of political unrest, the in-fighting within political parties, all suggest that the system is ripe for change. For example, a silver lining of the pandemic was how it led to unprecedented government interventions like sending people $1,200 checks. When lawmakers decided it was necessary to distribute money broadly and did so, they changed views about what government can do.  

The attitudes of youth are also creating momentum to change the narrative. Young people are speaking up and saying: The status quo isn’t working. We want an economy grounded in justice and sustainability.

That makes this the moment when the system we’ve had in place for 50 years is on the brink, and real change is possible. It’s a moment for social movements and philanthropies to boldly commit to economic justice, a new narrative, and to our values, without pessimism. This is the moment to recognize that economic justice includes wealth, health, the right to a job and to an income, to mobility without threat of incarceration or violence because of one’s identity, and to free mobility without stigma, constraint and fear. A moment, I hope, when we will commit to economic and racial justice for everyone.

How can the New York City Racial Justice Commission influence other communities that want to dismantle structural racism?

The New York City Racial Justice Commission has been charged with remaking the city’s Charter and shaping policy to dismantle structural racism for all in New York City.

One of the biggest impacts we can have is establishing values that emphasize inclusion, belonging, power, equity, access along race and gender as a responsibility of all aspects of government in New York City. Through this commission, I believe that our city, given its size, influence and media, can set an example for other cities, states, and the nation as a whole. That, in and of itself, is valuable.

Dr. Darrick Hamilton is on the National Advisory Committee for RWJF’s Policies for Action. Learn more about the program’s research findings on building an inclusive pandemic recovery for all.

 

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