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Attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
When U.S. Congress recently approved a budget proposing nearly $880 billion in spending cuts to execute President Donald Trump’s agenda, which will almost certainly mean funding tax cuts for the wealthy, it didn’t just target unnecessary spending—it targeted our healthcare.
Republicans claim this is about combating fraud, but we know the truth. Let’s be clear: Slashing Medicaid by billions of dollars is a direct attack on critically needed health services, as it covers essential healthcare like doctors visits, hospital care, cancer screenings, reproductive healthcare, and more. These cuts threaten not only our access to care, but our fundamental rights to live and thrive.
Attacks on Medicaid will impact millions of Americans, but will disproportionately harm marginalized groups, including people with disabilities; the elderly; low-income families; and most severely Black women, girls, and gender-expansive people. Given the wide-ranging impact these cuts will have on people’s ability to control their health, bodies, lives, and reproduction, this isn’t just a healthcare issue—it’s a matter of reproductive justice.
Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take.
Medicaid is a lifeline in addressing the deep inequities in healthcare coverage, and any cuts to this vital program threaten to unravel the limited progress we’ve fought so hard to make. Currently, Medicaid funds almost two-thirds of Black births, provides coverage for almost a third of Black women, and insures over half of Black girls. The fact of the matter is that Black women, girls, and gender-expansive people have the most to lose, and it’s undeniable that Medicaid cuts will only exacerbate the Black maternal mortality crisis our communities are already struggling to survive.
It is true that providing lifesaving healthcare to millions of people comes at a cost. But when politicians start looking for ways to trim the federal budget, Medicaid is often first on the chopping block. And yet, slashing Medicaid has proven politically impossible—because the truth is, 8 in 10 Americans overwhelmingly support it. People like being able to see a doctor when they need to, and they recognize Medicaid is essential in making that possible.
Despite its popularity, cuts to Medicaid may soon become reality because of decades of relentless attacks on reproductive justice by our elected leaders. From forced sterilization, to shackling women during birth, from the Hyde Amendment and to overturning the federal right to an abortion, this country has an insidious history of reproductive abuse—particularly against Black women. Now, attacks on Medicaid are just the latest tactic used by anti-choice politicians to strip us of our bodily autonomy and further deny us access to lifesaving reproductive healthcare.
Access to healthcare should never be determined by income or zip code, but these cuts force states to make up this deficit by either raising taxes or slashing education budgets, further burdening our communities. Rural Americans, particularly, will suffer as rural hospitals often rely heavily on Medicaid funding to stay afloat. These cuts will worsen maternal healthcare deserts, which have 1 in 6 Black babies born in areas with limited or no access to essential maternal care.
What’s worse, adding “work requirements,” which were narrowly avoided under Trump’s first administration, will also be used as a tool to remove people from Medicaid. Not because they are not working, but because new bureaucratic reporting requirements will create confusion, and ultimately cause people, including people with disabilities and the elderly, to be disqualified from coverage.
In reality, 92% of Medicaid beneficiaries under 65 are employed, debunking the harmful stereotype that people on Medicaid are not working. There is a long history of scapegoating poor people for receiving social services and adding increased burdens to show they “deserve” help. This is the same racist welfare reform narrative we have heard for decades—the false “welfare queen” myth, used to police Black women, incarcerate Black mothers, and justify cuts to social services.
Make no mistake, Black women will bear the brunt of these Medicaid cuts. Yes, our healthcare system, including Medicaid, has flaws, but slashing coverage for the most vulnerable Americans is not the solution. During a time when access to reproductive healthcare is under attack like never before and Black maternal mortality rates are still continuing to rise, we need policy solutions rooted in reproductive justice.
This means centering Black women, girls, and gender-expansive people who are disproportionately impacted by Medicaid cuts and the policies driving these changes. Expanding Medicaid in more states, increasing access to doula care, and committing to researching racial discrimination in the healthcare system are just a few of the steps we must take. Our lives—and our future—depend on it.
This term has become a dog whistle for those who wish to diminish the accomplishments of Black women like VP Kamala Harris, wrongly suggesting that they are unqualified for their well-earned positions.
August 28, 1963 marks one of the most significant events in our nation’s history. On that day, more than a quarter million people assembled to participate in the historic “March on Washington for Jobs and Freedom,” where Reverend Dr. Martin Luther King Jr. delivered his iconic “I Have a Dream” speech and demanded the civil and economic rights of Black Americans that were promised in the founding documents of this nation. That call to action, shared by many gathered in the nation’s capital, is one that still reverberates today.
The origins of this march trace back over two decades to 1941, when labor organizer A. Philip Randolph, along with activist Bayard Rustin, created the March on Washington Movement, which was designed to place pressure on the federal government to establish employment protections for Black people. Randolph and Rustin were both motivated to end segregation and racial discrimination that denied Black Americans fair opportunities in employment. Randolph eventually became the director of the March on Washington for Jobs and Freedom, while Rustin became one of the central organizers of the 1963 march. Through their efforts, Randolph, Rustin, and many others brought people from all over the nation to Washington, D.C., to use their collective power to foster lasting change. The impact of the March on Washington contributed to the eventual signing of the Civil Rights Act the following year.
While this may be well-known—and for some, distant—history, some of the same social ills that the marchers sought to eliminate are still with us with renewed intensity. And the progress and equality they have fought for is once again under attack, this time by conservative organizations who are using hard-fought civil rights laws and anti-discrimination legislation against the very people these laws were designed to protect.
On August 28, 2024, I share this pledge once again with our nation, with the hope that we as a society will continue to uphold this promise and stand against that which threatens diversity, equity, and inclusion.
Our nation is once again fighting against a wave of race-based attacks against marginalized communities, this time under the guise of opposing Diversity, Equity, and Inclusion (DEI) efforts. So far this year, at least 37 federal lawsuits targeting DEI programming have been filed. The year before that, at least 65 bills were introduced to limit DEI in higher education across 25 states. This coordinated campaign aims to rid our nation of DEI offices and programs, end anti-bias trainings, and stop funding for the support for diversity. As studies have consistently shown, employers and educational institutions that emphasize and encourage diverse workforces and student bodies regularly outperform their counterparts among various measures.
Although many in this anti-DEI movement claim that racism no longer exists in our nation and thus nullifying the need for diversity, there is no denying the facts: Racial wealth divides persist, and people of color continue to endure systemic discrimination. Yet, some flatly reject the myriad data on the clear benefits of having diverse workforces and classrooms, and the pressure campaign launched by the conservative movement has caused many businesses to fold and abolish their DEI commitments and efforts completely.
And this movement is now becoming more blatant with its racist motivations, not only attacking universities and businesses, but also directly attacking people of color. We see it in the grotesque attacks on the first woman of color nominated for president, Vice President Kamala Harris, where right-wing activists have pejoratively labeled her as a “DEI hire.” This term has become a dog whistle for those who wish to diminish the accomplishments of Black women, wrongly suggesting that they are unqualified for their well-earned positions, and that but for their race and gender, they would not be where they are. Make no mistake: Right-wing organizations and activists are now using the term “DEI hire” as a slur to strip away the achievements of people of color who are in positions of power.
It is vital that we fight back against unfounded and dangerous attacks on DEI. Our nation cannot achieve the equality we hold as a moral imperative if we allow the progress we’ve made to be eroded. We can all look to the past as a road map to chart a better future where we fight for a nation–and world–free of discrimination and inequality. Following Dr. King’s speech, A. Philip Randolph invited those in attendance at the march to take a pledge:
Standing before the Lincoln Memorial on the 28th of August, in the centennial year of emancipation, I affirm my complete personal commitment to the struggle for jobs and freedom for Americans. To fulfill that commitment, I pledge that I will not relax until victory is won. I pledge that I will join and support all actions undertaken in good faith in accord with the time-honored Democratic tradition of nonviolent protest, of peaceful assembly, and petition, and of redress through the courts and the legislative process. I pledge to carry the message of the march to my friends and neighbors back home and arouse them to an equal commitment and equal effort. I will march and I will write letters. I will demonstrate and I will vote. I will work to make sure that my voice and those of my brothers ring clear and determine from every corner of our land. I pledge my heart and my mind and my body unequivocally and without regard to personal sacrifice, to the achievement of social peace through social justice.
As we commemorate the March on Washington, let us reflect on the past so that it emboldens us to fight for the future. And so, on August 28, 2024, I share this pledge once again with our nation, with the hope that we as a society will continue to uphold this promise and stand against that which threatens diversity, equity, and inclusion. It is up to us to ensure that the progress made by those who marched is not undone by those who seek to divide us, and that the labor and freedoms of all Americans remain protected.
Bluelining occurs when insurers raise their prices or pull out of areas that they perceive to be at greater environmental risk. These tend to be minority or low-income areas made vulnerable by historic discrimination.
On July 21, the world experienced the hottest global temperature on record, only to surpass that record the next day. However, not everyone experiences the impacts of this heat and other climate-exacerbated disasters equally. As summer intensifies, the impacts of climate change—especially extreme heat—are becoming more severe, disproportionately affecting low-income and minority populations.
In the U.S., a history of racial discrimination in finance and housing policies has left Black, Indigenous, and People of Color (BIPOC) communities more susceptible to the impacts of climate change and less equipped to recover from extreme weather disasters. Today, home insurers are pulling out of areas they perceive as risky to climate hazards, once again leaving BIPOC communities behind.
The disparate impact of climate change on property and infrastructure in U.S. minority communities is the result of nearly a century of discriminatory home lending and insurance policies.
In the 1930s, the U.S. federal government used a rating system in its low-cost home loan program to assess lending risk. Assessors created maps ranking the perceived risk of lending in certain neighborhoods, with race often used as the determining factor in assessing a community’s risk level. Black and immigrant neighborhoods were typically rated as ‘hazardous’ and outlined in red, warning lenders that the area was a perilous place to lend money. This practice became known as redlining, and the term is often used today to refer to racial discrimination in any government or corporate financial policies.
In many U.S. cities, maps from the 1930s showing redlined neighborhoods could be used as modern flood risk maps.
Redlining and other discriminatory practices, such as racial profiling in the provision of home insurance, led to a lack of investment in minority and vulnerable communities. This lack of financial access resulted in shoddy construction and poor infrastructure that has made minority neighborhoods less resilient to climate change.
Though redlining is now illegal, its legacy endures. These neighborhoods’ growing exposure to climate-related damage has left them vulnerable to other financial risks. Not only are homes in these areas more likely to be damaged by climate hazards, but insurers are more likely to increase insurance rates if they determine that properties are more likely to suffer environmental damage. This new financial practice is known as bluelining, and it occurs when insurers raise their prices or pull out of areas that they perceive to be at greater environmental risk.
While not illegal, bluelining disproportionately impacts minority and lower-income residents. Bluelining—the ‘new’ redlining—is now placing both the physical and financial burden of climate change on those least equipped to deal with its impacts.
In many U.S. cities, maps from the 1930s showing redlined neighborhoods could be used as modern flood risk maps. A Redfin study reveals that $107 billion worth of homes in formerly redlined neighborhoods face high flood risks—25% more than in non-redlined, predominantly white neighborhoods. Other studies have found that formerly redlined neighborhoods are more vulnerable to extreme heat and more likely to experience prolonged power outages during a storm. These disparities are a direct result of nearly a century of divestment and restricted access to capital, which deprived these neighborhoods of critical climate resilience infrastructure such as sewers and levees to capture flood waters and green spaces to absorb rising heat.
As a result of this lack of infrastructure, minority and vulnerable communities in the U.S. face the most severe and direct effects of climate change. In a 2021 study, the U.S. Environmental Protection Agency (EPA) confirmed that “racial and ethnic minority communities are particularly vulnerable to the greatest impacts of climate change.”
As climate change exacerbates natural hazards like hurricanes and wildfires, widespread access to insurance will be necessary to help vulnerable communities survive.
This vulnerability and racial disparities are evident when climate disasters strike. For example, when Hurricane Katrina struck New Orleans in 2005, 4 out of 7 zip codes that faced the costliest flood damage were at least 75% Black. Similarly, Hurricane Harvey in 2017 hit historically Black neighborhoods in Houston the hardest, and many residents there lacked a safety net to recover. Winter Storm Uri, in February 2021, brought persistent subfreezing temperatures to the southeastern U.S., resulting in electricity and water outages, substantial personal property damage, and increased mortality rates. The impact of the winter storm was likewise “disproportionately concentrated among low-income communities and communities of color.” Communities that are mostly Black, Latino, or Native American also experience 50% greater vulnerability to wildfires compared with other communities.
Despite these patterns, many cities have done little to bolster climate resilience in minority-dominated neighborhoods. For instance, Black communities from “Texas through Florida to Virginia” are projected to see at least a 20% increase in flood risk over the next 30 years.
This increased vulnerability not only exposes minority communities to damage from climate hazards, but also to bluelining from insurers. When a disaster strikes in a neighborhood, rates are likely to go up the following year. This affects both homeowners and renters, who often bear the costs of a landlord’s rising insurance costs.
Discrimination in the insurance sector extends beyond bluelining. Studies suggest that insurance claims following a disaster in areas with a higher Black population are less likely to be paid and, if they are paid, are likely to settle for less than other claims. A New York Times article supports these findings, presenting evidence of race discrimination in insurance company payout decisions for homeowners following disasters.
This racial discrimination, combined with bluelining, limits access to property insurance for vulnerable communities—a critical tool for climate resilience. Studies show that households with insurance are more likely to rebuild, face less financial hardship, and recover more quickly than households without insurance. As climate change exacerbates natural hazards like hurricanes and wildfires, widespread access to insurance will be necessary to help vulnerable communities survive.
Insurers must end their hypocritical and unconscionable conduct of investing large portions of their increasing premium income in fossil fuel companies, the undisputed drivers of climate change.
The climate change-induced insurance crisis and bluelining seriously undermine the ability of minority and vulnerable communities to access affordable insurance. Without insurance, minority communities are less able to adapt to climate change and less resilient when confronting these climate change-induced severe weather events. More importantly, minorities are hindered in their efforts to rebuild, particularly in rebuilding climate-resilient structures.
The compounded effects of the insurance crisis, rooted in past discriminatory insurance practices, perpetuate systemic inequities. The cycle of divestment from redlining to bluelining will increase systemic inequities and embed the disproportionate impact of climate change on minority and vulnerable communities for generations.
Insurers should financially support and actively engage in community efforts addressing climate risk, community impact, and creating equitable solutions. Simultaneously, insurers must end their hypocritical and unconscionable conduct of investing large portions of their increasing premium income in fossil fuel companies, the undisputed drivers of climate change, and underwriting new oil and gas projects while turning away homeowners in high-risk climate zones. Public funding or support from local, state, or national government for the insurance industry must be contingent on the industry reducing investments and insurance commitments in carbon emissions causing climate change.