On Tuesday, April 30, The Community Foundation is hosting the 2024 Health Equity Summit - With Equity & Economic Justice For All at Riverside Church. Click here to Register!
Editor’s Note: In this guest post, Dr. Marla Dean, Senior Director of the Health Equity Fund shares her point of view on what health equity for all means to her and why it’s important for funders and community partners to come together on this issue.
I remember that one day in September of 1978 as clearly as I remember summers in my hometown of Detroit. Detroit summers are something to behold. It is a musical city, and more diverse than most imagine. Each weekend, a vibrant ethnic festival takes place downtown at Hart Plaza. Each festival honors an ethnic group’s culture, and they all are pregnant with the promises of equity, justice, and liberation.
My memories of the 17th of September, three short days after my ninth birthday, shine above even those captivating celebrations. On that day, tears streamed down my face as I witnessed the signing of the Camp David Peace Accords on television, and I thought Middle East Peace was imminent between the Jews and Arabs who form two major communities in my hometown.
On that day, I first understood something about my life’s purpose: I was put on this Earth to advocate for all people’s liberation, but specifically for my own people, descendants of unknown African lands. I carried this level of intensity through every stage of my life - high school, college, work, community, and marriage - until a day I can’t remember well where I nearly lost my memories and my purpose.
The details escape me, but in 2016 I suffered a stroke at work. I did not know what was wrong, but I did know something was not right. Riding in an Uber to the hospital here in DC, I could not quite figure it out. “What is happening to me?” I wondered. My husband rushed to the hospital to be by my side. Eventually, I was discharged without a diagnosis. Both of us have college educations, yet we were unable to receive the care and information everyone deserves in a city as wealthy as DC. Immediately, I found a neurologist who diagnosed and cared for me, but I was never given an exact cause for my stroke, except for stress. After this experience, I understood medical inequity is stressful, and it can even kill (Szabo).
I carry the stress of a community which knows it is not valued. I carry the stress of an African American woman who is trying to hold herself and her community together. I carry the stress of people who are yearning to be free.
I once had a supervisor say to me, “Marla, you have no time or tolerance for frivolity.” When she said that, I thought, “how can anyone relax with so much work to be done?” That same year I had my stroke.
Now, almost 8-years into a journey of healing, I am trying to understand the concept of self-care. As one of my former employees once told me, “Dr. Dean, rest is revolutionary.”
So now as I work to advance health equity for all, I am reminded to be gentle to myself. These inequities are social and structural, and they manifest themselves in our health. Only 20% of health outcomes are due to medical care or access. 80% are due to other factors. So, our pursuit for health equity for all can only be realized when we all experience real justice and true liberation.
For more information about medical errors and minority women, please read Liz Szabo’s article, “Medical Errors Kill Scores Each Year in the U.S., Especially Women and Minorities.” NBC News, 15 Jan. 2024, www.nbcnews.com/health/health-news/medical-mistakes-are-likely-women-minorities-rcna133726
For more information about health equity, please view Dr. Francis’, Dr. Iton’s, and Dr. Smedley’s report, “Envisioning a New Health System Rooted in Equity” Urban Institute, 27 Dec. 2023. https://www.urban.org/research/publication/envisioning-new-health-system-rooted-equity
To learn more, be sure to register to join the 2024 Health Equity Summit on Tuesday, April 30th! To learn about the Health Equity Fund, visit our website.