Dr. Otis Brawley In Conversation With Douglas Brooks: ‘We Don’t Need to Reform Health Care—We Need to Transform Health Care’

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Dr. Otis Brawley In Conversation With Douglas Brooks: ‘We Don’t Need to Reform Health Care—We Need to Transform Health Care’
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The two discussed the systemic factors behind racial inequities in health and how COVID-19 may serve as a catalyst for addressing them

Douglas Brooks served as the head of the White House Office of National AIDS Policy during the Obama Administration as the first openly gay, HIV-positive African American to hold the job. He focused on addressing the health needs of those at higher risk of HIV infection, and is now executive director of community engagement at the biopharmaceutical company Gilead Sciences.

If you look at the major chronic diseases, cancer, cardiovascular disease, diabetes, they’re all caused by a combination of smoking, consuming too many calories, not enough exercise and obesity. Those are the causes of cancer, diabetes and cardiovascular disease, which are the major chronic diseases and habits that come along with poverty and with the deprivation due to racism.Otis, you mentioned racism.

But what we also have to look at is that many of these people, especially Black people, are living in overly crowded homes and buildings. They leave those overly crowded homes and buildings and get on overly crowded public transportation, go to overly crowded workplaces. We can’t ignore those systemic issues that also exacerbate COVID-19 and other health disparities.

city carry very few fresh fruits and vegetables. They thought that people in the inner city wouldn’t want to buy them—but they didn’t even try to encourage people to buy fresh fruits and vegetables. To me, it’s a form of systemic racism. The people who made that decision weren’t thinking, “I’m going to go hurt Blacks and Latinx people.” They weren’t thinking that way.Leadership is important. But it’s defining leadership in ways that make sense for the community.

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