InCHIP Lecture: All It Takes is One Block: Legacy of Redlining in Lethally Surveilled Neighborhoods — Transcript
Full transcript
- 0:09great thanks josh good afternoon
- 0:11everyone i want to welcome you to the
- 0:1319th annual in chip lecture series my
- 0:16name is dr tricia leahy and i'm the
- 0:17interim director of in-chip we have a
- 0:20very exciting lineup of esteemed
- 0:21speakers this year and today to kick off
- 0:24our lecture series we have the privilege
- 0:26of welcoming dr ali sewell
- 0:29dr tabler will be introducing ali and
- 0:31their important work
- 0:36so it is my honor to introduce our
- 0:38speaker for today
- 0:40dr ali sewell is associate professor of
- 0:43sociology at emory university and
- 0:45founder and director of the race and
- 0:47policing project advancing quantitative
- 0:50approaches to racism studies they assess
- 0:52empirical links between the political
- 0:54economy of race and racial health care
- 0:56disparities using policing and housing
- 0:58policy data
- 1:00published in a wide array of
- 1:02sociological and interdisciplinary
- 1:04outlets their research garnered support
- 1:06and recognition from the national
- 1:07institutes of health the ford foundation
- 1:09the national science foundation the
- 1:12society for the study of social problems
- 1:14the
- 1:15baden-wurttemberg foundation and the
- 1:17inter university consortium of political
- 1:19and social research planned parenthood
- 1:22named them the future innovator and
- 1:24visionary who will transform black
- 1:26communities they receive their phd in
- 1:28m.a in sociology from indiana university
- 1:31with a minor in social science research
- 1:33methods and their ba summa [ __ ] laude
- 1:36in sociology from the university of
- 1:39florida with a minor in women's studies
- 1:42so again it's my privilege to introduce
- 1:44our speaker i do want to make a note
- 1:46that please do hold your questions until
- 1:48the end at which time you may be able to
- 1:51unmute yourself and speak or use the
- 1:54raise hand function or
- 1:56utilize the chat box so
- 1:59help me welcome dr ali sewell
- 2:02hey hey hey hey i'm going to go ahead
- 2:04and get this uh
- 2:06this screen shared i really appreciate
- 2:08being here um it was exciting to to see
- 2:11what you all doing and uh try to think
- 2:14about the ways in which um
- 2:16um that we can connect i see this thing
- 2:19is still doing that
- 2:20weird uh
- 2:26with the with the with the hand with the
- 2:28do you remember what i was saying before
- 2:31um ah got it boom
- 2:34i was doing this weird you know
- 2:36um
- 2:37i would say it's like kind of uh your
- 2:39your your your guardian angel you know
- 2:41kind of doing the
- 2:42head bob but
- 2:44um i wanted to make some links between
- 2:46frankly a lot of the work i've been
- 2:47doing which is uh primarily around just
- 2:49neighborhood effects on health and and
- 2:52linking to
- 2:53i think you know related lines of
- 2:55research but also i can recognize maybe
- 2:57um some folks would want to understand
- 2:59more about it so one thing we have the
- 3:01question of of police violence um and
- 3:04we'll focus today on lethal violence and
- 3:06we have also the question of this kind
- 3:08of long-standing seated
- 3:10um uh structural racism and i actually
- 3:12wouldn't use strong structure racism i
- 3:14use the term systemic racism
- 3:17uh to talk about how even perhaps the
- 3:19things that are happening right now like
- 3:20police violence if you're paying
- 3:21attention to are actually part of a
- 3:23longer term uh tradition and pattern of
- 3:26systems of domination along the lines of
- 3:29racism
- 3:31so it's not just that we have people who
- 3:33were people of color or black and white
- 3:35next folks who were you know being
- 3:36violated and so on and so forth is that
- 3:38we have these places where you know it's
- 3:41all in just because someone is in this
- 3:44place they are subjected to um the
- 3:46questions of violence that we're talking
- 3:49about
- 3:49so how i think about this is primarily
- 3:51in in three different models we're
- 3:53talking about how the conversation
- 3:55around police violence has changed
- 3:57across time uh we now understand the
- 3:59term police violence we're now moving
- 4:00towards more of a trauma model uh where
- 4:03we want to think about killing itself as
- 4:05a public health event a killing we know
- 4:07is a public health event but a killing
- 4:08by a police is different it's a
- 4:10state-sanctioned violence in some sense
- 4:12um and and that trauma model comes
- 4:14directly from our kind of a
- 4:15psychological approach that approach
- 4:17that even contact with the police benign
- 4:20contact whether you know maybe you
- 4:22experience it or someone you know
- 4:23experienced it or
- 4:25in these kinds of places these things
- 4:26happen hyper vigilance it's kind of
- 4:29stressful and it's whether it's
- 4:31the stress i have today or this you know
- 4:34build up that's happening because i know
- 4:35that this environment this block is you
- 4:37know and some people could say it's hot
- 4:38um that's the issue because it's going
- 4:40to change everyone's kind of human
- 4:42development uh perspective
- 4:44um but what we don't talk about so much
- 4:46is the the
- 4:47reality in public health the ways in
- 4:49which we engage police is through the
- 4:51lens of crime prevention um as well as
- 4:54crime control so if something ever
- 4:56happens to you
- 4:57you're supposed to call 9-1-1 who shows
- 4:59up
- 5:00and there's a lot of the conversations
- 5:01that we're having right now but that
- 5:02organizational model of police brutality
- 5:05um from the perspective it is the police
- 5:07who are most likely going to be the
- 5:09first responders to a crime against an
- 5:11individual which places them perhaps
- 5:14possibly as a protector
- 5:16and they also can be a perpetrator
- 5:18depending upon where you you sit in this
- 5:20thing
- 5:21so what's happened over the last i would
- 5:23say 20 years it's kind of hard to say it
- 5:25is now like man it's been this long but
- 5:27in the last 20 years uh we've been able
- 5:29to identify using public records um we
- 5:32know the work records uh that are coming
- 5:34out stop questioning frisk laws and so
- 5:36on and so forth journalists you know uh
- 5:38creating things and so on and so forth i
- 5:40mean we're using everything we can to
- 5:42figure out how this question of of crime
- 5:44prevention happens on one hand we can
- 5:46identify that after 2000 we've had a
- 5:49steady decline in assaults
- 5:51but if you were to take these or
- 5:52hospital records from one of my
- 5:54colleagues justin truman if you were to
- 5:55just take the assaults that are related
- 5:57to contact with the police they're
- 5:59actually increasing and particularly
- 6:01towards uh men there's someone knocking
- 6:03and i'm unfortunately not going to be
- 6:05able to stop to talk to them but you may
- 6:07hear something
- 6:08um
- 6:10this data that we see here is important
- 6:12to understand because it represents an
- 6:14arc and it's an arc that you know
- 6:17changes how the police are viewed as
- 6:20caretakers as someone that are going to
- 6:22protect folks in 1999 in the beginning
- 6:25of the of the year um new york police
- 6:27department uh came into uh where they
- 6:30were looking for someone and they they
- 6:32thought this guy i would do dialogue was
- 6:34the person and he was coming out of his
- 6:36his apartment um complex or
- 6:39actually he literally was kind of coming
- 6:40out of it and they told him put his
- 6:42hands up and so on and so forth he
- 6:43reaches for his pocket he dies this is
- 6:4541 shots so i came out of college in
- 6:482001 so when i thought when i came out
- 6:50into this new world of what we were
- 6:52supposed to do we got free this is what
- 6:54i heard i heard in the 41 shots imma do
- 6:56dialogue 41 shots in 1999
- 6:59the likelihood of being able to tell
- 7:02what the load of shots would that could
- 7:05have been fired in the place where
- 7:06amidou diallo was
- 7:08was very low these records were not
- 7:10released they were part of some you know
- 7:12this type of unit or that type of unit
- 7:14that was trying to control drugs or fire
- 7:16or find firearms and so on and so forth
- 7:18but because of something like this
- 7:21we begin to be and i'm saying we as a
- 7:23public as a concerned citizen begin to
- 7:25think about
- 7:26perhaps maybe the police are part of the
- 7:29problem but we don't even know how big
- 7:31the problem is
- 7:32so one way we do that because we're
- 7:34scientists and maybe other things is we
- 7:36you know try to get records and at that
- 7:38time the records that the new york
- 7:39police department were using were
- 7:40basically they were secretive um so
- 7:42there was a lawsuit not from abu
- 7:44diable's family but from folks who had
- 7:46experienced things like that
- 7:47that was fouled uh in in 2000 2001 and
- 7:51it basically said hey we want to know
- 7:52what's going on and the result of that
- 7:55um
- 7:56of that um lawsuit is documented about
- 7:59it this is the center for constitutional
- 8:01rights um the new york civil liberties
- 8:03union um was that we were able to get
- 8:05numbers like this so we know starting in
- 8:07about 2002 that there was an increase
- 8:10was it there wasn't were people really
- 8:12reporting or not you could have a
- 8:13conversation about it but there was a
- 8:15number of reported stops
- 8:17this is as little as you got out the car
- 8:20you said hey i need to talk to you this
- 8:22is what happens in the new york police
- 8:24department it had exponential increase
- 8:27if you add up all the numbers of stocks
- 8:29between 2002 and 2011 or so i mean you
- 8:32have over almost a million stops it's a
- 8:34lot of
- 8:35a lot of stops
- 8:37there was a second lawsuit that was that
- 8:39was filed um in about 2006 or so
- 8:42that said hey i now you thank you for
- 8:44the records but can you can you release
- 8:48the reports and these reports are going
- 8:50to tell us by neighborhood by race by
- 8:52whatever what you're doing and what
- 8:53you're doing about the inequities and
- 8:56that is really what has led to um in
- 8:582014 which was the fall of stop question
- 9:01and frisk in new york city or the state
- 9:03of new york you can say
- 9:04the argument that was made uh in this
- 9:07court fouling was that
- 9:09we're not going to have a conversation
- 9:10about whether stop question of risk is
- 9:12or is not legal but the way you're
- 9:13implementing it by looking for
- 9:15essentially stops in black and brown
- 9:17communities in poor communities by
- 9:19definition you're going to find more
- 9:20black and brown people and more poor
- 9:22people
- 9:23okay so if by definition of how you are
- 9:25um
- 9:27applying the law
- 9:28you're gonna have these problems then
- 9:30maybe it's the implementation of the law
- 9:32that is a structural a structural issue
- 9:34and so in that way we were able to get
- 9:36um
- 9:37uh stop question and frisk uh
- 9:40uh decriminalize or criminalize in some
- 9:42sense um since then this is about 2013
- 9:44to 20 this is actually very recent date
- 9:46of 2020
- 9:47um there have been less than 50 000
- 9:49stops reported in new york city now if
- 9:50you're in new york city you kind of
- 9:51start worrying about 50 000 stops and i
- 9:54don't know
- 9:54you might even see one of those like per
- 9:56year right so you have to worry about
- 9:58the data in some sense but before the
- 9:59lawsuit before the police basically said
- 10:02we're going to do a you know a stop
- 10:03we're gonna stop um
- 10:05um reporting data we know that there was
- 10:08a high load in new york city um and the
- 10:10question we have to ask is
- 10:12you know listen we had we we had this
- 10:14essentially this momentous event 1999
- 10:17uh we had a
- 10:18kind of a public outcry of it that
- 10:20happened anti-brutality movements in new
- 10:22york city leading much of this and then
- 10:25we get this
- 10:26hey we're going to stop this we get a
- 10:28decision to get the data and then we're
- 10:31going to say you're not actually using
- 10:32the data properly
- 10:34so we're going to sue you again and in
- 10:36this last suit the florida all case in
- 10:38new york city from 2013 that was the one
- 10:40that stuck because it was the same
- 10:42question they're a bunch of folks they
- 10:44kind of look like they're all in certain
- 10:45kind of neighborhoods why are we
- 10:47stopping them
- 10:48just because they fit the description
- 10:51now we know unfortunately is that in the
- 10:52next summer this is august 12 2013
- 10:54within a year the new york police
- 10:56department department had committed one
- 10:57a very atrocious crime
- 10:59tomorrow garner um being choked by a
- 11:02police officer on camera on camera this
- 11:04is 2014. and so you have to ask the
- 11:06question
- 11:08so we have solved the problem with
- 11:09structural racism
- 11:11and we still have structural racism
- 11:13and what i might argue today is that the
- 11:15structural racism issue is far more than
- 11:17a person it's far more than i'm do
- 11:18dialogues far more than eric garner is
- 11:20actually even far more than a new york
- 11:21police department
- 11:23all right so this is kind of stuff i
- 11:25think about from the stress model we
- 11:26have contact itself as a stressor
- 11:28we have living in this climate of fear
- 11:30of hyper surveillance in an area is an
- 11:32ecological ecological stressor
- 11:35the reality is if you see someone
- 11:36stopped by the police if you think
- 11:38someone is in pro or they're having
- 11:40problems you're going to have a reaction
- 11:42even as an observer if you hear a baby
- 11:44cry you're like oh wait a minute we
- 11:45should do something about the baby
- 11:46here's some scream why are you doing
- 11:47that your brain activity is going you're
- 11:49maybe sweating you're thinking about
- 11:50things at a very minimum we call this
- 11:52psychophysiology and
- 11:54observers notice about video games so on
- 11:57and so forth we have the general
- 11:59question if you are in this kind of
- 12:00environment and you have to start
- 12:02thinking about how are you going to get
- 12:03through another 18 years think about a
- 12:05kid well you know i don't have that job
- 12:07yet i can't get out you actually start
- 12:09to develop some coping mechanisms that
- 12:11frankly perhaps is not working for you
- 12:13but this becomes your way of life this
- 12:15becomes a way of life for the people
- 12:16around you and so we have over time uh
- 12:19we call it the weathering process and we
- 12:21think about questions of allostatic load
- 12:22we think about questions of telomere
- 12:24lens we think about questions of
- 12:25information um is that we have coping
- 12:27mechanisms that are going to reduce um
- 12:29the quality of life and limit how long
- 12:32things live
- 12:33in people and things um and we have this
- 12:35thing of discrimination whether it is or
- 12:37is not real the perception of this
- 12:39itself is a problem the fact that you
- 12:41actually don't know what is actually
- 12:42happening
- 12:43that's even more of a problem so we look
- 12:45at this data this is objective data that
- 12:47the the police themselves provided to us
- 12:50we didn't make it up we didn't try to
- 12:51estimate it whatever this is new york
- 12:52police department permit with a a
- 12:55a kind of a schedule saying hey this is
- 12:57what i did so we know in new york city
- 12:59this is uh between this
- 13:01i think it's 2015 2020 uh
- 13:042016 2009 2013 period we have about 30
- 13:09stops per 100 residents in new york city
- 13:11we have about over half of those stops
- 13:14that are
- 13:15why am i having feedback
- 13:18i don't know am i still having feedback
- 13:22feedback i don't know um
- 13:25we have something's fine here are you
- 13:26i'm okay is this me then let me turn
- 13:28this down so i can't hear myself
- 13:31um about 54 stops involved risking a pat
- 13:33down of the body and about 20 percent of
- 13:36the stops involves the muscle force now
- 13:37use of force is 80 of nine i'll show you
- 13:40what they are um
- 13:42we have about six times more stops among
- 13:44black and latin next residents
- 13:47um in the united states city we have
- 13:49about 25 more
- 13:52stops for black and latino pedestrians
- 13:56pat downs and we have about 28 more in
- 13:58use of force now i'm going to focus on
- 14:00that right there
- 14:01what we know is that because of how we
- 14:04are kind of thinking about the block
- 14:06it's 10 blocks that means that 5 out of
- 14:0810 blocks you're going to see on any
- 14:10general neighborhood in new york city a
- 14:12stop and frisk
- 14:14but there's an additional block where
- 14:16you're gonna see it
- 14:18and what does that mean one extra block
- 14:19so you go from five to six it's the same
- 14:21thing two out of ten blocks in new york
- 14:23city
- 14:24trying to get from here to there for
- 14:26instance like a doctor's office you're
- 14:28gonna see
- 14:29you know something but if you get three
- 14:30out of ten
- 14:32then that's there's something going to
- 14:33go on and that that extra block is
- 14:34basically a standard deviation in these
- 14:36risk profiles at the neighbor
- 14:38neighborhood level
- 14:39reason why that matters is that the work
- 14:41i do actually shows that even if you
- 14:43have the extra block
- 14:44there are some things that are going to
- 14:45go on with you that perhaps if you
- 14:47showed up at the doctor's office after
- 14:49those 10 blocks from your house that you
- 14:51may be more likely to show these things
- 14:53as evidence
- 14:54of anything stress or some condition
- 14:56that you're experiencing or maybe you're
- 14:58just doing a physical for a year you're
- 15:00gonna be able to show it so for instance
- 15:01when use of force uh you have use of
- 15:04officer's hand placing a suspect on the
- 15:05ground against the wall drawing your
- 15:07weapon
- 15:08okay the use of batons handcuffs pepper
- 15:11sprays we've heard about all these
- 15:12things in the last couple of years any
- 15:14even one of those things counts as use
- 15:16of force so maybe you can consider this
- 15:18a kind of high burden of proof but the
- 15:20reality is there's many opportunities to
- 15:22get into this question that honestly you
- 15:24have to think about how much force it
- 15:26needs to be used for something to happen
- 15:28so we think about the folks that you can
- 15:29see here we think about the victims of
- 15:31police violence we definitely think
- 15:32about them when they are not here
- 15:34anymore so we have different kinds of
- 15:36folks around uh whether it's you know
- 15:38here we got oscar grant this is a train
- 15:40station officer so on and so forth we
- 15:42have women we have men we have kids we
- 15:44have older people we have the full gamut
- 15:46um but we never really think about that
- 15:48girl that's sitting down watching and
- 15:49growing up in a world like this and this
- 15:51is really what this this
- 15:53presentation and my work is about it's
- 15:55about the girl right so this girl lives
- 15:57this day and you know takes that ten
- 15:59blocks to go to the doctor's office and
- 16:00they have one additional block so the
- 16:02standard deviation increase in frisking
- 16:04they're nine percent more likely uh to
- 16:06indicate why they're saying something
- 16:08that my my health is not very good um
- 16:11they're 11 percent more likely to
- 16:12indicate some form of diabetes diagnosed
- 16:15uh 17 more likely to have been diagnosed
- 16:17with high blood pressure uh 15 more
- 16:19likely to be diagnosed or had some
- 16:21underlying uh asthma episode in the last
- 16:23year and this is a big one 22 more
- 16:26likely
- 16:27to be identified as obese
- 16:29so you can look at these things as just
- 16:31like things right but if you come in
- 16:33today's world like a covet all of these
- 16:36things definitely diabetes to overweight
- 16:37they're actually considered
- 16:38preconditions like pre-existing
- 16:40conditions so if you had any of these
- 16:42things
- 16:43on december 31 2019 you we're going to
- 16:46have a harder time dealing with these
- 16:48issues and these issues diabetes high
- 16:50blood pressure obesity as these are
- 16:52things that are going to coagulate in
- 16:54communities that are disadvantaged um
- 16:57and so we can think about
- 16:58is there is there an objective thing
- 17:00called life that just happens because
- 17:03you're good and you have diets and you
- 17:05have exercise and you have all these
- 17:06things or are there preconditions
- 17:09right there are preconditions of
- 17:10inequities um that are going to set the
- 17:12stage
- 17:13when you go into the doctor's office
- 17:14they're never going to tell you anything
- 17:16about um anything except blood is in
- 17:19blood bones and and and fat that's it
- 17:23they don't necessarily see all these
- 17:24preconditions of society they see
- 17:26different conditions of the body
- 17:28right but we know that the physical
- 17:30health measures we also know that
- 17:31psychological distress matters um it's
- 17:34more limited in hearing the question of
- 17:36hopelessness and um nervousness or
- 17:38worthlessness and you can think about a
- 17:39boy that would go to school and he's a
- 17:40little kind of shifty you know what
- 17:42happened the night before maybe there
- 17:43was no knocking warrant maybe there was
- 17:45just a lot of frisking in the
- 17:46neighborhood he looks like a problem you
- 17:48know he's nervous he doesn't have a kind
- 17:51of a clear idea of the future and
- 17:52frankly doesn't really think that people
- 17:54care about him that much
- 17:56this is what's going on right in these
- 17:58neighborhoods you have to also the
- 17:59question that you know the reality is
- 18:01because of how we understand police
- 18:03violence is happening or race and gender
- 18:06it it when it comes to psychological
- 18:07distress all right
- 18:09men are more likely to experience
- 18:11nervousness effortfulness and
- 18:12worthlessness as well as actually show
- 18:14indication of clinical signs of distress
- 18:18why is this not going forward okay
- 18:20we also know that some groups and even
- 18:22some groups that are kind of atypical so
- 18:24we know that blacks and latinos have
- 18:26more of a risk for blood pressure uh
- 18:29than the right counterparts um and it's
- 18:31different kinds of neighborhoods and
- 18:32different kinds of structures in some
- 18:33point of time i don't like to get too
- 18:34detailed into it but we do see these
- 18:37differences but one that's kind of weird
- 18:39is that you have a group that's less
- 18:40likely to be
- 18:42contacted by the police and they have
- 18:43the best health if you look at all the
- 18:45terrain groups on average especially
- 18:47when it comes to physical health asia
- 18:48pacific islanders report better health
- 18:51but if they live in a neighborhood where
- 18:53black and brown people around them are
- 18:55having use have force being used against
- 18:57them
- 18:58disproportionately more so than that
- 19:00that the that of whites
- 19:03they're going to say their health is not
- 19:04very good
- 19:06as well
- 19:07so what i say is that we often think
- 19:09about police violence as a
- 19:11social condition i mean it's a condition
- 19:13of the person but it's far more than
- 19:15that it's a structural condition and
- 19:16there's a structural condition that
- 19:18anyone can tie themselves into depending
- 19:20upon the situation like this one here
- 19:23i'll explain it then we have a different
- 19:24thing we're worried about now if we look
- 19:26at most studies on policing we want to
- 19:28know these questions of is there
- 19:30something about policing that is
- 19:32inequitable it's prejudice but it's not
- 19:34about the officer themselves and so when
- 19:36we look at about that is to understand
- 19:38the connection between
- 19:39the racial composition the ethno-racial
- 19:41composition of a neighborhood as well as
- 19:44you're just going in there and using
- 19:45forests this is really deployed at all
- 19:47cases in 2013 in new york police
- 19:48department and we find that it's true in
- 19:51areas where there's uh higher
- 19:52concentrations of blacks and latinos the
- 19:55likelihood of having obesity the
- 19:56likelihood of it having um high blood
- 19:58pressure um and even the the
- 20:01relative likelihood of having diabetes
- 20:03is is much more
- 20:04um
- 20:05but it's the other thing if we think
- 20:07about
- 20:08racial differences in use of force i
- 20:09want you to hold on to that thing i
- 20:11mentioned before about asia pacific
- 20:12islanders having worse health so to
- 20:14speak um if they live in neighborhoods
- 20:17uh where there's
- 20:19black and latino residents being more
- 20:21likely or petitions to be more likely to
- 20:23be stopped by the police we find here
- 20:24that in areas that are
- 20:2640 or more percent white
- 20:29right these areas do not have blacks and
- 20:30latinos in them when there is that extra
- 20:33little dose of racial disparities in use
- 20:35of force you have higher levels of
- 20:37diabetes obesity high blood pressure or
- 20:40fair health among those individuals and
- 20:42so what you're looking at here is this
- 20:44this
- 20:45you know kind of undotted right kind of
- 20:48solid line
- 20:49at the lower edges
- 20:52of percent black latino it's those folks
- 20:56who live in these neighborhoods that are
- 20:57doing it that are having these
- 20:59experiences now one of the reasons that
- 21:01we we want to pay attention to that is
- 21:02that on average in new york city this is
- 21:04only 34 neighborhoods on average like 33
- 21:07out of 34 places black and latino
- 21:10pedestrians are more likely to have use
- 21:11of forest so where is the variation the
- 21:13variation is whether you're 69 more
- 21:16likely
- 21:18right versus you are
- 21:20normal right that's that's actually a
- 21:22pretty scary thing so you get problems
- 21:25when you're in place in your
- 21:27neighborhoods and there are problems not
- 21:29necessarily for you but for the folks
- 21:31living in these predominantly white
- 21:32neighborhoods
- 21:33when you get when you leave those
- 21:34neighbors get you get free you get
- 21:36stopped and enforced is against you
- 21:40one of the things that i think becomes a
- 21:41lot more complicated is that we don't
- 21:43necessarily have a race gender
- 21:46kind of construct so i mentioned the
- 21:48race thing that which is like black
- 21:49latinos have some problems
- 21:51in some places asian pacific islanders
- 21:53have some problems in other places
- 21:54lights have their own problems in some
- 21:56places there's everybody that gets some
- 21:59some problems when it comes to physical
- 22:00health
- 22:01we have men
- 22:03getting a little bit harder to bear when
- 22:05it comes to psychological distress
- 22:08but we have women on the other hand who
- 22:10are carrying the burdens of people
- 22:11actually dying so there's a way for us
- 22:13to identify this objectively speaking um
- 22:16lethal surveillance it's legal
- 22:18intervention deficit is an icd
- 22:19characteristic if you ever wanted to
- 22:21track this at a national level there
- 22:23goes your uh there goes your your
- 22:25diagnosis you don't actually make any of
- 22:27this up the difference is that this is
- 22:29the um cause of injury that is
- 22:31identified by a medical examiner
- 22:35or coroner so some of these folks are
- 22:37going to be you know sanctioned by say
- 22:38some of them are private but the point
- 22:40is when they saw the body when they saw
- 22:43the injury they said there is no way in
- 22:45the world this would have happened
- 22:46except
- 22:47for contact by the police
- 22:50and of course or the attempt of actually
- 22:53following the law
- 22:54so this is not police and you know
- 22:56they're only off duty and they did this
- 22:57or whatever and it's not that
- 23:00there wasn't other things in there i'm
- 23:01saying there would not have been a death
- 23:03here there would not have been an uh
- 23:05assault here if the police had not been
- 23:07involved in this so these are legal
- 23:09intervention deaths what we know is that
- 23:10generally um in a 10-year period uh
- 23:13prior to floyd at all if there were
- 23:15three or more legal intervention deaths
- 23:17in that neighborhood um that you had
- 23:19higher levels of blood pressure and more
- 23:20obesity for everybody in the
- 23:22neighborhood um among women if you
- 23:24compare all women in the united states
- 23:25or sorry in new york
- 23:27in new york city and you just say this
- 23:28woman is in a neighborhood there's three
- 23:30or more this one is not the women in
- 23:32those neighborhoods with three or more
- 23:33are going to have have a greater risk of
- 23:35obesity um what
- 23:37was was what was scary for me though
- 23:39when you look at the gender disparity
- 23:41within the neighborhoods the gender
- 23:42disparity in um this i call it the cbd
- 23:46trifecta this is listen if you if the
- 23:48likelihood of you having a heart attack
- 23:50is when you have three things diabetes
- 23:52high blood pressure and obesity the risk
- 23:53of having a heart attack goes way up and
- 23:55we know for in the same neighborhood if
- 23:57you're living in these lethally severed
- 23:59areas women are over 50 more likely to
- 24:02have each one of those conditions that
- 24:04is
- 24:05huge
- 24:06because these folks are not the they're
- 24:08not the victims on average
- 24:10of police killings they're not
- 24:12necessarily getting stopped by the
- 24:13police
- 24:14on you know some hands you might say
- 24:16that black women's and latino women's um
- 24:19women in general their health is better
- 24:20than men but they're bro they're bearing
- 24:22the brunt in a different way but not
- 24:24nevertheless the same
- 24:26the last one i'll show you is from uh
- 24:28philadelphia um here we're looking at
- 24:30this question of just frisking but we're
- 24:31going to look at hey i want to do
- 24:33something about what's going on so
- 24:35you're going to use the emergency room
- 24:36or you're going to go to an urgent care
- 24:38somewhere and you're going to try to get
- 24:40attention for the things that have
- 24:41happened to you if you live in a
- 24:42neighborhood where there's more frisk
- 24:45and this is just again that's in the
- 24:46extra block you're less likely to go
- 24:49all right so the likelihood of going to
- 24:50an emergency room actually crashes it
- 24:52crashes the more likely there are to
- 24:54have a frisking in the streets this
- 24:56isn't in philadelphia so number one it's
- 24:58not just philadelphia it's it's a lot of
- 25:00folks and we see where we are all the
- 25:01time
- 25:03so we know this is the kind of for me
- 25:05what i say uh is a mechanism right it's
- 25:08a mechanism towards a pre-existing
- 25:10condition
- 25:11right so we have a structural condition
- 25:13of police violence that is a
- 25:15precondition of things that are
- 25:17preconditions of death
- 25:19those are preconditions of basically i'm
- 25:21sick all the time
- 25:22which then when we have a problem like a
- 25:24cobit or anything else you're not
- 25:26necessarily going wanna survive that and
- 25:27we knew that happened we saw that happen
- 25:29in the first six or nine months of code
- 25:32um
- 25:33there's something that's a precondition
- 25:34to police violence though and some of
- 25:36this work is actually starting to come
- 25:37out um i think the some of the strongest
- 25:40work i've seen is uh you know in
- 25:42minneapolis basically kind of connecting
- 25:45um police violence and long long long
- 25:48time ago what's going all the way back
- 25:50then so this is the stuff between hope
- 25:51data homeowner loan corporation maps
- 25:55and what you see
- 25:56every day as a racial composition and
- 25:58then what you're going to see in police
- 25:59violence
- 26:00um
- 26:01what we know in about 100 years about 80
- 26:04years now right we knew that there were
- 26:06some folks who were hired by the
- 26:07government to go around and say hey if i
- 26:09wanted to invest as of the government in
- 26:12what an fha loan or va loan
- 26:15where would be the best place for me to
- 26:17invest that money and know that in
- 26:18general within 20 30 years i'll get my
- 26:20money back
- 26:21and the the thing i get by having this
- 26:24insurance is that i don't have to pay
- 26:26for a lot of defaults the taxpayers
- 26:28don't have to pay for a lot of defaults
- 26:30so we want to make sure we're going to
- 26:31use our our money and use it uh
- 26:33judiciously what we find here is that
- 26:35there are some parts of the cities that
- 26:38we're talking about that the government
- 26:41from the 30s was like i don't want to
- 26:42give money there because i think it's
- 26:44not going to be able to help me as
- 26:47a structural nation right we're going to
- 26:49waste resources there and we know that
- 26:51there's a very strong corollary between
- 26:54the percentage of black folks and this
- 26:55is in
- 26:56minneapolis 26 the twin cities and
- 26:59whether a neighborhood was actually
- 27:00identified as red so we had 1980 here
- 27:04this is some of this data here from 1980
- 27:06to 2010
- 27:08and we know that across that time this
- 27:10is a 30 period 30-year period of time
- 27:12and still the case today
- 27:14um
- 27:15that if a neighborhood was deemed as
- 27:17green if it was considered one of the
- 27:18best neighborhoods there really hasn't
- 27:20been much change in the percentage of
- 27:21blacks in the neighborhood now i want
- 27:22you to understand
- 27:24that in 1930 there weren't a lot of
- 27:25blacks
- 27:27in minneapolis right so we're not
- 27:28talking about something that you know
- 27:30has been stable we've had an influx of
- 27:33folks who've come in the last 50 years
- 27:34or so
- 27:36to minneapolis that are not white right
- 27:39and what we find is that those
- 27:40individuals have primarily
- 27:42settled at least for when it comes to
- 27:44black individuals
- 27:45nonlinear individuals they probably
- 27:47settled in neighborhoods in 1937 the
- 27:50homeowner loan corporation and the
- 27:52federal government agreed with them that
- 27:53these were hazardous neighborhoods right
- 27:56um or they were definitely in decline
- 27:58right so they were never going to make
- 27:58it anyway right so i'm trying to say
- 28:09sometimes work sometimes it doesn't
- 28:12um
- 28:13but this is data that we are comfortable
- 28:15with i think a lot of us who study
- 28:16public health have you seen this data
- 28:18seen it use it believe it or not believe
- 28:19it but we know this actually happened in
- 28:21history um there's another kind of data
- 28:23that
- 28:24is hard to find because we just don't
- 28:26have very good records that have been
- 28:28they have stayed around for so long and
- 28:30it's data on racial covenants and racial
- 28:32covenants is a different kind of
- 28:34redlining redlining is at the
- 28:36neighborhood level this whole area just
- 28:37doesn't get money uh
- 28:40racial covenants is at the business
- 28:41level
- 28:42is when a business said hey you know
- 28:44wait a minute if you want to use this
- 28:46you can't have other people do this in
- 28:48this place it's a private contract and
- 28:50from really you know until
- 28:52uh
- 28:541920s or so the supreme court said hey
- 28:56this is a private contract it's not my
- 28:57issue you can do it now what do these
- 28:59restrictive covenants look like what we
- 29:01know is that they basically say things
- 29:02like specific racial groups do not let
- 29:05this person there etc say this i want to
- 29:08just go south minneapolis in the same
- 29:10period we just talked about racial
- 29:11composition changing um in the areas uh
- 29:14that are lighter
- 29:16there are very few black residents there
- 29:17at these time periods in the areas that
- 29:20are darker and there are various
- 29:21different kinds of areas um there's 50
- 29:23or more
- 29:24black folks in that area now you do see
- 29:26a dispersion that's going to happen over
- 29:27time
- 29:28but there's a block here there's a
- 29:30there's like a
- 29:31a stout line that happens between 47th
- 29:34street and chicago avenue if you know
- 29:37minneapolis or if you were paying to
- 29:38paying attention to the george floyd
- 29:40case um in in 2000 and you know that
- 29:42about 10 blocks north of this corner is
- 29:46where george floyd was
- 29:48uh was was was killed
- 29:50all right so i'm gonna just hold it for
- 29:51a little bit now let's think about what
- 29:53these covenants actually say these are
- 29:54per parcel they say things like it is
- 29:56further stipulated and agreed by and
- 29:58between the parties here too for
- 29:59themselves
- 30:01i bought the house as me their heirs
- 30:05their kids and any person who's assigned
- 30:07to be their heir as part of the
- 30:09consideration there of that the within
- 30:12prescribed promises shall not be sold
- 30:14so you can't give it away to anyone
- 30:16mortgage you can't have them borrow the
- 30:18house for 30 30 years and perhaps have a
- 30:21clean title of it eventually uh or at
- 30:23least two listen i don't even want you
- 30:25to run into person
- 30:28right who are not caucasian
- 30:29or occupied by any person or persons
- 30:32other than members of the caucasian race
- 30:34so don't just know right that building
- 30:36right there this is this is not up for
- 30:38grabs this is not going to be a part of
- 30:39judification it's not going to be a part
- 30:40of urban renewal it is not going to be a
- 30:42part of civil rights movement where we
- 30:44opened up these neighborhoods and so on
- 30:46and so forth we we have even places that
- 30:48things that are more specific to that
- 30:50and they're and they're they're
- 30:51important to think about for a good
- 30:52reason one no person of any race other
- 30:55than the aryan race people say oh you
- 30:56don't know what white people are we
- 30:57don't know these things no it actually
- 30:59says the aryan race and they actually
- 31:00use the term i didn't make it up they
- 31:01use and turn themselves shall use or
- 31:03occupy in any building or any lot
- 31:06except that this covenant shall not
- 31:08prevent occupancy by domestic servants
- 31:11so you can work here but you can't live
- 31:13here you can work and be close to the
- 31:15person you're working to who is not a
- 31:17negro servant or a negro at all who has
- 31:20to be caucasian
- 31:22but you can't live there
- 31:23okay so you can get our money
- 31:26but we don't want to have fun we don't
- 31:28want to play with you and it doesn't
- 31:29include everything give me the trailer
- 31:30give me the basement give me the barn so
- 31:32on and so forth um the garage whatever
- 31:35you want any outbuilding so so speak
- 31:37anything that's temporary anything does
- 31:38not just uh know and accept those who
- 31:42are uh going to be working
- 31:46so i'm gonna wrap this up because i
- 31:47already pre precluded this all right
- 31:48that's i set it up for you already this
- 31:50is george floyd square all right we see
- 31:52the sign here it says 38th street right
- 31:55right down here is chicago
- 31:56and this square when there were when the
- 31:59protests uh came out in minneapolis when
- 32:02these things happened george floyd was
- 32:04was was killed was murdered was
- 32:06suffocated this place was protected the
- 32:09protesters were like you're not coming
- 32:11here and breaking up anything this is a
- 32:14safe place and at least in this place
- 32:16it's it's this is a memorial it's gonna
- 32:18be a memorial site i think that's
- 32:19important for us and sam because we
- 32:21think about the death issue that's on
- 32:23the on the on the table we often think
- 32:25about it as a wanton list it's just
- 32:27anywhere anytime everyone can get it no
- 32:29there is a conversation that's happening
- 32:30here and is a structural conversation
- 32:32about why this street at chicago avenue
- 32:35and that street at 38th street why it
- 32:36matters
- 32:38right and it's not just because there
- 32:39was a guy there and there was a pharmacy
- 32:41there and there was a
- 32:43a gas station across the street that's
- 32:44not the reason why it mattered i would
- 32:46say if i were a pretty bold person i'll
- 32:49say the reason why it matters is because
- 32:51it's 10 blocks from a place that doesn't
- 32:53have any of these problems
- 32:55so in these ten blocks if you go down uh
- 32:57you'll see a restrictive covenant this
- 32:59is that building right here um
- 33:01the shenandoah terrorist company
- 33:03sold the property uh part of a um
- 33:06suburban area or what will become a
- 33:08suburban area um uh harry williams on
- 33:11and out on this he didn't they didn't
- 33:12sell it on 1925 it expired on 1925.
- 33:16which was that it was sold well before
- 33:18then right some of these things were to
- 33:20life and some actually did have
- 33:22expiration dates so i'm gonna let's make
- 33:24understanding in 1925 which is eight
- 33:26years before the homeowner learning
- 33:28corporation came in and said hey wait a
- 33:30minute this one can't get it this one is
- 33:31okay this is a green lined area
- 33:34okay this is the area where you you you
- 33:36want to put people you want to put
- 33:37businesses and if you go today this is
- 33:394701 chicago avenue minneapolis
- 33:42minnesota 55407. if you go today and you
- 33:45find out what is at this address what is
- 33:47at this address
- 33:49did i just do that
- 33:51sorry sorry sorry
- 33:53what is that in this address this thing
- 33:55is going faster why is it going that way
- 33:57like it's going the wrong way for me
- 33:59why don't these things go this way look
- 34:03like way down here
- 34:05see here we go at 4701
- 34:08uh chicago avenue we have something now
- 34:10called the wings financial credit union
- 34:12and it is a block it is a corner across
- 34:14the street from its wells fargo bank
- 34:16down the street from there is the health
- 34:17partner's urgent care there's there's
- 34:19there's places to eat right next down to
- 34:22it is the actual river this is a good
- 34:23place to stay okay so what is now
- 34:26frankly a part of the story of trauma
- 34:29for a whole community and really the
- 34:30nation
- 34:31is also a part of the story of trauma
- 34:33that was enacted a hundred years ago
- 34:36it was it was stabilized 100 years ago
- 34:38remember this was uh
- 34:39the end of something at the beginning of
- 34:41something
- 34:42so i'm going to wrap it up there because
- 34:44i think it's important for us to
- 34:45understand that one of these things is
- 34:47not just the same as the other it's a
- 34:49it's a conversation piece it's a it's a
- 34:51it's a it's a walking down the street it
- 34:53really is a walking down the street but
- 34:55imagine that street is history
- 34:58imagine that street is from the civil
- 35:00the civil rights movement here imagine
- 35:02if it was from the civil war to the
- 35:04civil rights movement to here
- 35:06what does that street tell you you build
- 35:09where you put black white people and you
- 35:11let it go you don't really care what it
- 35:13becomes if you say
- 35:15anyone can come that is not white
- 35:18right now that's pretty dramatic i would
- 35:20say but i think it speaks to the to a
- 35:23lot of the culture that's going on here
- 35:24this is a song song by uh one mic by naz
- 35:27comes in about a year or so after this
- 35:29i'm gonna do dial okay
- 35:31is working in this space as cultural
- 35:33space of new york city this is the video
- 35:35all right and if you pay attention to
- 35:37the video he's actually the musician but
- 35:39behind him is a cop
- 35:41chasing three black guys who actually
- 35:43were just they were just sitting in the
- 35:44car and they saw the guy coming saying
- 35:46it's time to go and he started going and
- 35:49in one sense what one block means is
- 35:50like give me one chance give me one
- 35:53chance to sit here and tell you that
- 35:54this is not who i am this is not my life
- 35:57and what i would say if you took the
- 35:58long history of this thing and you said
- 36:00i think i want to understand what's
- 36:02going on you do not look at the block
- 36:04you do not look at the 10 blocks you
- 36:07don't look at where the police are going
- 36:08now you don't even look at the number of
- 36:11black folks in the area you don't look
- 36:13at hulk and you don't even look at the
- 36:15restrictive covenants because frankly
- 36:17they were made during black
- 36:18reconstruction which was supposed to be
- 36:20a good time
- 36:22you look at the broader system of
- 36:24domination that's going on and it's one
- 36:26of the words i think in my opinion that
- 36:27is being thrown out around and not
- 36:29really understood and fleshed about but
- 36:31this the question of systemic
- 36:33domination which is the root root uh
- 36:35kind of framework to understand systemic
- 36:37racism is about a post it is literally
- 36:40i'm telling you this is a post-colonial
- 36:42relationship between the nation right
- 36:46and the people in there and particularly
- 36:48thinking about this not as in empire
- 36:50nation but as a racial state in a racial
- 36:52state you can get that full
- 36:55line the ten blocks actually becomes a
- 36:57hundred years
- 36:59maybe go back before that and we have
- 37:01some understandings of what systemic
- 37:03racism is it's not willy-nilly you can
- 37:04go find it out yourself the first
- 37:06mention of it is in uh by
- 37:07brent in 1986 uh philharmonia essence
- 37:11referenced it a year later and she's the
- 37:13one that really is credited for the
- 37:14questions around um
- 37:16um perceived discrimination and so on
- 37:18and so forth um but it was actually the
- 37:20canadians that got it better got it
- 37:22better than we did about it 10 years
- 37:24later has a clear definition we don't
- 37:26have to guess about this system of
- 37:28racism is inequality he's rooted in the
- 37:30system-wide operation of society that
- 37:32excludes substantial numbers of members
- 37:35of particular groups from significant
- 37:36participation in major social
- 37:39institutions this is not just about the
- 37:41deprivation of resources this is not
- 37:43just about a bunch of terror in the area
- 37:45this is not just about people living in
- 37:47an area
- 37:48this is about a society-wide
- 37:50operation
- 37:52so we need to start to codify that we
- 37:54need to operationalize that and any one
- 37:56of these things i just mentioned to you
- 37:58is not sufficient
- 37:59but neither is a cluster of variables
- 38:03and this is where we kind of break apart
- 38:05in my opinion uh with the question of
- 38:06systemic racism because if you read
- 38:08someone more sociological research on
- 38:10systemic racism we are talking about
- 38:12questions of ideology
- 38:13that are
- 38:14pitted into the processes and the
- 38:18conditions of making the state
- 38:21all right their practices and their
- 38:22group interests you have to measure the
- 38:24interest you have to measure what is
- 38:26actually done
- 38:28not just across your life course i know
- 38:30you all are great you're going to live
- 38:3080 years 90 or so and so forth my dad's
- 38:32turning 80 next week is awesome
- 38:35but you're talking about a much longer
- 38:37lifeline the lifeline of society
- 38:39um
- 38:40[Music]
- 38:41so what i wanted to just kind of end me
- 38:43on is if you really i think if you if
- 38:45you want to if you had to take a stab
- 38:47where in this process you wanted to
- 38:50consider measurement
- 38:52you don't look at what it is you look at
- 38:54how it's moved
- 38:55you look at how things how resources are
- 38:58exchanged
- 38:59i'm here there about whether higher
- 39:01levels of education is bad or good we
- 39:03know that is bad right we know that but
- 39:05the reality is the educational market
- 39:07and expectations have completely changed
- 39:09over the last 50 years so is it just
- 39:11less education i think less education is
- 39:13doing something else now it's it's it's
- 39:15feeding on other kinds of market
- 39:16dynamics and they're not just i have i
- 39:19don't have they're about how people are
- 39:20coming into the potential to exchange
- 39:22resources so measure that
- 39:25measure how goods are changed i do it my
- 39:28own self with thinking about mortgages
- 39:30um not just these business contracts and
- 39:32saying hey not just do you get a
- 39:34mortgage which is what some of the
- 39:36traditional institutional forms of
- 39:37redlining deal with but what are the
- 39:40protections around the mortgages that
- 39:42that you do get if for instance
- 39:46you lost a job or you lost something and
- 39:48you couldn't pay the bill would the
- 39:50federal government help you out were
- 39:51they saying you know what i know you
- 39:53defaulted on the loan but we're not
- 39:55going to have everybody around you just
- 39:57fail as well so these are fha loans
- 39:59these are loans that once they
- 40:00originated they're sold in the secondary
- 40:02market to um um uh folks who are you
- 40:05know basically not protected by these
- 40:07spaces
- 40:09and there are different ways to look at
- 40:10it there's not one way or the uh the
- 40:11other way i think each of them offers
- 40:13their own uh conversation in the
- 40:15research i've done on children and their
- 40:16symptoms is the racial differences in
- 40:19where they're alone is protected by the
- 40:20government or not it's driving some of
- 40:22these on these issues and that's really
- 40:24really cold for predatory lending um so
- 40:27i'm i'm gonna i'm gonna
- 40:30wrap up there i think we are
- 40:32yes about two more minutes before we
- 40:33want to do q a um and what i wanted i do
- 40:36want to leave you with this because i
- 40:37hopefully we will take it in um and
- 40:40share it with truth and honor um is that
- 40:42there really are three different kinds
- 40:44of racism that are not mediated through
- 40:46the individual you need some other form
- 40:49of structure whether it's a neighborhood
- 40:51or as a school or it's a playground i
- 40:54don't it doesn't really matter what it
- 40:55could be a set of occupations or an
- 40:57industry you need something else to tie
- 40:59the exchange together
- 41:01neighborhoods the exchange is dead
- 41:03listen you're my neighbor i might pick
- 41:04up your mail if you're not there we may
- 41:06see each other when we come home or
- 41:07someone else will wave that's an
- 41:08exchange of social and cultural capital
- 41:10okay everything's in exchange when you
- 41:12look at the organizational level but
- 41:14even in that there are different forms
- 41:16of racism the institutional racism is
- 41:18what really people are are looking at
- 41:20now and it can be systemic but it needs
- 41:22to be understood that this is
- 41:22institutional this is here we're in a
- 41:25racial colonial capitalism we're making
- 41:28money off of the exchange of goods that
- 41:30is highly and systematically racialized
- 41:33and it's not racialized it's racialist
- 41:36right it is racism at in its peak
- 41:38definition um i make more money i don't
- 41:40pay people so and so forth i mean you're
- 41:42looking at specific kinds of resources
- 41:44specific kinds of services and specific
- 41:46kinds of opportunities right that would
- 41:48be more of the question around i do or
- 41:50do not have education so on and so forth
- 41:52we were talking about structural racism
- 41:54or the form of structural uh uh the
- 41:57structural form of systemic racism
- 41:59you're i do i believe that you're
- 42:00talking about how one thing affects
- 42:02another thing one institution guides
- 42:04another institution so think about the
- 42:05prison department the prison to the
- 42:07school the prison pipeline think about
- 42:09the prison to the labor market pipeline
- 42:10they're actually there too we don't we
- 42:12start early but not late um but here
- 42:14you're talking about how the policies
- 42:15and the laws the practices are actually
- 42:17going to make certain kinds of exchanges
- 42:20hard three strikes you're out
- 42:22with the first strike is when you're 15
- 42:24and you were just fooling around the
- 42:25next two are going to matter if the
- 42:26first strike is when you're 18 or 17 and
- 42:29you have another two i mean there's a
- 42:31different conversation than that but
- 42:33states sometimes 16 is like not ages
- 42:36consent the other times it is right so
- 42:38that's a structural conversation that
- 42:40then roots two things together and then
- 42:42lastly as i was mentioning it um this is
- 42:44a systemic form of systemic racism and
- 42:46we are not anymore talking about rules
- 42:48we're not talking about actual things we
- 42:50need to have a conversation around
- 42:51ideologies we have to have a
- 42:52conversation around actual people's
- 42:54interests and primarily the question of
- 42:56the interests of folks who are in who
- 42:58are invested in anti-indigenous
- 43:00regulations they're invested in
- 43:01anti-blackness um they're invested in
- 43:03anti-immigrant ideologies um these are
- 43:05individuals who are making money off of
- 43:07these things and they're creating whole
- 43:08levels of consent processes that matter
- 43:10here so i'm gonna end that um this is
- 43:12everything i just said is is wrapped up
- 43:14in this thing i do believe that policing
- 43:16doesn't vote in america policing doesn't
- 43:18just hold in the criminal legal system
- 43:20it's also you know who gets access to
- 43:21the sick role who gets a day off of
- 43:24school because they did this or they did
- 43:25that so the question of surveillance
- 43:27is what i'm talking about when i say
- 43:29policing and i am talking with the blood
- 43:31i am talking about the life force and we
- 43:33talk about the question of america we're
- 43:34talking about the question of making a
- 43:36state you have to talk about where
- 43:37people live and how they get out of the
- 43:39places where they live or the places
- 43:41where they're born
- 43:48is it okay open up for um
- 43:51yeah thank you so much dr sewell
- 43:52fantastic presentation really enjoyed
- 43:54that so we'll now open up the floor for
- 43:57questions as a reminder please type your
- 44:00questions into the chat box or use the
- 44:02raise hand function
- 44:04that is at the bottom of your screen
- 44:05most likely
- 44:14i feel like there was some hands-raiser
- 44:16i don't know if those other things going
- 44:17on
- 44:19i think they're clapping for you
- 44:20virtually
- 44:22well thank you
- 44:26so i'll start with a question so
- 44:29first of all again fantastic
- 44:30presentation
- 44:31my question is based on
- 44:35even the the kind of plot that you're
- 44:37showing here what type of policy changes
- 44:40or practical changes might be
- 44:42most beneficial to kind of rectify
- 44:46just inequities everywhere particularly
- 44:49because as you mentioned it's so deeply
- 44:51entrenched and and yeah i look forward
- 44:53to hearing your thoughts
- 44:54yeah so when i have a when i hear the
- 44:56term policy sometimes i think about it
- 44:59as the redistribution of tax money i
- 45:01think a lot of folks are working in that
- 45:03realm i if i had if you had to put me
- 45:06in a room and i would tell you something
- 45:09i think we need to start redistributing
- 45:10the stock market i mean that's a wells
- 45:12fargo there and that's a wings federal
- 45:14credit union that's a house that was
- 45:17became an actual financial institution
- 45:19and that's actual money that is still
- 45:21circulating in the population across the
- 45:24world
- 45:25so you could focus on the neighborhood
- 45:28you should focus on the neighborhood you
- 45:29perhaps should focus on bringing
- 45:31resources into the neighborhood not just
- 45:33people moving around right to better
- 45:35neighborhoods
- 45:36so i don't you know reinvestment
- 45:38mobilization justification they only go
- 45:40so far because you have to take care of
- 45:41the actual people not just the buildings
- 45:44in the place
- 45:45but if you if you really had to think
- 45:46about well who's making money here i
- 45:49know that when you get the mortgage you
- 45:51get to go home at night and be safe i
- 45:53know that when you go to school that you
- 45:55have a better way to grasp things and
- 45:57your next generation has a better way to
- 45:59grasp things and when you get the good
- 46:00job that is money in your pocket but
- 46:03there are there is way more money out
- 46:04there and those are the monies that
- 46:06actually help us create these
- 46:07institutions that are going to
- 46:09set in stone the relations between haves
- 46:12and have-nots the blacks and the latinos
- 46:14and
- 46:14and immigrants and natives those
- 46:16relationships are not made from house to
- 46:18house from education space into next
- 46:20case and they're definitely not made at
- 46:22an hourly job or even a salary job so i
- 46:24i would be hitting
- 46:25i'd be in the stock market sorry
- 46:29or not
- 46:29[Laughter]
- 46:31thank you
- 46:44all right i'm not seeing any hands
- 46:46apologies if i'm missing you
- 47:03so question in the chat box
- 47:05from asher coelho
- 47:07what do you recommend for people
- 47:08entering the medical field with regard
- 47:10to treating people of color
- 47:14yeah i love this question i love
- 47:15answering it too
- 47:18i remember just saying you know when i i
- 47:19work with doctors um at a public
- 47:22hospital in other places um who their
- 47:24surgeons
- 47:26they look at they look at the actual
- 47:27organ and they say okay what is the
- 47:28actual organ doing they're not doing and
- 47:30so when they're actually trying to save
- 47:31lives like when someone gets shot or so
- 47:33on and so forth or someone comes in for
- 47:34domestic violence or so on and so forth
- 47:36like an acute trauma center they have to
- 47:38focus on that individual and that person
- 47:41that doctor that's trained in
- 47:43the actual body
- 47:44it's hard from the state take the step
- 47:46back and say
- 47:48well it really was it really was
- 47:50segregation it really was um this stuff
- 47:53that happens a hundred years ago
- 47:55it's not that it's not true but if
- 47:57you're a medical professional going in
- 47:59there we often get trained around
- 48:00questions of cultural competency
- 48:04you're able to go through these
- 48:05conversations and so on and so forth
- 48:06with a patient
- 48:08but you also need to think about
- 48:09structural competency you have to think
- 48:10about the ways in which your own place
- 48:12is actually either standing in or
- 48:14standing for a bridge uh towards
- 48:16questions of inequities you do have to
- 48:18open up the the hospitals you do have to
- 48:20open up the urgent care you have to open
- 48:22it up because otherwise you become part
- 48:24as a medical doctor with all the great
- 48:27expertise that you have you become part
- 48:28of the problem so i would i would
- 48:30encourage um
- 48:32folks johnson metal is kind of in this
- 48:34camp that when you're training doctors
- 48:36and when doctors are actually out on the
- 48:37field you need structural competency as
- 48:41a key form of training it's about
- 48:44justice it's not just about equality
- 48:46it's about justice
- 48:51thank you so another question from the
- 48:53uh chat box uh
- 48:55dr kim gans asks what do you
- 48:57think are the mechanisms that links
- 48:59systemic racist racism to help
- 49:03um
- 49:05honestly i i think that the pandemic is
- 49:08just such a light here
- 49:11so the reality is the places where folks
- 49:13were dying first they were very
- 49:15under-resourced the
- 49:17the hospitals that people showed up in
- 49:20didn't have beds they didn't have basic
- 49:22equipment so you have a question of how
- 49:25the goods of things to take care of your
- 49:27health are under resources for the
- 49:30problems that these structural
- 49:31conditions of inequities by race by
- 49:33immigrant status by a nativity have
- 49:36created you have an under resourced
- 49:38environment in the middle and so even if
- 49:40they even if someone does everything
- 49:42right they did they get diagnosed later
- 49:45and so on and so forth if i had to say
- 49:47you have some room for improvement it's
- 49:49you have to buffer those systems where
- 49:50there's more issues
- 49:52that means it's not it's not going to be
- 49:54an equal system it's going to be a
- 49:56equitable system so when you consider
- 49:59mechanisms
- 50:00mechanisms you have to always look for
- 50:02questions of when someone is not getting
- 50:04the needs met
- 50:06the needs
- 50:08um not just when they're not being
- 50:10treated the same most of our
- 50:11understandings of everything policies so
- 50:13on and so forth are based off of an
- 50:15equality model not an equity model
- 50:21another question from the chat box uh
- 50:23emil common ask do you know of applied
- 50:26opera
- 50:27operationalizations or measures of
- 50:30structural or systemic racism
- 50:33yeah there's a lot more stuff that's
- 50:34coming out there i think so there's some
- 50:35exciting things so there's a a couple
- 50:37papers um that are coming out um
- 50:41courtney bowen is i think one of them
- 50:42that are doing some work in there
- 50:44they're using more mathematical models
- 50:46to identify
- 50:48the the arc of systemic racism these are
- 50:51very
- 50:52i would say scientific models are very
- 50:54based off of what researchers do and
- 50:56what kind of analytic models people like
- 50:58but one thing that they do do is
- 51:00question that this is across time it's
- 51:03also across space and so i really like
- 51:04those models i use some of those models
- 51:06my own um some people call them cross
- 51:08random effects models but they're
- 51:09allowing two things to change
- 51:11not just
- 51:13you're in things but that in those
- 51:15things you're being transferred into
- 51:17different
- 51:18areas of opportunities and different
- 51:20areas of disadvantage and what we do
- 51:22know what we should know and what you
- 51:24may need to learn is that it is not a
- 51:26one to one to one equation one to one to
- 51:28one does not actually equal three
- 51:30sometimes it's here and it goes to
- 51:32advantage and then it goes to
- 51:32disadvantage and it moves around the
- 51:34constellation now it's true that there's
- 51:36a packing of it so folks who do this i
- 51:39would say the structural model they're
- 51:41looking at how one thing is on top of
- 51:44the other thing is on top of the other
- 51:45thing it's on top of the other thing um
- 51:47uh the work of uh mark heissenbuhler the
- 51:49work of
- 51:50joe
- 51:51of joe fagins or uh benefit they're
- 51:53they're talking about
- 51:55on top of each other right um but i
- 51:57think if you want to consider questions
- 51:59of operatization of ideology you got
- 52:02studies i mean i love this david he's
- 52:04like how many times people uh search for
- 52:07the n word number one why would why are
- 52:08you searching for the n word
- 52:10you gotta think about what is the
- 52:12mindset of why people search for
- 52:13different things we are in a digital age
- 52:16information is everything um so think
- 52:18about how people are using information
- 52:20and i think that would be um we there
- 52:23are examples what i just mentioned but
- 52:24there are other people are using things
- 52:25more and more that i think are really
- 52:26nice and interesting
- 52:30another question from the chat box um
- 52:33a question about maybe what the
- 52:35association is between the ethno-racial
- 52:37diversity of kind of police forces and
- 52:40how that's associated with the degree to
- 52:43which they use force and then
- 52:44secondarily the health of the community
- 52:47okay so like three questions but i'll
- 52:48take one of them or i'll take two um so
- 52:51unfortunately what we know is that like
- 52:52the police forces
- 52:54the police force like people are
- 52:56socialized into treating individuals
- 52:58frankly like the war criminals like
- 53:01they're actually
- 53:02uh folks who are engaged and bored that
- 53:04is a change in our police system um
- 53:08so
- 53:09there are differences among police
- 53:11officers and how
- 53:13in the level of
- 53:16care which i was saying support that
- 53:18uh community members experience women
- 53:22more empathetic than
- 53:23than men
- 53:25there is evidence that uh when you are
- 53:28in a community where you're sharing the
- 53:30same race particularly folks who are in
- 53:31disadvantaged communities that there are
- 53:32better relations but what i would say
- 53:35better relations meaning you're not
- 53:36going to be scared to please so much but
- 53:38it almost never changes that feedback it
- 53:41doesn't necessarily change the impact of
- 53:43actual police violence on uh
- 53:46criminal criminalization rates or
- 53:48incarceration because the police are
- 53:50doing they're there to do one thing and
- 53:52they can make you feel better about what
- 53:54they're doing but they don't they're not
- 53:56going to stop doing what they're they
- 53:57were trained to do
- 53:59um
- 53:59and so i do think that we should have
- 54:02more we have to have you actually have
- 54:03to have a more diverse police force
- 54:05unless you want to keep on having all
- 54:06these riots all over the place and these
- 54:07unrest in these protests if you don't
- 54:09actually respect the needs and the
- 54:11voices of community members you have
- 54:13problems and they're not gonna they're
- 54:15not gonna just go away because it's the
- 54:16quote-unquote law because that's what we
- 54:18do every day we challenge the things
- 54:20around us if you're here and you're
- 54:21growing that means you're saying
- 54:22something is different that that isn't
- 54:24different right something we know is
- 54:26working
- 54:27it's actually not working so what are
- 54:28you going to do about you're going to
- 54:29just sit home and not do anything and
- 54:30say i think i like the world as it is
- 54:32you don't like the world as it is
- 54:34so you should adapt to the needs of the
- 54:35community and i think as the criminal
- 54:37ecosystem does that uh the these these
- 54:40marginal
- 54:41marginalized communities will have a
- 54:42better
- 54:43um say in what's going on but in the end
- 54:46violence is violence
- 54:48and you know in some sense it actually
- 54:50doesn't matter what the perpetra the
- 54:52perpetuator of the violence is but what
- 54:54makes it kind of really uncomfortable is
- 54:56when the perpetrator is the person
- 54:58that's supposed to be protecting you
- 54:59that's state-sanctioned violence
- 55:01um
- 55:03and that's the difference that we're
- 55:04starting to make that violence is true
- 55:06but there are forms of violence that
- 55:08have impacts that are far beyond is
- 55:10actually i'm pushing back into health
- 55:12outcomes
- 55:13they're far beyond health outcomes you
- 55:15see a health camp outcome now people die
- 55:17okay we live so many years so those
- 55:20health counts are now you need to
- 55:22actually be starting to think about the
- 55:23health of the community
- 55:25in a structural level which is
- 55:26generation to generation so i'm going to
- 55:28be more concerned about how these
- 55:30generations of frankly death are linking
- 55:33or leaning are linking on to each other
- 55:36and reinforcing each other rather than
- 55:38someone um in their own life
- 55:42and that that generational part is going
- 55:45to explain why people are having
- 55:47problems now
- 55:51so another question kind of related to
- 55:53health outcomes uh first do you do any
- 55:55research on black maternal infant
- 55:57mortality and morbidity and then
- 55:58secondarily
- 56:00do you have any suggestions about
- 56:01reducing uh these sorts of outcomes
- 56:04yeah so i have a couple of students who
- 56:06are doing that work we we've started to
- 56:08for me it wasn't my uh form of interest
- 56:10but there are students that i work with
- 56:12who are very interested in maternal
- 56:14health and infant mortality and that
- 56:16relationship is also quite scary i mean
- 56:19did we do
- 56:20many studies and actually now um
- 56:22different kind you like there's one in
- 56:24atlanta there's a study out in new york
- 56:26and dc and seattle that shows that when
- 56:28folks are are when mothers are not
- 56:30getting um the care they need um when
- 56:33they're not
- 56:35able to rest frankly during pregnancy
- 56:38pregnancy isn't work okay let's just be
- 56:40clear about that when they're not able
- 56:42to have a place of rest because the
- 56:43environment itself is is a violent place
- 56:45like they're going to have problems and
- 56:46if those places that they're in have
- 56:49these longer lines of redlining and a
- 56:52resource extraction of covenants and so
- 56:53on so forth it's a really it's almost
- 56:56like i call it it's a death cycle um so
- 56:58before you even get to life you get
- 57:00death and then when you're in the life
- 57:01there's death and then
- 57:02there's death and dealing with the life
- 57:04you know black mothers right they're the
- 57:05ones burying their their kids they're
- 57:07burying their kids um and it hurts them
- 57:10the sisters are burying their fathers it
- 57:11hurts them um and we see that you know
- 57:13erica garner is one of
- 57:16renee randall's others they they were
- 57:17burying their kids you know and that it
- 57:19just it just it just breaks them down
- 57:22um
- 57:23so i think this last paper that came out
- 57:25on lethal lethal surveillance is i would
- 57:27say one of
- 57:28um a really insightful one where where
- 57:31do you where do you reduce it
- 57:33if i had if i'm you're talking about now
- 57:35organs the circulatory system
- 57:38right the hearts lungs blood institute
- 57:40like this is where you if you want it to
- 57:42ever be able to shield off these
- 57:45problems you're going to have to figure
- 57:47out how to disentangle
- 57:49uh the trauma of the life from how the
- 57:52body is responding to it not just and
- 57:54not your your toes are very important
- 57:57you're not saying your toes are not
- 57:58important but what it really matters is
- 57:59that blood force right right there in
- 58:01the middle and um that i call it this is
- 58:04the heart blood it's uh it's a heart
- 58:06root and we think about root systems
- 58:08when we think about trees and most
- 58:10people say it's you know bad apple good
- 58:11apple and roots don't really work like
- 58:13that you know roots are actually
- 58:14themselves trees they actually have many
- 58:17different things that they spot off some
- 58:18of when you've seen them and some of
- 58:20them you don't and each of these root
- 58:22systems they have their own blood force
- 58:24that's reading them so it's not a seed
- 58:27itself is a heart right
- 58:30okay
- 58:31um
- 58:32i do think you have to go there and it
- 58:33can't be just so specific of actually
- 58:36the heart itself because that's the
- 58:37point of the heart it's a circulatory
- 58:39system that goes everywhere in the body
- 58:40if it didn't we wouldn't have limbs we
- 58:42wouldn't have toes and hands and stuff
- 58:48this
- 58:49is this what time are we on this i think
- 58:51this might be our last question i'll hit
- 58:52it though uh what can be done to reshape
- 58:54the schooling systems on external and
- 58:56internal levels and how effective would
- 58:58these changes be to this mental
- 58:59institution racism well we need to start
- 59:01allowing people to uh read banned books
- 59:04you know like super we have very basic
- 59:06things we need to do with it's not
- 59:07necessarily educating people to if it's
- 59:09right or wrong i would like people to
- 59:11think a little more carefully about how
- 59:13you're going to deal with the
- 59:14information you've already had
- 59:16because that was what school is doing is
- 59:18teaching you how what things used to be
- 59:20but what school should be is teaching on
- 59:23how to find out new things and process
- 59:25that information i think if the
- 59:27technology we have now is in that realm
- 59:29is going to allow more of the kind of um
- 59:32kind of constructive and creative ways
- 59:34of engaging the world um but in the end
- 59:37we have a schooling system that is under
- 59:39resource
- 59:40structurally okay if we paid our
- 59:42teachers if we paid our nurses as much
- 59:45as we pay a heart surgeon we actually
- 59:47probably would have better schools so if
- 59:49i had to if i had to do one thing i'd
- 59:51say you know pay pay pay i'm saying
- 59:54listen if you want to change something
- 59:55invest in the things that actually work
- 59:56to change it so if you want to change
- 59:58your school system pay these people
- 1:00:01don't burn them out for nine months and
- 1:00:02then say man figure it out rest over the
- 1:00:04summertime don't give them the money
- 1:00:05that they deserve give them money that
- 1:00:06your children deserve how about that
- 1:00:12thank you so much dr sewell and thank
- 1:00:14you all for
- 1:00:15joining us for this conversation
- 1:00:19thank you
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