1 | 1 | | III |
---|
2 | 2 | | 119THCONGRESS |
---|
3 | 3 | | 1 |
---|
4 | 4 | | STSESSION S. RES. 67 |
---|
5 | 5 | | Declaring racism a public health crisis. |
---|
6 | 6 | | IN THE SENATE OF THE UNITED STATES |
---|
7 | 7 | | FEBRUARY6 (legislative day, FEBRUARY5), 2025 |
---|
8 | 8 | | Mr. B |
---|
9 | 9 | | OOKER(for himself, Mr. PADILLA, Ms. HIRONO, Mr. BLUMENTHAL, Mr. |
---|
10 | 10 | | K |
---|
11 | 11 | | IM, Ms. BALDWIN, and Mr. WYDEN) submitted the following resolution; |
---|
12 | 12 | | which was referred to the Committee on Health, Education, Labor, and |
---|
13 | 13 | | Pensions |
---|
14 | 14 | | RESOLUTION |
---|
15 | 15 | | Declaring racism a public health crisis. |
---|
16 | 16 | | Whereas a public health crisis is an issue— |
---|
17 | 17 | | (1) that affects many people, is a threat to the pub- |
---|
18 | 18 | | lic, and is ongoing; |
---|
19 | 19 | | (2) that is unfairly distributed among different pop- |
---|
20 | 20 | | ulations, disproportionately impacting health outcomes, |
---|
21 | 21 | | access to health care, and life expectancy; |
---|
22 | 22 | | (3) the effects of which could be reduced by preven- |
---|
23 | 23 | | tive measures; and |
---|
24 | 24 | | (4) for which those preventive measures are not yet |
---|
25 | 25 | | in place; |
---|
26 | 26 | | Whereas public health experts agree that significant racial in- |
---|
27 | 27 | | equities exist in the prevalence, severity, and mortality |
---|
28 | 28 | | rates of various health conditions in the United States; |
---|
29 | 29 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
30 | 30 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
---|
31 | 31 | | •SRES 67 IS |
---|
32 | 32 | | Whereas examples of significant racial inequities include |
---|
33 | 33 | | that— |
---|
34 | 34 | | (1) life expectancies for Black, American Indian, |
---|
35 | 35 | | and Alaska Native people in the United States are 4 to |
---|
36 | 36 | | 10 years lower than those of non-Hispanic White people |
---|
37 | 37 | | in the United States; |
---|
38 | 38 | | (2) Black, American Indian, and Alaska Native |
---|
39 | 39 | | women are 2 to 4 times more likely than White women |
---|
40 | 40 | | to suffer severe maternal morbidity and have the highest |
---|
41 | 41 | | rates of pregnancy-related mortality; |
---|
42 | 42 | | (3) Black, Native Hawaiian, Pacific Islander, Amer- |
---|
43 | 43 | | ican Indian, and Alaska Native infants are 2 |
---|
44 | 44 | | 1 |
---|
45 | 45 | | ⁄2to 3 |
---|
46 | 46 | | times more likely to die than White infants; |
---|
47 | 47 | | (4) the Black infant mortality rate in the United |
---|
48 | 48 | | States is higher than the infant mortality rates recorded |
---|
49 | 49 | | in 27 of the 36 democratic countries with market-based |
---|
50 | 50 | | economies that are members of the Organization for Eco- |
---|
51 | 51 | | nomic Co-operation and Development; |
---|
52 | 52 | | (5) Hispanic women have a 51 percent higher inci- |
---|
53 | 53 | | dence, and are 30 percent more likely to die from, cer- |
---|
54 | 54 | | vical cancer compared to non-Hispanic White women; |
---|
55 | 55 | | (6) Asian Americans are the only racial group in the |
---|
56 | 56 | | United States who experience cancer as the leading cause |
---|
57 | 57 | | of death and have the highest rates of lung cancer among |
---|
58 | 58 | | never-smoking women; |
---|
59 | 59 | | (7) Native Hawaiians and Pacific Islanders are 2.5- |
---|
60 | 60 | | times more likely to die from diabetes than non-Hispanic |
---|
61 | 61 | | White women; |
---|
62 | 62 | | (8) Native Hawaiians suffer from coronary heart |
---|
63 | 63 | | disease, stroke, heart failure, cancer, and diabetes at a 3 |
---|
64 | 64 | | times greater rate than other ethnic populations in Ha- |
---|
65 | 65 | | waii, and become afflicted with those diseases a decade |
---|
66 | 66 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
67 | 67 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
---|
68 | 68 | | •SRES 67 IS |
---|
69 | 69 | | earlier in their lives compared with other ethnic popu- |
---|
70 | 70 | | lations; and |
---|
71 | 71 | | (9) during the COVID–19 pandemic, Black, His- |
---|
72 | 72 | | panic or Latino, Asian American, Native Hawaiian, Pa- |
---|
73 | 73 | | cific Islander, and Native American communities experi- |
---|
74 | 74 | | enced disproportionately high rates of COVID–19 infec- |
---|
75 | 75 | | tion, hospitalization, and mortality compared to the |
---|
76 | 76 | | White population of the United States; |
---|
77 | 77 | | Whereas inequities in health outcomes are exacerbated for |
---|
78 | 78 | | people of color who are LGBTQIA+; |
---|
79 | 79 | | Whereas inequities in health outcomes are exacerbated for |
---|
80 | 80 | | people of color who have disabilities; |
---|
81 | 81 | | Whereas, historically, explanations for health inequities have |
---|
82 | 82 | | focused on false genetic science, such as eugenics; |
---|
83 | 83 | | Whereas, historically, explanations for health inequities have |
---|
84 | 84 | | focused on incomplete social scientific analyses that nar- |
---|
85 | 85 | | rowly focus on individual behavior to highlight ostensible |
---|
86 | 86 | | deficiencies within racial and ethnic minority groups; |
---|
87 | 87 | | Whereas modern public health officials recognize the broader |
---|
88 | 88 | | social context in which health inequities emerge and ac- |
---|
89 | 89 | | knowledge the impact of historical and contemporary rac- |
---|
90 | 90 | | ism on health; |
---|
91 | 91 | | Whereas racism is recognized in modern public health dis- |
---|
92 | 92 | | course as 1 of many social determinants of health, |
---|
93 | 93 | | which— |
---|
94 | 94 | | (1) are a broad range of nonmedical factors that can |
---|
95 | 95 | | enhance or hinder quality of life and influence health out- |
---|
96 | 96 | | comes; |
---|
97 | 97 | | (2) are the conditions in which people are born, |
---|
98 | 98 | | grow, work, live, and age, and include the wider set of |
---|
99 | 99 | | forces and systems shaping the conditions of daily life; |
---|
100 | 100 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
101 | 101 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
---|
102 | 102 | | •SRES 67 IS |
---|
103 | 103 | | (3) include factors such as housing, employment, |
---|
104 | 104 | | education, health care, food, transportation, social sup- |
---|
105 | 105 | | port, poverty, crime, violence, segregation, and environ- |
---|
106 | 106 | | mental toxins; |
---|
107 | 107 | | (4) are linked to a lack of opportunity and resources |
---|
108 | 108 | | to protect, improve, and maintain health; and |
---|
109 | 109 | | (5) taken together, create health inequities that stem |
---|
110 | 110 | | from unfair and unjust systems, policies, and practices, |
---|
111 | 111 | | and limit access to the opportunities and resources need- |
---|
112 | 112 | | ed to live the healthiest life possible; |
---|
113 | 113 | | Whereas, since its founding, the United States has had a |
---|
114 | 114 | | longstanding history and legacy of racism, mistreatment, |
---|
115 | 115 | | and discrimination that has perpetuated health inequities |
---|
116 | 116 | | for members of racial and ethnic minority groups; |
---|
117 | 117 | | Whereas that history and legacy of racism, mistreatment, and |
---|
118 | 118 | | discrimination includes— |
---|
119 | 119 | | (1) the immoral paradox of freedom and slavery, |
---|
120 | 120 | | which is an atrocity that can be traced throughout the |
---|
121 | 121 | | history of the United States, as African Americans lived |
---|
122 | 122 | | under the oppressive institution of slavery from 1619 |
---|
123 | 123 | | through 1865, endured the practices and laws of segrega- |
---|
124 | 124 | | tion during the Jim Crow era, and continue to face the |
---|
125 | 125 | | ramifications of systemic racism through unjust and dis- |
---|
126 | 126 | | criminatory structures and policies; |
---|
127 | 127 | | (2) the failure of the United States to carry out the |
---|
128 | 128 | | responsibilities and promises made in more than 370 |
---|
129 | 129 | | treaties ratified with sovereign indigenous communities, |
---|
130 | 130 | | including American Indians, Alaska Natives, Native Ha- |
---|
131 | 131 | | waiians, and Pacific Islanders, as made evident by the |
---|
132 | 132 | | chronic and pervasive underfunding of the Indian Health |
---|
133 | 133 | | Service and Native Hawaiian health care, the vast health |
---|
134 | 134 | | and socioeconomic inequities faced by American Indian |
---|
135 | 135 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
136 | 136 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 |
---|
137 | 137 | | •SRES 67 IS |
---|
138 | 138 | | and Alaska Native people, and the inaccessibility of many |
---|
139 | 139 | | Federal public health and social programs in Native |
---|
140 | 140 | | American communities; |
---|
141 | 141 | | (3) the enactment of immigration laws in the United |
---|
142 | 142 | | States that scapegoated Asians, separated families, and |
---|
143 | 143 | | branded Asians as perpetual outsiders, such as— |
---|
144 | 144 | | (A) the Act entitled ‘‘An Act supplementary to |
---|
145 | 145 | | the Acts in relation to immigration’’, approved |
---|
146 | 146 | | March 3, 1875 (commonly known as the ‘‘Page Act |
---|
147 | 147 | | of 1875’’) (18 Stat. 477, chapter 141), which effec- |
---|
148 | 148 | | tively prohibited the entry of East Asian women into |
---|
149 | 149 | | the United States; |
---|
150 | 150 | | (B) the Act entitled ‘‘An Act to execute certain |
---|
151 | 151 | | treaty stipulations relating to Chinese’’, approved |
---|
152 | 152 | | May 6, 1882 (commonly known as the ‘‘Chinese Ex- |
---|
153 | 153 | | clusion Act’’) (22 Stat. 58, chapter 126), which |
---|
154 | 154 | | banned thousands of Chinese-born laborers, who |
---|
155 | 155 | | were essential in the completion of the trans- |
---|
156 | 156 | | continental railroad and development of the West |
---|
157 | 157 | | Coast of the United States; and |
---|
158 | 158 | | (C) the Act entitled ‘‘An Act to regulate the im- |
---|
159 | 159 | | migration of aliens to, and the residence of aliens in, |
---|
160 | 160 | | the United States’’, approved February 5, 1917 |
---|
161 | 161 | | (commonly known as the ‘‘Immigration Act of |
---|
162 | 162 | | 1917’’) (39 Stat. 874, chapter 29), which barred all |
---|
163 | 163 | | immigrants from the ‘‘Asiatic zone’’ and prevented |
---|
164 | 164 | | the migration of individuals from South Asia, South- |
---|
165 | 165 | | east Asia, and East Asia; |
---|
166 | 166 | | (4) during the Great Depression Era, the deporta- |
---|
167 | 167 | | tion of approximately 1,800,000 individuals based on |
---|
168 | 168 | | their Mexican ethnic identity, although approximately 60 |
---|
169 | 169 | | percent of the deported individuals were citizens of the |
---|
170 | 170 | | United States, and the targeting of individuals of Mexi- |
---|
171 | 171 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
172 | 172 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 |
---|
173 | 173 | | •SRES 67 IS |
---|
174 | 174 | | can descent for ‘‘repatriation’’ due to scapegoating ef- |
---|
175 | 175 | | forts, which blamed those individuals for ‘‘stealing’’ jobs |
---|
176 | 176 | | from ‘‘real’’ Americans; and |
---|
177 | 177 | | (5) in 1942, the issuance of Executive Order 9066 |
---|
178 | 178 | | which began the forced evacuation and detention of Japa- |
---|
179 | 179 | | nese American West Coast residents, placing 70,000 citi- |
---|
180 | 180 | | zens of the United States into ‘‘relocation centers’’; |
---|
181 | 181 | | Whereas, in 1967, President Lyndon B. Johnson established |
---|
182 | 182 | | the National Advisory Commission on Civil Disorders, |
---|
183 | 183 | | which concluded that White racism is responsible for the |
---|
184 | 184 | | pervasive discrimination and segregation in employment, |
---|
185 | 185 | | education, and housing, causing deepened racial division |
---|
186 | 186 | | and the continued exclusion of Black communities from |
---|
187 | 187 | | the benefits of economic progress; |
---|
188 | 188 | | Whereas overt racism was embedded in the development of |
---|
189 | 189 | | medical science and medical training during the 18th, |
---|
190 | 190 | | 19th, and 20th centuries, causing disproportionate phys- |
---|
191 | 191 | | ical and psychological harm to members of racial and |
---|
192 | 192 | | ethnic minority groups, including— |
---|
193 | 193 | | (1) the unethical practices and abuses experienced |
---|
194 | 194 | | by Black patients and research participants, such as the |
---|
195 | 195 | | Tuskegee Study of Untreated Syphilis in the Negro Male, |
---|
196 | 196 | | which serve as the foundation for the mistrust the Black |
---|
197 | 197 | | community has for the medical system; and |
---|
198 | 198 | | (2) the egregiously unethical and cruel treatment of |
---|
199 | 199 | | enslaved Black women who were forced to be the subject |
---|
200 | 200 | | of insidious medical experiments to advance modern gyn- |
---|
201 | 201 | | ecology, including those perpetuated by the so-called ‘‘fa- |
---|
202 | 202 | | ther of gynecology’’, J. Marion Sims; |
---|
203 | 203 | | Whereas structural racism cemented historical racial and eth- |
---|
204 | 204 | | nic inequities in access to resources and opportunities, |
---|
205 | 205 | | contributing to worse health outcomes; |
---|
206 | 206 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
207 | 207 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 |
---|
208 | 208 | | •SRES 67 IS |
---|
209 | 209 | | Whereas examples of structural racism include— |
---|
210 | 210 | | (1) before the enactment of the Medicare program, |
---|
211 | 211 | | the United States health care system was highly seg- |
---|
212 | 212 | | regated, and, as late as the mid-1960s, hospitals, clinics, |
---|
213 | 213 | | and doctors’ offices throughout the northern and south- |
---|
214 | 214 | | ern United States complied with Jim Crow laws and were |
---|
215 | 215 | | completely segregated by race, leaving Black communities |
---|
216 | 216 | | with little to no access to health care services; |
---|
217 | 217 | | (2) the landmark case Simkins v. Moses H. Cone |
---|
218 | 218 | | Memorial Hospital, 323 F.2d 959 (4th Cir. 1963), which |
---|
219 | 219 | | challenged the use of public funds by the Federal Govern- |
---|
220 | 220 | | ment to expand, support, and sustain segregated hospital |
---|
221 | 221 | | care and provided justification for title VI of the Civil |
---|
222 | 222 | | Rights Act of 1964 (42 U.S.C. 2000d et seq.) and the |
---|
223 | 223 | | Medicare hospital certification program by establishing |
---|
224 | 224 | | Medicare hospital racial integration guidelines that ap- |
---|
225 | 225 | | plied to every hospital that participated in the Federal |
---|
226 | 226 | | program; |
---|
227 | 227 | | (3) that Pacific Islanders from the Freely Associated |
---|
228 | 228 | | States experience unique health inequities resulting from |
---|
229 | 229 | | United States nuclear weapons tests on their home is- |
---|
230 | 230 | | lands while they have been categorically denied access to |
---|
231 | 231 | | Medicaid and other Federal health benefits; |
---|
232 | 232 | | (4) that language minorities, including Spanish- |
---|
233 | 233 | | speaking, Chinese-speaking, and Tagalog-speaking people |
---|
234 | 234 | | in the United States, were not assured nondiscriminatory |
---|
235 | 235 | | access to federally funded services, including health serv- |
---|
236 | 236 | | ices, until the signing of Executive Order 13166 (42 |
---|
237 | 237 | | U.S.C. 2000d–1 note; relating to improving access to |
---|
238 | 238 | | services for persons with limited English proficiency) in |
---|
239 | 239 | | 2000; |
---|
240 | 240 | | (5) that the COVID–19 pandemic exacerbated eco- |
---|
241 | 241 | | nomic, health, housing, and food security barriers for |
---|
242 | 242 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
243 | 243 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 |
---|
244 | 244 | | •SRES 67 IS |
---|
245 | 245 | | Black, Hispanic or Latino, Asian American, Native Ha- |
---|
246 | 246 | | waiian, Pacific Islander, and Native American house- |
---|
247 | 247 | | holds, which already suffer from disproportionately high- |
---|
248 | 248 | | er rates of food insecurity; and |
---|
249 | 249 | | (6) that members of the Black, Native American, |
---|
250 | 250 | | Alaska Native, Asian American, Native Hawaiian, Pacific |
---|
251 | 251 | | Islander, and Hispanic or Latino communities are dis- |
---|
252 | 252 | | proportionately impacted by the criminal justice and im- |
---|
253 | 253 | | migration enforcement systems and face a higher risk of |
---|
254 | 254 | | contracting COVID–19 within prison populations and de- |
---|
255 | 255 | | tention centers due to the over-incarceration of members |
---|
256 | 256 | | of those communities; |
---|
257 | 257 | | Whereas subtle or implicit racism in all sectors of the medical |
---|
258 | 258 | | service profession continues to cause disproportionate |
---|
259 | 259 | | physical and psychological harm to members of racial and |
---|
260 | 260 | | ethnic minority groups; |
---|
261 | 261 | | Whereas examples of subtle or implicit racism in the medical |
---|
262 | 262 | | service profession include that— |
---|
263 | 263 | | (1) the history and persistence of racist and nonsci- |
---|
264 | 264 | | entific medical beliefs, which are associated with ongoing |
---|
265 | 265 | | racial inequities in treatment and health outcomes; |
---|
266 | 266 | | (2) implicit racial and ethnic biases within the |
---|
267 | 267 | | health care system, which have an explicit impact on the |
---|
268 | 268 | | quality of care experienced by members of racial and eth- |
---|
269 | 269 | | nic minority groups, such as the undertreatment of pain |
---|
270 | 270 | | in Black patients; |
---|
271 | 271 | | (3) nearly |
---|
272 | 272 | | 1 |
---|
273 | 273 | | ⁄5of Hispanic or Latino Americans avoid |
---|
274 | 274 | | medical care due to concern about being discriminated |
---|
275 | 275 | | against or treated poorly; |
---|
276 | 276 | | (4) the United States health care system and other |
---|
277 | 277 | | economic and social structures remain fraught with bi- |
---|
278 | 278 | | ases based on race, ethnicity, sex (including sexual ori- |
---|
279 | 279 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
280 | 280 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 9 |
---|
281 | 281 | | •SRES 67 IS |
---|
282 | 282 | | entation and gender identity), and class that lead to |
---|
283 | 283 | | health inequities; |
---|
284 | 284 | | (5) women of color, including Black, Native Amer- |
---|
285 | 285 | | ican, Hispanic or Latina, Asian American, Native Hawai- |
---|
286 | 286 | | ian, and Pacific Islander women, have faced and continue |
---|
287 | 287 | | to face attacks on their prenatal, maternal, and reproduc- |
---|
288 | 288 | | tive health and rights; and |
---|
289 | 289 | | (6) through the early 1980s, physicians routinely |
---|
290 | 290 | | sterilized members of racial and ethnic minority groups, |
---|
291 | 291 | | specifically American Indian and Alaska Native women |
---|
292 | 292 | | (with |
---|
293 | 293 | | 1 |
---|
294 | 294 | | ⁄4of childbearing-aged American Indian and Alas- |
---|
295 | 295 | | ka Native women being sterilized by the Indian Health |
---|
296 | 296 | | Service) and African-American and Latina women, per- |
---|
297 | 297 | | forming excessive and medically unnecessary procedures |
---|
298 | 298 | | without their informed consent; |
---|
299 | 299 | | Whereas structural racism perpetuates racial and ethnic in- |
---|
300 | 300 | | equities in the social determinants of health, which pro- |
---|
301 | 301 | | duces unintended negative health outcomes for members |
---|
302 | 302 | | of racial and ethnic minority groups; |
---|
303 | 303 | | Whereas examples of that structural racism include— |
---|
304 | 304 | | (1) that there are fewer pharmacies, medical prac- |
---|
305 | 305 | | tices, and hospitals in predominantly Black and Hispanic |
---|
306 | 306 | | or Latino neighborhoods, compared to White or more di- |
---|
307 | 307 | | verse neighborhoods; |
---|
308 | 308 | | (2) that environmental hazards, such as toxic waste |
---|
309 | 309 | | facilities, garbage dumps, and other sources of airborne |
---|
310 | 310 | | pollutants, are disproportionately located in predomi- |
---|
311 | 311 | | nantly Black, Hispanic or Latino, Asian American, Na- |
---|
312 | 312 | | tive Hawaiian, Pacific Islander, and low-income commu- |
---|
313 | 313 | | nities, resulting in poor air quality conditions, which can |
---|
314 | 314 | | increase the likelihood of chronic respiratory illness and |
---|
315 | 315 | | premature death from particle pollution; |
---|
316 | 316 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
317 | 317 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 10 |
---|
318 | 318 | | •SRES 67 IS |
---|
319 | 319 | | (3) that employed Black adults are 10 percent less |
---|
320 | 320 | | likely to have employer-sponsored health insurance than |
---|
321 | 321 | | employed White adults because of racial segregation in |
---|
322 | 322 | | occupation sectors and the types of organizations in |
---|
323 | 323 | | which they work; |
---|
324 | 324 | | (4) that 1 in 4 American Indian and Alaska Native |
---|
325 | 325 | | people lack health insurance and that Native Hawaiians, |
---|
326 | 326 | | Pacific Islanders, and certain groups of nonelderly Asian |
---|
327 | 327 | | American adults have lower levels of insurance than |
---|
328 | 328 | | White adults; |
---|
329 | 329 | | (5) that several States with higher percentages of |
---|
330 | 330 | | Black, Hispanic or Latino, American Indian, and Alaska |
---|
331 | 331 | | Native populations have not expanded their Medicaid pro- |
---|
332 | 332 | | grams, continuing to disenfranchise minority commu- |
---|
333 | 333 | | nities from access to health care as of the date of adop- |
---|
334 | 334 | | tion of this resolution; |
---|
335 | 335 | | (6) discriminatory housing practices, such as red- |
---|
336 | 336 | | lining, which have, for decades, systemically excluded |
---|
337 | 337 | | members of racial and ethnic minority groups from hous- |
---|
338 | 338 | | ing by robbing them of capital in the form of low-cost, |
---|
339 | 339 | | stable mortgages and opportunities to build wealth, and |
---|
340 | 340 | | the use of financial power by the Federal Government to |
---|
341 | 341 | | segregate renters in public housing; |
---|
342 | 342 | | (7) social inequities, such as differing access to qual- |
---|
343 | 343 | | ity health care, healthy food and safe drinking water, |
---|
344 | 344 | | safe and affordable neighborhoods, education, job secu- |
---|
345 | 345 | | rity, and reliable transportation, which affect health risks |
---|
346 | 346 | | and outcomes; |
---|
347 | 347 | | (8) exclusionary disciplinary practices (such as de- |
---|
348 | 348 | | tention and suspension) in primary education and even |
---|
349 | 349 | | early education settings, which disproportionately affect |
---|
350 | 350 | | children from racial and ethnic minority backgrounds, |
---|
351 | 351 | | particularly Black children; and |
---|
352 | 352 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
353 | 353 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 11 |
---|
354 | 354 | | •SRES 67 IS |
---|
355 | 355 | | (9) that, as much as 60 percent of the health of a |
---|
356 | 356 | | person in the United States can be determined by their |
---|
357 | 357 | | ZIP Code; |
---|
358 | 358 | | Whereas structural racism perpetuates ongoing knowledge |
---|
359 | 359 | | gaps in data, research, and development, which produces |
---|
360 | 360 | | unintended negative health outcomes for members of ra- |
---|
361 | 361 | | cial and ethnic minority groups; |
---|
362 | 362 | | Whereas examples of that structural racism include that— |
---|
363 | 363 | | (1) most participants in clinical trials are White, so |
---|
364 | 364 | | there is insufficient data to develop evidence-based rec- |
---|
365 | 365 | | ommendations for people from racial and ethnic minority |
---|
366 | 366 | | groups; |
---|
367 | 367 | | (2) medical research equipment and medical devices |
---|
368 | 368 | | are typically developed by majority-White teams and |
---|
369 | 369 | | therefore can have racial blind spots unintentionally built |
---|
370 | 370 | | into their design, rendering them less effective for people |
---|
371 | 371 | | from racial and ethnic minority groups, such as— |
---|
372 | 372 | | (A) electroencephalogram electrodes used in |
---|
373 | 373 | | neuroimaging research do not collect reliable data |
---|
374 | 374 | | when used on scalps with thick, curly hair; and |
---|
375 | 375 | | (B) pulse oximeters produce less accurate oxy- |
---|
376 | 376 | | gen saturation readings when used on fingertips |
---|
377 | 377 | | with darker skin; |
---|
378 | 378 | | (3) a lack of images depicting darker skin in medical |
---|
379 | 379 | | textbooks, literature, and journals contributes to higher |
---|
380 | 380 | | rates of underdiagnosis or misdiagnosis in patients with |
---|
381 | 381 | | darker skin; and |
---|
382 | 382 | | (4) many health-related studies fail to include data |
---|
383 | 383 | | on American Indians, Alaska Natives, Asian Americans, |
---|
384 | 384 | | Native Hawaiians, or Pacific Islanders, or do not |
---|
385 | 385 | | disaggregate data among those groups, leading to their |
---|
386 | 386 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
387 | 387 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 12 |
---|
388 | 388 | | •SRES 67 IS |
---|
389 | 389 | | invisibility in health data and unjust resource allocation |
---|
390 | 390 | | and policies; |
---|
391 | 391 | | Whereas racism produces unjust outcomes and treatment for |
---|
392 | 392 | | members of racial and ethnic minority groups, with such |
---|
393 | 393 | | negative experiences serving as stressors that over time |
---|
394 | 394 | | have a negative impact on physical health (leading, for |
---|
395 | 395 | | example, to high blood pressure or hypertension) and |
---|
396 | 396 | | mental health (leading, for example, to anxiety or depres- |
---|
397 | 397 | | sion); |
---|
398 | 398 | | Whereas there is evidence that racial and ethnic minority |
---|
399 | 399 | | groups continue to face discrimination in the United |
---|
400 | 400 | | States, examples of which include that— |
---|
401 | 401 | | (1) social scientists have documented racial micro- |
---|
402 | 402 | | aggressions in contemporary United States society, in- |
---|
403 | 403 | | cluding— |
---|
404 | 404 | | (A) assumptions that members of racial and |
---|
405 | 405 | | ethnic minority groups are not citizens of the United |
---|
406 | 406 | | States; |
---|
407 | 407 | | (B) assumptions of lesser intelligence; |
---|
408 | 408 | | (C) statements that convey color-blindness or |
---|
409 | 409 | | denial of the importance of race; |
---|
410 | 410 | | (D) assumptions of criminality or dangerous- |
---|
411 | 411 | | ness; |
---|
412 | 412 | | (E) denial of individual racism; |
---|
413 | 413 | | (F) promotion of the myth of meritocracy; |
---|
414 | 414 | | (G) assumptions that the cultural background |
---|
415 | 415 | | and communication styles of an individual are patho- |
---|
416 | 416 | | logical; |
---|
417 | 417 | | (H) treatment as a second-class citizen; and |
---|
418 | 418 | | (I) environmental messages of being unwelcome |
---|
419 | 419 | | or devalued; |
---|
420 | 420 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
421 | 421 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 13 |
---|
422 | 422 | | •SRES 67 IS |
---|
423 | 423 | | (2) compared to White Americans, Black Americans |
---|
424 | 424 | | are 5 times more likely to report experiencing discrimina- |
---|
425 | 425 | | tion when interacting with the police, Hispanic or Latino |
---|
426 | 426 | | Americans and Native Americans are nearly 3 times as |
---|
427 | 427 | | likely, and Asian Americans, Native Hawaiians, and Pa- |
---|
428 | 428 | | cific Islanders are nearly twice as likely; |
---|
429 | 429 | | (3) 42 percent of employees in the United States |
---|
430 | 430 | | have experienced or witnessed racism in the workplace; |
---|
431 | 431 | | (4) Muslims, South Asians, and Sikhs were unjustly |
---|
432 | 432 | | targeted for profiling, surveillance, arrest, discrimination, |
---|
433 | 433 | | harassment, assault, and murder after 9/11; |
---|
434 | 434 | | (5) xenophobic rhetoric, including anti-immigrant |
---|
435 | 435 | | rhetoric and the scapegoating of people of East Asian |
---|
436 | 436 | | and Southeast Asian descent for the COVID–19 pan- |
---|
437 | 437 | | demic, resulted in a surge of hate against Asian Ameri- |
---|
438 | 438 | | cans, Native Hawaiians, and Pacific Islanders, including |
---|
439 | 439 | | increased harassment, discrimination, bullying, van- |
---|
440 | 440 | | dalism, and assault; |
---|
441 | 441 | | (6) nearly |
---|
442 | 442 | | 1 |
---|
443 | 443 | | ⁄2of Asian Americans, Native Hawaiians, |
---|
444 | 444 | | and Pacific Islanders throughout the United States have |
---|
445 | 445 | | experienced discrimination or unfair treatment that may |
---|
446 | 446 | | be illegal and the majority of victims of discrimination |
---|
447 | 447 | | name race or related characteristics as the reason for the |
---|
448 | 448 | | discrimination; and |
---|
449 | 449 | | (7) more than 50 percent of Hispanic or Latino |
---|
450 | 450 | | adults experience at least 1 form of discrimination due to |
---|
451 | 451 | | their racial or ethnic heritage, such as being treated as |
---|
452 | 452 | | if they were not smart, criticized for speaking Spanish, |
---|
453 | 453 | | told to return to their country, called offensive names, or |
---|
454 | 454 | | unfairly stopped by the police; |
---|
455 | 455 | | Whereas Black people in the United States experience overt |
---|
456 | 456 | | and direct forms of violence that, when not fatal, can |
---|
457 | 457 | | cause severe physical or psychological harm; |
---|
458 | 458 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
459 | 459 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 14 |
---|
460 | 460 | | •SRES 67 IS |
---|
461 | 461 | | Whereas examples of such forms of violence include— |
---|
462 | 462 | | (1) that Black people are confronted and threatened |
---|
463 | 463 | | by armed citizens while performing everyday tasks, such |
---|
464 | 464 | | as jogging in neighborhoods, driving, or playing in a |
---|
465 | 465 | | park; |
---|
466 | 466 | | (2) that Black people are 3 times more likely to be |
---|
467 | 467 | | killed by police than White people, and police violence is |
---|
468 | 468 | | the sixth leading cause of death for young Black men; |
---|
469 | 469 | | (3) the killings of Tamir Rice, Ahmaud Arbery, |
---|
470 | 470 | | Breonna Taylor, George Floyd, Elijah McClain, Jayland |
---|
471 | 471 | | Walker, Jeenan Anderson, Timothy McCree Johnson, |
---|
472 | 472 | | Jordan Neely, and countless other Black Americans by |
---|
473 | 473 | | law enforcement; |
---|
474 | 474 | | (4) that it took the United States 66 years after the |
---|
475 | 475 | | senseless and brutal murder of 14-year-old Emmett Till |
---|
476 | 476 | | to make lynching a Federal crime; |
---|
477 | 477 | | (5) that, since 2015, mass shootings around the |
---|
478 | 478 | | country, such as in Buffalo, New York, and Charleston, |
---|
479 | 479 | | South Carolina, serve as reminders of the unresolved his- |
---|
480 | 480 | | tory of racism in the United States and highlight the |
---|
481 | 481 | | threats Black people must take into consideration when |
---|
482 | 482 | | going about their daily lives, both when outside their |
---|
483 | 483 | | communities and within those communities; and |
---|
484 | 484 | | (6) the threat of brutality and violence adversely im- |
---|
485 | 485 | | pacting mental health among Black communities; |
---|
486 | 486 | | Whereas American Indians and Alaska Natives experience |
---|
487 | 487 | | historical trauma, systemic oppression, and cultural geno- |
---|
488 | 488 | | cide that, even when not fatal, can cause severe physical |
---|
489 | 489 | | or psychological harm; |
---|
490 | 490 | | Whereas examples of such forms of violence include— |
---|
491 | 491 | | (1) forced relocation, termination, and assimilation |
---|
492 | 492 | | policies, such as boarding schools, that contributed to |
---|
493 | 493 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
494 | 494 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 15 |
---|
495 | 495 | | •SRES 67 IS |
---|
496 | 496 | | health disparities and legacies of trauma inflicted on in- |
---|
497 | 497 | | digenous people; |
---|
498 | 498 | | (2) the Army attempting cultural genocide by insti- |
---|
499 | 499 | | gating numerous massacres, including the mass execution |
---|
500 | 500 | | of 38 Dakota men in Minnesota, and the murder of 300 |
---|
501 | 501 | | Lakota people at the Battle of Wounded Knee, to eradi- |
---|
502 | 502 | | cate American Indians and Alaska Natives; |
---|
503 | 503 | | (3) murder being the third leading cause of death |
---|
504 | 504 | | for Native women, and |
---|
505 | 505 | | 4 |
---|
506 | 506 | | ⁄5of indigenous women experi- |
---|
507 | 507 | | encing violence in their lifetime; |
---|
508 | 508 | | (4) that, since 2016, there have been 5,712 cases of |
---|
509 | 509 | | missing and murdered indigenous women and people |
---|
510 | 510 | | across the United States, including 506 cases in 71 |
---|
511 | 511 | | urban cities and 153 cases missing from law enforcement |
---|
512 | 512 | | databases, with those missing cases likely undercounting |
---|
513 | 513 | | the actual number of cases due to the underreporting of |
---|
514 | 514 | | cases within American Indian and Alaska Native commu- |
---|
515 | 515 | | nities; |
---|
516 | 516 | | (5) that the overall death rate from suicide among |
---|
517 | 517 | | American Indians and Alaska Natives is 20 percent high- |
---|
518 | 518 | | er compared to non-Hispanic White populations; and |
---|
519 | 519 | | (6) cycles of violence that have overburdened indige- |
---|
520 | 520 | | nous communities to respond to increased levels of vio- |
---|
521 | 521 | | lence, including gender-based violence, human trafficking, |
---|
522 | 522 | | suicide, and homicide with minimal resources; |
---|
523 | 523 | | Whereas American Indian, Alaska Natives, Hispanics or |
---|
524 | 524 | | Latinos, Asian Americans, Native Hawaiians, and Pacific |
---|
525 | 525 | | Islanders experience racially motivated kidnapping, mur- |
---|
526 | 526 | | ders, and mass violence, such as shootings in Oak Creek, |
---|
527 | 527 | | Wisconsin, El Paso and Allen, Texas, Atlanta, Georgia, |
---|
528 | 528 | | and Indianapolis, Indiana, that, even when not fatal, can |
---|
529 | 529 | | cause severe physical or psychological harm; |
---|
530 | 530 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6300 E:\BILLS\SR67.IS SR67 |
---|
531 | 531 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 16 |
---|
532 | 532 | | •SRES 67 IS |
---|
533 | 533 | | Whereas, throughout the history of the United States, mem- |
---|
534 | 534 | | bers of racial and ethnic minority groups have been at |
---|
535 | 535 | | the forefront of civil rights movements for essential free- |
---|
536 | 536 | | doms, human rights, and equal protection for |
---|
537 | 537 | | marginalized groups and continue to fight for racial, en- |
---|
538 | 538 | | vironmental, and economic justice today; |
---|
539 | 539 | | Whereas racial inequities in health continue to persist be- |
---|
540 | 540 | | cause of historical and contemporary racism; |
---|
541 | 541 | | Whereas public health experts agree that racism meets the |
---|
542 | 542 | | criteria of a public health crisis because— |
---|
543 | 543 | | (1) the condition affects many people, is seen as a |
---|
544 | 544 | | threat to the public, and is continuing to increase; |
---|
545 | 545 | | (2) the condition is distributed unfairly; |
---|
546 | 546 | | (3) preventive measures could reduce the effects of |
---|
547 | 547 | | the condition; and |
---|
548 | 548 | | (4) those preventive measures are not yet in place; |
---|
549 | 549 | | Whereas the Centers for Disease Control and Prevention— |
---|
550 | 550 | | (1) declared racism a serious threat to public health; |
---|
551 | 551 | | and |
---|
552 | 552 | | (2) acknowledged the need for additional research |
---|
553 | 553 | | and investments to address that serious threat; |
---|
554 | 554 | | Whereas a Federal public health crisis declaration proclaims |
---|
555 | 555 | | racism as a pervasive health issue and alerts the people |
---|
556 | 556 | | of the United States to the need to enact immediate and |
---|
557 | 557 | | effective cross-governmental efforts to address the root |
---|
558 | 558 | | causes of structural racism and the downstream impacts |
---|
559 | 559 | | of that racism; and |
---|
560 | 560 | | Whereas such a declaration requires the response of govern- |
---|
561 | 561 | | ments to engage significant resources to empower the |
---|
562 | 562 | | communities that are impacted: Now, therefore, be it |
---|
563 | 563 | | Resolved, That the Senate— 1 |
---|
564 | 564 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\SR67.IS SR67 |
---|
565 | 565 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 17 |
---|
566 | 566 | | •SRES 67 IS |
---|
567 | 567 | | (1) supports the resolutions drafted, introduced, 1 |
---|
568 | 568 | | and adopted by cities and localities across the 2 |
---|
569 | 569 | | United States declaring racism a public health crisis; 3 |
---|
570 | 570 | | (2) declares racism a public health crisis in the 4 |
---|
571 | 571 | | United States; 5 |
---|
572 | 572 | | (3) commits to— 6 |
---|
573 | 573 | | (A) establishing a nationwide strategy to 7 |
---|
574 | 574 | | address health disparities and inequities across 8 |
---|
575 | 575 | | all sectors in society; 9 |
---|
576 | 576 | | (B) dismantling systemic practices and 10 |
---|
577 | 577 | | policies that perpetuate racism; 11 |
---|
578 | 578 | | (C) advancing reforms to address years of 12 |
---|
579 | 579 | | neglectful and apathetic policies that have led 13 |
---|
580 | 580 | | to poor health outcomes for members of racial 14 |
---|
581 | 581 | | and ethnic minority groups; and 15 |
---|
582 | 582 | | (D) promoting efforts to address the social 16 |
---|
583 | 583 | | determinants of health for all racial and ethnic 17 |
---|
584 | 584 | | minority groups in the United States; and 18 |
---|
585 | 585 | | (4) places a charge on the people of the United 19 |
---|
586 | 586 | | States to move forward with urgency to ensure that 20 |
---|
587 | 587 | | the United States stands firmly in honoring its 21 |
---|
588 | 588 | | moral purpose of advancing the self-evident truths 22 |
---|
589 | 589 | | that all people are created equal, that they are en-23 |
---|
590 | 590 | | dowed with certain unalienable rights, and that 24 |
---|
591 | 591 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\SR67.IS SR67 |
---|
592 | 592 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 18 |
---|
593 | 593 | | •SRES 67 IS |
---|
594 | 594 | | among these are life, liberty, and the pursuit of hap-1 |
---|
595 | 595 | | piness. 2 |
---|
596 | 596 | | Æ |
---|
597 | 597 | | VerDate Sep 11 2014 02:34 Feb 07, 2025 Jkt 059200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6301 E:\BILLS\SR67.IS SR67 |
---|
598 | 598 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
---|