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It’s Time to Declare Racism a Public Health Issue

Urban Institute Nov 27, 2020
This article is deemed a must-read by one or more of our expert collaborators.
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It’s Time to Declare Racism a Public Health Issue
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Giving Compass' Take:

• Susan Nembhard and Krista White at Urban Institute argue that declaring racism a public health issue is an important step to begin healing trauma caused by centuries of systematic racism.

• How do strong diversity and inclusion practices play a role in addressing racial issues within internal structures of foundations?

• Here are 3 steps toward racial healing. 


The police killings of George Floyd, Breonna Taylor, Ahmaud Arbery, Tony McDade, and countless others this year underscore systemic racism’s detrimental role in our criminal justice system. And consistent with the pattern of long-existing health disparities, COVID-19 has disproportionately affected Black Americans. And last year, about 76 percent of Black Americans experienced racial discrimination.

Systemic racism has been baked into United States institutions, such as the criminal justice and health care systems, for years. To combat racism within our culture, many leaders are now arguing that to create meaningful change, society must view and address racism as a public health issue. What does the evidence suggest?

How is racism a public health issue?
The American Public Health Association names racism as a driving force behind social determinants of health—including housing, education, employment—and a barrier to attaining health equity. Evidence shows racism is the main determinant of disparities in death and disease between Black and white people. Further, Black people ages 18 to 34 have higher mortality rates for 8 of the 10 leading causes of death. And since 2014, research has shown that the life expectancy for Black Americans is four years shorter than the expectancy for white Americans. Health disparities cut across socioeconomic lines in Black communities, suggesting that even wealthy Black Americans experience worse health outcomes.

Violent victimization associated with racism has negative health consequences for Black people
Victimization can be especially traumatic for Black people because it is commonly associated with racism and related violence. The Center for Victim Research found that Black people are 1.5 to 2 times more likely to be victims of serious violence than white people.

Read the full article about racism as a public health issue by Susan Nembhard and Krista White at Urban Institute.

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Since you are interested in Public Health, have you read these selections from Giving Compass related to impact giving and Public Health?

  • This article is deemed a must-read by one or more of our expert collaborators.
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    Guide to Impact Investing in Health

    Giving Compass' Take: • Grantmakers In Health provide a PDF guide to impact investing in health to help investors direct their money effectively. • Is impacting investing right for you? What are the advantages of investing? • Read more about impact investing in the Giving Compass magazine. Grantmakers In Health’s 2011 GIH Guide to Impact Investing offered a framework to help funders think strategically about the potential of impact investing and move forward with investment strategies that could enhance achievement of their missions. It gave examples of nontraditional funding techniques and provided a framework for considering new types of investments. The report was grounded in the view that impact investment strategies offer funders tremendous power to shape, accelerate, and scale up desired results, and as such are an effective means of leveraging scarce resources. This update builds on the 2011 report with new information about the growth of the impact investment field, case studies of recent innovative investment techniques and projects, and an appendix on terminology, investment portfolio approaches, and strategies for financing impact investments. Since the term impact investing was first coined 10 years ago, the market for these investments has grown to about $60 billion. Projections estimate the impact investing market to be $400 billion to $1 trillion by 2020, and to be nearly $2 trillion in the long term (GIIN 2016). In the philanthropic sector, there are assets of nearly $800 billion that could theoretically be directed into impact investments. The basic principle of impact investing continues to ring true: through this approach, organizational assets can be effectively used to meet a social mission and serve people in need, while also achieving a financial return. These returns essentially recycle invested funds, which is an important difference from grants, which do not do so (GIIN 2016). Impact investments can be used as catalytic resources, to help provide a proof of concept, or to help scale up a project to the level of traditional investment. They are a demonstrated means for funding projects that might not otherwise receive sufficient capital through traditional grantmaking or market operations (GIH 2011). In the five years since GIH’s original report, knowledge and use of impact investing have spread significantly, and the strategy is no longer in its infancy. An increase in partnerships among sectors, including business, housing, philanthropy, and all levels of government, has accompanied growing recognition of the important role of collaboration for successful impact investments. There is still untapped room for growth, however. Because many potential investors are wary of perceived risks, the number of available transactions remains relatively small. A chief concern for many potential investors is that their investments will profit at the expense of communities. They see a risk that affected groups will not have a say in the development and execution of impact investments, and that impact will be defined by investors and entrepreneurs rather than by the people they are serving (Simon 2014). The case studies in this report illustrate strategies to address this concern. In addition, as a general principle, communities will be served more effectively if funders develop better methods for defining and measuring positive investment outcomes and involve community stakeholders in that process (Case Foundation 2014). Read the full PDF about impact investing in health at Grantmakers in Health.


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