interviews
Call It What It Is
by LaShyra Nolen
July 1, 2020
This interview with LaShyra Nolen, Harvard medical student, and the first Black woman to become class president, was conducted and condensed by franknews.
frank | You've written and spoken about your experience within a dual reality – of being both a medical student at Harvard, and a person committed to your own identity and equity.
LN | The dual reality is you're training at the best medical school in the world, but there is so much suffering going on in your community. And whatever knowledge you gain still isn't going to necessarily translate to the improvement of the condition of Black people. For example, I could go on to become the best surgeon in the world. I could save the life of a Black patient. But they can go outside, drive home, get stopped by a police officer, move too fast, and get killed.
That is the dual reality. You're learning, but you're not necessarily getting to the root cause of the suffering of your people.
You always have to think about it from both of those perspectives, that of a student and that of a Black person in America.
In addition, you go into class and you are expected to maintain professionalism. You are expected to just talk about the science and to talk about the assignment at hand – when that same morning you watched yet another police lynching of a Black man. You're trying to deal with those emotions, and you have no idea how it's going to be taken if you say, "Hey guys, I'm really not doing that well. Another Black man was killed. Racism is pervasive in our country and we're all complicit in it." It is a challenge that all Black professionals have. You have to walk in and put on this face, even though internally you are dealing with the turmoil and hurt of your community.
What does this moment feel like at Harvard, as a student?
As a medical student, I feel like I can speak out more than my mentors or faculty members who are more ingrained into the system of medicine. Academic medicine is very hierarchical. The higher up you go, the more you have your hands tied, and you can't speak as much truth because you're trying to move up to an associate professor position so that you can finally start to use your voice. I know that there's a risk that comes with speaking up, but I, personally, can no longer just pretend like everything's okay, and allow people to continue to suffer in silence. Even the most brilliant people have been complicit in racism, and some of them genuinely have never even thought about it.
They've grown up in a bubble, their entire lives, and all this is happening and they're just like,
"Oh my gosh, I'm a good person. I'm not racist." And you kind of have to be like, "No, but you really are though."
These brilliant people who are excellent in their field, are just now realizing they're complicit in this system.
Again, I am happy that's occurring, but I'm always just like, look how much it took for us to get here. NASCAR is just now removing the Confederate flag. Suddenly now I have Juneteenth popping up on my Google calendar. I'm like, what?
My classmates and professors have really been amazing actually. We are all from different backgrounds. Some are fourth-generation physicians, and some grew up on reservations and are bringing medicine to indigenous folks. All of them realize that the system needs to change, and they have been so supportive. Beyond just talking the talk and posting the black box on Instagram, they've been reaching out to me saying, “Here are the notes from class today. I got this recording for you because I know you've been putting in work on the advocacy front.” That's true allyship to me. I've really been pleasantly surprised and happy to see the support that I've gotten from my classmates.
There has been a widespread acknowledgment that COVID is affecting communities and people of color at much higher rates. I am curious if you think there has been an appropriate conversation around why that’s the case?
I think that in order to understand that we have to look at our history, and at policy. The original ill was, of course, chattel slavery. This country has not valued Black lives. The policy reflects that, and policy ties into our healthcare. That history of systemic discrimination is important to look at to examine the current landscape of COVID-19.
Redlining decided where people live in this country, and which communities our government and our local city councils were going to invest in. Black communities were not invested in. As a result, Black communities have not had access to the basic resources that they need to survive and thrive. They don't have access to healthy food. They don't have access to safe places to exercise. They are exposed to environmental pollution. They have less access to education. I mean, then you look at who is more likely to be an essential worker - Black people are overrepresented.
It doesn't end there. Once people get into the clinic, they have to deal with the biases and systemic racism in the hospital system. There are studies that have shown there are medical students and residents who still think that Black people have a higher pain tolerance.
We can take maternal mortality as an example of treatment differences. Black women, at all income levels, are dying disproportionately compared to white women. When they get to the hospital, doctors don’t believe their pain. I mean, it happened to Serena Williams. It is safer for Black women to not engage with the healthcare system because of the violence and harm it causes.
How do you think mistrust of the medical system compounded the COVID crisis?
I think it all comes back to this conversation of access, right? When COVID-19 first hit, the testing centers were predominantly located in affluent communities, and a lot of Black communities were left without access to testing. The lack of Black physicians and Black health care professionals means that when Black patients come in and say they have COVID-19 symptoms, they are less likely to get treatment compared to white people.
If you know there are no testing centers in your neighborhood, you know there is no representation in the hospital, and you know that you are going to be discriminated against once you walk in that door, you know your life is being devalued. That knowledge prevents Black people from seeking care from our healthcare system. With anecdotes of horror coming from your community, of course you are going to be nervous to trust the healthcare system.
What does a better understanding of investment into public health look like to you?
I think we need to turn all of the conversations that we've been having into public health initiatives. Racism was declared a public health emergency in Boston. That is the direction I think we should be moving in.
We need to move beyond equality to think about equity. We need to recognize that not everyone is on the same playing field. We need to truly make sure everyone's specific situation is taken into consideration. We do that by investing in those communities, and by looking at how we make sure they have access to good education, access to health care, access to housing, access to good food. Improving the conditions where people live, work, pray, play will improve their healthcare outcomes and our healthcare system.
Of course, we need things like the physical exam, but often patients go into that physical exam with preexisting chronic diseases caused by disparate suffering. Going as upstream as possible will lead to better healthcare outcomes and in the long run, improve healthcare costs. Even if investing in public health didn't improve healthcare costs, I still think that it's the moral thing to do. I think we're too driven by what's going to save money in our country. We need to do what's right.
Everyone deserves to have the basic resources they need, to live out a viable, joyous life. Right now we are doing nothing to guarantee that.
Someone said to me once, we’re too focused on raising the ceiling and not at all focused on raising the floor in the American healthcare system. Do you feel like this starts as a medical student?
I can definitely speak to that culture. As a medical student, I'm really passionate about community activism. I am passionate about making sure that everyone has access to healthcare, and ensuring that we're teaching medical students anti-racism so that they don't go out and further harm communities. I can spend two years doing that – serving on committees, writing up reports, and changing curriculum at my institution. But my peers who are spending the same time publishing papers on very specific proteins and disease processes might have a better chance at residency.
In medicine, you're not incentivized to do work that you don't get credit for. You always want to be able to publish, and activism isn't always publishable.
It has been the responsibility of Black students, students of color, and indigenous folks to improve their institution. They do the work so that they can thrive and survive, and so the next generation can do the same. But at the same time, they still have to do everything they have to do as a medical student to get to the next level. I'm literally trying to improve the very environment that I'm suffocating in, while also trying to handle everything else that medical students are expected to.
There was a letter early on from public health officials advocating for protest as it’s needed to fight racism within the healthcare system. Does that feel new or was it already a part of the conversation?
I think it's always been a part of the conversation for those who have been oppressed.
But that is what is special about this moment. We literally had a global pandemic that exposed the disparate suffering of Black people across the country, across the globe. And then on top of that, you have back to back to back killings of Black people. It's heartbreaking that it took this much for us to start having these conversations, but we are having them, and people can’t run away from them.
There are no distractions. We're not going to get anywhere if people don't name systemic racism for what it is.
We need to say Ahmaud Arbery. We need to say Breonna Taylor. We need to say their names, and we need to name the issue at large.
Big-name organizations are just finally starting to realize that this is something that they need to get on board with. It’s hard to know if it's really genuine or not. I think that people don't want to be on the wrong side of history. Regardless, learning is still happening. I'm very happy that anti-racism is becoming the status quo and that we are having these conversations. We need to continue to push the envelope to get people things they need to live a good life.
interviews
An Interview with Jeffrey Shumaker
by Max Moinian
May 31, 2018
Who are you and where are we?
My name is Jeffrey Shumaker and we are in Bryant Park by my office.
What’s your favorite privately-owned public (POP) space in Manhattan?
One of my favorites is Grace Plaza. It was recently renovated with an Amanda Burden touch: many types of seating, movable and fixed, and lots of planting. POPS can be controversial, viewed as privatizing public space. Unfortunately there are many POP’s I don’t like, built under the original rules which had virtually no design requirements whatsoever. These spaces need to serve the public, but we need somebody to own them, otherwise no one will take care of them. They’re often lost in limbo.
You mentioned Amanda Burden. What were her main goals that you aligned with during your time at the DCP?
I think the main thing she brought to the Department of City Planning and to the city was a pedestrian and human perspective. Even in the work we presented to her. They were otherwise generic diagrams about rezoning or changing a neighborhood. No surprise the community wouldn't understand what you were talking about. A lot of credit goes to Amanda and the Urban Design office in bringing the work down to the human, through sketching and clearly communicating intent on proposed changes. Not just from the air, from a helicopter view, but from the ground. That’s the vantage point that people live and experience the city from.
The intention is to make legible drawings. But does the act of drawing perspectives rather than plans change the design?
Absolutely. It definitely changes the design. It forces you to get into the qualities of things that only you as a person can really appreciate. When you draw from the air you’re focusing more on the roofs of buildings, mechanical, and other things. From the ground you start looking at use, transparency, materiality, street trees, the design of the sidewalk. All the things you wouldn’t see from above.
During your master’s at MIT, what was the urban crisis everyone was talking about?
That’s a good question. Compared to what’s happening in the world now, it was a relatively happy time. I worked with Dennis Frenchman on projects in China. I think the crisis was the rapid development of cities, and not necessarily in the best way.
What are some of your favorite planner jargons?
Resilience, sustainability, livability, equity. Not to say that they’re not important. With PlaNYC, the whole city was viewed through these lens and it was groundbreaking when it was first released in 2007. What I am saying is that
We should not be exclusive. You want people to understand the process so that they can advocate for better planning and design in their own communities.
Public realm is a good one. When you speak to communities often times they dont even understand what you’re talking about when you use the term “public realm.”
What’s the alternative?
Public life, public space, streets, parks -- call it what it is, what people can identify with.
Can you talk about autonomous vehicles (AV)?
Everything cycles back around. For example, street car designs might be useful for AV: the idea of dedicated zones to move efficiently. We’re looking at older streets to inform future ones. Maybe using different technologies now, but the design is essentially the same.
In this rendering, there’s no difference between the sidewalk and the road. There’s a kid on a scooter in front of a car. When you’re speculatively designing future streets, who is at the table and how is safety discussed?
Those renderings were very aspirational. There’s a big role for urban designers to play in preparing cities for this technology when it’s ready. There’s still a lot of work to do before we get to truly safe streets. And there’s always a risk that the technology may fail. But I think it’s important to be optimistic about what the future could be.
It’s a call to action.
Those renderings are part of a conversation we’ve been having with the City. To remind them that now is the time to lay the groundwork for this technology when it gets here.
Did the vision of a shared street start from another discipline? Is the car company telling you this is the vision?
It was very much internal. Based on my experience at the City and with DOT, but mostly internal. It was our idealized vision of what could be.
All of the major car companies have a research wing looking at the future city, showing nice images of pedestrian-friendly, smart cities. You have to wonder: what are they in it for? Are they sincere in wanting to make cities better for everybody? I think there’s a need for strong government and regulation to counter that.
I doubt you were talking about AV when you were in school. What do you think prepared you for this work?
Trends change, the terms we use change, but the fundamentals are the same. Fascinating to me now that I’m working internationally is that from the ground, cities are very similar. The character, design, and neighborhoods are different, and you celebrate those differences. But having places to sit, good sidewalks, plants, places of interest…that is everywhere.
Nanshan Center, by KPF
LVGEM Baishizhou Master Plan Shenzhen (c) KPF
Elements that every city needs, but is there a model that you can just drop on cities?
That’s a good question, and it’s a tough one. Good urban design principles may be basic to you and me, but sometimes it’s important to state the obvious.
What are the principles that carry over form public to private practice?
Certainly in this country, cities are fighting for every last dollar, and need to be smart about leveraging private development for the benefit of the public. New York has become an expert at this, for public space, subway improvements or waterfront access, there are many ways...
At the City, you can’t realize anything without the private sector. We depend on them for affordable housing, parks... But when you’re working for the City you’re a public servant. You are ultimately working for the public. In the private sector, you work for clients and you can only push things so far. But, no matter where you work, you are always trying to find a balance between doing what’s best for the private property owner and what is best for the city and the public.
Some people may think that government work is actually more restricted.
In a way, yes. There are many layers to it. A lot of the work we did was never shown publicly, it was really meant to keep the conversation going for us. Sometimes the City is your client, and that could be the best of both worlds. The smarter developers realize that generally what’s good for the city is good for the bottom line.
Planners have been repairing past mistakes. But now there’s a big shift into thinking about the future … I don't know if that existed as much before?
I haven't really thought of that. A lot of the work I was doing was essentially how do we bring a sense of urbanity back into places. Infilling surface parking, mixing uses… Now, given the challenges of climate change, technology, cities are just trying to keep up, let alone get ahead. It forces everybody to think differently, in more immediate and longer terms about where cities are going.
Is it cyclical? Or do we keep refining big waves?
Maybe the waves are getting smaller and faster. All the disruptive technologies are happening at a pace that cites can't keep up with. At least with the kind of zoning we have in New York, which is frankly old-fashioned.
Do you think there are too many rules?
Yes I do. The physical zoning resolution just keeps getting thicker and thicker. Its three very large volumes. We don't tend to take out, we just keep adding to it.
Was there a point where you shifted into thinking more about the future?
City agencies aren't necessarily known for being the most proactive or progressive, but the Bloomberg administration was different. The now famous Bloomberg pilot project: we don't have to change the rules to try it, and if it works, then we change the rules. A good example of this is micro-unit housing. We removed the minimum unit size requirement and held a design competition. Some very creative designs showed how outdated the rule was. Carmel Place was built and is very successful, and we ultimately changed the rule citywide.
What is going on in New York City right now?
I think the affordability crisis gives a sense of urgency that is understandable and warranted. There is a need to create lots of affordable housing fast. The rush is too fast for many neighborhoods. As much as everybody wants affordable housing, there is pushback. Anytime you talk about neighborhood change people get very defensive. Particularly when it’s their neighborhood. In theory everybody wants affordable housing and nobody wants to shut the door on newcomers.
But we’re at a tipping point: so many people want to be here, which shoots up prices. Even in East New York, the first neighborhood under the de Blasio administration to be rezoned. Investment was brought there for the first time in a very long time. And the minute the City announced its plans to rezone, speculators started buying and flipping property. Then you see the values go up, and up, and up. It’s a tough issue. Cities have gotten so expensive and exclusive. If people can’t afford to live here, what kind of city are you left with?
Are you a fan of infill development projects?
Yes. I think it achieves a lot of urban design goals. I think most would agree now that the tower in the park model was just anti-urban. It created campus conditions. You're either in it or you're not. And in talking to NYCHA residents and tenant associations over the years...there is a strong sense of us vs. them, people who live in the development vs. those who live outside. That’s not an urban position.
I understand the defensive nature against an infill proposal and the valid fear of losing one’s home, but the status quo is just not sustainable. Without more Federal money, NYCHA has to figure out how to generate income on its own. I think there's a way to do it that could keep everyone in place, probably even add affordable housing along with market rate units. Create better communities with less space -- better quality, not quantity. So they're not campuses. So they're part of the urban fabric.
Do you think there’s a need for more private planning firms?
Definitely. There are very few firms you could go to for planning and urban design that really get it. That understand and focus on the zone between the city and regional scale and the building scale. I think ultimately more firms and more competition is better for cities.