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
Waste To Energy
by Claire Arkin
February 28, 2019
This interview with Claire Arkin, Communications Coordinator for GAIA, was conducted and condensed by frank news.
GAIA is a worldwide alliance of more than 800 grassroots groups, non-governmental organizations, and individuals in over 90 countries whose ultimate vision is a just, toxic-free world without incineration.
Image via Claire Arkin, GAIA
Can you give us a baseline of the work you’re currently doing?
At the macro level view, the United States has 76 aging incinerators across the country that have been around since the '80's and '90's. They're on their last legs. A lot of them are notorious for being dirty, for emitting all kinds of toxic pollutants, and in addition they're also at the end of their lifespan. Cities are having to decide in the next couple years whether they're going to renew contracts with these facilities for another 30 years with toxic pollution, or go in a different direction, the direction that communities living close to these incinerators and have been polluted for decades want them to go in.
It's a really interesting fork in the road for a lot of these cities, including places like Detroit, Baltimore, Long Beach. In a lot of these places, folks really want clean, renewable energy, and they want to have a place at the table so that they can help steer the course of the city.
Listening to the community and trying to give the community access to resources to participate in change ties in the equity part of this conversation, for sure.
What's really interesting is that, in a lot of these places, we've seen similar proposals for new incinerators come into these communities andcommunity members have demanded that the land be used for renewable energy instead. There's a really great example of a 2014 trash, tire, and sludge incineration contract in Frederick, Maryland that was defeated. In December of last year the county just broke ground on its first solar project on the same land that was propositioned for an incinerator It's a great story about how these incinerator companies come into these communities and communities fight back and they end up not only sending these incinerator companies away, but then seeing these really incredible renewable energy projects in their wake.
What does that practical transition look like?
First of all is that incinerators are not only polluting, they're also incredibly energy inefficient, and in fact they emit carbon dioxide. They emit greenhouse gases. To consider them as renewable is a lie. And that's why it's so problematic that 23 states in the country legally classify incineration as renewable.
Going back to their energy alternatives, what happens when incinerators are included within the renewable portfolio standards of a state is that then real renewable energy, like solar and wind, have to compete directly with incinerators that emit greenhouse gases in order to gain traction. It's creating an unfair playing field for actionable renewable energy sources. By getting incineration out of states’ RPS standards, more subsidies can go to real green energy sources.
How do you approach people beyond those geographically linked to incinerators?
GAIA has memberships all over the country and the world, and our members vary from incinerator-impacted communities to organizations to individuals like researchers and academics. I think one of the big strengths of the GAIA network is that it holds people who come into this topic from all different ranges of vantage points and skill sets, and we create a space where these different members can interact with each other and share their information, share tactics, so a community that sees an incinerator proposal can counsel another community that's facing a similar proposal. We can provide a community with an expert who can talk about how incinerators emit these particular chemicals and how that affects human health. Our membership is really diverse and I think that that's one of our biggest strengths.
What do incinerator alternatives look like?
We look at it from a waste-reduction perspective, so incinerators lock in status quo waste generation.And so, basically, a city that has a contract with an incinerator has to provide a certain amount of waste for an incinerator to burn. You have to feed the beast as they say. The natural resources that need to be extracted to create the products that are then thrown in the garbage, that are then burned in the incinerator, cumulatively that's a lot of energy extraction through that whole lifecycle of these products that are being burned. And we just can't afford to continue to take natural resources, make products, and then burn these precious natural resources, enabling further extraction.
There are lots of places creating waste reduction programs, like the City of Baltimore is piloting composting programs that will divert food waste from the incinerator. That's a really good example. And there are other efforts that are underway to reduce plastic before it becomes waste in the first place. Berkeley is putting an ordinance in place that would lead to a sharp decrease in disposable packaging from restaurants and eateries.
What we're doing right now is working on a project with three incinerator-impacted communities that I think I mentioned before: Long Beach, Detroit, and Baltimore. All three are facing similar situations. All three cities are faced with these aging incinerators that have been polluting the surrounding communities for decades. In each of the three communities, the incinerator contract is running out in the next few years, and so they have a unique leverage point to convince their cities to go in a different direction. They all have really strong local campaigns that are pushing back against incineration and also seeding zero waste, community-driven solutions.
Whether that be a compost program in Baltimore or a a solar farm in Maryland, communities are building zero waste systems and trying to steer the city away from the cycle of burning into one of regeneration. We're working with these communities to create support systems, so that they have the information that they need to be able to bring to their city leaders on the impact of incinerators, the viability of the alternatives, and we're creating a platform for them to share their experiences and their expertise with one another. We want to tie these stories together in a national narrative that shows that cities are at a turningpoint and incinerators are holding cities back from energy democracy, from a zero waste society, where no community is disposable.
What information is critical for citizens to have in order to feel empowered within their municipalities?
A big part of how GAIA operates is that we go where the energy is and we take cues from the people who are actually doing the work on the ground because they really know best about what they need and they really have the wisdom to steer us in the right direction, and how we can best support. We've been connecting communities fighting incinerators with folks who are seeding zero-waste solutions in their cities, so that when they talk to their city council people they can show, "Hey, here is this piece of legislation that has reduced waste in part of the country that we could try, and here's this composting pilot program that has diverted X number of tons of waste from the incinerator, etc. " We also created a fact sheet that goes over the most egregious ways in which incinerators have polluted surrounding communities across the country that I'd be happy to share with you.
We're also looking into things like incinerator ash, so the material burned in the facility had this really toxic ash or sludge which has been landfilled, and that ash can contain a whole bunch of pollutants like mercury and other heavy metals and persistent organic pollutants like dioxins. The list goes on. And so that's a really powerful piece of information that a lot of city council people might not know about incinerators.
Our work is in supporting our members in their campaigns, so I think maybe the best thing to do would be for us to highlight a few really exciting things that are happening that our members are working on around the country because GAIA doesn't have campaigns in the way that Sierra Club, for example, has campaigns. We're decentralized in that we have a wide and diverse membership that's working on all sorts of good things. We're the hub that's connecting people to each other and making sure we're all aligned towards a common goal.