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tv   The Stream 2019 Ep 24  Al Jazeera  February 12, 2019 11:32am-12:00pm +03

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says growing pressure to allow foreign aid into the country president nicolas maduro has blocked aid sent from the us saying it's being used as a political tool america's top diplomat has denied his country is attempting a cover up in the case of murdered saudi journalist. the secretary of state my pump aoa speaking in hungry at the start of his european tour he says the trumpet ministry should all work harder to ensure those responsible for the killing are punished but when a footballer had committed a b. is back in his adopted home of australia after spending two months in a bank called jail the footballer was arrested in november while on honeymoon in thailand he fled his country of origin and twenty four. wanted him to return to serve a ten year prison sentence for arson those are the headlines the stream is up next on al-jazeera. talk to al-jazeera. you personally one of the main beneficiaries is that the case listen if you want to
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be a solution but in new york that's not exactly my point we meet with global newsmakers and talk about the stories that matter just zero. i'm femi oke a and you're in the stream today it's not a news story but it's one that continues to astound why is maternal health in the united states so bad but take a look at the statistics the stories behind the numbers and the work that some are tirelessly doing to reverse the trite i'm really could be louder and this conversation is live on you tube where we welcome your questions and your comments for our guy well this is a show we've had a lot of feedback on already with people wanting to share their stories so here are just a couple. i knew the statistics of black woman and our maternal health i knew of the stories of black women dying in childbirth and it freaked me out when i became pregnant because i did not want to be
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a statistic i want every appointment with lots of questions i would ask everything i wanted to know and it didn't matter because five weeks before my due date my daughter decided to arrive early my birth plan was out the window. so i asked all the questions again in the hospital i found her doctor i would make notes because i knew that literally her life depended on my questions thankfully we left the nicu a week after her birth and were here healthy and happy eighteen months later i had a difficult pregnancy where i didn't feel like myself at all and i wasn't sure what was going on but i knew that i had to do something i later found out that i was suffering from congestive heart failure this made me realize how important it is for black women to have quality health insurance to ensure proper medical care prior to pregnancy to potentially save lives there's a lot to talk about today and with us onset brianna green is the director of
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operations and apparent natal community health worker at mama toto village in washington d.c. mama toto is a nonprofit organization that creates career pathways for women of color in public health and provides accessible perinatal support services and las vegas nevada dr joye a career perry is founder and president of the national birth equity collaborative she's also co-founder of black mamas matter and an obstetrician gynecologist and in atlanta georgia charles johnson the fourth is an improved maternal health advocate and founder of four hero for moms his wife karen johnson passed away in twenty sixteen and everybody it's good to have you here thank you so much for making the time i want to take you back. to nice ago in april and that's when kara and charles in the hospital and baby just being born and there is so much joy and happiness in the hospital have a look. hey
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glenn will you buy. it by just so this great. guy just like you say happy. that is one hundred some evil so that would have happened three years ago wolf coming april tell us what happened next. thank you so much and that video scope with the smile on my face. that was one of the happiest moment of our lives and it quickly turned into a nightmare so shortly after the liver by routine experience section they took us back to recovery and i mean they're soaking up all the pride of becoming
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a father the second time langston is just relaxing in the toaster with the incubator and here is resting i look down and the the catheter from your bedside. i brought the attention of the doctors in the staff of peter sinai medical center and they came in they ran tax including the blood work and a c.t. scan i was going to be that and. story short. they allowed cure the condition to the period first doctor from a spin hours before they finally security after surgery by our family and i advocated the baby pleaded with the staffer theater spa not going to take action and they kept on telling him well we'll just wait we'll just wait we're just. fine when they did take her back to surgery. would make finally over in iraq there were three and a half readers in her abdomen tears stopped immediately there was nothing they
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could do to say nothing they could do to save her don't do what you make of that you know the child and i have been together a few times and every time i hear it so i am always. saddened but i so i really appreciate that as a cd baby so the waiting for so is all of the failure of our health care system in general so listen to the mothers listen the five minutes in the by there since and my the way we find it over and over again from sabina williamson there is that a lot of times our patients are our family members and i listen to that hers and then that value that we really have to work as a community and at the fundraising think about why is that why don't we listen to and believe in what our faces and her family her thing. and this this occurred at cedar sinai which is a major you know hospital system in los angeles california here in the u.s. so keeping that in mind i wanted to bring up two perspectives here this is. that
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these stories remind this person that the element of class and affordability contribute a big deal to this imbalance we're seeing but he almost immediately got some pushback from someone who wrote in this is fair on twitter who says a black woman with a ph d. has a higher chance of dying during pregnancy childbirth or postpartum than a white woman who didn't graduate high school this disparity is not due to poverty or being more unhealthy it's in equity due to racism and discrimination on many levels who are we talking about here is there is there or is there a certain type of person is there a certain circumstance that they're in what does that look like i mean when we're talking about disparities with black mothers where yes ok income socioeconomic status they play a role but the secondary because at the end of the day black moms who are educated . have the same outcomes as moms who are not or have lower socio economic status so we're really looking at the structural issues that are repeated in all of these
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stories and all of these situations have similar. base backgrounds that end up impacting it so at the end of the day we had to address the racism and it has it's inherent within the system and that's what at the bottom line of it there's no other only balancing out all the other factors that's the bottom line so structural if you want to fight it going to. absolutely have to directly. cure. what would be. of what i feel a great bulk narrative associated with women that are dying in childbirth is that there seems to be somewhat of a big complex she must not have had access to care she must have had complication the baby might have been in distress she might who'd been in a community hospital and all would be mothers regardless of their socio economics
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economic status or background or question but a thing about keira story she defied every single one of the narrative she was exceptionally how she was diligent about her prenatal care she was it was supposed to be one of the best hospital now in the country with the world and it still didn't matter because she was spared to be seen and valued as human child so when we talk about a wembley on a sad start to a shuttle to anything you can jump in hand because when you're little to say you know in times of the ten if you can leave like in the last structural issues that codicil rankness m. and i think it's important for us to really tactically say that prevent them people think of it as an emotion or a moral assessment or as if someone calling someone a bad name and the same people do call people that names and it does happen that will be i think about racism we have a history of legacy in the united states and once the close of battling people face the funniest skin father in the fire that we have a higher giving the value based on skin color but that's codify that not only are
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policies like laws and procedures but even how we interact and how we treat people and so it's why you see if it's parity and equity even if some of my famous audi a three to four times the weight of the seven faces eight the wealth that is not because black women are not getting that it's effectively still up in a few cases it's vitally necessary it's about access and they are not the valuable or the human but in the sense that you would say knowledge some of the bleeding from the same data to show that those that did not take. and to that point it's not them the mother. you know job to. take care of herself or educate herself in a way that her providers inherently be doing you know so that it's not the mom's fault they're being blamed for things that are not their responsibility they should be going to these if it's been expecting that they're going to be receiving care that is of the utmost integrity and respect as any human would come into a hospital brianna i want to share the story with fantasia graham because it really
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emphasizes how horrific lack of k. can be when you're having a baby fantaisie a. national geographic. sprite in the national geographic spread they're looking at maternal deaths in baby steps in the u.s. and why they're so high this is fantaisie a story have a listen have a look i was in and out the hospital i was a lie. my dying. and i they just ignore me is that i you know when i checked their. you know ok go back home everything is fine. and i did down in my heart everything with not because my body was just given a lie so much for. i was among roma. you know you know ready for
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school and i just saw a lie and i knew that something was wrong and i thought oh my grandmother issues i go to the hospital like now when i got there. and they told me to hear a heartbeat brianna she knew something was wrong she knew her own body then what happened. she knew something was wrong and we i went with her several times to the hospital on those is this you saying she was sent back home and she was articulating to them something is not right. and not being a medical provider she couldn't say exactly wasn't right what wasn't right but she knew something wasn't correct and every day she was sent back and we went probably about four or five times that i went with her personally so. when she lost that baby at that visit she was actually alone when she went to that and she sat in the hospital waiting room for about three to four hours before someone actually called me to come and be with her and once i arrived there we sat for another several
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hours before someone even actually came out and spoke to her about what her next steps were going to be can you explain what those next steps were i will never forget what the next steps were so we went back to speak to the doctor and the doctor told her. it was the day before thanksgiving so they said you can either deliver your baby today. and the baby the baby had to have died inside of her yes ok so this is you can deliver this baby today by induction or if you want to go home and have thanksgiving tomorrow you can come back after the weekend and when they told her that she was she literally was dumbfounded why would you ask me something like that it just felt so. so so heartless it didn't take into consideration what she was feeling at that time when she was devastated and then that just added to her devastation so we did go on and she had that baby that same night so tough to hear and of course even tougher to have to live through our
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community is weighing in on that as well one person just wrote on you tube stand says they see her color and then they do not see us as human beings so it's that idea of being dehumanized here but i wanted to push on just a little bit to try to explain this from a medical perspective we got a video comment from the twin doctors and full disclosure one of those doctors is my brother in law and they sent a video about why they think this is how to listen. so i think a big part of the problem of poor people care and postnatal care for black and brown women has to do with the fact that we don't have universal health care we need universal health care to provide care i think the second issue is a social safety net we don't have the social safety net the last people to get to the doctor if you don't have a good doctor you can have some of the watch your children having health insurance is going to do it no access to care is certainly an issue for minorities but another issue is the fact that minorities are typically cared for by the majority
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and so you have issues of implicit bias and so what happens oftentimes with implicit biases majority healthcare providers when they look at minorities don't relate to them what that would really maan their sister their brother their neighbor and so oftentimes they're kind of put it when there is an emergency this developing and oftentimes they don't recognize that there's an emergency the need to be addressed don't becomes an urgent life threatening situation. so dr there when we talk about implicit bias bias here in the medical field when did you realize that this was a problem did you learn in school. what i tell the story when i was in school and it was in my mind that long ago and it's like thank you ninety's early two thousand i was taught that there were three races mongoloid. and this in this country where we've been teaching that didn't attic space the space to our position so that allows them to continue to believe in a higher value because that's what we didn't thought that really we could use to him and they could see thousands every year and so we said a lot of metaphor viruses still sleep good races good net a dynamic that means that when we say things like the spirit when they hear those
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words what they hear is of course you're going to hear words because you do that experience and that if you didn't expect a serious medical even that was a saying is embedded in how we provide care and embed it is that the implicit biases with every one of the clear people are treated not just based upon a feeling but the act of we not sometimes there are harmful because they explicitly believe that we are different so that is both implicit and explicit in what way different than different meaning that we are not genetically the same blackness in and of itself our skin is sick or we don't feel pain in the same way we must have higher rates so i'm sure you get time at the get higher rate than five percent of us have research that he's with other stuff and the broken about it and it's the same if we're all cynically the same in this thing that it's farming this is the thing that we're living inside of in this country and people come from africa or from the continent that us they have better. than african-americans or black people who've lived here for generations because once you've been here and living inside
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this system that treats us differently based upon our skin color you have the health impacts. but. i mean it just resonated with me what she was saying as far as the you know the outcomes of women who are living in this country who would expect to be able to have the benefits of being in america and yet still you know african-american women who have been here their entire lives are having horrible disparities there to people who are coming here and the great here . and there's this idea here that i want to bring up that based on what both of you are saying i want to get this you charles. writes in that there's a lack of black doctors doctors disbelief of what their black patients tell them blacks get less pain medication than whites healthcare system itself the maternal care desert in southeast d.c. not too far away from us here in the studio all contribute to the statistics health care is racist in the u.s. so this is one person's view there but charles i wanted to pick up on this idea of the disbelieving of what patients tell them because i know that that can then be
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internalized and then not wanting to seem pushy or like we know more than the doctor when we're trying to talk about a problem talk to us about your thoughts on that and what it felt like to know there was something wrong and not feel like you could speak up absolutely and so appreciate you guys. because i'll be transparent one of the things i want to me is actually a big night tomorrow what could i have done what should i have done differently and i asked my so maybe if i had been more vocal maybe if i had been more active maybe if i had grabbed a doctor by the collar. maybe if i had raised my voice maybe if i had made a scene maybe my wife would be here today but when i was in the moment and i was at the hospital advocating my wife my thought was that
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a black man i have to remain calm because if i'm seen as a threat and i get removed from the hospital who's going to be here advocating why and that really haunts me to be honest with you and it's a did difficult thing to think about if i was caucasian probably would have felt that i had the latitude to make a scene of my life the air. but you know what you are advocating now and i think that's really important because we have spent a big chunk of this discussion talking about the issues in the problems but you also know the solutions briana you are one of the solutions explain. a little village which is an organization that is working with at risk primarily women of color how many black women we are located in order seven of d.c. which for those who are not local is one of the most at risk areas in d.c. and so what we're doing is we're really on the ground trying to make changes within our community. by providing not just maternity support but we're also accessing
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their entire families supporting these families and identifying that the fact that a lot of our moms are having their outcomes not just solely based on their physical pregnancy but also the other factors that impact their lives food insecurity homelessness mental health issues environmental stresses and so it's also we train our workers to really address the whole woman all those issues that are affecting her in order to give her a better outcome i'm looking here at one of the post mama toto and looking here about building your home visitation skills you giving people that agency in order to be out to help other women who are expecting and a lot of a lot of women who are in our program who are working with these mothers were actually served as mothers prior to coming to our program and that's part of the beauty of this program it's not just accessing you know people who are not accessible to this community or familiar with the community but also bring people out of the community to come back and serve so it's the creation of services jenny
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here agrees that your work matters jennie's as midwives can mitigate the inherent risks of birthing while black and bearing the disproportionate burden of risks during pregnancy birth and postpartum and another member of our community here brings up the black mommas matter organization dr joy monica says community engagement and participating work is essential see the holistic care of these worker. she lifts she listed here to talk to us about that holistic care we met her alliance created among other midwives stealers and o.b. g.y.n. proceeded to take the results of black faces and it's really holistic care for mothers and what it looks like is what the place is like on the set of beliefs which is a part of the paper as well as in d.c. the center there is if the lead but the way everything are there has a birth center instead of think about having access. in a community that's usually marginalized it's important for us to have spaces that
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value. the data a way of looking at having to talk to him for the air that allows there's no lost or access care. or their insurance status and so the bill that's when the doctor said earlier that we have a country that doesn't have full access to health care basically we don't care essentially that have to have all those things that only are flexible and that in a sense the white women are going to decide we don't have access to all the social safety that the. wealthiest here should have and we use racism to you know it's invested in child m m d's i cany saying that maybe you didn't do enough but now you can see impacting so many more women full came a full mom's right hand on my laptop can you explain what it is that you advocating for and how you doing it. absolutely so this is an organization that we created to pay tribute to here of not only cure the tens of thousands of women that are
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impacted and have been impacted by this crisis so we're doing a couple things first and foremost working diligently with the help of programs like yours to raise the awareness of course this is been america's dirty little secret that we have this crisis going on in that we're working. toward legislation and policies that will make america a better safer place for mothers and babies and lastly working. in cooperation to create programs that will better serve all families but particularly mothers of color and one of the things i wanted to say and i have to say is that. people like but specifically briana and dr joy are are my she wrote right and what you heard from them is talk about a lot of the expertise that organizations like mama tell it to bring to the table and that black mommas matter i might mean that they will but one of the things i
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want to be clear that they bring to the table the next thing is they bring compassion and whether or not it's arena williams whether or not it's keira dixon. the thing across the board that we're finding at that somebody did not listen to these women and they didn't bring a level of compassion that is sorely lacking in our country and so for that i'm grateful. legislation would be remiss in this conversation without talking about legislation that passed not too long ago preventing maternal death act of twenty eighteen and you know my screen here not very pretty but it happened dr your thoughts on this great we've been trying to get a bill passed but it's been ten years that. we've been trying to get workers to count the number of deaths in the united states we have not been accurately counted in the kind of deaths and that's what you see are they. really do the dirty little secret and so this bill allows us to invest in counseling we're going to have and
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then really having robots interviews with family members and others to see what really happened if you look inside that. story this thing to charles about why this is the charles talked about the fact that in that moment in. that number that they could be going to deliberate will and they're having a baby there's a number of medical benefits they're going to ruin it on a person is never the baby it's important to them it's. thank you doll to say much of. sharing such a personal painful story really appreciate you being on the string today. the ending sentiment is this that we've seen several times from people online but song says it's difficult to understand that this is happening in the usa me everybody. for camera moms online also look at that. page for more details about all the organizations that may be out to help you if you want to make an imprint
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session of maternal health thanks so much for taking. rewind returns a care bring your people back to life from start with brand new updates on the best of al-jazeera documentaries live i was the focal for the us a. and the other student rewind continues with joseph's journey this is the stuff. this trouble continues book. from bob did. his distance rewind on al-jazeera. for nine hundred forty six to nine hundred fifty eight the united states detonated dozens of atomic bombs in the marshall islands when the u.s. was getting ready to clean up and leave in the one nine hundred seventy s. they picked the pit that had been left by one of the smaller atomic explosions and
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dumped a lot of this new tony and other radioactive waste into the pit the bottom of the dome it's permeable soil there was nowhere for to line it and therefore the sea water is inside the dome when this dome was built there was no factoring in sea level rises caused by climate change now every day when the tide rolls out radioactive isotopes from underneath the die roll out with it. really we're not talking just a marshall islands we're talking the whole sweep pushed. by a major dish every leaky new cycle going to see any sense breaking stories and then of course there's donald trump town through the eyes of the clouds jannah least that's right out of a hamas script that calls for the annihilation of israel that is not what that phrase means at all they're listening post as we turn the cameras on the media and
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focus on how they recruit on the story that matter the most in bad news a free palestine a listening post on al-jazeera. the trial of those who spearheaded an independence movement in catalonia is set to start in madrid. you're watching al-jazeera life from a headquarters and. also ahead. to say you know what building the lady with promises from donald try.

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