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Anti-Blackness, Abolition, and Criminal Justice: A Conversation with Dr. Emily Wang and Dr. Tracey Meares

July 27, 2020
  • 00:00So Hello Everybody, thank you so much
  • 00:04for joining us. Welcome to. A session
  • 00:07entitled Antiblackness abolition
  • 00:08and criminal justice conversation
  • 00:10with doctor Emily Wong,
  • 00:12an professor, Tracy Mirrors.
  • 00:15This talk will be followed by commentary
  • 00:17from Discussant Sidney cream.
  • 00:18My name is Anna Reesman.
  • 00:20I'm a professor of Medicine here
  • 00:22at Yale School of Medicine,
  • 00:23where I direct the program
  • 00:25for Humanities in Madison,
  • 00:26and I am absolutely thrilled to be Co
  • 00:29hosting again with my colleague and friend,
  • 00:31Doctor Helena Hanson,
  • 00:32who is associate professor of Psychiatry
  • 00:34an anthropology at New York University,
  • 00:36and for several years she has
  • 00:38been running the wonderful social
  • 00:40medicine in action series here
  • 00:41at Yale School of Medicine.
  • 00:45Tracy mirrors is the Walton
  • 00:46Hail Hamilton Professor and a
  • 00:48founding director of the justice
  • 00:50collaboratory at Yale Law School.
  • 00:51Before she came to yell,
  • 00:53she was a professor at the University
  • 00:55of Chicago Law School and she was
  • 00:58the first African American woman
  • 01:00granted tenure at both law schools.
  • 01:02She's a nationally recognized expert
  • 01:03on policing in urban communities,
  • 01:05and she has worked extensively with the
  • 01:08government, the federal government,
  • 01:09including being a member of
  • 01:11President Barack Obama's task
  • 01:12force on 21st century policing.
  • 01:14In 2019,
  • 01:15Professor Mears was elected a member of
  • 01:17the American Academy of Arts and Sciences.
  • 01:20And some of you may have retro piece
  • 01:22in the Atlantic this past June.
  • 01:24That was called.
  • 01:25The first step is figuring
  • 01:26out what police are for.
  • 01:30Doctor Emily Wong is an associate
  • 01:32professor in the Yale School of Medicine,
  • 01:35where she directs the health
  • 01:37justice lab and the brand new Sage
  • 01:39Center for Health and justice.
  • 01:41The Health Justice Lab is a collaborative,
  • 01:43interdisciplinary team focused on
  • 01:45improving the health of individuals and
  • 01:47communities affected by mass incarceration.
  • 01:49The Sage Center will focus on identifying
  • 01:51and applying strategies to improve the
  • 01:54health of individuals and communities
  • 01:55impacted by incarceration in Connecticut,
  • 01:58nationally and globally.
  • 01:59Doctor Wong's cared for many individuals
  • 02:01with a history of incarceration,
  • 02:04and she's also the cofounder of
  • 02:06the Transitions Clinic Network,
  • 02:08Agro in consortium of 30 community
  • 02:10health centers nationwide dedicated
  • 02:12to caring for individuals recently
  • 02:14released from correctional facilities by
  • 02:16employing individuals with a history of
  • 02:18incarceration as community health workers.
  • 02:22After Professor Mirrors and doctor
  • 02:23Wang each offer brief remarks,
  • 02:25we'll hear from our discussant,
  • 02:27Sidney rose green,
  • 02:28who was a fifth year MD PhD student at
  • 02:31guess full of Medicine and the program
  • 02:33in history of Science and medicine.
  • 02:36Sydney's research uses intimate
  • 02:37partner violence as a lens to
  • 02:39interrogate histories of racialized
  • 02:40engendered surveillance in medicine.
  • 02:42Following Sydney's remarks,
  • 02:43will have plenty of time for your
  • 02:46questions and we ask you to use
  • 02:48the question tab at the bottom of
  • 02:51your screen and we will take those
  • 02:53questions at the end of the remarks.
  • 02:56And with that we will get started.
  • 02:58Thanks again for tuning in.
  • 03:03Should I go? OK,
  • 03:06um good evening everyone I speak to you
  • 03:09from my Home Office, um in New Haven,
  • 03:12which in this very room actually
  • 03:15was rated yesterday. Rate my room.
  • 03:17It's an interesting Twitter account.
  • 03:19I got a 7 out of 10 so I'm wondering
  • 03:23what you all think. I like it.
  • 03:26I spend a lot of time here.
  • 03:29I hope all of you are doing really
  • 03:32well this evening under some
  • 03:35very challenging circumstances.
  • 03:36We uhm, I have come together to talk about
  • 03:40the criminal justice system tonight.
  • 03:44I would like to point out before
  • 03:47I start my remarks that almost
  • 03:50everything that we have to say
  • 03:53about issues concerning abolition,
  • 03:57antiblackness, racism, reform,
  • 03:58justice are actually apart intimately
  • 04:02connected with the experiences that
  • 04:04everyone is having with the Covid pandemic.
  • 04:08And that's in a really critical
  • 04:09thing to think about.
  • 04:11I think when Doctor Wang,
  • 04:12I'm going to call her Emily from now on
  • 04:15because we are close friends and colleagues.
  • 04:18And when she speaks it,
  • 04:19she'll she'll bring that home.
  • 04:21But for right now,
  • 04:22what I want to do is offer some some
  • 04:25framing remarks and I really look forward
  • 04:28to our dialogue later this evening.
  • 04:30My remarks are going to point
  • 04:32primarily right now to this concept
  • 04:35of abolition in this moment,
  • 04:37and to think about that.
  • 04:39For those of you who are on your computers,
  • 04:42probably all of you,
  • 04:44I would point you to something that I
  • 04:47wrote in the Boston review in 2017.
  • 04:50It was a piece about policing
  • 04:52as a public good.
  • 04:54An in that piece,
  • 04:55I said that policing as we know
  • 04:58it must be about published.
  • 05:00Before it can be transformed,
  • 05:03and that might be an odd thing
  • 05:06for someone who's a lawyer to say
  • 05:09someone who has worked so closely
  • 05:12with government as I have to say,
  • 05:16but I think it is absolutely critical
  • 05:19and understanding the connection
  • 05:22between that term abolish and what
  • 05:25I meant in that in the context
  • 05:28of that piece is important.
  • 05:31And this is what I meant when you
  • 05:34think about the term abolition.
  • 05:37Historically it is inescapable.
  • 05:40To the context of slavery is inescapable,
  • 05:44and that's an important starting point.
  • 05:48Because one should understand when
  • 05:51one is using the term abolition.
  • 05:54That and historically when slavery was
  • 05:57finally abolished in this country,
  • 06:00no one seriously understood that
  • 06:03to be eradication.
  • 06:04Simply the eradication of the
  • 06:07legal category of slavery.
  • 06:10If that were the case, right?
  • 06:12If all abolition ever meant was
  • 06:14eradication of the legal category of slavery,
  • 06:17then it would be OK to pay black people
  • 06:21less than it would be to pay white people,
  • 06:24or to have a system of convict leasing,
  • 06:27or to have a system that denied
  • 06:30black people the right to vote,
  • 06:32or to have a system of segregation
  • 06:35in which Blacks and whites had
  • 06:37to sit separately.
  • 06:39Or maybe Blacks were excluded.
  • 06:41From public accommodations.
  • 06:42Wait, wait,
  • 06:43that's what happened,
  • 06:44and that happened because the 13th amendment,
  • 06:47which abolished the legal category slavery,
  • 06:50didn't do the rest of the work.
  • 06:54To establish full citizenship.
  • 06:56For formally enslaved people,
  • 06:58what did the rest of the work
  • 06:59or what was intended to do?
  • 07:01The rest of the work wore?
  • 07:03The other, um,
  • 07:04Civil War Amendments and those of
  • 07:06you who are students of history
  • 07:08know that even that wasn't enough.
  • 07:10We needed reconstruction at that time
  • 07:13and we had reconstruction for a very
  • 07:16brief period of time for about 11
  • 07:19years before white supremacist terrorism.
  • 07:22Cut it short,
  • 07:23but during that short period of time,
  • 07:26those of you who are film it
  • 07:28familiar with the work of WEB
  • 07:30dubois knows that black people
  • 07:32formerly enslaved African Americans,
  • 07:34were able to begin to workout
  • 07:36the terms of their citizenship.
  • 07:38And what did they do?
  • 07:40They establish schools,
  • 07:41they established churches,
  • 07:42they worked to establish.
  • 07:45Recent forms of of health care and
  • 07:47there was a very brief period of
  • 07:50time and maybe Emily will speak
  • 07:52about this and in which the federal
  • 07:56government actually supported a very
  • 07:58nice and form of public health care.
  • 08:02Uh, for formerly enslaved people.
  • 08:04The point of understanding this is
  • 08:07that that the promise of reconstruction
  • 08:10didn't really ever take place.
  • 08:12And here we are. Um?
  • 08:17Over you know, 100 years later,
  • 08:20still trying to fulfill the
  • 08:23promise of Reconstruction.
  • 08:25I say this to say that it is
  • 08:28impossible to understand what people
  • 08:31mean when they say abolition of
  • 08:34policing without understanding the
  • 08:36history of abolition itself and
  • 08:39the critical connection between
  • 08:41abolition and reconstruction.
  • 08:43So when I hear the terms defunding,
  • 08:46or when I hear the terms abolition,
  • 08:50I don't simply think no policing
  • 08:53or reducing the budget for.
  • 08:55Policing and you know,
  • 08:57no investment elsewhere in any
  • 08:59other aspect of government.
  • 09:01what I hear is simply a call for
  • 09:04people to fulfill the promise
  • 09:07of reconstruction that we have
  • 09:09never actually fulfilled.
  • 09:11This is about the set of public goods
  • 09:15to which every citizen in this country
  • 09:18is entitled one of those public goods,
  • 09:22of course, is safety.
  • 09:24But in this country,
  • 09:25safety has.
  • 09:26Been conceptualised as a certain
  • 09:29narrow form of policing comprised
  • 09:32of sending armed first responders
  • 09:35to people calling for emergencies.
  • 09:38When you ask people what their
  • 09:41conception of safety is,
  • 09:43and in particular when you
  • 09:46ask people who are living in
  • 09:49places of concentrated poverty,
  • 09:52the same places that experience high
  • 09:55rates of. An infant mortality high.
  • 09:59Rate of comorbidity for for
  • 10:02Corona Virus the same places that
  • 10:06are experiencing high rates of
  • 10:09coronavirus exposure and so on.
  • 10:13Poor housing, food insecurity etc.
  • 10:16Also these are the same places that
  • 10:20experience unbelievably high rates
  • 10:23of criminal legal system exposure.
  • 10:26They will describe what they
  • 10:29want in terms of safety,
  • 10:31not in terms of how quickly can an armed
  • 10:34first responder arrived to their home,
  • 10:37but they will define it in terms
  • 10:40of what kinds of supportive
  • 10:42services can they get before these
  • 10:45issues that they experience.
  • 10:47Turn into high rates of violence.
  • 10:50They will ask for better education.
  • 10:52They were asked for better housing.
  • 10:55They will ask for.
  • 10:57Um, much better access to public health care.
  • 11:00Those are all critical aspects of
  • 11:03public safety that people don't get,
  • 11:06and what they do get.
  • 11:08As I've mentioned before,
  • 11:10is an armed first responder,
  • 11:12so it's critical for us to understand that
  • 11:15when we're talking about the set of public
  • 11:19goods that each citizen is entitled to of,
  • 11:23that is at the center of this
  • 11:26conversation of the funding.
  • 11:28Even though the catch phrase has
  • 11:30been de funding because it's simple.
  • 11:32Uhm, and that's what's going to
  • 11:34get people out in the streets.
  • 11:37But importantly,
  • 11:37it is not what's going to get
  • 11:40us from here to there, right?
  • 11:43Another way of understanding it.
  • 11:45And then I'm going to turn this
  • 11:48over to Emily to make things
  • 11:50a little bit more concrete.
  • 11:52Is the phrases defunding
  • 11:54and abolition are compass?
  • 11:56Is they point us in the direction
  • 11:59that we might want to go?
  • 12:01But there not a road map for
  • 12:04how to get from here to there.
  • 12:07And that is the work that we need to do,
  • 12:11and that I'm hoping that those of you
  • 12:13who are listening in on this web and R,
  • 12:16especially those of you who are
  • 12:18working in the healthcare industry
  • 12:20and medical students in the like,
  • 12:22um,
  • 12:23can be dedicated to an devoted to thank you.
  • 12:31Great thank you
  • 12:33Tracy. Uhm you know it is a Realty Bonner.
  • 12:36Actually to be sharing our six o'clock
  • 12:39hour together with my good friend
  • 12:41and also had this conversation.
  • 12:43It's a conversation that I welcome,
  • 12:46entertain and realize that
  • 12:47there's a desperate kind of
  • 12:49views in our medical community.
  • 12:51But in particular,
  • 12:52I think that perhaps one thing
  • 12:54that can undergird and kind of
  • 12:56anchor us in a conversation about
  • 12:59antiblackness and abolition and
  • 13:01the criminal justice system.
  • 13:03Is the the structures that
  • 13:05need to be put in place,
  • 13:07and in particular the structures
  • 13:09that need to be put in place from
  • 13:12the health system and so it's
  • 13:14with that that I wanted to center.
  • 13:17Kind of my reflections on abolition.
  • 13:19In particular thinking about what it is,
  • 13:22where it is that we're complicit in
  • 13:24having perpetuated at structural racism,
  • 13:26where it is that we're complicit in
  • 13:29anti blackness and where it is that
  • 13:32collectively we can move forward.
  • 13:34And So what I'm going to do is at center.
  • 13:38My reflections with photos I'm
  • 13:39going to share my screen and then
  • 13:41do something that I learned from my
  • 13:43colleague Marcel in Eunice Smith,
  • 13:44which is to turn off my video so
  • 13:47that I can move through my screen.
  • 13:50Sharp
  • 14:11I like.
  • 14:14OK, so can you see a?
  • 14:19Can you see these photos?
  • 14:22Super and then I actually don't know
  • 14:24how to share most close my my video
  • 14:27so I'll just keep moving forward.
  • 14:29So what I wanted to do is first just to
  • 14:33really kind of ground us in what it is,
  • 14:36at least the criminal justice system is.
  • 14:38And some of you have seen me
  • 14:41share these photos before,
  • 14:42but others of you may not up,
  • 14:45and so you know, as Tracy has shared with us,
  • 14:48COVID-19 has really unmasked yet again
  • 14:50longstanding health disparities that are
  • 14:52fueled by our nation's correctional system.
  • 14:54The recent deaths of Brianna Taylor,
  • 14:56George Floyd, in others have really
  • 14:58highlighted persistent societal
  • 14:59racism and especially anti blackness.
  • 15:01And this is nowhere better illustrated
  • 15:04in our criminal justice system.
  • 15:06So just to bring us some statistics.
  • 15:09Again, the BJS estimates that
  • 15:11over 6 million Americans,
  • 15:12mostly the poor and people of color,
  • 15:15are currently under some form
  • 15:17of correctional control.
  • 15:1810s of millions more are
  • 15:20formally incarcerated.
  • 15:21And So what I wanted to do
  • 15:24is to share photos.
  • 15:25Here are all photos from within San Quentin,
  • 15:29which is one of the largest prisons.
  • 15:32In the United States,
  • 15:33and it's at the source of a
  • 15:37huge outbreak of COVID-19.
  • 15:39These of course are photos
  • 15:41from prior to COVID-19,
  • 15:43where right now about 1600 individuals,
  • 15:45but those were incarcerated as well
  • 15:48as staff have COVID-19 as illustrating
  • 15:51features of a second tier healthcare
  • 15:54system that exists behind bars and
  • 15:56really trying to drive home the point
  • 15:59that while we aim to Decar Schreibt.
  • 16:02And abolish the prison system that
  • 16:05would it requires from us as healthcare
  • 16:07providers in health care leaders.
  • 16:10Is that much more to really abolish that?
  • 16:13Which would.
  • 16:15Prisons and jails as we see them
  • 16:18as they currently exist.
  • 16:19It requires us to make some serious
  • 16:22investments in the health systems
  • 16:23behind bars and so this year is
  • 16:26a photo of a gentleman who's
  • 16:28incarcerated who's going to see his
  • 16:30health care provider and you can
  • 16:32see that they're making the line
  • 16:34to see a health care provider.
  • 16:36and I just start by saying is that
  • 16:39of the 2.2 million people that are
  • 16:42incarcerated about 80% have a chronic
  • 16:44health condition that warrants.
  • 16:46Wanted to know primary care and you
  • 16:47can see that this is how they're
  • 16:50accessing the health system.
  • 16:51There's another patient.
  • 16:52If you look at the picture,
  • 16:54he's in a cage waiting for the doctor,
  • 16:56and so the system in and of itself
  • 16:59and their experience the health
  • 17:00system is violent and it's making
  • 17:03that to wait to see a doctor.
  • 17:05There's a person that's being held in a cage.
  • 17:14However, it's important to
  • 17:15remember that behind bars,
  • 17:17that's when the only places
  • 17:18where we have a constitutional
  • 17:20guarantee for health care,
  • 17:22and so for the large number of
  • 17:24individuals that move through the
  • 17:26criminal justice system and they
  • 17:28estimated about 10 million each year,
  • 17:30especially for adults,
  • 17:31black men in particular,
  • 17:33it's often the place where they
  • 17:35first access healthcare as an adult,
  • 17:37and so 40% of individuals are newly
  • 17:39diagnosed with a chronic health condition.
  • 17:42While they're incarcerated and this
  • 17:44is given a court case in the 1970s
  • 17:47which provided a constitutional
  • 17:49guarantee again for health care
  • 17:51and then increasingly as the
  • 17:53length of sentences of increased,
  • 17:55the focus has shifted from acute Care now
  • 17:58to the provision of chronic healthcare.
  • 18:06This is the patient that actually
  • 18:09had been newly diagnosed with
  • 18:11hypertension while incarcerated and
  • 18:13I share this photo here as again,
  • 18:16you can see that he had been newly
  • 18:19diagnosed with hypertension,
  • 18:21had been sent out to a local hospital.
  • 18:26It went hypertensive emergency is
  • 18:28blood pressures were Sky High and
  • 18:31then brought back in and this was
  • 18:33kind of post hospitalization rounding
  • 18:36on the patient and so sometimes the
  • 18:39very structures of the criminal
  • 18:41justice system don't permit kind
  • 18:44of the usual standards care.
  • 18:46You can see that we've thrown the blood
  • 18:49pressure cuff through the window here.
  • 18:52There's not a lot of space for
  • 18:55confidentiality for discussion.
  • 18:56Of care.
  • 18:58Moreover, this gentleman every single
  • 19:00day has to make a line to see a nurse,
  • 19:04and it's called up at the crack of dawn,
  • 19:07goes to see a line to get his medications,
  • 19:11to see a nurse.
  • 19:12The nurse gives him his medications
  • 19:14for his high blood pressure,
  • 19:16and he takes it.
  • 19:17She checks to see if he's cheeked it
  • 19:20and then moves back into his cell.
  • 19:23And so if you think about kind
  • 19:25of how it is that we teach our
  • 19:28patients to take care of.
  • 19:30Of their chronic health conditions,
  • 19:33you know adherence is almost 100%,
  • 19:35and corrections,
  • 19:36and Interestingly,
  • 19:37the management of chronic health
  • 19:40conditions is actually better behind
  • 19:42bars than it is in the community.
  • 19:45However, it's incredibly passive.
  • 19:46The other thing is that for
  • 19:49patients with diabetes,
  • 19:51if you don't comply with your
  • 19:53diabetic regimen in studies that
  • 19:55we've done in Connecticut in another
  • 19:58state in certain circumstance.
  • 20:00Says if you say don't want to get your
  • 20:03insulin for the day you're actually
  • 20:05sent to administrative segregation
  • 20:07or solitary for not complying.
  • 20:09And so again,
  • 20:10the experience of Healthcare
  • 20:12is mandated in certain ways.
  • 20:14It's incredible,
  • 20:15you know,
  • 20:15there's the capacity for patient adherence,
  • 20:18but it can be incredibly punitive.
  • 20:26This is a photo of patients waiting to see a.
  • 20:29In fact an HIV doctor while
  • 20:32incarcerated and I point to it.
  • 20:34Just a point to this pink slip.
  • 20:36In many places around the country.
  • 20:38Still this is happening.
  • 20:40This pink slit is a chat that
  • 20:42you fill out and patients when
  • 20:44they want to see a doctor.
  • 20:46They have an acute need,
  • 20:48have to fill this out.
  • 20:50The chat is looked over at rather than.
  • 20:53Uh is looked over by it's a kite.
  • 20:56Sort of looked over by a
  • 20:58correctional officer first,
  • 21:00then the correctional officer.
  • 21:01If they think that there is a medical
  • 21:05need it's then looked over by a nurse
  • 21:08and then finally by a physician.
  • 21:10And so again there's well.
  • 21:12Health care is constitutionally guaranteed.
  • 21:14There's real barriers to
  • 21:16actually accessing healthcare,
  • 21:17and so you can imagine that in the time
  • 21:20of Covid If you're having symptoms.
  • 21:23And this is the symptom of access
  • 21:26that system of accessing care.
  • 21:28It's nearly impossible to
  • 21:29get good timely care,
  • 21:31or at least you have to go through a
  • 21:34correctional officer to get access to care.
  • 21:40And then Lastly I share this
  • 21:42photo of a patient at that was
  • 21:45incarcerated in San Quentin.
  • 21:47A gentleman just like the first photo
  • 21:50that I shared at the beginning,
  • 21:53almost 70 years old.
  • 21:54Oxygen dependent with CEO PD
  • 21:57and what you can see here is,
  • 21:59is that he is being held in
  • 22:02administrative segregation,
  • 22:03set solitaire confinement.
  • 22:05He spends 23 hours a day
  • 22:07right now in this cell.
  • 22:09And you can see that his oxygen
  • 22:12is actually held outside of
  • 22:14his cell every hour or so.
  • 22:16You would hear him as you
  • 22:18walked by health care providers.
  • 22:20Correction officers were
  • 22:21here and bam ING on the door.
  • 22:24And it's because the tubing
  • 22:26for his oxygen got kinked and
  • 22:28he could no longer breathe.
  • 22:30And again,
  • 22:31you know this picture for me
  • 22:33illustrates the ways that our health
  • 22:35system are brutally violent in its
  • 22:37construction and in particular.
  • 22:39Within corrections that
  • 22:41Healthcare isn't seen as primary,
  • 22:43in fact,
  • 22:43they think about the safety 1st
  • 22:46and punishment 1st,
  • 22:47and so the oxygen take is being held
  • 22:50outside and again for the millions
  • 22:52of folks that are incarcerated and
  • 22:54then in particular those that have covid.
  • 22:57Now, how is the health care
  • 23:00being delivered inside?
  • 23:01How?
  • 23:01Where is the oxygen as people are
  • 23:04being held with covid symptoms and
  • 23:07thinking about this you can see how.
  • 23:10Folks have been diagnosed with chronic
  • 23:12conditions who first experienced the
  • 23:14health care in system behind bars,
  • 23:16maybe mistrustful, distrustful,
  • 23:17or find the health system,
  • 23:19you know abhorrent.
  • 23:20Given these experiences,
  • 23:21the other thing that I would want
  • 23:24to point out here is that we do
  • 23:27have this whole constitutionally
  • 23:29guaranteed system of care behind bars.
  • 23:32And also end taxpayer dollars
  • 23:34each and are everyone of our
  • 23:36taxpayer dollars go into paying
  • 23:38for the delivery of care,
  • 23:40but there isn't,
  • 23:41say a jayco,
  • 23:42a system that monitors the quality of
  • 23:45care behind bars and so essentially
  • 23:47there are these two .2 million
  • 23:49people that are incarcerated an
  • 23:52even larger population that move
  • 23:54through a health system for which
  • 23:56there is limited federal oversight
  • 23:58and certainly no transparent ways
  • 24:00of measuring quality of care.
  • 24:02Delivered inside and so this picture
  • 24:06comes from Cook County and you know,
  • 24:09was in the media recently during a
  • 24:12COVID-19 and a person that's incarcerated,
  • 24:15wrote, you know,
  • 24:16on a window help we matter too.
  • 24:19And you know, it's inescapable.
  • 24:21In the news that about 39,
  • 24:24I think of the 50 largest outbreaks
  • 24:27in our country for COVID-19 are
  • 24:29in correctional systems right now.
  • 24:32Again,
  • 24:32this is Cook County and then
  • 24:35right now in the news.
  • 24:37Is asking questions.
  • 24:41And so the response has been,
  • 24:43I think, really importantly,
  • 24:45advocating for the early release,
  • 24:47and so importantly,
  • 24:49in could show the figures that Connecticut
  • 24:52is an all time low in our state right now.
  • 24:55Who's incarcerated?
  • 24:56California's governor newsom?
  • 24:57Also just announced the
  • 24:59release of 8000 individuals,
  • 25:01and for those of us that believe that
  • 25:04prisons and jails are health harming
  • 25:06that Dick Curation is really important.
  • 25:09It should be news that we celebrate
  • 25:11writes that if you're thinking
  • 25:13about kind of how it is that we
  • 25:15deconstruct an improve the health
  • 25:17and well being of our communities,
  • 25:19decent car situation is critical and
  • 25:21I do want to then point out though,
  • 25:24that the early release of incarcerated
  • 25:26people actually can endanger lives.
  • 25:27and I think that this is important to
  • 25:30say out live out loud and really it
  • 25:32implicates kind of what it is that we
  • 25:35do within community health systems.
  • 25:37So each week in clinic, as Anna
  • 25:40referred to before we here in New Haven.
  • 25:43And this is a picture of our team
  • 25:45at Lisa Puglisi.
  • 25:46She's an Internist.
  • 25:47Jerry Smart,
  • 25:48one of our community health workers
  • 25:50in a patient of ours take care of
  • 25:53people that have come home from
  • 25:55prisons and jails in Connecticut
  • 25:56and this is a program again among
  • 25:59many across the country that are
  • 26:01really focused on targeted care
  • 26:03and what we can see over and I've
  • 26:05been doing this for decades now.
  • 26:07Is that the return home from prisons
  • 26:10and jails is nearly impossible.
  • 26:12That, in fact,
  • 26:13in spite of how bad health care is
  • 26:16inside the construction of it peoples,
  • 26:19chronic health conditions
  • 26:20actually worsen following release.
  • 26:22The rates of dying from overdose
  • 26:25from heart disease, cancer,
  • 26:26gun violence,
  • 26:27suicide actually or incrementally
  • 26:29higher following release,
  • 26:30and so will we see in clinic or
  • 26:33barrier's appan barriers where patients
  • 26:35at actually don't have safe places to stay.
  • 26:39Can't get food.
  • 26:40Can't get jobs here in New Haven
  • 26:43and this has been augmented that
  • 26:45much more in during COVID-19.
  • 26:48We've worked hard to kind of slowly,
  • 26:50iteratively,
  • 26:51and incrementally building the systems.
  • 26:53How do we get folks phones,
  • 26:55for instance,
  • 26:55right to actually be able to
  • 26:57do a telemedicine visit?
  • 26:59What if they've never had medications?
  • 27:01And if they live in a city in
  • 27:03Connecticut where there isn't
  • 27:05a transitions clinic program,
  • 27:06how do we get appropriate access
  • 27:09to the medications they need to
  • 27:11the discharge that they need?
  • 27:12And so I guess the point that I
  • 27:15really wanted to kind of make
  • 27:17with my reflections here is that.
  • 27:20Hum so much of the energy and
  • 27:23enthusiasm around kind of decarceration
  • 27:26abolition is really focused on
  • 27:29defunding these kind of impact.
  • 27:32Hanging our hats on just this
  • 27:34one moment in time and to me what
  • 27:36undergirds kind of the work that
  • 27:38we need to do to really quote
  • 27:41abolish prisons and jails,
  • 27:42is the work that we need to be
  • 27:44doing in the health systems.
  • 27:46How do we provide the vital
  • 27:48supports that are needed?
  • 27:50Do we really welcome our patients
  • 27:52that come from these correctional
  • 27:53systems that are kind of?
  • 27:55Again, this second class system of
  • 27:57healthcare into our community health system.
  • 27:59The medical students raised
  • 28:01important points and I think.
  • 28:02You know just thinking about in this isn't
  • 28:04a photo from the primary care center,
  • 28:06but all over Yo New Haven Hospital.
  • 28:09Is this welcoming to have a person
  • 28:11that armed in our health system?
  • 28:14How does that make our patients feel right?
  • 28:17Why is it that we have Medicaid terminate
  • 28:19when people come home from Corrections?
  • 28:22How can we create systems that are more
  • 28:24embracing of patients that are coming
  • 28:27home from these correctional systems
  • 28:29that are so structurally violent?
  • 28:31And how do we make our systems
  • 28:34are less violent and so the last
  • 28:36thing I'd say is this is that.
  • 28:39I had the opportunity to listen to
  • 28:4116 to the beautiful kind of 1619
  • 28:44podcasts and there was one episode
  • 28:47focused I think was episode 5 on
  • 28:49the health care
  • 28:50system and tracing
  • 28:52alluded to this that in 1865 the
  • 28:54Friedmans Bureau became the nations first
  • 28:56federally supported healthcare system.
  • 28:58It was interesting Lee,
  • 29:00when you turn into the tune into the podcast,
  • 29:03it was created in response to outbreaks
  • 29:06again and Infectious Diseases.
  • 29:07So you can think about the
  • 29:10historical parallel so.
  • 29:11Dysentery and smallpox at the time
  • 29:13that emerged after Mansa patient.
  • 29:14So his concerns about
  • 29:16the community that then.
  • 29:18This healthcare system was bored, however,
  • 29:21he was structured such that there was
  • 29:23100 physicians taking care of the four
  • 29:26million previously enslaved workers
  • 29:27who are now largely without housing,
  • 29:30food, employment, and you know,
  • 29:32then they also had incrementally
  • 29:33high risks of dying compared
  • 29:35with the general population.
  • 29:37And so to me,
  • 29:39thinking about this moment in history,
  • 29:41and I really do think we're in
  • 29:43a moment like it does excite me.
  • 29:46I've been doing this for a decade more.
  • 29:49But there is mass at larger
  • 29:52scale decarceration going on,
  • 29:53but for this to be really successful
  • 29:55we have to interrogate ourselves.
  • 29:57What it is that we ourselves as provider?
  • 30:00But even more importantly,
  • 30:02as systems and as communities are doing
  • 30:04to scale at the health systems that are
  • 30:06needed to provide these vital supports.
  • 30:13Thank you so much. Think we now have.
  • 30:17Sidney green with discuss a.
  • 30:24Also, thank you so much to doctor
  • 30:27Wang and professor mirrors.
  • 30:29Um, Doctor Wang. I really appreciate
  • 30:31you sharing those photos on.
  • 30:33I think that especially in this moment,
  • 30:36with abolition being all over social
  • 30:39media and it can feel like a very
  • 30:42abstract thing and we have to remember
  • 30:44that we're talking about real people,
  • 30:47real families and lives.
  • 30:49And so I really appreciate you.
  • 30:52Bringing that to us today
  • 30:55and professor mirrors.
  • 30:56Um again, I'm I.
  • 30:58I really appreciate you bringing a both
  • 31:01of you brought in historical perspective,
  • 31:04but I really do appreciate and you really
  • 31:07connecting this moment as we use abolition.
  • 31:10It's a historical term and we have
  • 31:13to remember that we're not done once
  • 31:16this system is so called abolished,
  • 31:19but that even as we think about.
  • 31:23Reconstructing or re allocating funds.
  • 31:25We have to remember that the
  • 31:27threat of anti black,
  • 31:29white supremacist violence is
  • 31:31is there and that there we
  • 31:33can't be passive in this moment.
  • 31:36We have to remember that.
  • 31:38There's going to be something
  • 31:40that comes next,
  • 31:41and so I really appreciate both of you.
  • 31:44For that,
  • 31:45I wanted to 1st as contextualize why
  • 31:47kind of how I came into consciousness,
  • 31:50and I want to invite both of
  • 31:53you to reflect on that moment
  • 31:55for yourselves as well.
  • 31:57So when I graduated from college.
  • 31:59I'm originally from Florida and I
  • 32:01moved back to Florida to Tallahassee,
  • 32:03FL and this was in 2013 on around the
  • 32:06same time as the free Marissa now movement.
  • 32:10And so Marissa Alexander,
  • 32:12for those of you who don't know,
  • 32:15um,
  • 32:15is a black woman who at the time
  • 32:18was facing 20 years in prison for
  • 32:22firing a warning shot up in her
  • 32:25own house in her own garage to
  • 32:28protect herself from her husband
  • 32:30who admitted on tape in a court
  • 32:33deposition that he not only abused her,
  • 32:36but that he would have killed
  • 32:39her if given the opportunity.
  • 32:42And this was also, um,
  • 32:44just after Trayvon Martin was murdered,
  • 32:46and his murderer,
  • 32:47whose name I'm I'm just not going to use a,
  • 32:51was able to get off on the
  • 32:54stand your ground law.
  • 32:56And that law was not applied to Marissa
  • 32:59Alexander, a black woman situation.
  • 33:01And so she successfully appealed.
  • 33:03And then the state attorney at the time,
  • 33:07Angela Corey.
  • 33:09Essentially said that not only would
  • 33:11she retry this woman, but with,
  • 33:14uh, she she sought retribution.
  • 33:16And so instead of giving her if she
  • 33:19were to sentence her 20 years Marissa,
  • 33:22now phase three consecutive 20 year
  • 33:24sentences so she would have been
  • 33:27imprisoned for 60 years and she had
  • 33:30potentially 60 years and she had children.
  • 33:33and I was just very
  • 33:35frustrated that pediatricians.
  • 33:36For example, we're not talking about how.
  • 33:39Awful.
  • 33:40This would be for her children,
  • 33:42or OB GY NS talking about how putting
  • 33:45someone who is immediately postpartum
  • 33:47into prison was not something
  • 33:49that would be promoted promoting.
  • 33:52And so I really uhm latch
  • 33:54onto this movement of,
  • 33:56you know, there really is no case where
  • 33:59police are OK that putting people in
  • 34:02prisons and jails are not OK. Not in,
  • 34:05not in the system that we have now and so.
  • 34:10I kind of shifted my my research to
  • 34:13really be thinking about how the
  • 34:16health system is really implicated in
  • 34:19a lot of what is going on and that.
  • 34:22Criminal criminalization an?
  • 34:23Uhm, this term personality is not
  • 34:26just limited to jails and prisons,
  • 34:29but it's how we treat people before
  • 34:33they get to that point as well.
  • 34:36and I want to kind of just connect
  • 34:39that to an article that came out in
  • 34:432017 in Pediatrics Journal that was
  • 34:47promoting the use of a new algorithm,
  • 34:50and this algorithm would allow
  • 34:53pediatricians too.
  • 34:54Predict whether their teenage
  • 34:55patients would be future perpetrators
  • 34:57of intimate partner violence in
  • 34:59order to funnel them into these
  • 35:01intensive prevention programs.
  • 35:03And not only was this article published
  • 35:06in Pediatrics the leading Journal,
  • 35:08but the editor of the Journal wrote a
  • 35:11perspective piece lauding this paper.
  • 35:13And so I really want us to,
  • 35:16kind of as we go through this conversation.
  • 35:19Those of us who are are in health
  • 35:22care who are training or otherwise.
  • 35:25I'm already providers to really think about
  • 35:29how we are complicit in this and that as.
  • 35:33You know the the abolition movement.
  • 35:35Defund movement looks to send funding
  • 35:37to our way of finding our way to,
  • 35:40uhm,
  • 35:41you know whether it's mental health
  • 35:43or some other reason we have to make
  • 35:46sure that we're doing the work to
  • 35:48ensure that we are not recreating
  • 35:50the same systems that we claim
  • 35:53to be abolishing into funding.
  • 35:54So I'm going to stop there,
  • 35:57but I just want to again think
  • 35:59doctor Wang and professor mirrors
  • 36:00for being here and really starting
  • 36:03this conversation for us.
  • 36:08Thank you all for such eloquent
  • 36:11and profound reflections, and.
  • 36:15Only opens up more questions for us.
  • 36:17Um, I see we have one question so far
  • 36:20and then I have some questions as well.
  • 36:23But let's start with the
  • 36:24one that was submitted.
  • 36:26My remarkable colleague,
  • 36:27Doctor Ayana Jordan made a
  • 36:28call that we should avoid the
  • 36:30term criminal justice system.
  • 36:31Since the system is hardly just and
  • 36:33instead call it the criminal legal system,
  • 36:36I'm interested to hear what the
  • 36:38panelists think of this and how we
  • 36:40might best be ambassadors of changing
  • 36:42this language in a widespread way.
  • 36:45So we'll start with that.
  • 36:47Um,
  • 36:47I'll jump in. I think I actually
  • 36:49referred to it as the criminal
  • 36:51legal system in in my remarks, uhm?
  • 36:54I think that that's Fair.
  • 36:56It's a fair description, but if we're
  • 37:00really going to break the term down,
  • 37:03I don't think we even call it a criminal
  • 37:07legal system because it's not a system,
  • 37:10right? So really it is, you know,
  • 37:13a set of criminal legal processes,
  • 37:15and I think you know the questioner says,
  • 37:19well, how can we make this change?
  • 37:22I think increasingly, if you look at.
  • 37:25Um, what folks are writing an in my
  • 37:28field and even in public writing,
  • 37:31and a couple of op eds I just wrote,
  • 37:34you know, I've been using that term instead.
  • 37:37I think it's it's an important thing to say,
  • 37:41but. Say lose the conjunction.
  • 37:45Period, it is also the case that, uhm.
  • 37:49It is critical for people to understand all
  • 37:54the ways that how we talk about this set.
  • 37:58Of issues an institutions that lead to the
  • 38:02consequences that we were talking about,
  • 38:05in that only wonk.
  • 38:07Um gave us such incredible photographic
  • 38:11evidence about is not what we think it is,
  • 38:15and to the extent that it's systematic,
  • 38:19it is not systematic about
  • 38:21delivering justice.
  • 38:22It's systematic about reinforcing the system,
  • 38:25which that is a system of
  • 38:29racism and inequality.
  • 38:36You know, I'll echo this,
  • 38:38which I think that you know
  • 38:41language is really important and
  • 38:43you know how we define the system.
  • 38:46You know, appreciate Ayana and
  • 38:48really thinking about kind of
  • 38:51not using the term justice.
  • 38:53I also much of what I think we can work on.
  • 38:59In our own worlds is also and
  • 39:01stuff that we work on at within.
  • 39:04You know the work that we do in our lab,
  • 39:07but also even the NIH recently at
  • 39:09night has used person centered
  • 39:11language to stop using kind of terms,
  • 39:14like prisoners inmates instead using
  • 39:16people with history symbol culturation.
  • 39:17These are kind of important ways that
  • 39:19you do start shifting narratives of
  • 39:22people that have been incarcerated,
  • 39:24and I just tell a story,
  • 39:26which is to say within epic.
  • 39:29Oftentimes,
  • 39:29you'll note like how people
  • 39:31right and describe individuals,
  • 39:32of course,
  • 39:33really does influence the care
  • 39:35that they are receiving.
  • 39:37The care that we deliver that I've often
  • 39:39seen notations where you know people have.
  • 39:42There's actually a critical warning
  • 39:44list of a section sex offender.
  • 39:46Write a sex offender and you
  • 39:48know bring up kind of an extreme
  • 39:51case to illustrate my point,
  • 39:53which is that not being a legal expert,
  • 39:56I will just say this though that there are.
  • 39:59Many ways.
  • 40:00By which you are convicted of a sex
  • 40:03offense and those include you know it
  • 40:06from the extreme version that are presented.
  • 40:09You know that we can all imagine
  • 40:12to ones of 14 years old having sex
  • 40:15with a another teen years old,
  • 40:18right?
  • 40:18And so the importance though,
  • 40:20that if our own healthcare system
  • 40:22labeling people in the health record and
  • 40:25how that perpetuates other narratives,
  • 40:28I think is critical for again.
  • 40:31Abolishing an at the impacts,
  • 40:33you know like ending prisons and jails,
  • 40:36and then also creating the systems
  • 40:39that then support the people
  • 40:41that have been incarcerated.
  • 40:43That language is critically important.
  • 40:49The question about um,
  • 40:51how not only to avoid the term
  • 40:54justice where it's not merited,
  • 40:56but to work towards something else.
  • 40:59Calls into question What is this?
  • 41:01Something else?
  • 41:02So um, you've all talked about abolition
  • 41:05and really compelling ways in the fact that
  • 41:09our current approaches are not just at all.
  • 41:11Can you say something about
  • 41:13what we're working towards?
  • 41:14What would justice look like in in a
  • 41:17better universe that we're working toward?
  • 41:19And also, how would crime be handled?
  • 41:21How would we think about pride?
  • 41:23I'm sure that's a question that people have.
  • 41:31Want me to go? Yeah, the prime when
  • 41:33I'm looking at you, Tracy.
  • 41:36Well, but I think it it's part
  • 41:38of the same question, right?
  • 41:40That they're talking about
  • 41:42crime is answering the question
  • 41:44about what replaces it up, and
  • 41:46again, you know. I
  • 41:48think what replaces it is the
  • 41:52set of public goods to which
  • 41:55every citizen is entitled and.
  • 41:58Um? You know, averting crime is
  • 42:01part of that set of public goods,
  • 42:05and there is a set of public goods that
  • 42:08is necessary to avert those things.
  • 42:11And it turns out that people who
  • 42:13are experiencing high incidences
  • 42:15of violence in their neighborhood,
  • 42:18plus the states,
  • 42:19typical response to that violence,
  • 42:21which is often excess from the state.
  • 42:25Can articulate very clearly what
  • 42:27it is that they want, um,
  • 42:30so I have a project.
  • 42:32If you go to the Justice Collaboratory
  • 42:35website, you'll see a project
  • 42:38called the portals project.
  • 42:40We also have our own website
  • 42:42portalspolicingprojectoneword.com, in which.
  • 42:44Hi, along with political scientist,
  • 42:47special Weaver and our grad
  • 42:49student when prouse Here at Yale,
  • 42:51have curated a set of conversations among
  • 42:54residents of the cities of Baltimore,
  • 42:57Newark, Chicago, Milwaukee,
  • 42:59Los Angeles, Mexico City,
  • 43:00where they're talking about their
  • 43:02experiences with both violence in
  • 43:05their neighborhood and police.
  • 43:07And you know,
  • 43:08they talk about what they want in
  • 43:11their vision of of safety right now.
  • 43:14Maybe what they don't know exactly.
  • 43:18How to do is how to get there like
  • 43:21what it is that the state is going to
  • 43:23do to ensure that they get those sets
  • 43:26of public goods that they need and
  • 43:29the governance project is difficult.
  • 43:31It's made more difficult by the fact
  • 43:33that we've invested in a certain
  • 43:35set of responses that don't look
  • 43:37anything like the set of public
  • 43:39goods to which people are entitled.
  • 43:41But to say that we don't know
  • 43:43what it looks like.
  • 43:45We know
  • 43:45what it looks like.
  • 43:48We do. This is not heart.
  • 43:52What's hard is that it requires
  • 43:54many people to give up things that
  • 43:57they're not used to giving up.
  • 43:59Including privilege.
  • 44:02And I'm going to answer that question in
  • 44:05a different way, but which is to say,
  • 44:07you know, you know what?
  • 44:09What does it look like? and I can?
  • 44:11Having worked in health system,
  • 44:13it's not what it looks like in
  • 44:15our health system right now.
  • 44:17It just isn't right.
  • 44:18It's not what it looks like in almost
  • 44:20any health system in this country,
  • 44:22and so that just .1 that.
  • 44:24I don't want people to leave this.
  • 44:26Saying that.
  • 44:27Oh yeah, just the health
  • 44:28system is the solution listed.
  • 44:30Sure, on up we know what we're doing,
  • 44:32'cause we don't.
  • 44:34That's when two.
  • 44:35I do want to just emphasize Tracy's point,
  • 44:38which is that when and in our work we
  • 44:41really do try to center the perspectives,
  • 44:44needs and values of those
  • 44:46who've been incarcerated in our
  • 44:48work and time and time again,
  • 44:50there are solutions that already
  • 44:52exists that are grounded within
  • 44:54those communities that are
  • 44:55important and their ones that do
  • 44:57require shifting of power and the
  • 44:59kind of most concrete solution.
  • 45:01And it's entering black folks in particular.
  • 45:04In this is the hiring of people that
  • 45:07have assets and skills to work in our
  • 45:10health systems as community health workers,
  • 45:12right?
  • 45:12So you know,
  • 45:13just most fundamental level you're like.
  • 45:15OK,
  • 45:16it's getting a job,
  • 45:17and it's an important job,
  • 45:19likely often in our network,
  • 45:21it's to a person of color to
  • 45:23work in our health system,
  • 45:25but then it also shifts how the health
  • 45:27system forces kind of employment policies,
  • 45:29practices that are really
  • 45:31racist in their construction.
  • 45:32It also changes kind of the physical look of.
  • 45:35Who works in our health system that
  • 45:38these are experts that we value
  • 45:40and it's in that that inclusion
  • 45:42of those individuals that changes
  • 45:44the policies that we see a less
  • 45:46racist at healthcare system,
  • 45:48and so to me.
  • 45:49Part of this work is really centering
  • 45:51the work that we do in the health system.
  • 45:55The work we do in our research,
  • 45:57the work that we're doing historically around
  • 46:00kind of narratives that were never told.
  • 46:02There never involved.
  • 46:03Included in the health system space
  • 46:05and finding solutions that exist there.
  • 46:07That to me is.
  • 46:09Is part of our way forward.
  • 46:11What that looks like.
  • 46:12Look,
  • 46:12I've not been incarcerated
  • 46:13but I am surrounded by people
  • 46:15that had been incarcerated and
  • 46:17there are solutions to be had.
  • 46:21Thank you the next I think you've
  • 46:23begun to answer the next question,
  • 46:26which is how can legal and health
  • 46:28care experts or service provider
  • 46:30support needed economic reforms?
  • 46:31Abolishing existing economic arrangements?
  • 46:33But I wonder if you would both
  • 46:37like to expand on that and perhaps
  • 46:39even add something from your own
  • 46:42work as legal and medical scholars.
  • 46:45Had he approached these tasks
  • 46:46in your own work?
  • 46:51So I'll start just 'cause I'm unmuted,
  • 46:53so I'll say that you know,
  • 46:55and I I might be misquoting, so yeah,
  • 46:58but when I last looked up, you know,
  • 47:01went out of six new jobs in this
  • 47:03country are in the healthcare sector.
  • 47:061 out of $3 for GDP,
  • 47:08or from the again the healthcare sector.
  • 47:10And so to me, some of what we can be
  • 47:13doing mostly is hiring up, you know,
  • 47:16and that creates economic opportunities
  • 47:18that might feel really incremental it,
  • 47:20but I think it's.
  • 47:21Really critical to just say that
  • 47:23out loud that in in New Haven where
  • 47:26the unemployment rates are high,
  • 47:28especially in certain communities
  • 47:29and where the top three employers,
  • 47:31the University,
  • 47:32the health system and the medical school,
  • 47:34what do we do in the higher?
  • 47:37How do we support?
  • 47:38And so this is real concrete?
  • 47:40II is the community investments that
  • 47:42the hospitals have to make really
  • 47:44have to be focused and targeted?
  • 47:46It's not to any old community service agency,
  • 47:49but targeted kind of with a
  • 47:51HealthEquity anti blackness frame.
  • 47:53In mind,
  • 47:53and those are ways that you get
  • 47:56dollars into communities it.
  • 48:00The engine that runs our community, right?
  • 48:05You know, I'll just add a couple of other
  • 48:09things so the justices collaboratory,
  • 48:11of which Emily is a member,
  • 48:14is an interdisciplinary
  • 48:15Research Center that we focus.
  • 48:17Our motto is serious science,
  • 48:19serious impact,
  • 48:20so we do a lot of basic science to
  • 48:23interrogate an advanced theories
  • 48:25around how members of the public
  • 48:27understand the fairness and legitimacy
  • 48:30of different legal authorities,
  • 48:32including police.
  • 48:33That's where we've done most of our work.
  • 48:36But not exclusively,
  • 48:38and those theories are apply
  • 48:40outside of the institutions that
  • 48:42process people through what we call
  • 48:45the criminal legal system that
  • 48:48it's applicable to corporations.
  • 48:50It's applicable to public schools.
  • 48:52My colleague Tom Tyler has written a
  • 48:55book called why children follow rules.
  • 48:58It's relevant to those of you who
  • 49:01have children and who parent, right.
  • 49:04It is a theory of general applicability.
  • 49:08And we have taken that science
  • 49:11and develop policy that could
  • 49:14be used in different agencies.
  • 49:17We've developed trainings
  • 49:18for police agencies.
  • 49:20We have translated it to model
  • 49:24statutes we just started.
  • 49:26A clinic where we hired someone very
  • 49:29able person from New York City who
  • 49:32is actually going to be developing
  • 49:35a bunch of model legislation that
  • 49:37we hope will be adopted by states
  • 49:41all over the country so that
  • 49:44these policies will be adopted.
  • 49:47Municipalities and so on.
  • 49:48There's lots of different things
  • 49:51you can do an we have to do.
  • 49:53All of them actually you know when
  • 49:56you're talking about the kind of
  • 49:58advocacy that the question or ask.
  • 50:00It requires actually wholesale reengineering.
  • 50:04Of the legislative structure
  • 50:07that underlies these systems
  • 50:09will just give you 1 example.
  • 50:12Most policing agencies in this country don't
  • 50:15have any serious enabling legislation,
  • 50:17so think about something like
  • 50:19the Department of Labor.
  • 50:21You can look in a state statute.
  • 50:26Connecticut State statues.
  • 50:27You can see the enabling legislation
  • 50:29of that Department that says
  • 50:31what it's supposed to do,
  • 50:33says what its constraints are,
  • 50:35says what the rules are
  • 50:36that actually regulate it.
  • 50:38You're not gonna find anything
  • 50:40like that for policing.
  • 50:41As a general matter.
  • 50:42Another thing you'll hear in the
  • 50:44news that there are something like
  • 50:46depends on where you read at 17,018
  • 50:49thousand different policing agencies,
  • 50:51I'm focusing on policing
  • 50:52'cause That's what I know best,
  • 50:55but we can have a similar conversation
  • 50:57around different institutions.
  • 50:58It is not the case that we actually
  • 51:01know that there are exactly 18,000
  • 51:04police agencies. That's a guess.
  • 51:06It's an approximation.
  • 51:07We actually don't know,
  • 51:09and that is because in this country
  • 51:11the federal government doesn't require
  • 51:14policing agencies to be accredited.
  • 51:16It doesn't actually require agencies
  • 51:18to report to the federal government.
  • 51:21You know their activities.
  • 51:23There's no auditing mechanism.
  • 51:24The Department of civil rights only
  • 51:27gets involved when there is a pattern
  • 51:30and practice of constitutional violation.
  • 51:32Go to any other country in the world.
  • 51:36In Europe you would not see that right,
  • 51:39and so you know when you talk
  • 51:42about are there things that we
  • 51:44can do that there are so many
  • 51:47things and so much that can be
  • 51:49done and that is necessary to do.
  • 51:53If there's if we're going to make a change.
  • 51:59Thanks so much. So we have two questions
  • 52:02that seem to go together and I I'll just
  • 52:05take a moment to read them both. Uh,
  • 52:07when we look at the history of this country,
  • 52:10the current system in place is rooted
  • 52:12in the D humanization of black,
  • 52:14Brown and indigenous bodies.
  • 52:15The system is not only the result of
  • 52:18over funding, but it is supported.
  • 52:20I assume of carceral system,
  • 52:22but it supported in perpetuated
  • 52:23by individuals and groups.
  • 52:24How how can we work to prevent
  • 52:26these groups from continuing
  • 52:28to perpetuate these systems?
  • 52:29Even after we defend abolish
  • 52:31these detrimental systems?
  • 52:32Then the second question related to that,
  • 52:35can you address the antiblackness
  • 52:36ideologies that come along with the white
  • 52:39supremacist crushing of reconstruction?
  • 52:40The idea that black people are criminals
  • 52:43are lazy are inherently unworthy of
  • 52:45citizenship and basic human rights is
  • 52:47deeply entrenched up to the present.
  • 52:49Seems to me this is a big obstacle
  • 52:52for carrying the abolition of
  • 52:54defending conversation forward,
  • 52:55so it's not just coming up with
  • 52:58policies rooted and Justice,
  • 52:59but convincing a good number of white people,
  • 53:02ordinary citizens and politicians.
  • 53:04That Bipap deserve justice.
  • 53:05How do we get there?
  • 53:14Very small question.
  • 53:19Can you repeat the the sentence
  • 53:22about it's not just justice but the?
  • 53:25OK, it's not just coming up
  • 53:28with policies rooted and justice,
  • 53:30but convincing a good number of white people.
  • 53:34Ordinary people and politicians
  • 53:36that by puck deserve justice.
  • 53:39How do we get there? That is a
  • 53:42conversation that's rooted in justice,
  • 53:45like the writing of that. Actually.
  • 53:50To me doesn't I don't understand.
  • 53:54That phrase to say that it's not just
  • 53:57a conversation rooted in justice
  • 53:59because justice actually requires
  • 54:01ordinary people to understand.
  • 54:05That the the air that we breathe.
  • 54:09The the the structure of the system,
  • 54:12and I'm not talking about,
  • 54:14you know how the criminal
  • 54:16legal system operates,
  • 54:17the structure of what we live in
  • 54:20is unjust and has been unjust.
  • 54:23And continues to be unjust.
  • 54:26That's the work I I actually
  • 54:29think the answer is embedded in
  • 54:33the questioners question, but.
  • 54:36By not by rearranging the words
  • 54:39and saying it's not just that
  • 54:41actually it is just that.
  • 54:45In my view. And I don't mean to put
  • 54:49the question are on. Um? You know?
  • 54:55I'm not trying to cast aspersions or or
  • 54:58shade or anything, but that's that's it.
  • 55:01A social psychologist so
  • 55:02you know my dear friend.
  • 55:04Also adjust his collaboratory member.
  • 55:06Yes, this is gonna be the advertisement
  • 55:08for the justice collaboratory.
  • 55:10Jenn Richeson would say.
  • 55:12That that is the work and the
  • 55:16work that people like me do.
  • 55:19Is really to push against.
  • 55:23The air that we breathe.
  • 55:25You know it's the psychologists
  • 55:28of race and racial. Injustice.
  • 55:31Who can pinpoint?
  • 55:36The dynamic that the
  • 55:38questioner is is discussing.
  • 55:41Right and and and we can do all kinds
  • 55:45of work to point out the most egregious.
  • 55:49Instances of this dynamic. But until.
  • 55:56But you know that the aspects
  • 55:59of the world that we live in,
  • 56:03that people, many people,
  • 56:04many white people don't
  • 56:06notice or don't acknowledge,
  • 56:07aren't willing to work to change changes.
  • 56:10Then yeah, it's going to be really hard.
  • 56:16So I'd love to open this question
  • 56:19up to doctor Wang as well,
  • 56:22but I'm thinking that the
  • 56:24questioners are interested in
  • 56:25any examples of strategies or
  • 56:28languages or techniques that you,
  • 56:30you and your colleagues have come across.
  • 56:33The help to broaden
  • 56:34support for this movement.
  • 56:41Um, let you mean in particular for.
  • 56:47You know, we've tried it all.
  • 56:49I mean I, I uh, you know any
  • 56:51way possible and it ranges from
  • 56:53kind of at the individual level.
  • 56:55You know, I can just give
  • 56:57you really concrete stories,
  • 56:58which is to say that most people in
  • 57:01our white or health care communities
  • 57:02wouldn't necessarily even know you know
  • 57:04person that's been incarcerated until
  • 57:06a person like Jerry Smart comes along
  • 57:08and he's well dressed and looks good.
  • 57:10And you know, I hate to name him,
  • 57:13but he is the first in New Haven and
  • 57:15then their stun Steadies Bennett.
  • 57:17Caressa rated.
  • 57:18And then they're, like you know,
  • 57:19whispering on the side always been
  • 57:21incarcerated, and they look him up.
  • 57:23And then they realize,
  • 57:24like have more interactions with him.
  • 57:26He has a son and it still the mixing
  • 57:28an literally having to interact.
  • 57:31That these conversations start to change.
  • 57:32That's on the individual level.
  • 57:34Then on, you know,
  • 57:35kind of the next level is trying
  • 57:37to make arguments that are
  • 57:39principled and costs human rights.
  • 57:40You know, like what is it?
  • 57:42The health disparities?
  • 57:43How it is that kind of improving all
  • 57:46our Hells also has to improve, right?
  • 57:48The very fundamental nature is that
  • 57:50having kind of a more equitable
  • 57:53health system helps us all.
  • 57:55Period Punto, you know, ends part.
  • 57:58I mean,
  • 57:58I think we've tried all sorts
  • 58:00of different strategies,
  • 58:02but I do think at the root of it is.
  • 58:08To me, you know we have study after study.
  • 58:15After study after study and Lord
  • 58:17knows we've thought about study
  • 58:19after study after study after study,
  • 58:21taking a cost lands at human rate.
  • 58:23Slaying a, you know, again,
  • 58:25trying to think about interventions
  • 58:27that are asset space.
  • 58:28Getting a night running,
  • 58:29whatever it is and to me when
  • 58:32you know the hearts and minds of
  • 58:34ordinary people out there start
  • 58:36to shift is once they've.
  • 58:38You know, at least in my experience,
  • 58:40start meeting and talking to an
  • 58:42really kind of humanizing and
  • 58:44changing the narrative.
  • 58:45Black folks, you know?
  • 58:48And that is not an easy task.
  • 58:51When we live segregated lives
  • 58:53period and in the health system
  • 58:56you know it's just the obvious,
  • 58:58it's abundant.
  • 59:00You know, I'd like to say it just
  • 59:03one other thing since I invoked
  • 59:05Jennifer Richeson. Uhm, who uhm?
  • 59:09Has a new piece coming out in the.
  • 59:12In the Atlantic monthly, the print.
  • 59:16Version of it, so it's going to be out.
  • 59:18Pretty soon, if it's not already out,
  • 59:22but one of the things she writes about
  • 59:25is the myth of racial progress, right?
  • 59:29And the idea that. You know?
  • 59:33Things are better for we've been
  • 59:35focusing primarily on black people,
  • 59:38so I just wanna take a moment and say,
  • 59:42you know that a lot of the issues
  • 59:44that we are discussing today are not
  • 59:47exclusive to black people or specifically
  • 59:50descendants of enslaved people.
  • 59:53as I am it.
  • 59:54Also, it is experienced by Brown people.
  • 59:59Asian focus.
  • 01:00:02In in this country, in particular,
  • 01:00:04natives and indigenous people.
  • 01:00:06So I just wanted to point that out.
  • 01:00:09But anyway, the social psychology that
  • 01:00:12research focuses primarily on black people,
  • 01:00:15and an when we're talking about the
  • 01:00:18myth of racial project progress,
  • 01:00:20that's what she's talking about then.
  • 01:00:23And one of the things we find is
  • 01:00:27that when whites in particular
  • 01:00:30are given evidence about.
  • 01:00:33Racial progress instead of
  • 01:00:35understanding the extent to which
  • 01:00:38how bad things were in historically,
  • 01:00:41they actually revise their understanding
  • 01:00:44of history such that they come to
  • 01:00:48conclusions that the situation
  • 01:00:50historically wasn't as bad as they thought,
  • 01:00:54which provides less of an impetus
  • 01:00:57to do the kinds of things that
  • 01:01:01are necessary today to create.
  • 01:01:04True equality,
  • 01:01:05and the reason why that's important
  • 01:01:07is that you know when folks are
  • 01:01:10asking about things they can do,
  • 01:01:12and I think this connects up with
  • 01:01:14what Emily was saying about studies.
  • 01:01:17It suggests that there are, well,
  • 01:01:19if we could just do this one thing,
  • 01:01:22or if we could, in our NIH applications,
  • 01:01:25the thing that you and I were
  • 01:01:28talking about a week or so ago,
  • 01:01:31Emily do the thing where we have, uh?
  • 01:01:34Another person of color or an
  • 01:01:37underrepresented minority added
  • 01:01:39onto our grant,
  • 01:01:40or if we could just have slightly
  • 01:01:43more you know, diverse uhm.
  • 01:01:46Professoriate and the medical school.
  • 01:01:48There are,
  • 01:01:49like you know these little things
  • 01:01:52than that's all we need to do.
  • 01:01:55I don't want to.
  • 01:01:56Make light or say that those things are
  • 01:01:59not important to do 'cause they are,
  • 01:02:02but those are little things that you
  • 01:02:05do to respond to the systematic.
  • 01:02:09Situation of profound racial injustice
  • 01:02:11that we have in this country today,
  • 01:02:14and we've had for a very long time that
  • 01:02:17is really not going to be undermined.
  • 01:02:21Until people stop being first of all,
  • 01:02:25recognize that reality and then stop engaging
  • 01:02:29in actions that continue to support it.
  • 01:02:33Because everything else is like remediation.
  • 01:02:36I think I just wanted to add that I
  • 01:02:40think it. It also takes.
  • 01:02:41I mean people are asking about on
  • 01:02:44the individual level as well and
  • 01:02:46it takes re framing the way you
  • 01:02:49talk about these things right?
  • 01:02:50And so you know I mentioned earlier
  • 01:02:53about not being passive but being like
  • 01:02:55active about things and not picking
  • 01:02:58on the person who gave the question.
  • 01:03:00But I'm just using it as an example
  • 01:03:03because it's a concrete example.
  • 01:03:05You know, think about.
  • 01:03:06The difference between saying that
  • 01:03:08black people or by a black indigenous
  • 01:03:11people have colored deserve justice,
  • 01:03:13and saying that they've been denied justice,
  • 01:03:16right? That this is an on.
  • 01:03:19This is an ongoing action,
  • 01:03:21and that the positions that people are in,
  • 01:03:24particularly black people,
  • 01:03:25indigenous people in the US.
  • 01:03:28They're not there because they're
  • 01:03:30innately find themselves there that
  • 01:03:32these situations are not inevitable,
  • 01:03:34but they're based on a series
  • 01:03:36of decisions and.
  • 01:03:38Ongoing decision-making,
  • 01:03:38both historically and presently
  • 01:03:40that create the spaces that were in,
  • 01:03:42and so if you think of it as that
  • 01:03:44kind of like ongoing living,
  • 01:03:46breathing history, right?
  • 01:03:47It's not just something that happened
  • 01:03:50and ended that you yourself you can
  • 01:03:52put yourself into that and that you
  • 01:03:54are a part of that and every decision
  • 01:03:56that you make can also shift in
  • 01:03:59whichever direction you wanted to go
  • 01:04:01in a direction you may not want to go in,
  • 01:04:04and so just being cognizant on that,
  • 01:04:06it's not something you can like.
  • 01:04:08Alright,
  • 01:04:08I shut that book and that that
  • 01:04:10door is closed until someone
  • 01:04:11asked me about it again,
  • 01:04:13but it's a part of every every small
  • 01:04:15and large decision that you make.
  • 01:04:20I think that Sidney,
  • 01:04:21which is I do think, like Lord knows,
  • 01:04:24I think about kind of actions that
  • 01:04:26made big and small that you know,
  • 01:04:28have repercussions over lifetime
  • 01:04:29and it just did it right. But it is.
  • 01:04:32This is what we've got right is just
  • 01:04:34making decisions over and over again.
  • 01:04:36Some that are bigger, some that push
  • 01:04:38forward but always having kind of.
  • 01:04:43An anti racist. An increasingly more so how
  • 01:04:45it is that you move through this world.
  • 01:04:47So it's the frustration about the diversity
  • 01:04:50supplements and we don't have to go there
  • 01:04:52that Tracy and I were talking about,
  • 01:04:54which is like what a joke.
  • 01:04:55And yes, of course you'll do it so.
  • 01:04:59Anyhow. Thanks for that city.
  • 01:05:04Thank you, um, actually there
  • 01:05:06are two questions that I seem,
  • 01:05:08I think go together because they
  • 01:05:10refer to the intergenerational impact
  • 01:05:12of incarceration and violence.
  • 01:05:13So the first one is based on Sydney's
  • 01:05:16comments about women and postpartum.
  • 01:05:18Can you both speak?
  • 01:05:19And I'd also like to invite Sydney
  • 01:05:22to speak about one pre post Natal
  • 01:05:24care for incarcerated women and ways
  • 01:05:26to support healthcare and family
  • 01:05:28rights for children born in prison.
  • 01:05:31How can we address work or work toward?
  • 01:05:34Quality care during early childhood
  • 01:05:36for children of the incarcerated
  • 01:05:38and then the second one.
  • 01:05:40I would like to hear more about the
  • 01:05:43connections between domestic violence
  • 01:05:44as a means to frustrate people,
  • 01:05:47often victims themselves and
  • 01:05:49the intergenerational trauma's
  • 01:05:51created that perpetuate and uphold
  • 01:05:53a cycle of incarceration.
  • 01:05:55So all three of you I invite you to reflect.
  • 01:05:57Thank you.
  • 01:06:00That sounds like Emily and
  • 01:06:02Sydney's Bailiwick to me.
  • 01:06:09Sidney go for it.
  • 01:06:12Um? So I I want to start by saying that, um.
  • 01:06:18Initially when I I saw I think there were
  • 01:06:21like documentaries about these kind of
  • 01:06:23like child care daycare Centers for women
  • 01:06:26and children who are born in prison.
  • 01:06:29I thought wow, what a great idea that we
  • 01:06:31can keep mothers and babies together.
  • 01:06:34But then you step back and you think about
  • 01:06:37what's happening that were saying that
  • 01:06:40it's OK for women to give birth while
  • 01:06:43they're incarcerated that as long as we
  • 01:06:46keep them together in prison that it's.
  • 01:06:48Or in jail that it's OK, um,
  • 01:06:51for a child to grow up in,
  • 01:06:53at least for a small part of time
  • 01:06:56in a prison.
  • 01:06:57and I think that that 100% is not OK, right?
  • 01:07:00It's kind of this, like a band aid issue.
  • 01:07:04Again of saying that, like, OK,
  • 01:07:06we're going to keep people together, but why?
  • 01:07:08Why are we not pushing to keep people
  • 01:07:11together outside of the prison, right?
  • 01:07:13So I just wanted to say that 'cause I think,
  • 01:07:17especially in healthcare, that like we.
  • 01:07:19You know, we think of this idea,
  • 01:07:21and doctor Wang brought this up as well,
  • 01:07:24but the idea that you know people
  • 01:07:26who are incarcerated,
  • 01:07:27the only ones with the constitutional right
  • 01:07:30to healthcare instead of saying You know,
  • 01:07:32think about.
  • 01:07:33Let's think beyond just saying like
  • 01:07:35it's great that people were in person.
  • 01:07:37You can get healthcare right?
  • 01:07:39Let's think,
  • 01:07:40think,
  • 01:07:40think about what we were saying when
  • 01:07:43we make those those comments.
  • 01:07:44So I wanted to add that in terms of.
  • 01:07:49The kind of intergenerational trauma
  • 01:07:52or people who become involved with the
  • 01:07:55criminal legal system through domestic
  • 01:07:58violence and sexual soul in any kind
  • 01:08:01of other intimate partner violence is.
  • 01:08:04I think that there is a long history
  • 01:08:08of women, particularly women,
  • 01:08:09of color, who, uhm?
  • 01:08:11Who are work network then advocated for
  • 01:08:15this for women as women in particular?
  • 01:08:19But I'm. I'm thinking I brought him.
  • 01:08:22That's a cyst trans and Nonbinary
  • 01:08:24people as well to not become justice
  • 01:08:28involved because they have are
  • 01:08:30victims of a particular violence on.
  • 01:08:33And so I'm thinking of groups
  • 01:08:36like survived and punish.
  • 01:08:38You've seen women like since we're proud who?
  • 01:08:42And, uh,
  • 01:08:43end up being incarcerated because
  • 01:08:45they retaliate against, uh,
  • 01:08:46a perpetrator.
  • 01:08:47And again, we want to think like we want.
  • 01:08:50How can we be making it so that people
  • 01:08:53are not even getting to the point
  • 01:08:56where they have to retaliate, right?
  • 01:08:58Anne?
  • 01:08:59I'm yes like in there is trauma
  • 01:09:02intergenerationally but uhm I just I.
  • 01:09:04I think that we just sometimes
  • 01:09:06take for granted that,
  • 01:09:08like as we're kind of like putting band aids,
  • 01:09:11and I mean Doctor Wang,
  • 01:09:13you work with people who
  • 01:09:15have recently been released.
  • 01:09:16And yes,
  • 01:09:17those people need care.
  • 01:09:19But I think that those of us who
  • 01:09:21are not working in that situation,
  • 01:09:24we can really want to push
  • 01:09:26ourselves to be thinking like the
  • 01:09:28stuff that happened before that.
  • 01:09:30And so like what?
  • 01:09:32Uh, a lot of these groups and they
  • 01:09:34talk about you know that violence
  • 01:09:37happens because there's something
  • 01:09:38wanting in the community, right?
  • 01:09:40and I think we should be thinking about that,
  • 01:09:44whether it's education, whether it's jobs,
  • 01:09:46whether it's health care, etc.
  • 01:09:47So I'm sorry.
  • 01:09:48I'm like kind of like rambling,
  • 01:09:51but I think I want to just
  • 01:09:53point out survived and punish.
  • 01:09:55I want to point out insight which is women
  • 01:09:58against violence against women color.
  • 01:10:00Ann Lee.
  • 01:10:01Goodmark,
  • 01:10:01who's written a book called
  • 01:10:03criminalizing from a domestic violence,
  • 01:10:05which really goes in depth and
  • 01:10:07from a legal perspective on
  • 01:10:09what the alternatives can be.
  • 01:10:15Great Sidney, you know,
  • 01:10:17I wanted to think about 2 two issues
  • 01:10:20that those comments have me reflect
  • 01:10:22on and you know I get that the
  • 01:10:25person that wrote the comments was
  • 01:10:27really focused on domestic violence.
  • 01:10:29But I think violence period is something
  • 01:10:31important to attend to and even how you know.
  • 01:10:34Going back to Jeanette's comment
  • 01:10:36about how we do market language and
  • 01:10:39many of us I'd say especially in
  • 01:10:41the medical community are really
  • 01:10:43OK with the car's rating,
  • 01:10:45quote, Unquote, Nonviolent.
  • 01:10:46Folks like people that haven't
  • 01:10:48committed violent offenses,
  • 01:10:49and then within the categories of those that
  • 01:10:52have been convicted of a violent offense,
  • 01:10:55domestic violence.
  • 01:10:56OK, that has the narrative
  • 01:10:58of were OK with this right?
  • 01:11:01That's OK, maybe,
  • 01:11:02maybe not right as as Denise
  • 01:11:05pointing out and to me I think again,
  • 01:11:08these wholesale distinctions are
  • 01:11:09difficult and really are anchoring
  • 01:11:11ourselves in untenable kind of solutions.
  • 01:11:14Which is to say,
  • 01:11:15you know to.
  • 01:11:17To say that you're one for abolition or
  • 01:11:19thinking about you all recognize that
  • 01:11:22prisons and jails are health harming,
  • 01:11:24and so will only discuss rate
  • 01:11:26certain individuals.
  • 01:11:27Those that are non violent.
  • 01:11:29It seems kind of it is to me entirely
  • 01:11:32antithetical that we have to kind
  • 01:11:34of come to a reckoning which,
  • 01:11:36just to say that the whole system
  • 01:11:38has been violent in its generation,
  • 01:11:41that many of the of individuals,
  • 01:11:43the majority individuals that have
  • 01:11:45been convicted of violent crimes actually.
  • 01:11:47Were victims of violence themselves right?
  • 01:11:49And so to kind of create these
  • 01:11:53distinctions I think are.
  • 01:11:56That are important to recognize an
  • 01:11:58important to recognize in our own
  • 01:12:00narratives of how we think about
  • 01:12:01ourselves as quote Unquote abolitionists,
  • 01:12:04right, is that to me when I look at that.
  • 01:12:08That connection is critical not just
  • 01:12:10for those that have been victims
  • 01:12:12of domestic violence,
  • 01:12:13but victims of any sort of violence.
  • 01:12:16And these are the very reasons for why,
  • 01:12:19you know, just not sensible is a doctor,
  • 01:12:21you know.
  • 01:12:22You put a person that has been a victim
  • 01:12:25of violence into a violent situation,
  • 01:12:27which is prisons and jails.
  • 01:12:29And of course that begets more violence,
  • 01:12:31which then begets more violence
  • 01:12:33and more violence.
  • 01:12:34So the first I would say is that I
  • 01:12:37certainly agree that you know incarceration.
  • 01:12:39Um it creates intergenerational
  • 01:12:41violence in all sorts of ways,
  • 01:12:43not just for women,
  • 01:12:45not just for pregnant women,
  • 01:12:46but for all.
  • 01:12:47For men that have committed
  • 01:12:49the most heinous of crimes that
  • 01:12:51were convicted and sentence and
  • 01:12:53have served their sentence is.
  • 01:12:56And we have to push our national
  • 01:12:58dialogue to that that not just
  • 01:13:01thinking about the pregnant women
  • 01:13:03who are there and their children.
  • 01:13:05That all folks that are incarcerated
  • 01:13:08right now and how brutally violence?
  • 01:13:11The system is and the health
  • 01:13:13care system is one,
  • 01:13:14and then the second is that you know.
  • 01:13:17Of course these are intergenerational
  • 01:13:19issues and so you know I kind of
  • 01:13:22think these are kind of going to
  • 01:13:23be intergenerational fixes to it
  • 01:13:25is not going to be a quick and
  • 01:13:28hurry you know we it took us.
  • 01:13:30We had 40 years. We've ramped up.
  • 01:13:32We've never done it well for
  • 01:13:34communities of color ever,
  • 01:13:35and in particular for black
  • 01:13:37folks in this country ever.
  • 01:13:38So who's to say that a quick
  • 01:13:41defund the police?
  • 01:13:42Listen to shifting the budgets.
  • 01:13:43Gonna do this.
  • 01:13:44This is about the hard and nasty
  • 01:13:47work that we all have to do of
  • 01:13:49interrogating what it is that we do.
  • 01:13:51Is health care providers students is,
  • 01:13:53you know, legal scholars, etc.
  • 01:13:55And then getting done work
  • 01:13:56and some things are going to
  • 01:13:58work in some things aren't,
  • 01:14:00but it is not going to be quick.
  • 01:14:02It is intergenerational.
  • 01:14:03I'm hoping you know for my kids
  • 01:14:05generation it's their grandkids.
  • 01:14:06100 years from now.
  • 01:14:08This looks different.
  • 01:14:10I mean,
  • 01:14:10I'm hoping it looks different tomorrow,
  • 01:14:12but realistically I feel like those
  • 01:14:14are the two things that kind of
  • 01:14:16stuck out with Nando's comments,
  • 01:14:18which is that it's not just
  • 01:14:20the violence of certain folks,
  • 01:14:22but it's the system that's
  • 01:14:24violent and you know,
  • 01:14:25kind of partitioning off for
  • 01:14:27these people that have committed
  • 01:14:29violent crimes is.
  • 01:14:31Also,
  • 01:14:31harming kind of overall that's
  • 01:14:34such a critical point, right?
  • 01:14:36Such a critical point,
  • 01:14:38because even if we change.
  • 01:14:41It in could snap our fingers and have
  • 01:14:44the kind of policing we wanted tomorrow,
  • 01:14:47you know, or if prisons changed tomorrow,
  • 01:14:50or if you know prosecution change
  • 01:14:52tomorrow in the legal authority by
  • 01:14:54which police are able to enforce arrest
  • 01:14:57that leads people to incarcerate if
  • 01:15:00settings and so on change tomorrow,
  • 01:15:02an example of which Eric Garner
  • 01:15:04lost his life because he was subject
  • 01:15:07to forcible arrest for selling
  • 01:15:09loose cigarettes on a corner.
  • 01:15:12Even if you think that that
  • 01:15:13should be some kind of violation,
  • 01:15:15why on Earth should that be
  • 01:15:17subject to forcible arrest,
  • 01:15:18which leads to all of these things?
  • 01:15:20OK, so even if all of those
  • 01:15:23things change tomorrow?
  • 01:15:24We're still left with the fragile,
  • 01:15:28brittle communities today.
  • 01:15:31Where there is poor health care where
  • 01:15:33there is low educational attainment
  • 01:15:35where there is inadequate housing where
  • 01:15:38there are essential workers making you
  • 01:15:40know much less than anyone's minimum
  • 01:15:42wage that doesn't change tomorrow.
  • 01:15:44Those places are still going to be
  • 01:15:47places of concentrated violets are still
  • 01:15:49going to be places that experience
  • 01:15:51high rates of coronavirus infection.
  • 01:15:54They are still going to be
  • 01:15:56places of we can go on and on,
  • 01:15:59which means that changing, you know.
  • 01:16:01Getting the kind of policing
  • 01:16:03we want tomorrow,
  • 01:16:04we still have to deal with
  • 01:16:06what we've got right now.
  • 01:16:08And that's not going to be cheap,
  • 01:16:11which gets back to these questions
  • 01:16:13about who sacrificing what.
  • 01:16:15It's going to cost,
  • 01:16:16and what we're all willing to do.
  • 01:16:22Disturb attack onto the topic of
  • 01:16:25intergenerational interventions and
  • 01:16:26also multi sector interventions.
  • 01:16:28I hear you saying we need a comprehensive
  • 01:16:32approach that goes beyond policing
  • 01:16:35beyond criminal legal system.
  • 01:16:37There's a question here.
  • 01:16:38Can you speak more about the intersection
  • 01:16:41with education and incarceration?
  • 01:16:44What can parents and communities do when
  • 01:16:47thinking about school systems pushing
  • 01:16:50for change to prevent school to prison?
  • 01:16:53Concerns and to get police out of schools.
  • 01:16:57Also pediatricians role in school
  • 01:16:59system in making sure children
  • 01:17:01get appropriate supports that
  • 01:17:03don't perpetuate disparities.
  • 01:17:05Just while we're on the subject,
  • 01:17:08any thoughts
  • 01:17:09about that? Um, yeah, actually, uhm.
  • 01:17:12Another member of the Justice
  • 01:17:14Collaboratory is professor at the Graduate
  • 01:17:16School of education at ruckers up,
  • 01:17:19and we actually produce to a couple of year.
  • 01:17:23I think it's actually on our website.
  • 01:17:25Justice forward where we talk about the
  • 01:17:29connection between education and all of these
  • 01:17:32concepts that give you a little factoid.
  • 01:17:34People spend a lot of time
  • 01:17:37talking about teacher quality,
  • 01:17:38and it's the link between that and
  • 01:17:41children's attainment in schools.
  • 01:17:43Critical, important.
  • 01:17:44It turns out that some research shows
  • 01:17:46that if we if we look at if we broaden
  • 01:17:49the factors to look at all the things
  • 01:17:52that are important to make sure that
  • 01:17:54children get higher test scores and so on.
  • 01:17:57There's some research showing
  • 01:17:58that going to the dentist.
  • 01:18:00Twice a year is produces more impact on
  • 01:18:03children's grades than, quote unquote.
  • 01:18:05A good teacher a doesn't mean,
  • 01:18:07of course,
  • 01:18:08that schools shouldn't care about
  • 01:18:10making sure that teachers aren't as
  • 01:18:12good as they can be within schools,
  • 01:18:15but it don't show in the context
  • 01:18:17of what you were talking about,
  • 01:18:19multi institutions,
  • 01:18:20the kinds of things that we need
  • 01:18:23to do to make sure that children
  • 01:18:25have the best outcomes aren't just
  • 01:18:27about what happens in schools,
  • 01:18:29even though those are the things
  • 01:18:32that schools. Have control of.
  • 01:18:33It's also the case that kids and the
  • 01:18:36public generally receive education
  • 01:18:38outside of the walls of schools,
  • 01:18:41so you know this justice collaborate.
  • 01:18:43Remember,
  • 01:18:43I was just talking about Ben Justice and
  • 01:18:46I wrote a piece called how the criminal
  • 01:18:50justice system educate citizens, right?
  • 01:18:52This is the kind of thing that
  • 01:18:54we need to be thinking about,
  • 01:18:57you know,
  • 01:18:58to ensure making sure that people
  • 01:19:00understand sort of the basics.
  • 01:19:02Of you know the importance
  • 01:19:05of what citizens deserve.
  • 01:19:07You know, you know, collective thinking,
  • 01:19:10the fact that you know that there's
  • 01:19:12not only one kind of capitalism.
  • 01:19:15For example,
  • 01:19:16you know basics of history,
  • 01:19:18you know the fact that I started this
  • 01:19:21discussion about the relationship
  • 01:19:24between abolition and reconstruction.
  • 01:19:26Something that people generally don't know.
  • 01:19:29A lot of people learned about
  • 01:19:32the race massacre in Tulsa.
  • 01:19:34Through Watchmen A TV show.
  • 01:19:39Right?
  • 01:19:39I lost the thread because I
  • 01:19:42was getting worked up about.
  • 01:19:44You know the important stuff
  • 01:19:46you know educationally many sectors
  • 01:19:50meeting. Yeah, produces it.
  • 01:19:52But you know, we do know that having you
  • 01:19:57know violence in schools, whether it's.
  • 01:20:00Having police um, doing that or uhm,
  • 01:20:03the in a violence among the kids
  • 01:20:06because they live the schools are
  • 01:20:09located in violent context is.
  • 01:20:12It impedes educational attainment,
  • 01:20:14which leads to a lot of the other factors
  • 01:20:18that we were just talking about it.
  • 01:20:21It's interesting that an I feel heart,
  • 01:20:24and actually that in a conversation
  • 01:20:27in the medical school we have spent
  • 01:20:29so little time talking about how to
  • 01:20:32fix particular aspects of our systems
  • 01:20:35to assign criminal responsibility,
  • 01:20:38and we've had a really deep and
  • 01:20:41wide ranging discussion.
  • 01:20:42About inequality and structural inequality,
  • 01:20:44and you know the importance of
  • 01:20:47eradicating that to achieve citizenship.
  • 01:20:49So I actually am feeling more hopeful that I
  • 01:20:52ever have been in conversations like this,
  • 01:20:55because, you know,
  • 01:20:57maybe y'all and the health care system
  • 01:21:00you know are looking at the right
  • 01:21:02things compared to the audiences
  • 01:21:04that I'm usually speaking to.
  • 01:21:09Thank you. Any reflections from
  • 01:21:11doctor Wang or Sydney Mean No.
  • 01:21:16I. If not I I'm gonna put together
  • 01:21:192 questions that really seemed to
  • 01:21:22bring this home. Uh, you know,
  • 01:21:24'cause I really appreciated the speakers.
  • 01:21:27Challenge to us to bring this right home.
  • 01:21:30You know what are we doing personally
  • 01:21:33in our work and our community life.
  • 01:21:35So, um, the first is what is Yale?
  • 01:21:39New Haven hospital going to commit
  • 01:21:41from this perspective is the only even
  • 01:21:43hospital billing open to collaborating
  • 01:21:46with transitions for employment
  • 01:21:47leading a fair pay and benefits,
  • 01:21:49especially for health care jobs
  • 01:21:51label does low skill, so that's one.
  • 01:21:54And then the 2nd as abolitionists
  • 01:21:56merriam Kava tells us we cannot.
  • 01:21:59Advocate for or participate in any
  • 01:22:01activity that strengthens legitimacy
  • 01:22:03of the prison industrial complex.
  • 01:22:05So as abolitionists,
  • 01:22:06healthcare providers.
  • 01:22:07How can we provide health care to
  • 01:22:11incarcerated people within the prison
  • 01:22:13system without further legitimizing it?
  • 01:22:16Any thoughts?
  • 01:22:19That cuts to the core that last question,
  • 01:22:22the core of the core for me and I just
  • 01:22:24so appreciate that question because I
  • 01:22:27think it's a daily struggle in my life.
  • 01:22:30We've made decisions again at,
  • 01:22:31you know, and there's the personal
  • 01:22:34decisions and kind of professional
  • 01:22:35ones we've made made as a team.
  • 01:22:38And so I'll go to the
  • 01:22:40professional that's easier.
  • 01:22:41Which is to say that, you know,
  • 01:22:43as a network and is a lab and as a centre,
  • 01:22:47we again have centered at the values needs.
  • 01:22:50And preferences of people that are
  • 01:22:52incarcerated so have made concrete decisions
  • 01:22:55with that in partnership and collaboration,
  • 01:22:58which includes we don't take direct funding
  • 01:23:01within transitions from correctional systems.
  • 01:23:04We really work up against reinforcing
  • 01:23:07kind of again systems of control,
  • 01:23:09surveillance etc.
  • 01:23:10An and you know real
  • 01:23:12concrete way of describing.
  • 01:23:14That is like asking our advisory
  • 01:23:17boards over and over again.
  • 01:23:20Urine toxicology is how
  • 01:23:21do they feel about that?
  • 01:23:23Even if the clinic system and you know,
  • 01:23:25Interestingly, some,
  • 01:23:26the discussion is actually
  • 01:23:27different than we might experience.
  • 01:23:29So again, my point is just centering
  • 01:23:31again our policies and practices around.
  • 01:23:34Their values,
  • 01:23:35I think, is critical.
  • 01:23:36For myself, this is kind of,
  • 01:23:38I'd say what I think about all the time is.
  • 01:23:45You know, yeah?
  • 01:23:46and I and I think like I think you know,
  • 01:23:49you only have 24 hours in the day.
  • 01:23:52How is it that you kind of bring your best
  • 01:23:55self to this work and push it forward?
  • 01:23:58and I think that really hard struggle
  • 01:24:00that we have is health care providers.
  • 01:24:03Is this real fact is that there
  • 01:24:05are patients that are incarcerated
  • 01:24:06right now that without healthcare
  • 01:24:08providers being inside?
  • 01:24:12Their stock, the script there's there's
  • 01:24:14no way moving forward, you know,
  • 01:24:16and so I have kind of the deep best.
  • 01:24:19I'd say most radical.
  • 01:24:22Their colleagues that are practicing
  • 01:24:24inside that see this as an important
  • 01:24:27part of abolition, you know and.
  • 01:24:31As the provision of healthcare
  • 01:24:33inside if provided well,
  • 01:24:35is a path for decarceration,
  • 01:24:36the provision of Healthcare is a
  • 01:24:39way of reforming someone's humanity
  • 01:24:40inside as a path for abolition,
  • 01:24:43and that said, I think that this
  • 01:24:45is really very very complicated.
  • 01:24:47I mean, I saw that they came out
  • 01:24:49saying that now there's kind of
  • 01:24:52statements yesterday where they
  • 01:24:53are no longer in partnership,
  • 01:24:55know grants, no funds,
  • 01:24:57nothing with the police,
  • 01:24:58and they distinguished the police
  • 01:25:00from prisons.
  • 01:25:01This American public Health Association.
  • 01:25:03And to me, that's complicated.
  • 01:25:05It's deeply complicated in
  • 01:25:06Speaking of someone that works
  • 01:25:07mostly with prisons and jails.
  • 01:25:09How do you create a transitional program?
  • 01:25:11How do you create unified
  • 01:25:12electronic health records?
  • 01:25:13How do you improve the care of those that
  • 01:25:16come home at we're doing worse than you know.
  • 01:25:19The data showed that.
  • 01:25:20And so to me,
  • 01:25:21I think that that question.
  • 01:25:22I just keep pointing up to the top
  • 01:25:25my screen 'cause I see it right.
  • 01:25:27There is at the core kind of the values that
  • 01:25:30undergird do I don't have an answer to that,
  • 01:25:33but I really appreciate it 'cause it's that.
  • 01:25:35I think that motivates.
  • 01:25:36You know why any of us do this work.
  • 01:25:45So Sidney, you're going to have
  • 01:25:46the last word on this one. No,
  • 01:25:48I'll let you have
  • 01:25:50it. Well, I think we have two minutes.
  • 01:25:52I'll go quickly to make sure
  • 01:25:54that you had the last word.
  • 01:25:56I, I notice that question in the Q&A. And.
  • 01:26:03I think my my reaction was that I understand
  • 01:26:07why someone would ask that question.
  • 01:26:10I understand the motivation for
  • 01:26:12quoting someone like Mario macabre,
  • 01:26:15but I actually think her own work.
  • 01:26:19Cobb's on the work actually shows how someone
  • 01:26:22could be convicted with respect to that.
  • 01:26:26Approach, but do things that other
  • 01:26:30people would view as legitimizing.
  • 01:26:34Current structures because if you
  • 01:26:36look at things that she's done,
  • 01:26:39it's not as if she would never ever
  • 01:26:41speak to police as they exist now.
  • 01:26:44That's not what she has actually
  • 01:26:46done in her own work.
  • 01:26:47If if you look at it,
  • 01:26:49that's not to say that in working with
  • 01:26:52them in some way that she understands
  • 01:26:54herself to be legitimizing it them.
  • 01:26:56I'm saying that somebody looking at
  • 01:26:58her from the outside could say that,
  • 01:27:01and I point that out to say that.
  • 01:27:05I don't think I
  • 01:27:06have ever been an idealist.
  • 01:27:08I'm from Chicago and Chicagoans are
  • 01:27:11sort of famously pragmatists, a man.
  • 01:27:14I think that if you are
  • 01:27:17going to get things done,
  • 01:27:20you're necessarily going to make some
  • 01:27:22choices that others who have a different
  • 01:27:26form of understanding their own ideals,
  • 01:27:29you know, would criticize.
  • 01:27:31And making that claim.
  • 01:27:33I'm not saying, You know.
  • 01:27:37Get your hands or and you know I'm
  • 01:27:40not trying to be sort of, you know.
  • 01:27:42There are these things that you
  • 01:27:45should do that are bad or illegal
  • 01:27:48that that that's not the point.
  • 01:27:50You know.
  • 01:27:51You know, I, I think about there
  • 01:27:53are many examples abolitionists.
  • 01:27:55Frederick Douglass.
  • 01:27:56As an example,
  • 01:27:58who would do things that many
  • 01:28:00idealists would say were clearly
  • 01:28:02consistent with their ideals,
  • 01:28:04and then he would also do things that people
  • 01:28:08might look at and be a little bit like,
  • 01:28:11Oh wait,
  • 01:28:12that's not a pure abolitionist approach,
  • 01:28:15I just don't think that
  • 01:28:17there's any purity to this.
  • 01:28:19If you're actually on the
  • 01:28:21ground doing the work,
  • 01:28:23you know the people who can be the most pure.
  • 01:28:27Are the people who write about it.
  • 01:28:30And that's fine.
  • 01:28:32That's great.
  • 01:28:32An important,
  • 01:28:33but I think if you're actually
  • 01:28:36there on the ground doing
  • 01:28:38something that it is impossible
  • 01:28:40to make a move that someone.
  • 01:28:43Cannot ultimately criticize
  • 01:28:45an understandably so.
  • 01:28:50Thank you and now the last
  • 01:28:52word from Sydney cream.
  • 01:28:54Super short, uhm.
  • 01:28:56I just want to speak specifically
  • 01:28:58to Chinese and medical students.
  • 01:29:00Don't wait, you're not going to
  • 01:29:03get more power than you have
  • 01:29:06right now as a medical student.
  • 01:29:08They need our labor.
  • 01:29:12And and so as a collective are our
  • 01:29:14voices can be just as powerful an
  • 01:29:17I'm just excited for, you know,
  • 01:29:19so many people joining this
  • 01:29:20call and thank you to doctor
  • 01:29:22long and professor mirrors for
  • 01:29:24really educating us today and and
  • 01:29:26sharing your time with us.
  • 01:29:27I really appreciate it.
  • 01:29:31Amen, and thank you Sidney green as
  • 01:29:33well as Tracy mirrors and Emily Wong.
  • 01:29:36Thank you so much. Spend a wonderful night.
  • 01:29:40Thanks everybody.