,,iii  #aag? ,,congress  #b;d ,session  
,s4 ,,res4 #hge  ,,9 ,,! ,,s5ate ,,( ,,!
 ,,unit$ ,,/ates  ,decemb] #bj1         
#bjbb,mr4 ,br[n 7= himself1 ,mr4 ,book]1
 ,mr4 ,padilla1 ,ms4 ,w>r51 ,ms4 ,/ab5[1
 ,mr4 ,w>nock1 ,mr4 ,m55dez1 ,mr4 ,c>d91
 ,mr4 ,m]kley1 ,mr4 ,blum5?al1 ,mrs4    
,fe9/e91 ,ms4 ,baldw91 ,mr4 ,c>p]1 ,ms4 
,klobu*>1 ,mr4 ,leahy1 ,mr4 ,s&]s1 ,ms4 
,smi?1 ,mr4 ,van ,holl51 ,mr4 ,wyd51    
,mr4 ,m>key1 ,ms4 ,hirono1 ,ms4         
,duckwor?1 ,mr4 ,re$1 & ,mr4 ,:iteh\se7 
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions          
,,resolution  ,decl>+ racism a public   
heal? crisis4  ,:]eas a public heal?    
issue is an issue-- 7#a7 t affects _m p1
 is a ?reat to ! public1 & is ongo+2    
7#b7 t is unfairly di/ribut$ among      
diff]5t populations1 disproportionately 
impact+ heal? outcomes1 access to heal? 
c>e1 & life expectancy2  7#c7 ! effects 
( :i* c\ld be r$uc$ by prev5tive        
measures2 &  7#d7 = :i* ^? prev5tive    

measures are n yet 9 place2 ,:]eas      
public heal? exp]ts agree t significant 
racial inequities exi/ 9 ! preval5ce1   
sev]ity1 & mortality rates ( v>i\s heal?
 conditions 9 ! ,unit$ ,/ates2 ,:]eas   
examples ( su* inequities include-- 7#a7
 life expectancy rates = ,black &       
,native ,am]ican p 9 ! ,unit$ ,/ates be+
 significantly l[] ?an ^? ( ,:ite p 9 ! 
,unit$ ,/ates2  7#b7 ,black & ,native   
,am]ican wom5 be+ #b to #d times m      
likely ?an ,:ite wom5 to suff] sev]e    
mat]nal morbidity or die (              
pregnancy-relat$ complications2  7#c7   
,black & ,native ,am]ican infants be+ #b
 to #c times z likely to die z ,:ite    
infants1 & ! ,black infant mortality    
rate 9 ! ,unit$ ,/ates be+ high] ?an !  
infant mortality rates record$ 9 #bg ( !
 #cf democratic c\ntries ) m>ket-bas$   
economies t are memb]s ( ! ,organization
 = ,economic ,co-op]ation & ,developm5t2
 &  7#d7 dur+ ! ,,covid-#ai p&emic1     
,black1 ,hispanic_/,lat9o1 ,asian       
,am]ican1 ,native ,hawaiian1 ,pacific   

,isl&]1 & ,native ,am]ican communities  
exp]i5c+ disproportionately high rates (
 ,,covid-#ai infection1 hospitalization1
 & mortality comp>$ to ! ,:ite          
population ( ! ,unit$ ,/ates2 ,:]eas    
inequities 9 heal? outcomes are         
exac]bat$ = p ( color :o are ,,lgbtqia &
 h disabilities2 ,:]eas1 hi/orically1   
explanations = heal? inequities focus$  
on false g5etic sci5ce 7= example1      
eug5ics7 & incomplete social sci5tific  
analyses t n>r[ly focus on individual   
behavior to highlight o/5sible          
defici5cies )9 racial & e?nic m9ority   
gr\ps2 ,:]eas mod]n public heal?        
disc\rse recognizes ! broad] social     
context 9 :i* heal? inequities em]ge &  
ackn[l$ges ! impact ( hi/orical &       
contempor>y racism on heal?2 ,:]eas1    
s9ce its f\nd+1 ! ,unit$ ,/ates has _h a
 long/&+ hi/ory & legacy ( racism1      
mi/reatm5t1 & discrim9ation t has       
p]petuat$ heal? inequities = memb]s (   
racial & e?nic m9ority gr\ps2 ,:]eas t  
hi/ory & legacy ( racism1 mi/reatm5t1 & 

discrim9ation includes-- 7#a7 ! immoral 
p>adox ( fre$om & slav]y1 :i* is an     
atrocity t c be trac$ ?r\gh\t ! hi/ory (
 ! ,unit$ ,/ates1 z ,african ,am]icans  
liv$ "u ! oppressive in/itution ( slav]y
 f #afai ?r\gh #ahfe1 endur$ ! practices
 & laws ( segregation dur+ ! ,jim ,cr[  
era1 & cont9ue to face ! ramifications (
 sy/emic racism ?r\gh unju/ &           
discrim9atory /ructures & policies2     
7#b7 ! failure ( ! ,unit$ ,/ates to c>ry
 out ! responsibilities & promises made 
9 m ?an #cej treaties ratifi$ ) sov]eign
 indig5\s communities1 includ+ ,am]ican 
,indians1 ,alaska ,natives1 & ,native   
,hawaiians1 z made evid5t by ! *ronic & 
p]vasive und]fund+ ( ! ,indian ,heal?   
,s]vice & ,tribal1 ,urban ,indian1 &    
,native ,hawaiian heal? c>e1 ! va/ heal?
 & socioeconomic inequities fac$ by     
,native ,am]ican p1 & ! inaccessibility 
( _m ,f$]al public heal? & social       
programs 9 ,native ,am]ican communities2
  7#c7 ! enactm5t ( immigration laws 9 !
 ,unit$ ,/ates1 su* z-- 7,a7 ! ,page    

,act ( #ahge1 :i* effectively prohibit$ 
! entry ( ,ea/ ,asian wom5 into ! ,unit$
 ,/ates2  7,b7 ! ,*9ese ,exclusion ,act 
9 #ahhb1 :i* o/raciz$ ?\s&s (           
,*9ese-born labor]s1 :o 7 ess5tial 9 !  
completion ( ! transcont95tal railroad &
 developm5t ( ! ,we/ ,coa/2 &  7,c7 !   
,immigration ,act ( #aiag1 :i* b>r$ all 
immigrants f ! ,asiatic zone & prev5t$ !
 migration ( individuals f ,s\? ,asia1  
,s\!a/ ,asia1 & ,ea/ ,asia1 scapegoat+  
,asians1 sep>at+ families1 & br&+       
,asians z p]petual outsid]s 9 ! ,unit$  
,/ates2  7#d7 dur+ ! ,great ,depression 
,era1 ! deportation by ! ,unit$ ,/ates (
 approximately #a1hjj1jjj individuals   
bas$ on _! ,mexican e?nic id5tity1 :5   
approximately #fj-p]c5t ( ! individuals 
deport$ to ,mexico 7 ,unit$ ,/ates      
citiz5s1 & ! t>get+ ( individuals (     
,mexican desc5t = repatriation due to   
scapegoat+ ef=ts1 :i* blam$ !m = /eal+  
jobs f real ,am]icans2 &  7#e7 9 #aifg1 
,presid5t ,lyndon ,b4 ,johnson e/abli%+ 
! ,national ,advisory ,commission on    

,civil ,disord]s1 :i* conclud$ t ,:ite  
racism is responsible = ! p]vasive      
discrim9ation & segregation 9 employm5t1
 education1 & h\s+1 result+ 9 deep5$    
racial division & cont9u$ exclusion (   
,black communities f ! b5efits (        
economic progress2 ,:]eas ov]t racism 0 
emb$d$ 9 ! developm5t ( m$ical sci5ce & 
m$ical tra9+ dur+ ! #ah?1 #ai?1 & #bj?  
c5turies1 caus+ disproportionate        
physical & psy*ological h>m to memb]s ( 
racial & e?nic m9ority gr\ps1 includ+-- 
7#a7 ! une?ical practices & abuses      
exp]i5c$ by ,black pati5ts & rese>*     
p>ticipants1 su* z ! ,tuskegee ,syphilis
 ,/udy1 :i* s]ve z f\ndations = ! mi/ru/
 ! ,black community has = ! m$ical      
sy/em2 &  7#b7 ! egregi\sly une?ical &  
cruel treatm5t enslav$ ,black wom5 7 =c$
 to endure z subjects ( insidi\s m$ical 
exp]im5ts to advance mod]n gynecology1  
includ+ ^? p]petuat$ by ! s-call$ fa!r (
 gynecology1 ,j4 ,m>ion ,sims2 ,:]eas   
/ructural racism cem5t$ hi/orical racial
 & e?nic inequities 9 access to res\rces

 & opportunities1 contribut+ to worse   
heal? outcomes2 ,:]eas examples ( t     
/ructural racism include-- 7#a7 t1 be=e 
! enactm5t ( ! ,m$ic>e program1 ! ,unit$
 ,/ates heal? c>e sy/em 0 highly        
segregat$1 &1 z late z ! mid-#aifjs1    
hospitals1 cl9ics1 & doctors' (fices    
?r\gh\t nor!rn & s\!rn ,/ates compli$ ) 
,jim ,cr[ laws & 7 completely segregat$ 
by race1 leav+ ,black communities )     
little to no access to heal? c>e        
s]vices2  7#b7 ! l&m>k case ,simk9s v4  
,moses ,h4 ,cone ,memorial ,hospital    
7#cbc ,f4#b;d #iei 7#d? ,cir4 #aifc771  
:i* *all5g$ ! use ( public funds by !   
,f$]al ,gov]nm5t to exp&1 support1 &    
su/a9 segregat$ hospital c>e1 & provid$ 
ju/ification = title ,,vi ( ! ,civil    
,rights ,act ( #aifd 7#db ,u4,s4,c4     
#bjjj;d et seq47 & ! ,m$ic>e hospital   
c]tification program1 e/abli%+ ,m$ic>e  
hospital racial integration guidel9es t 
appli$ to e hospital t p>ticipat$ 9 !   
,f$]al program2  7#c7 ,pacific ,isl&]s f
 ! ,freely ,associat$ ,/ates exp]i5c+   

unique heal? inequities result+ f ,unit$
 ,/ates nucle> weapons te/s on _! home  
isl&s1 :ile !y h be5 categorically d5i$ 
access to ,m$icaid & o!r ,f$]al heal?   
b5efits2 &  7#d7 language m9orities1    
includ+ ,*9ese-1 ,korean-1 ,vietnamese-1
 ,russian-1 & ,spani%-speak+ ,am]icans1 
n be+ assur$ nondiscrim9atory access to 
f$]ally fund$ s]vices1 includ+ heal?    
s]vices1 until ! sign+ ( ,executive     
,ord] #acaff 7#db ,u4,s4,c4 #bjjj;d-#a  
note2 relat$ to improv+ access to       
s]vices = p]sons ) limit$ ,engli%       
pr(ici5cy7 9 #bjjj2 ,:]eas1 al?\gh ov]t 
racism has be5 outlaw$ 9 ! ,unit$       
,/ates1 subtle or implicit racism 9 all 
sectors ( ! m$ical s]vice pr(ession     
cont9ues to cause disproportionate      
physical & psy*ological h>m to memb]s ( 
racial & e?nic m9ority gr\ps2 ,:]eas    
examples ( subtle or implicit racism 9 !
 m$ical s]vice pr(ession include-- 7#a7 
! hi/ory & p]si/5ce ( raci/ &           
nonsci5tific m$ical beliefs1 :i* are    
associat$ ) ongo+ racial inequities 9   

treatm5t & heal? outcomes2  7#b7        
implicit racial & e?nic biases )9 !     
heal? c>e sy/em1 :i* h an explicit      
impact on ! quality ( c>e exp]i5c$ by   
memb]s ( racial & e?nic m9ority gr\ps1  
su* z ! und]treatm5t ( pa9 9 ,black     
pati5ts2  7#c7 ne>ly #a 9 #e            
,hispanic_/,lat9o ,am]icans avoid+      
m$ical c>e due to conc]n ab\t be+       
discrim9at$ aga9/ or treat$ poorly2     
7#d7 ! ,unit$ ,/ates heal? c>e sy/em &  
o!r economic & social /ructures rema9+  
fraught ) biases bas$ on race1 e?nicity1
 sex 7includ+ sexual ori5tation & g5d]  
id5tity71 & class t lead to heal?       
inequities2  7#e7 wom5 ( color1 includ+ 
,black1 ,native ,am]ican1               
,hispanic_/,lat9a1 ,asian ,am]ican1     
,native ,hawaiian1 & ,pacific ,isl&]    
wom51 cont9u+ to face attacks on _!     
pr5atal1 mat]nal1 & reproductive heal? &
 rights ?r\gh\t hi/ory2 &  7#f7         
physicians r\t9ely1 ?r\gh ! late #aifjs 
& e>ly #aihjs1 /]iliz+ memb]s ( racial &
 e?nic m9ority gr\ps1 specifically      

,african ,am]ican & ,lat9a wom51 p]=m+  
excessive & m$ically unnecess>y         
proc$ures )\t _! in=m$ cons5t2 ,:]eas   
/ructural racism p]petuates racial &    
e?nic inequities 9 ! social det]m9ants (
 heal?1 :i* produces un9t5d$ negative   
heal? outcomes = memb]s ( racial & e?nic
 m9ority gr\ps2 ,:]eas examples ( t     
/ructural racism include-- 7#a7 t !re   
are few] ph>macies1 m$ical practices1 & 
hospitals 9 pr$om9antly ,black &        
,hispanic_/,lat9o neighborhoods1 comp>$ 
to ,:ite or m div]se neighborhoods2     
7#b7 environm5tal haz>ds1 su* z toxic   
wa/e facilities1 g>bage dumps1 & o!r    
s\rces ( airborne pollutants1 be+       
disproportionately locat$ 9 pr$om9antly 
,black1 ,hispanic_/,lat9o1 ,asian       
,am]ican1 ,native ,hawaiian1 ,pacific   
,isl&]1 & l[-income communities1 result+
 9 poor air quality conditions1 :i* c   
increase ! likelihood ( *ronic          
respiratory illness & premature dea? f  
p>ticle pollution2  7#c7 t employ$      
,black adults are #aj-p]c5t less likely 

to h workplace insurance ?an are employ$
 ,:ite adults because ( racial          
segregation 9 occupation sectors & types
 ( organizations !y "w 91 & t c]ta9     
gr\ps ( noneld]ly ,asian ,am]ican       
adults1 includ+ ,native ,hawaiian1      
,pacific ,isl&]1 ,korean1 ,vietnamese1 &
 ,cambodian adults1 also h l[] levels ( 
insurance ?an ,:ite adults2  7#d7 t     
sev]al ,/ates ) high] p]c5tages (       
,black1 ,hispanic_/,lat9o1 & ,native    
,am]ican populations h n exp&$ _!       
,m$icaid programs1 cont9u+ to           
dis5fran*ise m9ority communities f      
access to heal? c>e to ?is day2  7#e7   
discrim9atory h\s+ practices1 su* z     
r$l9+1 :i* h1 = decades1 sy/emically    
exclud$ memb]s ( racial & e?nic m9ority 
gr\ps f h\s+1 robb+ !m ( capital 9 ! =m 
( l[-co/1 /able mortgages &             
opportunities to build weal?1 & ! ,f$]al
 ,gov]nm5t us+ its f9ancial p[] to      
segregate r5t]s 9 newly built public    
h\s+2  7#f7 social inequities su* z     
diff]+ access to quality heal? c>e1     

heal?y food & safe dr9k+ wat]1 safe     
neighborhoods1 education1 job security1 
& reliable transportation1 :i* affect   
heal? risks & outcomes2  7#g7 t1 z mu* z
 #fj-p]c5t ( ! heal? ( a p]son 9 !      
,unit$ ,/ates c be det]m9$ by _! ,,zip  
,code2  7#h7 t ! ,,covid-#ai p&emic has 
exac]bat$ economic1 heal?1 h\s+1 & food 
security b>ri]s = ,black1               
,hispanic_/,lat9o1 & ,native ,am]ican   
h\seholds1 :i* already suff] f          
disproportionately high] rates ( food   
insecurity2 &  7#i7 memb]s ( ! ,black1  
,native ,am]ican1 ,alaska ,native1      
,asian ,am]ican1 ,native ,hawaiian1     
,pacific ,isl&]1 & ,hispanic_/,lat9o    
communities be+ disproportionately      
impact$ by ! crim9al ju/ice &           
immigration en=cem5t sy/ems & fac+ a    
high] risk ( contract+ ,,covid-#ai )9   
prison populations & det5tion c5t]s due 
to ! ov]-inc>c]ation ( memb]s ( ^?      
communities2 ,:]eas /ructural racism    
p]petuates ongo+ k gaps 9 data1 rese>*1 
& developm5t1 :i* produces un9t5d$      

negative heal? outcomes = memb]s (      
racial & e?nic m9ority gr\ps2 ,:]eas    
examples ( t /ructural racism include   
t-- 7#a7 mo/ p>ticipants 9 cl9ical      
trials are ,:ite1 s !re is insuffici5t  
data to develop evid5ce-bas$            
recomm5dations = p f racial & e?nic     
m9ority gr\ps2  7#b7 m$ical rese>*      
equipm5t & m$ical devices are typically 
develop$ by majority-,:ite teams & ?us c
 h racial bl9d spots un9t5tionally built
 into _! design1 r5d]+ !m less effective
 = p f racial & e?nic m9ority gr\ps1 su*
 z-- 7,a7 electro5cephalogram 7,,eeg7   
electrodes us$ 9 neuroimag+ rese>* d n  
collect reliable data :5 us$ on scalps )
 ?ick1 curly hair2 &  7,b7 pulse        
oximet]s produce less accurate oxyg5    
saturation read+s :5 us$ on f+]tips )   
d>k] sk92  7#c7 a lack ( images depict+ 
d>k] sk9 9 m$ical textbooks1 lit]ature1 
& j\rnals contributes to high] rates (  
und]diagnosis or misdiagnosis 9 pati5ts 
) d>k] sk92 &  7#d7 _m heal?-relat$     
/udies fail to include disaggregat$ data

 on1 or d n disaggregate data among1    
,asian ,am]icans1 ,native ,hawaiians1 & 
,pacific ,isl&]s1 lead+ to _!           
invisibility 9 heal? data & unju/       
res\rce allocation & policies2 ,:]eas   
racism produces unju/ outcomes &        
treatm5t = memb]s ( racial & e?nic      
m9ority gr\ps1 ) su* negative exp]i5ces 
s]v+ z /ressors t ov] "t h a negative   
impact on physical heal? 7lead+1 =      
example1 to high blood pressure or      
hyp]t5sion7 & m5tal heal? 7lead+1 =     
example1 to anxiety or depression72     
,:]eas !re is evid5ce t racial & e?nic  
m9ority gr\ps cont9ue to face           
discrim9ation 9 ! ,unit$ ,/ates1        
examples ( :i* include t-- 7#a7 comp>$  
to ,:ite ,am]icans1 ,black ,am]icans are
 #e times m likely to report exp]i5c+   
discrim9ation :5 int]act+ ) ! police1   
,hispanic_/,lat9o ,am]icans & ,native   
,am]icans are ne>ly #c times z likely1 &
 ,asian ,am]icans1 ,native ,hawaiians1 &
 ,pacific ,isl&]s are ne>ly twice z     
likely2  7#b7 #db-p]c5t ( ,unit$ ,/ates 

employees h exp]i5c$ or witness$ racism 
9 ! workplace2  7#c7 social sci5ti/s h  
docum5t$ racial microaggressions 9      
contempor>y ,unit$ ,/ates society1      
includ+-- 7,a7 assumptions t memb]s (   
racial & e?nic m9ority gr\ps are n true 
,am]icans2  7,b7 assumptions ( less]    
intellig5ce2  7,c7 /atem5ts t convey    
color-bl9dness or d5ial ( ! importance (
 race2  7,d7 assumptions ( crim9ality or
 dang]\sness2  7,e7 d5ial ( individual  
racism2  7,f7 promotion ( ! my? (       
m]itocracy2  7,g7 assumptions t "o's    
cultural backgr\nd & communication /yles
 are pa?ological2  7,h7 treatm5t z a    
second-class citiz52 &  7,i7            
environm5tal messages ( be+ unwelcome or
 devalu$2  7#d7 ,muslims1 ,s\? ,asians1 
& ,sikhs 7 unju/ly t>get$ = pr(il+1     
surveillance1 arre/1 discrim9ation1     
h>assm5t1 assault1 & murd] aft] #i_/aa2 
7#e7 x5ophobic rhetoric1 includ+        
anti-immigrant rhetoric & scapegoat+ p (
 ,ea/ ,asian & ,s\!a/ ,asian desc5t = ! 
,,covid-#ai p&emic1 has result$ 9 a     

surge ( hate incid5ts aga9/ ,asian      
,am]icans1 ,native ,hawaiians1 &        
,pacific ,isl&]s1 includ+ increas$      
h>assm5t1 discrim9ation1 bully+1        
v&alism1 & assault2 &  7#f7 m ?an       
#ej-p]c5t ( ,hispanic_/,lat9o adults    
exp]i5ce at lea/ "o =m ( discrim9ation  
due to _! racial or e?nic h]itage1 su* z
 be+ treat$ z if !y 7 n sm>t1 criticiz$ 
= speak+ ,spani%1 told to return to _!  
c\ntry1 call$ (f5sive names1 or unfairly
 /opp$ by ! police2 ,:]eas ,black p 9 ! 
,unit$ ,/ates exp]i5ce ov]t & direct =ms
 ( viol5ce t1 :5 n fatal1 c cause sev]e 
physical or psy*ological h>m2 ,:]eas    
examples ( su* =ms ( viol5ce include--  
7#a7 ,black p be+ confront$ & ?reat5$ by
 arm$ citiz5s :ile p]=m+ ev]yday tasks1 
su* z jogg+ 9 neighborhoods1 driv+ :ile 
,black1 or play+ 9 a p>k2  7#b7 ,black p
 be+ #c times m likely to be kill$ by   
police ?an ,:ite p1 & police viol5ce be+
 ! six? lead+ cause ( dea? = "y ,black  
m52  7#c7 ,black communities lead+ !    
,unit$ ,/ates 9 m\rn+ ! kill+s ( ,ahmaud

 ,arb]y1 ,breonna ,taylor1 ,george      
,floyd1 ,elijah ,mc,clain1 & c\ntless   
o!r ,black ,am]icans1 & 9 call+ = ju/ice
 & long-t]m *anges to dismantle sy/ems (
 oppression2  7#d7 t x took ! ,unit$    
,/ates #ff ye>s aft] ! s5seless & brutal
 murd] ( #ad-ye>-old ,emmett ,till to   
make lyn*+ a ,f$]al crime2  7#e7 s9ce   
#bjae1 mass %oot+s ar\nd ! c\ntry1 su* z
 9 ,buffalo1 ,new ,york1 & ,*>le/on1    
,s\? ,c>ol9a1 s]v+ z rem9d]s ( !        
unresolv$ hi/ory ( racism 9 ! ,unit$    
,/ates & highlight+ ! ?reats ,black p   
mu/ take into consid]ation :5 go+ ab\t  
_! daily lives1 bo? :5 outside _!       
communities & )9 ^? communities2 &  7#f7
 ! real ?reat ( brutality & viol5ce     
adv]sely impact+ m5tal heal? among      
,black communities2 ,:]eas ,native      
,am]icans1 ,alaska ,natives1            
,hispanic_/,lat9os1 ,asian ,am]icans1   
,native ,hawaiians1 & ,pacific ,isl&]s  
exp]i5ce racially motivat$ kidnapp+1    
murd]s1 & mass viol5ce1 su* z %oot+s 9  
,oak ,creek1 ,wiscons91 ,el ,paso1      

,texas1 ,atlanta1 ,georgia1 &           
,indianapolis1 ,indiana1 t1 ev5 :5 n    
fatal1 c cause sev]e physical or        
psy*ological h>m2 ,:]eas1 ?r\gh\t !     
hi/ory ( ! ,unit$ ,/ates1 memb]s (      
racial & e?nic m9ority gr\ps h be5 at ! 
=efront ( civil rights movem5ts =       
ess5tial fre$oms1 human rights1 & equal 
protection = m>g9aliz$ gr\ps & cont9ue  
to fight = racial & economic ju/ice     
today2 ,:]eas racial inequities 9 heal? 
cont9ue to p]si/ because ( hi/orical &  
contempor>y racism2 ,:]eas public heal? 
exp]ts agree t racism meets ! crit]ia ( 
a public heal? crisis1 because-- 7#a7 ! 
condition affects _m p1 is se5 z a ?reat
 to ! public1 & is cont9u+ to increase2 
7#b7 ! condition is di/ribut$ unfairly2 
7#c7 prev5tive measures c\ld r$uce !    
effects ( ! condition2 &  7#d7 ^?       
prev5tive measures are n yet 9 place2   
,:]eas ! ,c5t]s = ,disease ,control &   
,prev5tion-- 7#a7 decl>$ racism a s]i\s 
?reat to public heal?2 &  7#b7 ackn[l$g$
 ! ne$ = additional rese>* & inve/m5ts  

to address t s]i\s ?reat2 ,:]eas a      
,f$]al public heal? crisis decl>ation   
def9es racism z a p]vasive heal? issue &
 al]ts ! p ( ! ,unit$ ,/ates to ! ne$ to
 enact imm$iate & effective             
cross-gov]nm5tal ef=ts to address ! root
 causes ( /ructural racism & ! d[n/ream 
impacts ( t racism2 & ,:]eas su* a      
decl>ation requires ! response (        
gov]nm5ts to engage significant res\rces
 to emp[] ! communities t are impact$3  
,n[1 !re=e1 be x ,t ! ,s5ate-- 7#a7     
supports ! resolutions draft$1          
introduc$1 & adopt$ by cities &         
localities across ! ,unit$ ,/ates decl>+
 racism a public heal? crisis2  7#b7    
decl>es racism a public heal? crisis 9 !
 ,unit$ ,/ates2  7#c7 commits to-- 7,a7 
e/abli%+ a nationwide /rategy to address
 heal? disp>ities & inequities across   
all sectors 9 society2  7,b7 dismantl+  
sy/emic practices & policies t p]petuate
 racism2  7,c7 advanc+ re=ms to address 
ye>s ( neglectful & apa!tic policies t h
 l$ to poor heal? outcomes = memb]s (   

racial & e?nic m9ority gr\ps2 &  7,d7   
promot+ ef=ts to address ! social       
det]m9ants ( heal? = all racial & e?nic 
m9ority gr\ps 9 ! ,unit$ ,/ates1 &      
especially = ,black & ,native ,am]ican  
communities2 &  7#d7 places a *>ge on ! 
p ( ! ,unit$ ,/ates to move =w>d )      
urg5cy to ensure t ! ,unit$ ,/ates /&s  
firmly 9 honor+ its moral purpose (     
advanc+ ! self-evid5t tru?s t all p are 
creat$ equal1 t !y are end[$ ) c]ta9    
unali5able rights1 & t among ^! are     
life1 lib]ty1 & ! pursuit ( happ9ess4