In his last public act, Benjamin Franklin presented to the US Congress a petition on behalf of the Philadelphia Society for the Abolition of Slavery asking for the abolition of slavery and an end to the slave trade. The petition, signed on February 3, 1790, asked the first US Congress, then meeting in New York City, to “devise means for removing the Inconsistency from the Character of the American People,” and “promote mercy and justice toward this distressed Race.”

The Senate took no action and the House tabled it, claiming the Constitution restrained them from prohibiting the importation or emancipation of slaves until 1808. Franklin, in a public forum once stated that “Slavery is such an atrocious debasement of human nature, that its very extirpation, if not performed with solicitous care, may sometimes open a source of serious evils.” With the submission of the petition, it is said that Franklin went on to state that unless Congress took a stand to free the slaves, it would be like leaving a rotten apple at the bottom of a barrel. That such would be a continuing “source of evils” on the character of American Society. He and his fellow colleagues had calculated what it would cost the then new country to purchase the freedom of every man, woman and child in slavery. France was willing to lend the new country the money as it had done for the Revolutionary War. They also determined that by 1808, there would be too many slaves for such an act to be economically feasible and that a tragic event would have to occur for this country to do as stated in the Constitution by 1808. Even with that tragic event, Franklin stated that such evils would be too ingrained into American Society and would cast a lasting economic burden on American Society.

As we recently celebrated the Independence of this nation, one should have thought of Benjamin Franklin’s words. The legacy of inaction. For instance, when the late Supreme Court Justice Thurgood Marshall once stated that,”there was no place in America where he ever had to put his hands in front of his face to know that he was black,” he was pointing out that in the minds of many Americans the idea still lurks that minorities, especially African Americans, are fundamentally inferior. It is precisely this attitude that Franklin was afraid would be ingrained in American Society.  It is what I refer to as “Silent Racism.” It is that subconscious process that occurs without the privileged individual even being aware that he or she has committed an act which is based on a preconceived notion or profile.  On an everyday level, it can be the most innocent of acts. I once gave an example of a friend driving through an upscale neighborhood, when a car started following her. As she pulled in front of her friend’s home, the woman in the other car rolled down her window and asked if my friend was lost and needed help. This might sound quite innocent, but it just so happened that my friend was black and the woman in pursuit was white. My friend suffered no long-term consequences from this incident. But think about how this plays out in every day life. What impact would such an innocent act have on one applying for a job or purchasing a home or any normal everyday act? Consider a similar act that might occurs in the delivery of healthcare.

So we now have Congress looking into Health Care Reform. It is that same body, although with different people, including some of color, that left the rotten apple at the bottom of the barrel now two-hundred and nine years later. We will get Health Reform, but will it address the Health Disparities Gap? It is easier to pass laws than to change the minds and perceptions of human beings, even those who profess to be of open minds. We all have biases. It is not that we have biases, it is about how we act on them.

In 1998, Congress mandated that  the prestigious Institute of Medicine (IOM) conclude a study to investigate whether ethnic minorities and medically underserved populations in this country are experiencing an unequal burden of cancer. Following the study, Congress held a hearing in which the study validated its results that ethnic minorities and medically underserved populations in this country were experiencing an unequal burden of cancer,  yet Congress, who mandated the IOM study, chose to ignore the recommendations calling for, among other actions, increased federal funding and a reapportioning of federal research dollars to correct those cancer disparities. It is important to note that  Congress usually takes immediate action to implement recommendations of a congressionally mandated studies like the one noted. Was Congress’ blatant disregard in this case an example of what Franklin alluded to, a continuing “source of serious evils” that became ingrained in American Society.

As the great civil rights leader Dr. Martin Luther King once said:  “Many of the ugly pages of American history have been obscured and forgotten …” We need to heed the words of Benjamin Franklin, that slavery is and continues to be a source of evil. An evil that we truly have never addressed. For it prevails in our biases, those subconscious innocent biases that play out on a daily basis. We all have negative and positive biases. Again, it is not that we have them, it is to remember that we do have.  That is is not having them, but how we act on them. Unless we keep that in mind, any hope of health reform in addressing health disparities will be for naught.

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Lovell Jones, Ph.D.

Lovell Jones, Ph.D.

Lovell Allan Jones was born in Baton Rouge, La and was among the first African Americans to integrate school. He was also among the first undergraduates to integrate Louisiana State University, In 1968 he moved to California to continue his education, getting his Ph.D. with an emphasis in Tumor Biology & Endocrinology in 1977. He is now Research Professor at Texas A & M University Corpus Christi. In being bestow Professor Emeritus at the University of Texas M.D. Anderson Cancer Center and Professor Emeritus at the University of Texas Graduate School for Biomedical Science, became the first African American dual emeritus professor in the UT System, and probably one of the few, if not only in the United States. He was the director of the Congressionally Mandated Center for Research on Minority Health at the University of Texas M.D. Anderson Cancer Center in Houston, Texas and co-founder of the Intercultural Cancer Council, the nation’s largest multicultural health policy organization. While maintaining as active scientific program to change the nation’s approach to research dealing with underserved populations, Dr. Jones started writing essays on societal issues and the lack of progress in closing the health and health care gap almost two decades ago. His essays, on LOVELL'S FOOD FOR THOUGHT, have appeared in a number of publications, first appearing on his personal email list serve to over 2000 of his “friends.” Here is what WEB Dubois' Great Grandson said after reading this FOOD FOR THOUGHT: When my great-grandfather said in 1903 that "The problem of the 20th Century is the problem of the color-line." he was clearly stating the exact point that Dr. Jones makes. It was so clear to him that the prejudices rampant in America during that time were so deeply ingrained that they represented a barrier worthy of being considered in terms that would require, at minimum, a century to resolve. When I'm asked about Grandpa's quote today I tell people that the number has changed to the 21st, but the problem seems to be equally as intractable now, as intractable now, as then. He went on to write many things about the "color-line" and "The Veil" over his 95 years. One that I find most succinct and touching is attached. It comes from his 1920 book "Darkwater: Voices from within the Veil". I think it lends insight and historical perspective to Dr. Jones' statement" ...that slavery is and continues to be a source of evil. An evil that we truly have never addressed. For it prevails in our biases, those subconscious innocent biases that play out on a daily basis."