Magazines on wooden table on bright background.

Citational Racism: How Leading Medical Journals Reproduce Segregation in American Medical Knowledge

By Gwendolynne Reid, Cherice Escobar Jones, and Mya Poe

Biases in scholarly citations against scholars of color promote racial inequality, stifle intellectual analysis, and can harm patients and communities.

While the lack of citations to scholars of color in medical journals may be due to carelessness, ignorance, or structural impediments, in some cases it is due to reckless neglect.

Our study demonstrates that the American Medical Association (AMA) has failed to promote greater racial inclusion in its flagship publication, the Journal of the American Medical Association (JAMA), despite an explicit pledge to do so.

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Hand holding glass ball with inverted image of surroundings reflected in ball.

Flipping the Script: Adoption and Reproductive Justice

By Kimberly McKee

Adoption is a reproductive justice issue. Pretending otherwise ignores how adoption is used as a red herring in anti-abortion arguments. A recent invocation of this faulty logic occurred in Justice Amy Coney Barrett’s questions during the November 2021 oral arguments in Dobbs v. Jackson Women’s Health Organization. Coney Barrett’s statements implied that the option to relinquish infants vis-à-vis adoption rendered abortion availability unnecessary. This line of thinking is one with which I am familiar, as both a Korean international, transracial adoptee, and a critical adoption studies scholar. 

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Austin, TX, USA - Oct. 2, 2021: Two women participants at the Women's March rally at the Capitol protest SB 8, Texas' abortion law that effectively bans abortions after six weeks of pregnancy.

Organizing and Activism of Adopted and Displaced People

By Lina Vanegas

I am a transracial and transnational displaced person. I was separated from my country, language, and culture and taken to Michigan, which has no connection to me or my ancestors. I was taken there to create a family for strangers who had the privilege and resources to buy me. I had family in Colombia and I was far from being a true orphan. I was bought in Bogota, Colombia and sold to a white couple living in the Midwest in 1976. 

I use the word “displaced” intentionally, because the word “adopted” does not define my lived experience in an accurate way. The word “adopted” is language that was created by the child welfare-industrial complex, also known as the adoption industry. I do not subscribe to any of the constraints or barriers that they attempt to put onto my life with their language choices. Using the word “displaced” defines the intentional separation from my family by the child welfare-industrial complex. 

My lived experience has informed who I am and has inspired and motivated the work that I do online and in the world. It is very rare that adopted and displaced people’s lived experiences are seen, heard, validated, centered, and believed, so my mission is to do that online, on my podcast, Rescripting The Narrative, and in the work that I do as a social worker and with the organization Adoptees for Choice.

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Empty hospital bed.

Native Reproductive Justice: Practices and Policies from Relinquishment to Family Preservation

By Lauren van Schilfgaarde

Adoption can be, and frequently is, a celebrated extension of kinship ties within Native communities. But we cannot ignore the historical context of adoption as a tool to empty tribal communities and delete tribal cultures. Nor can we ignore the historical context of the simultaneous deprivation and weaponization of reproductive health care, both of which deny Native women reproductive self-determination. 

It is these contexts in which anti-abortion proponents seek to ameliorate the further denial of health care through increased adoption. The proposal is eerily familiar. 

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Broken chain.

The Indian Child Welfare Act: Preserving Families Is in Children’s Best Interests

By Kathryn E. Fort

On February 28, 2022, the Supreme Court accepted one of the most consequential federal Indian law cases in decades, a direct constitutional challenge to the Indian Child Welfare Act (ICWA). This challenge, brought by three states and three foster families, intends to not just dismantle a gold standard law in child protection, but all of federal Indian law. The plaintiffs who brought this case are not interested in improving the child protection system, or finding ways to support promising practices, or ensuring the resiliency for Native children affected by trauma. This case is about an attempt to dismantle the current federal protections for tribal governments, tribal citizenship, and tribal sovereignty. The case does so by ignoring the best interests of Native children and the voices of a uniquely unified Indian Country

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Baby feet in hands

Striving Towards Ethical Adoption Practice

By Susan Dusza Guerra Leksander

In the United States, the practices of adoption are rarely oriented towards the goals of anti-racism, child-centeredness, and reproductive justice.

In this article, I present a model that strives to fulfill these goals. At Pact, an Adoption Alliance, the non-profit organization where I work as agency and clinical director, our mission is to serve adopted youth of color, and our approach to domestic infant adoption emerges from 30 years of serving Black, Latinx, Asian, and multiracial infants and their families. Based on our work with adopted children and adults of color, first/birth1 and adoptive parents, and adoption professionals, I will share our tenets of ethical adoption practice.

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Monarch Butterfly, pupae and cocoons are suspended. Concept transformation of Butterfly.

Understanding Transracial Adoption: Life-long Transformations, Not Frictionless Transactions 

By April Dinwoodie

I took a long, slow, deep breath when I heard Amy Coney Barrett, the adoptive mother of Black children, describe adoption as a “frictionless alternative to abortion.” As a Black/bi-racial transracially adopted person in mid-life, adoption has been and continues to be many things, but “frictionless” isn’t one of them.  

On the contrary, being adopted into a white family and raised in a majority white community has been filled with the tension between the realities of what I was experiencing and feeling, and what others thought I should be. For me, Amy Coney Barrett ridiculously over-simplified the most intricate experience of identity one can have, being born into one family and raised by another. This is especially complex when the separation includes differences of race, ethnicity, and culture. 

What I have learned over time is that Amy Coney Barrett is not alone in her desire to categorize adoption as uncomplicated and a good solution for everyone connected to the experience. What I have also learned is that this kind of thinking more broadly is unrealistic and often results in gaps in services and support for all parents (expectant, birth, and adoptive) and leaves adopted persons without the tools they need to navigate this lifelong, transformational journey.  

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Female hand writing signature on the paper document.

How to Construct Better Organ Donation Policy and Achieve Health Equity

By James R. Jolin

The United States is facing an organ donation crisis, with massive gaps between supply and demand.

Per estimates from the Department of Health and Human Services (HHS), over 106,000 Americans are currently awaiting this life-saving medical treatment. Further, the burden of this shortage falls unequally:  in 2020, while approximately 48% of white patients in need of transplants received an organ, only 27% of Black patients secured one.

The stakes are too high to allow the organ donation crisis to proceed in the U.S. without bold intervention. But with many policy options on the table, unresolved ethical concerns, and a patchwork of organ donation laws across the country, the proper path forward is not immediately clear.

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