Carrying the Torch: Advancing Health Equity for Black Women Through Patient-Centered Care

As we conclude Black History Month, we honor the pioneers who paved the way for health equity and reflect on the work that still needs to be done. Black women have historically faced systemic barriers to equitable healthcare, yet individuals like Dr. Rebecca Lee Crumpler, the first Black woman physician in the United States, laid the foundation for progress.

Her groundbreaking work inspires us to continue striving for a future where every woman has access to the care she deserves.

Dr. Rebecca Lee Crumpler: A Trailblazer in Medicine

Dr. Rebecca Lee Crumpler graduated from the New England Female Medical College in 1864, becoming the first Black woman in the U.S. to earn a medical degree. Her career was dedicated to addressing health disparities, particularly among freed slaves in the South during the Reconstruction era (National Library of Medicine).

In her book, A Book of Medical Discourses, she emphasized the importance of preventative care and patient education, particularly for women and children. She wrote:

"The great need of the community is proper instruction concerning the preservation of health, which is more valuable than all other material possessions."

Dr. Crumpler’s legacy reminds us that healthcare is not only about treatment but about creating systems that empower patients to advocate for their well-being.

The Persistent Gap in Cancer Care for Black Women

While Dr. Crumpler’s efforts were revolutionary, systemic inequities in healthcare remain. Black women in the U.S. continue to face disproportionate challenges, particularly in cancer care.

• Breast Cancer Disparities: Black women are 40% more likely to die from breast cancer than white women due to delayed diagnoses and inadequate access to treatment (American Cancer Society).
• Cervical Cancer Inequities: Black women have the highest cervical cancer mortality rates, often linked to gaps in screening and follow-up care.
• Economic Barriers: Financial challenges, lack of insurance, and inadequate transportation further exacerbate access issues.

These disparities highlight the urgent need for programs that not only provide medical care but also address social determinants of health.

Action in Motion: Black Women Thriving East of the River

Organizations like Black Women Thriving East of the River (BWTEotR) are taking action to close these gaps. Our Patient Navigation Program directly addresses barriers to cancer care for Black women in Washington, D.C.’s Wards 7 and 8.

This program offers:

• Cancer Patient Bill of Rights and Annual Assessment to ensure accountability and transparency in healthcare systems. This includes regular assessments of cancer clinics, primary care centers, and hospitals to ensure they honor and respect Black women, ultimately fostering trust and improving patient experiences.
• Sustainable Funding and Reimbursement for Cancer Patient Navigation to ensure ongoing support for cancer patient navigation and provides stability and reliability for the services that Black women depend on.
• Education and advocacy to empower women with the knowledge they need to take charge of their health and promote recognition of the importance of patient navigation among healthcare providers and the community.

By providing these services, BWTEotR builds on the legacy of Dr. Crumpler, ensuring that Black women have the support they need to thrive. Learn more about this impactful program here.

Honoring the Past, Building the Future

Dr. Rebecca Lee Crumpler’s life reminds us that health equity is both a historical struggle and an ongoing mission. Today, the torch is carried by organizations, advocates, and communities working tirelessly to dismantle barriers and create opportunities for Black women in healthcare.

As we celebrate the strides made, let’s also recommit to addressing the gaps that remain. Together, we can honor the past and shape a future where every woman, regardless of race or background, has the chance to thrive.