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ESSAY: The Hidden Toll — Federal Rollbacks Threaten Black Women’s Health in California

November 20, 2025

The author, a Black women's health advocate in California, warns that proposed federal cuts to social programs like Medicaid, SNAP, and WIC would devastate Black women who already face severe health disparities. Black women in California die from pregnancy-related causes at three to four times the rate of white women and rely heavily on these programs, with one in three depending on Medi-Cal and nearly half receiving WIC or CalFresh benefits. The cuts would force impossible choices between medication, care, and basic necessities while worsening existing issues like food insecurity, housing instability, and chronic disease management.

Who is affected

  • Black women in California
  • Black children in California
  • Pregnant and postpartum Black women
  • Black families receiving Medi-Cal (one in three Black women and children)
  • Black women receiving WIC (nearly half)
  • Black women receiving CalFresh/SNAP (47%)
  • Healthcare providers in clinics and hospitals
  • Community organizations: California Black Women's Health Project and Black Women for Wellness

What action is being taken

  • California is mobilizing $80 million in state funds to support food banks
  • California is taking action to shore up against federal cuts to Medi-Cal
  • Organizations like California Black Women's Health Project and Black Women for Wellness are advocating for culturally centered care, education, and infrastructure
  • These organizations are documenting where bias persists, where systems fail, and where state enforcement is weak

Why it matters

  • This matters because Black women in California already face severe systemic health inequities, including dying from pregnancy-related causes at three to four times the rate of white women, experiencing higher rates of chronic diseases, lower life expectancy, and worse overall health outcomes. The proposed federal cuts to social safety net programs would remove essential access to healthcare, nutrition assistance, and housing support that one-third to nearly half of Black women and children depend on. Eliminating these programs would force Black women into impossible choices between medications, medical care, and basic necessities, further magnifying existing racial health injustices and potentially leading to increased preventable deaths, untreated illnesses, and adverse birth outcomes.

What's next

  • Californians must amplify and bolster the efforts of community organizations like California Black Women's Health Project and Black Women for Wellness
  • Communities need to document and share stories of every death, every untreated illness, and every delayed pregnancy
  • Continued advocacy is needed as California positions itself as a model for defending Black women's health amid federal challenges

Read full article from source: The San Diego Voice & Viewpoint