The painful pandemic lessons Mandy Cohen carries to the CDC

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The painful pandemic lessons Mandy Cohen carries to the CDC
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President Biden and others have lauded Mandy Cohen's pandemic leadership in North Carolina. Those in the state's most vulnerable communities tell a more nuanced story about the new CDC director.

The disparities persisted. In Charlotte, the difference in testing sites underscored the inequity people of color often face in health care, as they were left to depend on a few mobile units whose routes and hours varied by the day. Meanwhile, wealthier areas had an abundance of well-resourced, fixed sites with regular hours.Critics say the state was slow to address glaring and predictable problems.

The group included state employees, consultants, local officials, and representatives from major hospital systems, community health centers, and commercial labs, North Carolina HHS news releases and state documents show.

Kody Kinsley, who worked for Cohen and succeeded her as health secretary, says the state's response was stymied by factors beyond its control, including supply chain shortages."We were essentially riding the backbone of the existing health care network with inadequate supplies," Kinsley says. The department tried to contract with outside firms to boost testing access in historically marginalized communities, but"resources weren't available.

"We were last on the list. We lost a lot of people," says Vilma Leake, a Democratic member of the Mecklenburg Board of County Commissioners. Leake says she never received a satisfactory answer when she asked why people of color were not prioritized for testing given the South's long history of racial exclusion and wide disparities in health, education, and income."History is repeating itself. It is always a fight for some people," she adds.

"Our ability to continue to ease restrictions and get back to work as safely as possible hinges on all of us working together to protect each other," Cohen said, adding,"We want to save lives. And we can do that with simple individual actions." By that time, North Carolina had allowed restaurants, pools, and personal care businesses such as barbers to open at 50% capacity.The state's response"was not adequate for protecting essential workers," says the Rev.

If you don't set up"race-conscious and class-conscious policy," Jarrell says,"the system is always going to serve people who have more resources."

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