SHILOH, Ill. After a health insurance change forced Bernard Macon to cut ties with his black doctor, he struggled to find another African American physician online. Then, he realized two health advocates were hiding in plain sight.
At a nearby drugstore here in the suburbs outside of St. Louis, a pair of pharmacists became the unexpected allies of Macon and his wife, Brandy. Much like the Macons, the pharmacists were energetic young parents who were married and unapologetically black.
Vincent and Lekeisha Williams, owners of LV Health and Wellness Pharmacy, didnt hesitate to help when Brandy had a hard time getting the medicine she needed before and after sinus surgery last year. The Williamses made calls when Brandy, a physician assistant who has worked in the medical field for 15 years, didnt feel heard by her doctors office.
They completely went above and beyond, said Bernard Macon, 36, a computer programmer and father of two. They turned what could have been a bad experience into a good experience.
Now more than ever, the Macons are betting on black medical professionals to give their family better care. The Macon children see a black pediatrician. A black dentist takes care of their teeth. Brandy Macon relies on a black gynecologist. And now the two black pharmacists fill the gap for Bernard Macon while he searches for a primary care doctor in his network, giving him trusted confidants that chain pharmacies likely wouldnt.
Black Americans continue to face persistent health care disparities. Compared with their white counterparts, black men and women are more likely to die of heart disease, stroke, cancer, asthma, influenza, pneumonia, diabetes and AIDS, according to the .
But medical providers who give patients culturally competent care the act of acknowledging a patient's heritage, beliefs and values during treatment often see improved patient outcomes, according to . Part of it is trust and understanding, and part of it can be more nuanced knowledge of the medical conditions that may be more prevalent in those populations.
For patients, finding a way to identify with their pharmacist can pay off big time. Cutting pills in half, skipping doses or not taking medication altogether can be damaging to ones health even deadly. And many patients see their pharmacists monthly, far more often than annual visits to their medical doctors, creating more opportunities for supportive care.
Thats why some black pharmacists are finding ways to connect with customers in and outside of their stores. Inspirational music, counseling, accessibility and transparency have turned some minority-owned pharmacies into hubs for culturally competent care.
We understand the community because we are a part of the community, LekeishaWilliams said. We are visible in our area doing outreach, attending events and promoting health and wellness.
To be sure, such care is not just relevant to African Americans. But mistrust of the medical profession is especially a hurdle to overcome when treating black Americans.
Many are still shaken by the history of , whose cells were used in research worldwide without her familys knowledge; the , which failed to treat black men with syphilis; and other projects that used African Americans unethically for research.
Filling More Than Prescriptions
At black-owned Premier Pharmacy and Wellness Center near Grier Heights, a historically black neighborhood in Charlotte, N.C., the playlist is almost as important as the acute care clinic attached to the drugstore. Owner Martez Prince watches his customers shimmy down the aisles as they make their way through the store listening to Jay-Z,Beyonc矇, Kirk Franklin, Whitney Houston and other black artists.
Prince said the music helps him in his goal of making health care more accessible and providing medical advice patients can trust.
In rural Georgia, Teresa Mitchell, a black woman with 25 years of pharmacy experience, connects her customers with home health aides, shows them how to access insurance services online and even makes house calls. Her Total Care Pharmacy is the only health care provider in Baconton, where roughly half the towns 900 residents are black.
We do more than just dispense, Mitchell said.
Iradean Bradley, 72, became a customer soon after Total Care Pharmacy opened in 2016. She struggled to pick up prescriptions before Mitchell came to town.
It was so hectic because I didnt have transportation of my own, Bradley said. Its so convenient for us older people, who have to pay someone to go out of town and get our medicine.
, president of the National Pharmaceutical Association, advocates for such culturally competent care through the professional organization representing minorities in the pharmacy industry and studies it in her academic work at the Edwardsville campus of Southern Illinois University. She also feels its impact directly, she said, when she sees patients at clinics two days a week in St. Charles, Mo., and East St. Louis, Ill.
Its just amazing to me when Im practicing in a clinic setting and an African American patient sees me, Butler said. Its a pure joy that comes over their face, a sigh of relief. Its like OK, Im glad that youre here because I can be honest with you and I know you will be honest with me.
She often finds herself educating her black patients about diabetes, high blood pressure, high cholesterol and other common conditions.
Unfortunately, theres still a lack of knowledge in those areas, Butler said. Thats why those conditions can be so prevalent.
Avoiding Medical Microaggressions
For Macon, his experiences with medical professionals of backgrounds different from his own left him repeatedly disappointed and hesitant to open up.
After his wife had a miscarriage, Macon said, the couple didnt receive the compassion they longed for while grieving the loss. A few years later, a bad experience with their childrens pediatrician when their oldest child had a painful ear infection sparked a move to a different provider.
My daughter needed attention right away, but we couldnt get through to anybody, Macon recalled. Thats when my wife said, We arent doing this anymore!
Today, Macons idea of good health care isnt colorblind. If a doctor cant provide empathetic and expert treatment, hes ready to move, even if a replacement is hard to find.
Kimberly Wilson, 31, will soon launch an app for consumers like Macon who are seeking culturally competent care. Therapists, doulas, dentists, specialists and even pharmacists of color will be invited to list their services on HUED. Beta testing is expected to start this summer in New York City and Washington, D.C., and the app will be free for consumers.
Black Americans are more conscious of their health from a lot of different perspectives, Wilson said. Weve begun to put ourselves forward.
But even after the introduction of HUED, such health care could be hard to find. While about 13% of the U.S. population is black, only about 6% of the countrys doctors and surgeons are black, . Black pharmacists make up about 7% of the professionals in their field, and, though the demand is high, black students accounted for about in 2018.
For Macon, though, the Williamses LV Health and Wellness Pharmacy in Shiloh provides some of the support he has been seeking.
I still remember the very first day I went there. It was almost like a barbershop feel, Macon said, likening it to the community hubs where customers can chitchat about sports, family and faith while getting their hair cut. I could relate to who was behind the counter.
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