Office on Women’s Health 25th Anniversary Celebration

Office on Women’s Health 25th Anniversary Celebration


>>NEXT YOU’RE GOING TO HEAR FROM SOME TOP
LEADERS IN THE FIELD. THEY’LL SHARE THEIR PERSPECTIVES ON WHAT WE
NEED TO FOCUS ON FOR CONTINUED SUCCESS IN WOMEN’S HEALTH. GUIDING THAT DISCUSSION IS ANOTHER STRONG
LEADER IN THE WOMEN’S HEALTH FIELD, DR.�KAREN SCOTT. DR.�SCOTT JOINED US AT HHS IN MARCH OF 2016
AS CHIEF MEDICAL OFFICER. IN THIS ROLE, SHE COLLABORATES WITH OFFICES
WITHIN HHS TO IMPROVE HEALTHCARE SERVICE DELIVERY FOR ALL AMERICANS. HER PORTFOLIO INCLUDES INFECTIOUS DISEASES,
PREVENTIVE HEALTH SERVICES, DISEASE PREVENTION, AND MINORITY HEALTH, AS WELL AS HEALTHCARE
QUALITY AND PATIENT SAFETY. PRIOR TO JOINING HHS, SHE WAS A PART OF THE
QUALITY AND SAFETY LEADERSHIP TEAM AT NEW�YORK PRESBYTERIAN HOSPITAL IN NEW YORK CITY, WHERE
SHE LED INNOVATION AND IMPROVEMENT WORK ACROSS THE HOSPITAL’S SIX CAMPUSES, AND CURRENTLY,
OWH IS REALLY FORTUNATE TO HAVE DR.�SCOTT SERVING AS OUR INTERIM ACTING DIRECTOR. PLEASE JOIN ME IN WELCOMING DR.�SCOTT TO
THE STAGE. [APPLAUSE]>>THANK YOU SO MUCH, NICOLE. AND LET ME ADD MY CONGRATULATIONS AND GOOD
MORNINGS. THIS HAS ALREADY BEEN A TERRIFIC, TERRIFIC
EVENT. SO THANK YOU TO THE TEAM FOR PUTTING THIS
TOGETHER. AND TO OUR PANELS. I’M SO EXCITED TO BE HERE THIS MORNING WITH
YOU AND REALLY, I CAN’T THINK OF A BETTER WAY TO START OFF MY TIME AS INTERIM ACTING
DIRECTOR OF THE OFFICE OF WOMEN’S HEALTH. JUST FROM WHAT I’VE HEARD THIS MORNING AS
WELL AS MY CHANCE TO START TO GET TO KNOW THE STAFF, CERTAINLY TO WORK WITH NANCY IN
THE LAST FEW MONTHS, REALLY LETS ME KNOW HOW FORTUNATE I AM TO HAVE THIS BRIEF OPPORTUNITY
TO BE DIRECTLY PART OF THE OFFICE OF WOMEN’S HEALTH AND HOPEFULLY HELP IN HELPING TO CHART
A LITTLE BIT OF THE NEXT� THE COURSE FOR THE NEXT 25 YEARS. I’D LIKE TO START BY ECHOING WHAT DR.�DESALVO
SAID. THANK YOU FOR ALL BEING CHAMPIONS OF WOMEN’S
HEALTH AND FOR YOUR CONTRIBUTIONS TO OUR FIELD. WE ALL PLAY AN IMPORTANT ROLE IN HELPING WOMEN
AND GIRLS ACHIEVE THE BEST POSSIBLE HEALTH. AND AS THE SURGEON GENERAL HAS SAID MANY TIMES,
GOOD HEALTH IS ONE STEP. IT ALLOWS US TO ALL REACH OUR FULL POTENTIAL. AND THE ABILITY TO DO THAT AND PROVIDE GIRLS
AND WOMEN ACROSS THE COUNTRY THAT OPPORTUNITY TO REACH THEIR FULL POTENTIAL IS REALLY THE
WORK OF THE OFFICE OF WOMEN’S HEALTH. CONGRATULATIONS TO ALL OF OUR AWARDEES THIS
MORNING. I’VE SO ENJOYED HEARING MORE ABOUT YOUR WORK
AND LOOK FORWARD TO WORKING WITH YOU AS WELL IN THE COMING MONTHS. CLEARLY THE PARTNERSHIPS THAT THE OFFICE ON
WOMEN’S HEALTH DEVELOPS IS WHAT MAKES OUR WORK SO IMPACTFUL ACROSS THE COUNTRY. I’M ESPECIALLY HONORED TO MODERATE OUR PANEL
DISCUSSION THIS MORNING. TODAY WE’RE GOING TO HEAR FROM THREE WOMEN
WHO DEVOTED THEIR LIVES TO THIS WORK AND HAVE CLEAR IDEAS ABOUT HOW TO FURTHER IMPROVE THE
HEALTH OF OUR NATION’S WOMEN AND GIRLS. I’M PLEASED TO INTRODUCE OUR THREE PANELISTS:
LINDA BLUNT, CINDY PIERSON AND PHYLLIS GREENBERGER. OVER THE NEXT 40 MINUTES, I’LL BE ASKING THEM
ABOUT THEIR VISION FOR THE FUTURE, AND THEN I’LL OPEN UP THE FLOOR FOR QUESTIONS, SO START
THINKING ABOUT WHAT YOU WANT TO KNOW FROM THESE AMAZING WOMEN. BUT FIRST LET ME INTRODUCE OUR PANELISTS. LINDA GOLER BLOUNT IS THE PRESIDENT AND CEO
OF THE BLACK WOMEN’S HEALTH IMPERATIVE. SHE OVERSEES THE STRATEGIC DIRECTION FOR THE
IMPERATIVE AND IS RESPONSIBLE FOR MOVING THE ORGANIZATION FORWARD IN ITS MISSION TO ACHIEVE
HEALTH EQUITY. BEFORE JOINING THE IMPERATIVE, LINDA WAS THE
VICE PRESIDENT OF PROGRAMMATIC IMPACT FOR UNITED WAY OF GREATER ATLANTA, WHERE SHE LED
THE EFFORT TO ELIMINATE INEQUALITIES IN HEALTH, INCOME, EDUCATION, AND HOUSING, ALL THROUGH
PLACE AND POPULATIONBASED WORK. PREVIOUSLY, LINDA WORKED AT THE AMERICAN CANCER
SOCIETY, AND AT THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION. SHE’S ALSO BEEN A CONSUL AT THAT PARTICULAR
TIME TO GOVERNMENT MINISTRY, AND I LOVE THIS TRAVEL EYE TIN RE: GERMANY, SOUTH AFRICA,
MALAWI, TRINIDAD, SHE’S A MEMBER OF THE AMERICAN PUBLIC HEALTH ASSOCIATION AND THE NATIONAL
ASSOCIATION OF HEALTH SERVICES EXECUTIVES. SHE ALSO SERVES ON THE COMMUNITY HEALTH CHARITIES
BOARD IN THE UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH SUMMER ENRICHMENT BOARD. THANK YOU FOR BEING HERE TODAY, IT’S A PLEASURE
TO MEET YOU.>>THANK YOU.>>OUR SECOND PANELIST IS CINDY PIERSON, EXECUTIVE
DIRECTOR OF THE NATIONAL WOMEN’S HEALTH NETWORK. CINDY HAS LED THE NETWORK FOR OVER 20 YEARS
AND HAS BEEN RESPONSIBLE FOR THE ORGANIZATION’S WORK ON CONSUMER HEALTH SAFETY AND SEXUAL
AND REPRODUCTIVE HEALTH AS WELL AS ITS ADVOCACY FOR UNIVERSAL COVERAGE. CINDY HAS RECEIVED NUMEROUS AWARDS FOR HER
WORK IN WOMEN’S HEALTH, THE NATIONAL INSTITUTES OF HEALTH PRESENTED HER WITH A KEYSTONE AWARD
FOR ADVOCACY FOR WOMEN’S HEALTH RESEARCH. SHE’S ALSO RECEIVED THE GRASS ROOTS ACTIVISM
AWARD FROM THE NATIONAL BREAST CANCER COALITION FOR THE NETWORK’S ROLE IN SIGNIFICANTLY REDUCING
BREAST CANCER RATES. CINDY COFOUNDED RAISING WOMEN’S VOICES FOR
THE HEALTHCARE WE NEED, A NATIONAL INITIATIVE WORKING TO MAKE SURE WOMEN’S VOICES ARE HEARD
AND WOMEN’S CONCERNS ARE ADDRESSED IN HEALTHCARE REFORM. CINDY, WE LOOK FORWARD TO HEARING FROM YOU.
AND FINALLY, OUR THIRD PANELIST, PHYLLIS GREENBERGER, ONE OF OUR RECIPIENTS OF OUR 2016 TRAILBLAZER
AWARD, SO YOU’VE HEARD THAT PHYLLIS IS AMAZING, HER HISTORY WITH WOMEN’S HEALTH, ALREADY THIS
MORNING. PHYLLIS WAS THE FOUNDING EXECUTIVE DIRECTOR
AND FORMER PRESIDENT AND CEO AT THE SOCIETY FOR WOMEN’S HEALTH RESEARCH FROM 1990 TILL
THIS YEAR, AND PHYLLIS IS WIDELY RECOGNIZED AS THE THOUGHT LEADER IN WOMEN’S HEALTH RESEARCH. THANK YOU SO MUCH, PHYLLIS, FOR BEING HERE
TODAY. WHAT AN IMPRESSIVE GROUP. PLEASE JOIN ME IN WELCOMING THEM. [APPLAUSE]
JUST AS A REMIND E WE HAVE ABOUT 30 TO 40 MINUTES FOR A PANEL DISCUSSION. I’LL BE ASKING THE PANELISTS A FEW QUESTIONS,
AND THEN WE’LL HAVE A CHANCE TO TURN IT OVER TO THE AUDIENCE AND TAKE SOME QUESTIONS. SO LET’S GET STARTED. WE’RE HERE TODAY TO DISCUSS THE FUTURE OF
WOMEN’S HEALTH. BUT BEFORE WE GET THERE, I’D LIKE TO ASK EACH
OF YOU TO REFLECT ON THE PAST AS PART OF OUR CELEBRATING THE PAST 25 YEARS. WHAT ARE SOME OF THE BIGGISH ACCOMPLISHMENTS
YOU’VE SEEN IN WOMEN’S HEALTH OVER THE PAST 25 YEARS? LINDA, WE’LL START AT YOUR END.>>WELL, THANK YOU. GOOD MORNING AND CONGRATULATIONS TO THE OFFICE
OF WOMEN’S HEALTH ON 25 YEARS. THAT’S FANTASTIC. SO A LOT HAS HAPPENED. WE HEARD EARLIER THAT BREAST CANCER MORTALITY
RATES ARE DROPPED AND THEY’VE BEEN DROPPING ROUGHLY 2% A YEAR FOR THE LAST 10, 15 YEARS. THAT’S WONDERFUL. OBVIOUSLY THE GAPS BETWEEN WHITE WOMEN AND
BLACK WOMEN ARE STILL FAR TOO HIGH AND WE NEED TO MAKE MUCH MORE PROGRESS THERE. BUT I THINK KIND OF LARGELY ONE OF THE BIGGEST
ADVANCEMENTS IS WE NO LONGER LOOK AT WOMEN AS FEMALE VERSIONS OF MEN. SO WE ARE NOW LOOKING AT WOMEN� AT WHO WE
ARE IN CONDUCTING RESEARCH THAT HAN BENEFITED WOMEN OVER THESE LAST FEW YEARS, SO THAT IN
ITSELF IS AN ACCOMPLISHMENT. BUT ALSO, I WOULD SAY WE OBVIOUSLY NEED MORE
RESEARCH, BUT THE BLACK WOMEN’S HEALTH STUDY, I DON’T KNOW HOW MANY PEOPLE ARE FAMILIAR
WITH THE STUDY, HAS BEEN HUGELY BENEFICIAL TO BLACK WOMEN’S HEALTH, AND LEARNING MORE
ABOUT HELPING� MORE ABOUT BLACK WOMEN’S HEALTH, THE CONTRIBUTOR, NOT JUST IN SOCIAL
DETERMINANT, BUT WHAT WE DO, WHAT BLACK WOMEN DO TO BE HEALTHY AND CAN DO TO BE HEALTHY
AND WHAT KIND OF SOCIETAL FACTORS AND POLICIES NEED TO BE PUT IN PLACE TO PROMOTE OUR HEALTH
HAS BEEN HUGE FOR THE STUDY OF HEALTH EQUITY AND THE REDUCTION OF INEQUALITIES AND HEALTH. AND I WOULD SAY SORT OF THE LAST PIECE THAT
I MIGHT DRAW ATTENTION TO IS THE REPRODUCTIVE JUSTICE MOVEMENT. 20 YEARS AGO, WOMEN GOT TOGETHER, BLACK WOMEN
IN PARTICULAR, AND TALKED ABOUT THIS INTERSECTION OF GENDER AND RACE AND CLASS AND WHAT IT MEANS
TO OUR HEALTH, TO OUR REPRODUCTIVE RIGHTS AND TALKED ABOUT OUR HEALTH NOT JUST AS A
HEALTH ISSUE BUT AS A JUSTICE ISSUE. AND THAT WORK CONTINUES TODAY, AND RECENT
EVENTS REALLY SORT OF HIGHLIGHT THAT WE HAVE A LITTLE MORE WAYS TO GO, BUT THE CONVERSATION
AT LEAST IS BEING HAD AND HOPEFULLY WE ARE CHANGING THE CONVERSATION ABOUT HEALTH, ABOUT
WOMEN’S HEALTH, AND IN PARTICULAR, ABOUT BLACK WOMEN’S HEALTH. THANK YOU.>>CINDY.>>WELL, LET REMEMBER WHERE WE STARTED. MEDICAL SCHOOL, DADS AND FRIENDS LOCKED OUT
OF THE DELIVERY ROOM WHEN WOMEN GAVE BIRTH, DENIGRATION OF OTHER KINDS OF CLINICAL PROVIDERS,
AND THE IDEA THAT THE QUESTIONS ABOUT WOMEN’S HEALTH THAT WERE WORTHY OF RESEARCH WERE DECIDED
IN ROOMS THAT WOMEN WEREN’T ALLOWED INTO. THAT’S ALL CHANGED. THOSE ARE ENORMOUS ADVANCES THAT WE’VE MADE. WE NOW HAVE, OF COURSE, EQUITY OF WOMEN IN
MEDICAL SCHOOL, WE HAVE GROWING RESPECT AND GROWING LEADERSHIP OF WOMEN IN BIOMEDICAL
RESEARCH, NOT EQUITY QUITE YET. WE HAVE GROWING RESPECT AND APPRECIATION FOR
THE INDEPENDENT VALUE OF OTHER CLINICAL PROVIDERS IN ADDITION TO PHYSICIANS, NURSE MIDWIVES,
NURSE PRACTITIONERS, FOR EXAMPLE, AND WE HAVE JUST A FLOURISHING OF RESEARCH ON WOMEN’S
HEALTH QUESTIONS THAT DON’T FIT INTO A BUSINESS MODEL OF AN OUTSIDE INVESTMENT INTO HEALTH
RESEARCH, BUT NOW ARE CHAMPIONS AND FUNDED AND SUPPORTED BY OUR TAX DOLLARS, IN FAIRNESS,
SO THE WONDERFUL RANGE OF NATURAL HISTORY AND CLINICAL TRIALS ON WOMEN’S HEALTH THAT
HAVE TAKEN PLACE. AND, OF COURSE, THE AFFORDABLE CARE ACT. IT’S NOT WHAT WE WANTED, BUT IT’S THE BIGGEST
STEP FORWARD IN COVERAGE IN A GENERATION, AND I LIVE, PRAY, HOPE AND MY HEART BEATS
STRONGER EVERY MORNING THINKING THAT WE’RE GETTING CLOSER TO FINISHING THE JOB. POSSIBLY IN 2017. [LAUGHTER]
SAY NO MORE, AS A NONPARTISAN ORGANIZATION.>>PHYLLIS.>>WELL, AS I SAID EARLIER, I’VE BEEN DOING
THIS FOR ABOUT 26 YEARS. AND THE FIRST FOCUS, OF COURSE, WAS THE INCLUSION
OF WOMEN AND MINORITIES IN CLINICAL TRIAL. AND WE CERTAINLY MADE A LOT OF ADVANCEMENTS
IN THAT AREA, BUT THERE’S STILL A LOT TO BE DONE, AND PART OF THAT HAS TO DO WITH THE
ENCOURAGING OF WOMEN AND MINORITIES TO PARTICIPATE IN CLINICAL TRIAL, WHICH THINK IS EDUCATION
THAT’S STILL GREATLY NEEDED. I THINK IN ADDITION TO FINALLY AT LEAST ACKNOWLEDGING
THE FACT THAT WOMEN NEED TO BE IN CLINICAL TRIALS, IT TOOK MANY YEARS FOR THE NATIONAL
INSTITUTES OF HEALTH TO RECOGNIZE THAT SEX DIFFERENCES IN WOMEN ARE IMPORTANT NOT ONLY
IN THE CLINICAL AREA BUT ALSO IN THE SCIENCE, IT TOOK ALL THOSE YEARS FOR THE NIH TO CHANGE,
THAT FEMALE CELLS AND ANIMALS SHOULD BE INCLUDED� I’D SAY WE’RE JUST BEGINNING ON THAT. THERE’S A CERTAIN AMOUNT OF PUSH BACK, IT’S
SORT OF THE NEW WAY TO DO RESEARCH, I’M SORT OF COUNTING ON THE NEW GENERATION OF POSTDOCS
AND CLINICIANS TO UNDERSTAND THAT THIS IS NOT A SOCIETAL ISSUE, THIS IS PART OF BASIC
RESEARCH AND CLINICAL RESEARCH, AND I THINK ONE OF THE AREAS THAT WE’RE STILL WORKING
ON THAT’S IMPORTANT TO INCLUDE WOMEN AND MINORITIES IN CLINICAL TRIALS, WE NEED TO HAVE� ANALYSIS
OF THE RESULTS AND THERE’S STILL NOT VERY MUCH IN TERMS OF THAT, AND I THINK IT’S REALLY
GOING TO BE� I THINK I MENTIONED EARLIER, IT’S BEEN A LONG 26 YEARS WITH A LOT OF BUMPS
AND FRUSTRATIONS. I DO THINK WE’RE HEADED IN THE RIGHT DIRECTION
BUT I THINK IT’S YEARS TO GO FROM BASIC SCIENCES TO CLINICAL CARE, TO UNDERSTAND WHAT THE DIFFERENCES
ARE BETWEEN WOMEN, MEN, MINORITY WOMEN, MINORITIES, IN TERMS OF PREVENTION, TREATMENT AND DIAGNOSIS.>>ARE WE OKAY WITH THE MIC?>>WE DID HEAR YOU. WE JUST WANTED TO GET RID OF THE BACKGROUND
NOISE.>>GENDER EQUITY.>>THANK YOU SO MUCH FOR GETTING US STARTED
ON THOSE QUESTIONS. CINDY, YOU MENTIONED THE AFFORDABLE CARE ACT,
OF COURSE I DON’T THINK WE HAVE A PANEL WITHOUT ACKNOWLEDGMENT OF THE AFFORDABLE CARE ACT
AS CERTAINLY ONE OF THE MOST POWERFUL ACHIEVEMENTS IN DOMESTIC HEALTH POLICY. CAN I ASK EACH OF YOU TO SAY A LITTLE BIT
MORE OF YOUR THOUGHTS ON HOW THE ACA HAS CONTRIBUTED TO IMPROVING WOMEN’S HEALTH? WE’LL START BACK WITH LINDA.>>WELL, AS CINDY SAID, WE MADE GREAT PROGRESS
AND HOPEFULLY WE’LL FINISH IT.>>RIGHT.>>I’D SAY ONE REALLY IMPORTANT BENEFIT, EVERYBODY
IN THIS ROOM KNOWS THAT MEDICAL EXPENSES ARE THE LEADING CAUSES OF BANKRUPTCY, AND SO IF
WE HAVE INSURANCE, WE CAN HELP STAVE OFF SOME OF THAT. MOST OF US IN THIS COUNTRY ARE ONE CATASTROPHIC
DIAGNOSIS AWAY FROM POVERTY. BUT ALSO HEALTHCARE EXPENSES PLUNGE WOMEN
INTO POVERTY, SO IF WE CAN GET MORE WOMEN INSURED, THEN WE CAN PREVENT THAT FROM HAPPENING,
WHICH MEANS FAMILIES ARE STRONGER, WHICH MEANS COMMUNITIES ARE STRONGER, SO THE AFFORDABLE
CARE ACT AND HEALTH INSURANCE GOALS GO FAR BEYOND MAKING SURE WE HAVE ACCESS TO HEALTH
INSURANCE AND HOPEFULLY RECEIVE QUALITY CARE THIS IS A STABILIZING FACTOR IN SOCIETY. ANOTHER THING IS, WITH THE ACT, WE HAVE THE
OPPORTUNITY TO REALLY LOOK AT SYSTEMS OF DELIVERY OF CARE. AND THAT IS PART OF WHAT IS BEHIND THE ACT,
LOOKING AT HOW CARE IS DELIVERED, WHERE, WHEN, TO WHOM, UNDER WHAT CIRCUMSTANCES. NOT ALL OF THAT HAS BEEN REALIZED YET, BUT
IT CAN BE, AND SO I’M PARTICULARLY HOPEFUL ABOUT THE OPPORTUNITY TO RETHINK WHERE CARE
GETS DELIVERED, HOW PEOPLE INTERACT WITH THE MEDICAL CARE SYSTEM, AND OF COURSE, FOCUS
ON PREVENTION. PREVENTION, PREVENTION. SO THAT WE CAN STOP TALKING ABOUT SPENDING
ALL THIS MONEY TO TREAT ILLNESSES BUT RATHER THE HEALTH OF THE NATION AND OUR COMMITMENT
TO PREVENTION ACROSS THE BOARD.>>GENDER EQUITY. INSURANCE. NO MORE WOMEN WITH PREEXISTING CONDITIONS,
MATERNITY CARE HAS TO BE INCLUDED, AND WOMEN’S PREVENTIVE SERVICES ARE NOW COVERED IN THE
SAME WAY THAT KIDS AND OLDER ADULTS’ PREVENTIVE SERVICES WERE COVERED BEFORE WITH NO COPAY
COVERAGE. SO EVERYONE THAT WAS RECOGNIZED IN THE BEGINNING
AS BEING PART OF THE HISTORY OF THE 25 YEARS WAS INVOLVED IN THAT FIGHT. IT WAS QUITE A FIGHT, SENATOR MIKULSKI DESERVES
A LOT OF CREDIT, EVERY ORGANIZATION REPRESENTED HERE IN THIS PANEL WAS INVOLVED, AND WE’RE
INCREDIBLY PROUD OF THE FACT THAT NOW WE HAVE NOT ONLY NO COPAY COVERAGE FOR CONTRACEPTION,
BUT THE RECOGNITION THAT SCREENING FOR INTIMATE PARTNER VIOLENCE, THAT PROVIDING SUPPORT FOR�
AMONGST MANY OTHER THINGS ARE ACTUAL IMPORTANT PUBLIC HEALTH MEASURES AND IMPROVE WOMEN’S
HEALTH.>>WELL, I AGREE WITH ALL OF THAT. THE ONLY THING I WOULD ADD IS THAT I’VE SAID
THE LAST COUPLE DAYS GOING TO VARIOUS MEETINGS ON THE ACA, FROM VARIOUS POINTS OF VIEW, AND
I THINK WHILE THE OPPORTUNITY IS THERE, AS WAS MENTIONED, I THINK THERE’S STILL A NUMBER
OF WOMEN THAT AREN’T TAKING ADVANTAGE, AREN’T AWARE OF THE FACT THAT THESE THINGS ARE COVERED
AND THEY’RE NOT TAKING ADVANTAGE OF THE SITUATION. ALSO WE KNOW THAT THERE’S A LOT OF COMPLICATIONS,
AND THERE’S PRICE ISSUES THAT NEED TO BE ADDRESSED, SO I’M HOPING THAT UNLIKE IN THE PAST, THERE
WILL BE AN OPPORTUNITY TO ACTUALLY MAKE CHANGES, POSITIVE CHANGES TO MAKE IT EASIER FOR WOMEN
AND MEN TO BE PART OF THE SYSTEM AND ALSO TO UNDERSTAND WHAT THE NEW SYSTEM ALLOWS THEM
TO DO, AND ALSO TO TAKE A LOOK AT THE PRICES, BECAUSE THEY’VE ALL HEARD ABOUT THE COPAYS
GOING UP, DEDUCTIBLES ALSO, SO FOR A LOT OF POOR WOMEN WHO AREN’T COVERED BY MEDICAID,
THERE’S STILL A LOT OF ISSUES THAT NEED TO BE ADDRESSED.>>THANK YOU. CERTAINLY I HOPE EVERYONE WILL JOIN IN IN
CONTINUING TO EDUCATE WOMEN ABOUT WHAT THE OPPORTUNITIES ARE, HOW TO ACHIEVE SOMETHING
THAT’S AFFORDABLE BOTH IN THE IMMEDIATE FUTURE IN TERMS OF THE OPEN ENROLLMENT PERIOD, AS
WELL AS CARRYING THESE DISCUSSION FORWARD. THANK YOU. LET ME TURN TO GET YOUR THOUGHTS ON BEYOND
THE ACA, AND CERTAINLY THAT’S BEEN A MAJOR FOCUS FOR ALL OF US IN THE LAST FEW YEARS. WHAT ARE SOME OTHER WAYS IN WHICH YOU THINK�
YOU SEE THAT THE WOMEN’S HEALTH WORK AND IMPROVEMENT HAS BEEN INITIATED AND SUSTAINED OVER THE
LAST COUPLE OF DECADES? WE’LL START BACK WITH LINDA.>>I WOULD SAY ONE OF THE MAIN AREAS HAS BEEN
EDUCATION. CINDY MENTIONED WOMEN’S PARTICIPATION IN RESEARCH
AND MEDICAL SCHOOL. IF YOU LOOK AT COLLEGES RIGHT NOW, BLACK WOMEN
ARE MAKING GREAT GAINS, WE’RE 55% OF MASTER’S DEGREES AND PH.D.S.
ALL OF THIS BODES WELL FOR OUR HEALTH. OBVIOUSLY I’VE GOT CONCERNS ABOUT WHAT’S HAPPENING
WITH BLACK MEN IN OUR SOCIETY AS WELL, AND THEM BEING LEFT OUT OF THIS, BUT WITH GREATER
EDUCATION IS GREATER INCOME, GREATER ACCESS, IMPROVED HEALTH. AND SO THE IDEA THAT WE NOW ARE DOING SO WELL
IN EDUCATION IS VERY ENCOURAGING, TO ME, BUT ALSO BLACK WOMEN IN PARTICULAR WORK. WE HAVE HIGHER EMPLOYMENT RATES. EVEN WITH CHILDREN. BLACK WOMEN ACTUALLY OUTEXERCISE ALL WOMEN. WE DON’T NECESSARILY GO TO THE GYM, BUT BECAUSE
OF THE NATURE OF OUR LIVES AND OUR INTERACTIONS, WE ACTUALLY GET A LOT OF EXERCISE. THERE ARE LOTS OF ISSUES THAT WE’VE GOT TO
DEAL WITH, BUT I’M HOPEFUL ABOUT ALL OF THESE AND WHAT THIS MEANS FOR OUR HEALTH. WE’VE GOT TO UNDERSTAND KIND OF NOT ONLY WHAT
THE “WHAT” IS, BUT HOW WE DO THESE THINGS. AND A LOT OF THE WORK THAT WE FOCUS ON AT
THE IMPERATIVE IS TAKING WHAT WE KNOW, TAKING THE RESEARCH, AND THEN TRANSLATING IT INTO
THINGS THAT WOMEN CAN DO EVERY DAY WHEREVER THEY ARE, NO MATTER WHAT RESOURCE LEVEL THEY’RE
IN. SO AS I LOOK OUT AT THE NEXT 25 YEARS WHEN
WE’RE NOT HERE AGAIN BUT SOMEBODY IS HERE AGAIN CELEBRATING THE 50TH ANNIVERSARY OF
THE OFFICE OF WOMEN’S HEALTH, I HOPE WE’LL BE ABLE TO TALK ABOUT THE STRUCTURAL IMPROVEMENTS
IN SOCIETY, THAT HAVE BEEN� THAT HAVE CONTRIBUTED TO OUR ABILITY TO BE HEALTHY NO MATTER WHERE
WE ARE.>>CINDY.>>I THINK� I WANT TO SPEAK TO SOMETHING
THAT’S AN ADVANCE AND A CHALLENGE WHICH, YOU KNOW, STARTING BACK WHERE WE WERE WITH THE
LACK OF RESPECT FOR ANYONE WHO DIDN’T HAVE A MEDICAL�DEGREE� VERY LITTLE INFORMATION
AVAILABLE DIRECTLY TO CONSUMERS. WE’VE CONCEDED IN THAT, WE’VE BROKEN THAT
DOWN. THE WORLD IS FULL OF ACCESS TO INFORMATION. WHITE WOMEN FOLLOWED BLACK WOMEN INTO THE
WORKFORCE AND ALL WOMEN’S SALARIES SORT OF LIFTED UP, AT LEAST MIDDLE CLASS COLLEGE EDUCATED
WOMEN, SO A LOT OF RESPECT FOR OUR PURCHASING POWER. SO WE ARE NOT ONLY� WE HAVE FEW TO NO BARRIERS
TO INFORMATION ABOUT HEALTH, WE HAVE A LOT OF INFORMATION COMING TO US THAT’S LOOKING
AT OUR POCKETBOOKS. AND I THINK THAT’S AN ADVANCE AND ATTENTION
GOING FORWARD.>>PHYLLIS?>>THANK YOU. WELL, IT’S TRUE THERE’S A LOT OF EDUCATION
OUT THERE, NOT ALL OF IT CORRECT, BUT THERE’S CERTAINLY A LOT MORE THAN THERE EVER WAS BEFORE,
AND OF COURSE THAT’S AN ISSUE OF FIGURING OUT WHAT’S RIGHT AND WHAT’S WRONG AND WHAT’S
GOOD FOR YOU, BUT I’VE HAD THE OCCASION IN THE LAST FEW WEEKS TO GIVE SOME PRESENTATIONS
IN ATLANTA AND IN BOSTON, AND IT REALLY IS SORT OF AMAZING AND DEPRESSING THAT THERE
ARE SO MANY WELL EDUCATED IN THAT POPULATION OF WOMEN WHO REALLY HAVE VERY LITTLE KNOWLEDGE
ABOUT A LOT OF THE THINGS WE’RE TALKING ABOUT, WHETHER IT’S THE ACA, WHETHER IT’S CLINICAL
TRIALS, SEX DIFFERENCES, ALL THE RESEARCH THAT’S GONE ON SO I THINK THERE’S A LOT MORE
EDUCATION THAT NEEDS TO BE DONE OF ALL POPULATIONS AND PARTICULARLY PROBABLY IN THE MINORITY
POPULATIONS, WHERE THEY’RE NOT GETTING ALL THE INFORMATION, ASIAN POPULATIONS, HISPANIC
POPULATIONS, WHERE THEY’RE NOT GETTING THE ACCURATE INFORMATION, AND ALSO THE PROBLEMS
WITH ENCOURAGING THEM TO ENROLL IN CLINICAL TRIALS, WHICH IS ANOTHER BIG ISSUE.>>THANK YOU SO MUCH. I THINK THE FOCUS IS REALLY AROUND EDUCATION
IN MANY DIFFERENT WAYS AND INFORMATION TO WOMEN. I WANT TO TIE THAT WITH ANOTHER QUESTION WE
HAD, WHICH WAS ABOUT TECHNOLOGY. IN SOME WAYS THE EASE OF BEING ABLE TO GET
INFORMATION IN SOME RESPECTS, WHICH MAY OR MAY NOT BE GREAT INFORMATION BUT THERE’S A
LOT OF INFORMATION AVAILABLE. AND AS WE THINK ABOUT HOW MUCH TECHNOLOGY
IS CHANGING AND HOW MANY WAYS THAT WOMEN NOT ONLY CAN GET INFORMATION FROM EXTERNAL SOURCES
BUT ALSO INFORMATION ABOUT THEMSELVES, HOW THEY TRACK HOW MANY STEPS THEY WALK OR HOW
MANY HOURS THEY SLEEP OR DON’T SLEEP, WHAT THEY EAT, HOW DO YOU ALL THINK ABOUT THOSE
TYPES OF TECHNOLOGIES AND WHAT’S THE PROMISE IN ALL OF THAT, OR DO YOU SEE IT AS A PROMISE
IN TERMS OF BEING ABLE TO CONTRIBUTE TO IMPROVING WOMEN’S HEALTH?>>I DO. I’M A BIG TECHNOPHILE. TECHNOLOGY IN TERMS OF WEARABLES, IN PARTICULAR,
I THINK HAVE RAISED WOMEN’S AWARENESS AND EVERYBODY’S AWARENESS OF HEALTH AND HEALTHY
BEHAVIORS. NOW, THE SCIENCE IS STILL OUT ON WHETHER OR
NOT THESE WEARABLE DEVICES MAKE ANY REAL DIFFERENCE, BUT JUST BRINGING OUR ATTENTION TO OUR HEALTH
AND HOW MANY STEPS WE’RE WALKING AND HOW MANY CALORIES WE’RE CONSUMING IS IMPORTANT. BUT I THINK THERE’S AN AREA THAT HAS YET TO
BE EXPLORED THAT COULD BE REALLY IMPORTANT. WOMEN, IN PARTICULAR, GIVE UP A LOT OF INFORMATION
ON SOCIAL MEDIA. SO IMAGINE IF WE COULD TAKE SOCIAL MEDIA DATA
AND CROSSWALK IT WITH EPIDEMIOLOGIC DATA, SO HERE’S WHAT WE THINK WE KNOW OVER HERE,
HERE’S WHAT WOMEN ARE SAYING THEY REALLY KNOW, BELIEVE, THINK AND DO. IMAGINE IF WE COULD CROSSWALK THAT AND THEN
CHALLENGE WHAT WE THINK WE KNOW AND USE WHAT WOMEN ARE SAYING IS IMPORTANT TO THEM TO DEVELOP
THE PROGRAM, POLICIES, MESSAGING WE NEED TO ACTUALLY DO THE THINGS TO BE HEALTHY AND TO
GET THAT INFORMATION TO POLICY MAKERS TO SAY YOUR CONSTITUENTS ARE SAYING THIS. IF YOU’RE INTERESTED IN BEING ELECTED AGAIN,
MAYBE YOU MIGHT WANT TO PAY ATTENTION TO THIS. SO I GET EXCITED WHEN I THINK ABOUT BIG DATA
AND USING DATA SCIENCE TO ADVANCE POLICY AND ADVANCE WOMEN’S HEALTH.>>THAT’S GREAT. SO LINDA’S IDEAS ARE GREAT BECAUSE THEY’RE
REALLY A CREATIVE WAY TO HARNESS THE POWER OF TECHNOLOGY THAT’S WIDELY AVAILABLE. BECAUSE SOCIAL MEDIA CROSSES ALL CLASS LINES,
CLASS AND ETHNICITY IN THIS COUNTRY. BUT FOR ME AS A JUSTICEBASED ACTIVIST, WHEN
I HEAR ABOUT THE PROMISE OF TECHNOLOGY FOR WOMEN’S HEALTH OR THE PROMISE OF PRECISION
MEDICINE, I THINK ABOUT THE GROWING INCOME INEQUALITY IN OUR COUNTRY AND HOW THAT PROMISE,
WHATEVER IT WILL BE, WILL BE EASILY ADOPTED BY PEOPLE WHO HAVE RISEN UP IN� AS THE MIDDLE
CLASS HAS SHRUNK AND THE TWO ENDS OF THE SCALE HAVE GROWN. BUT UNLESS WE GET OURSELVES ON A COURSE THAT’S
IDEALLY SHRUNK THE EQUALITY ALL TOGETHER BUT AT LEAST MADE HEALTHCARE A HUMAN RIGHT AND
MADE ACCESS TO BASIC COMPREHENSIVE AND HIGH QUALITY HEALTHCARE A RIGHT, I DON’T HOLD OUT
A LOT OF HOPE FOR TECHNOLOGY TO REDUCE DISPARITIES, FOR EXAMPLE.>>FIRST I THINK MOST OF THE PEOPLE THAT WEAR
FITBITS AND ALL THAT ARE PROBABLY THE PEOPLE WHO ARE MOST HEALTH CONSCIOUS AND DON’T HAVE
TO WORRY SO MUCH ABOUT IT. IN MY EXPERIENCE, MOST PEOPLE I KNOW THAT
ARE WEARING THESE WRIST BANDS TO COUNT THEIR STEPS ARE PEOPLE THAT ARE HEALTHCONSCIOUS
ALREADY. THE QUESTION IS GETTING TO PEOPLE WHO ARE
NOT HEALTHCONSCIOUS TO BE PAYING ATTENTION TO SOMETHING LIKE THAT. I THINK THE TECHNOLOGY THAT’S GOING TO BE�
SOCIAL MEDIA AND ALL THAT IS GOOD, BUT AS I SAID EARLIER, THERE’S A LOT OF MISINFORMATION
ALSO, THERE’S A LOT OF THINGS IN THE PAST THAT HAVE HAPPENED TO PREVENT PEOPLE FROM
GETTING VACCINES, ET CETERA, SO I THINK IT CAN BE BOTH POSITIVE AND NEGATIVE. I THINK THE FUTURE OF TECHNOLOGY WOULD REALLY
BE MORE SO IN THE AREA OF INTEROPERABILITY BETWEEN HOSPITALS AND PATIENTS AND SHARING
INFORMATION SO THAT� AND ALSO WITH CLINICAL TRIALS, I DO THINK� I KNOW I KEEP MENTIONING
CLINICAL TRIALS, BUT I THINK THERE’S A WAY USING TECHNOLOGY TO MAYBE MAKE PARTICIPATION
IN TRIALS EASIER AND LESS COMPLICATED AND LESS TIMECONSUMING. AND THERE ARE COMPANIES THAT ARE WORKING ON
THAT, AND I THINK THAT COULD BE VERY HELPFUL IN THE LONG RUN.>>GREAT. VERY INTERESTING. THANK YOU. SO AS YOU KNOW, THE OFFICE OF WOMEN’S HEALTH
IS REALLY� TAKES AN APPROACH TO WOMEN’S HEALTH THAT’S ACROSS THE LIFESPAN, AND THAT
MEANS WORKING ON ISSUES THAT CAN AFFECT WOMEN AT ANY POINT IN THEIR LIFE SUCH AT VIOLENCE,
AS WELL AS ISSUES THAT ARE PROMINENT AT PARTICULAR POINTS IN TIME AND WE HEARD BOTH FROM COLLEGE
AGE TERRIFIC WORK FOR WOMEN COMING IN TO YOUNG ADULTHOOD, AS WELL AS DR.�WOODS’ WORK ON
MENOPAUSE AMONG MANY OTHER ISSUES. SO WHAT POLICIES WOULD YOU SAY WE NEED TO
HELP PROTECT WOMEN� HELP SUPPORT WOMEN AS THEY AGE AND HOW DO WE BEST EMPOWER WOMEN
TO THINK ABOUT THEIR LIFE COURSE AND CHANGES ACROSS TRANSITIONS AND DIFFERENT POINTS IN
TIME ACROSS THE LIFESPAN TO BE ABLE TO AGAIN MAKE SURE THEY’RE ALWAYS ABLE TO MAXIMIZE
THEIR HEALTH AND WELLBEING?>>THE POLICY ISSUES ARE INTERESTING. IT WOULD BE GREAT IF WE COULD GET TO A POINT
WHERE GETTING OLDER WAS OKAY. [LAUGHTER]
NO OFFENSE TO THE COLLEGEAGED FOLKS, BUT THERE’S SOME VALUE IN AGING. YOU KNOW, I KIND OF THINK ABOUT THIS AS SORT
OF A WORKPLACE POLICY, BECAUSE WE’RE WORKING LONGER NOW. WOMEN ARE WORKING BUT WE’RE NOT STOPPING AT
65, WE’RE WORKING LONGER THIS IS WHERE FAMILY LEAVE POLICIES BECOME REALLY IMPORTANT, BECAUSE
THERE ARE WOMEN IN THEIR 50S AND 60S WHO STILL HAVE CHILDREN THAT THEY’VE GOT TO DEAL WITH,
BUT THEY’VE GOT AGING ELDERLY PARENTS OR OTHER FAMILY MEMBERS, AND YOU NEED TIME TO BE ABLE
TO DEAL WITH THEM. WORKING� TELEWORK POLICY, AGAIN, AT THE
COMPANY LEVEL, REALLY IMPORTANT, SO YOU CAN GET THE WORK DONE IN A WAY THAT MAKES SENSE
FOR YOUR LIFE. BUT BROADLY, IT WOULD BE GREAT IF SOCIETY
COULD GET TO A POINT WHERE GRAY HAIR AND WRINKLED SKIN WAS ACTUALLY OKAY AND VALUED, AND I DON’T
HAVE TO SAY TO THIS GROUP BUT THERE’S THAT SAYING THAT AS MEN AGE, THEY GET DISTINGUISHED
AND AS WOMEN AGE, WE JUST GET OLD. WE’VE GOT TO STOP LOOKING AT WOMEN THAT WAY. WITH THE WORK OF THE OFFICE OF WOMEN’S HEALTH
AND OUR ORGANIZATIONS AND OTHERS, MAKING THE CASE FOR THE INTRINSIC VALUE OF WOMEN, NO
MATTER WHERE WE ARE IN OUR LIFESPAN. UNTIL WE GET TO THAT POINT, IT’S GOING TO
GET REALLY TOUGH TO LEGISLATE ANY OTHER KINDS OF BEHAVIOR.>>SO I WANT TO SPEAK TO THE INTERPLAY BETWEEN
PRIVATE INVESTMENT AND STRATEGIES THAT HELP WOMEN AGE HEALTHFULLY AND WHAT THE NEEDED
PUBLIC INVESTMENT AND STRATEGY. SO YOU KNOW, WE BOOMERS, WE’VE DRIVEN THE
MARKETPLACE� I THINK THE DRUG COMPANIES AND MEDICAL DEVICE COMPANIES ARE NOT GOING
TO ABANDON US AS WE CONTINUE TO AGE. THEY’RE COMING RIGHT ALONG WITH US, FOLLOWING
US ALONG, LOOKING AT WHAT OUR HEALTH CONCERNS ARE AND RESPONDING. GREAT, THAT’S GREAT! WE HAVE A LOT OF CREATIVE PEOPLE OUT THERE. HOWEVER, THERE ARE THINGS WE NEED TO KEEP
US HEALTHY AS WE AGE THAT DON’T FIT A BUSINESS MODEL, LIKE HOW TO HELP WOMEN SUCCESSFULLY
PREVENT FALLS. THEY HAVE STRATEGIES IN THE U.K. WHERE THE
NATIONAL HEALTH SERVICE HAS THE ACCOUNTABILITY AND THE COST OF CARING FOR PEOPLE, WHETHER�
IF THEY FALL, AND� BUT IN OUR SYSTEMS, THE GREAT BENEFIT OF SUPER SNAZZY TECHNOLOGY AND
EVER MORE CREATIVE DRUG APPROACHES NEEDS TO BE BALANCED BY WHAT ARE STRATEGIES THAT HELP
WOMEN AVOID THOSE DEVASTATING FALLS IN VERY OLD AGE. THAT’S JUST ONE EXAMPLE. SO WHAT THAT MEANS IS A CONTINUED COMMITMENT
THROUGH THICK AND THIN TO THE NIH AND THE OTHER PUBLIC FUNDING APPROACHES. THAT’S WHERE WE HAVE TO GO TO FOR THE RESEARCH
THAT CAN SUPPORT GOOD INTERVENTIONS THAT MAKE A DIFFERENCE IN PEOPLE’S LIVES THAT DON’T
FIT A BUSINESS MODEL.>>WELL, I THINK FIRST OF ALL OBVIOUSLY WE’VE
TALKED ABOUT EDUCATION A LOT, AND THAT CONTINUES. I THINK THAT WE OUGHT TO FOCUS SORT OF ON
THE AGING AS OPPOSED TO THE OLD, AND TALK ABOUT IN THE 40S, 50S, 60S, LIVING A HEALTHY
LIFESTYLE, WE ALL KNOW ABOUT THE ISSUES OF OBESITY GOING ON IN THIS COUNTRY AND AROUND
THE WORLD, AND THAT CERTAINLY HASN’T HELPED IN TERMS OF DIABETES AND CARDIOVASCULAR DISEASE,
SO I THINK WE NEED TO LOOK AT THE POPULATION, MEN AND WOMEN, FROM AN EARLIER AGE SO THAT
THEY AGE HEALTHY AND NOT GET TO A POINT WHERE� WHETHER IT’S FALLING AND BREAKING A LIMB OR
WHATEVER, SO THAT THERE’S� AND AGAIN WITH THE ACA, IF IT BECOMES EVEN MORE SUCCESSFUL
AS WE HOPE IT WILL, WE’LL BE ABLE TO AFFORD THESE WOMEN PREVENTIVE SERVICES SO THAT THEY’LL
KNOW� THEY’LL BE ABLE TO TAKE ACTION IF SOMETHING HAPPENS SO THEY CAN KEEP THEMSELVES
HEALTHY FOR A LONGER PERIOD OF TIME.>>THANK YOU. STRONG PREVENTION ACROSS THE LIFESPAN MESSAGE
FOR ALL OF US. LINDA HAS MENTIONED SOME OF THE WORK IN BLACK
WOMEN’S HEALTH, PHYLLIS, YOU MENTIONED ASIANAMERICAN WOMEN AND DISPARITIES. I JUST WOULD ASK EACH OF YOU TO COMMENT A
LITTLE BIT FURTHER IN TERMS OF WHAT YOU SEE AS SOME OF THE PARTICULAR OPPORTUNITIES IN
TERMS OF REDUCING OR ELIMINATING HEALTH DISPARITIES AND WHERE THERE’S A FOCUS ON MINORITY AND
WOMEN’S HEALTH.>>WE’VE MADE SOME PROGRESS IN THAT BUT NOT
NEARLY ENOUGH. I’VE HAD LOTS OF CONVERSATIONS ABOUT DATA. OBVIOUSLY I SPEND A LOT OF TIME TALKING ABOUT
DATA AND LOOKING AT DATA. AND ONE OF THE THINGS THAT TROUBLES MEMOS
IS HOW WE TALK ABOUT DISPARITIES AND HEALTH EQUITY AND DATA. WE’LL SEE BLACK WOMEN ARE 60 TO 70% OVERWEIGHT
OR OBESE, IN RESEARCH, IN THE MEDIA, WHEN WE TALK ABOUT DATA, WE GIVE THE LISTENER,
THE VIEWER, THE IMPRESSION THAT THESE ARE HAPPENING� THESE THINGS HAPPEN BECAUSE THESE
WOMEN OR BLACK OR LATINA OR ASIAN, AND THAT IS NOT THE CASE. BECAUSE WE ALL KNOW THERE’S A BIOLOGIC DETERMINANT
FOR RACE. SO I WOULD LIKE US TO GET TO THE POINT WHERE
WE TALK ABOUT WHAT IS ABOUT THE EXPERIENCE OF BEING BLACK, OR BEING LATINA, IN SOCIETY
THAT CONTRIBUTES TO THESE TERRIBLE RATES OR WHATEVER IT IS WE’RE TALKING ABOUT. I MENTIONED THE BLACK WOMEN’S HEALTH STUDY. THIS IS A 22YEAROLD STUDY NOW ON BLACK WOMEN,
AND WE ASKED THEM TO GO BACK AND LOOK AT THEIR DATA AND LOOK AT THE WOMEN WHO DEFINED THEIR
HEALTH AS VERY GOOD OR EXCELLENT, AND IT TURNS OUT ABOUT 60% OF THE WOMEN IN THE STUDY DEFINED
THEIR PHYSICAL HEALTH AND MENTAL HEALTH THAT WAY, AND SO NOW WE’RE LOOKING AT THEM AND
WHAT IT IS ABOUT THEM. HOW DO THEY LIVE, WHERE DO THEY LIVE, WHAT
DO THEY EAT, WHAT DO THEY DO, BECAUSE WE’VE GOT TO CHANGE THE CONVERSATION. IF WE’RE GOING TO MAKE PROGRESS IN REDUCING
THE GAP, ELIMINATING THE INEQUALITIES, WE’VE GOT TO TALK ABOUT THE DATA THE RIGHT WAY,
TALK ABOUT THE PEOPLE RIGHT WAY, AND ALSO TALK ABOUT THEIR LIVED EXPERIENCES AND WHAT
THOSE EXPERIENCES CONTRIBUTE TO THE EXPRESSION OF THEIR DISEASE IN SOCIETY, AND THEN WE CAN
TALK ABOUT PROGRAMS AND POLICIES AND MESSAGING TO DEAL WITH THAT.>>SO I HEARD LINDA TALK ABOUT THIS A COUPLE
OF YEARS AGO AT AN HHA MEETING, AND IT INSPIRED ME, LINDA. I’VE CARRIED IT WITH ME EVER SINCE. ONE OF THE THINGS I LOVE TO SAY THAT SORT
OF FLIPS THINGS BACK AROUND IS TEENS ARE THE BEST CONDOM USERS AROUND, SO LET’S ALL GIVE
SOME RESPECT TO OUR TEEN SISTERS FOR THEY’VE GOT SOMETHING THAT THEY DO BETTER THAN WE
DO. THAT DOESN’T MEAN, THOUGH, THAT� WHILE IT’S�
I REALLY SUPPORT LINDA’S ANALYSIS OF THE BENEFIT OF TALKING ABOUT THE STRENGTHS AND THE SUCCESSES
OF GROUPS. IT DOESN’T STOP THE NEED FOR IDENTIFYING WHERE
THERE’S INEQUITY AND INJUSTICE AND LACK OF FUNDING, LACK OF ATTENTION, SO I’LL JUST SPEAK
BRIEFLY TO LGBT ISSUES. I REPRESENT AN ORGANIZATION CALLED THE NATIONAL
WOMEN’S HEALTH NETWORK. WE WERE CREATED THINKING WE WERE REPRESENTING
WOMEN WHO WERE BORN AND IDENTIFIED AS WOMEN AND LIVE THEIR LIVES AS WOMEN. WE WON’T BE HERE 25 YEARS FROM NOW IF WE HOLD
TIGHT TO THAT OLD DEFINITION. SO IT’S INCUMBENT UPON ALL OF US WHO WORK
FOR WOMEN’S HEALTH TO BRING OURSELVES UP TO THE MODERN ERA, CATCH HOLD WITH WHAT’S GOING
ON, IT’S GOING TO BE A BUMPY RIDE, IT’S NOT ALL FIGURED OUT, BUT WE NEED TO RESPECT THAT
WOMEN INCLUDE PEOPLE WHO ARE NOT BORN AND IDENTIFIED AS FEMALES AT BIRTH. AND THE ISSUE FOR LESBIAN WOMEN AND BISEXUAL
WOMEN HAVE BEEN VERY WELL ADVOCATED FOR BY LESBIAN AND OTHER LGBT GROUPS, BUT� AND
THEY’VE MADE GREAT GAINS BUT THERE ARE STILL WAYS IN OUR APPROACH TO HEALTH THAT THEY ARE
STYMIED FROM FULL UNDERSTANDING AND FULL RESPONSE TO BY LACK OF DATA. THERE ARE STILL PLACES WHERE THE BASIC QUESTIONS
AREN’T ASKED, SO THAT WE COULD THEN GET THE DATA THAT WE NEED. SO THAT’S WHAT I WOULD SPEAK TO.>>THANK YOU.>>WELL, I THINK OBVIOUSLY WHAT LINDA SAID
IS TRUE. I MEAN, IT INCLUDES ECONOMICS, WHERE YOU LIVE,
HOW YOU LIVE, FAMILY STRUCTURE. THERE’S A LOT OF THINGS THAT GO IN TO DISPARITIES,
BOTH IN STYLE OF LIVING, AS WELL AS IN RESEARCH. I THINK WHAT’S COMPLICATED OBVIOUSLY AS CINDY
SAID, AS WE NOW HAVE ALL THESE DIFFERENT CATEGORIES AND WE HAVE TO UNDERSTAND WHAT THAT MEANS
AND HOW TO APPROACH SOME CASES, IT MAY NOT BE VERY DIFFERENT, IN OTHER CASES, IT MIGHT
BE. I THINK THERE ARE ALSO� I MENTIONED ASIAN
COMMUNITIES, HISPANIC COMMUNITIES. THERE ARE DIFFERENT ATTITUDES TOWARDS HEALTH,
TOWARDS� I KNOW I KEEP BANGING THE DRUM ABOUT CLINICAL TRIALS, BUT IN TERMS OF THAT,
THEIR ABILITY OR DESIRES TO PARTICIPATE, AND I ALSO THINK THAT THE WORLD IS BECOMING A
LOT MORE COMPLICATED AND A LOT MORE� I MEAN, AT A CERTAIN PERIOD IN TIME, IT’S GOING TO
ALMOST BE DIFFICULT TO DETERMINE ONE ETHNICITY FROM ANOTHER ETHNICITY WITH ALL THE INTERMARRIAGE
AND EVERYTHING THAT’S GOING ON, WHICH IS GREAT, WHICH IS, OF COURSE, GOING TO MAKE A LOT OF
THE RESEARCH THAT WE’RE USING NOW SORT OF IRRELEVANT, AND I THINK THAT PERSONALIZED
MEDICINE WAS MENTIONED BRIEFLY, I THINK THAT ALSO IS GOING TO BE VERY INTERESTING IN TERMS
OF WHERE THE POPULATION IS GOING IN INTERMARRIAGE AND EVERYTHING, HOW PERSONALIZED MEDICINE
IS GOING TO WORK. I THINK IT’S GOT GREAT POSSIBILITIES, BUT
THAT’S GOING TO TAKE A LOT OF RESEARCH AND I DON’T KNOW THAT ANYBODY HAS MENTIONED THIS
BUT A LOT OF FUNDING, AND AT THE MOMENT, THINGS ARE NOT GREAT AT THE NIH IN TERMS OF FUNDING,
AND SO I THINK THAT WE’VE GOT� THAT’S AN IMPORTANT ISSUE THAT NEEDS TO BE ADDRESSED
AS WELL.>>THANK YOU ALL. SUCH TERRIFIC POINTS AND REALLY A LOT FOR
US TO BUILD ON IN TERMS OF OUR NEXT STEPS TOGETHER. THANK YOU SO MUCH. LET ME ASK YOU TO STEP BACK AND TAKE A LITTLE
BIT BROADER VIEW FOR A MOMENT. WE CERTAINLY FOCUS THIS AS THE NATIONAL OFFICE
ON WOMEN’S HEALTH, WE TALKED ABOUT DOMESTIC POLICY ISSUE, FOCUSED ON RESEARCH HERE. WHAT DO YOU� DO YOU ALSO THINK THAT THROUGH
THE WORK AND THE FOCUS ON WOMEN’S HEALTH IN THIS COUNTRY, WE’VE BEEN ABLE TO IMPACT WOMEN
MORE BROADLY ACROSS THE WORLD, LINDA, YOU’VE BEEN IN MANY DIFFERENT COUNTRY, WE’VE HEARD
EARLIER THIS MORNING, STARTED SOME OF HER WORK WHILE SHE WAS TRAVELING IN CHINA. OUR FOCUS, OUR CONTINUING TO PUSH FORWARD
ON WOMEN’S HEALTH MIGHT ALSO IMPACT WOMEN AND GIRLS IN OTHER PARTS OF THE WORLD?>>I THINK SO. THIS IS ALSO WHERE TECHNOLOGY COMES INTO PLAY,
BECAUSE WE NOW CAN SEE WHAT PEOPLE ARE DOING ALMOST ANYWHERE IN THE WORLD, AND THE THING
THAT I LIKED ABOUT THE GLOBAL HEALTH WORK THAT I DID IS WE WERE LEARNING FROM EACH OTHER. THERE WERE MANY PROGRAMS THAT I WAS INVOLVED
IN IN AFRICA THAT HAVE ABSOLUTE APPLICABILITY HERE AND VICE VERSA, AND SO THE THING THAT
GETS ME EXCITED IS THE POSSIBILITY FOR THE EXCHANGE OF IDEAS, WOMEN IN OTHER COUNTRIES
SEE WHAT WOMEN IN THIS COUNTRY ARE DOING AND THEN THEY CAN TAKE THAT AND APPLY THAT TO
THEIR CULTURAL OR POLITICAL OR SOCIAL SITUATION, AND THEN WE CAN DO THE SAME THING. THE BEAUTY OF THIS IS THEY CAN ACTUALLY HAVE
A GLOBAL CONVERSATION ABOUT WOMEN’S HEALTH. IN A MONTH OR SO, A LITTLE BIT MORE THAN A
MONTH, THERE’S THE� I THINK IT’S THE TRUST WOMEN’S CONFERENCE THAT’S GOING TO BE IN LONDON. THE FOCUS IS GENERALLY ON SEX TRAFFICKING
BUT NOT ENTIRELY. BUT YOU’VE GOT WOMEN WHO ARE GOING TO COME
FROM ALL OVER THE GLOBE TO TALK ABOUT WOMEN’S HEALTH, WOMEN’S RIGHTS, REPRODUCTIVE JUSTICE,
AND ON A GLOBAL SCALE TO DRAW GLOBAL ATTENTION TO THE WOMEN AND THEIR GLOBAL HEALTH AND WHAT
IS AND ISN’T HAPPENING. SO THE OFFICE OF WOMEN’S HEALTH SHOULD ABSOLUTELY
BE IN THAT CONVERSATION, AND WOMEN’S HEALTH ORGANIZATIONS ACROSS THE WORLD HAVE A LOT
TO LEARN FROM US HERE AND WE HAVE A LOT TO LEARN FROM THEM.>>20 YEARS AGO I WOULD HAVE ANSWERED THAT
QUESTION WITH THE FDA AND THE NIH, THEY’RE BEACONS FOR PEOPLE AROUND THE WORLD THAT ARE
VERY STRONG, FDA THAT LOOKS AT RAW DATA IN THE PROCESS OF APPROVING NEW DRUGS AND DEVICES
AND THE� ALTHOUGH UNDERFUNDED NOW, I AGREE WITH PHYLLIS, THE RELATIVELY WELL FUNDED NIH
IN COMPARISON TO THE PUBLICLY FUNDED RESEARCH IN OTHER COUNTRY, THOSE ARE BEACONS. NOW, I DO AGREE WITH LINDA THAT THERE’S MUCH
MORE OF AN EXCHANGE BECAUSE IT’S SO EASY TO KNOW WHAT’S GOING ON IN OTHER COUNTRIES AND
TO LEARN FROM THINGS THAT WORK.>>I THINK THERE’S ACTUALLY REAL DISTINCTION. IN MANY COUNTRIES AROUND THE WORLD, THE FOCUS
REALLY OBVIOUSLY IS ON AIDS, ON OTHER CONDITIONS, A LOT OF INTERNAL ISSUES. I THINK AT THIS POINT, A LOT OF UNDERDEVELOPED
OR DEVELOPING COUNTRIES AREN’T IN A POSITION YET TO SORT OF WORRY ABOUT SEX DIFFERENCES
RESEARCH AND SOME OF THE SPECIFICS THAT WE’RE FOCUSING ON HERE. THAT’S NOT THE CASE, IN EUROPE, PANELS IN
SOME CASES AHEAD OF US. I THINK IN TERMS OF THE OUTER WORLD, THE FOCUS
TO A GREAT EXTENT IS ON LONGEVITY, ON ERADICATING ALL THE DISEASES THAT ARE PREVALENT THERE
ON MATERNAL ISSUES, AIDS OF COURSE IS ACROSS THE WORLD SO THAT’S NOT JUST IN UNDEVELOPING�
BUT I THINK THERE’S A DIFFERENCE IN WHAT THE DEFINITION OF HEALTH IS ALL AROUND THE WORLD. I THINK UNFORTUNATELY THERE’S A LOT OF DISPARITIES.>>LET ME ASK YOU TO OFFER UP A COUPLE OF
WHAT YOU SEE AS SOME OF THE BIGGEST OBSTACLES. WE HEARD A LITTLE ABOUT FUNDING AND ALWAYS
BIG CHALLENGES THERE. BUT MORE SPECIFICALLY IN TERMS OF FUNDING
OR OTHER OBSTACLES MOVING FORWARD FOR OUR NEXT 25 YEARS IN WOMEN’S HEALTH.>>
>>YOU KNOW, I THINK FOR ME, AND HAVING A BIT OF A CHECKERED PAST BECAUSE I’VE WORKED
FOR A FORPROFIT ORGANIZATION THAT SELLS SOFT DRINKS IN ATLANTA�
[LAUGHTER]>>� AND AROUND THE GLOBE. I SAY THIS A BIT OF TONGUE IN CHEEK BUT IT
WAS VALUABLE BECAUSE WHAT I LEARNED WAS THE VALUE OF MARKETING. AND ONE OF OUR BIGGEST CHALLENGES IS SELLING
PEOPLE ON PREVENTING SOMETHING THEY DON’T THINK THEY’RE GOING TO GET IN THE FIRST PLACE. OR THAT THEY THINK THEY CAN’T HELP BUT GET
BECAUSE OF WHAT THEY SEE. AND SO WE IN THE MEDICAL INDUSTRY AND FIELD
AND WE IN PUBLIC HEALTH HAVE GOT TO FIGURE OUT HOW TO SELL HEALTH. AND I’M CONVINCED THAT IF OTHERS CAN SELL
THEIR PRODUCT, WE, TOO, CAN SELL OUR PRODUCT, BUT WE’VE GOT TO FIGURE OUT A WAY TO TAKE
WHAT WE KNOW, TAKE SOME RESEARCH AND TRANSLATE IT INTO THOSE THINGS, THOSE FOR LACK OF A
BETTER WORD PRODUCTS THAT WOMEN IN PARTICULAR CAN EMBRACE AND THEN ACT ON AND USE, BECAUSE
IF WE DON’T DO IT, IT’S PROBABLY NOT GOING TO HAPPEN. SO OUR BIGGEST CHALLENGE I THINK IS DENORMALIZING
DISEASE AND NORMALIZING HEALTH AND PREVENTION, AND IF WE CAN DO THAT, THEN WE CAN ALL DECLARE
SUCCESS.>>THAT’S AN INSPIRING VISION AND I AGREE
WITH LINDA, AND I THINK THIS TENSION BETWEEN INFORMATION, WHO IS MARKETING, AND, YOU KNOW,
I GOT� I TOUCHED ON IT BRIEFLY IN SOMETHING I SAID EARLIER, AND PHYLLIS HAS BEEN TALKING
ABOUT HOW MUCH INFORMATION IS JUST FACTUALLY WRONG. SO WE’RE NOW IN CONTRAST TO 40 YEARS AGO,
WHERE� WAS RARE AND CONTROLLED, NOW IT’S EVERYWHERE, SOME OF IT’S WRONG AND DANGEROUSLY
WRONG, IT MAKES PEOPLE AVOID THINGS THAT ARE PROVEN TO BE BENEFICIAL TO THEM, AND SOME
OF IT IS IN THE INTEREST OF PROFITDRIVEN SALES. SO HOW ARE WE GOING TO GO FORWARD IN A WAY
THAT MAKES IT� NOT EVERYONE IS A HEALTH INFORMATION SPEAKING, THAT’S A PERSONALITY
TYPE, BUT MANY ARE, AND FOR THOSE PEOPLE, HOW ARE WE GOING TO MAKE IT EASIER FOR THEM
TO FIND A PATH TO ACCURATE INFORMATION THAT DOESN’T HAVE AN INCENTIVE TO DRIVE A CHOICE
TOWARDS A CERTAIN PRODUCT THAT�>>I THINK THAT’S ONE OF THE ISSUES THAT THE
ACA IS LOOKING AT, WHICH OF COURSE IS VERY CONTROVERSIAL FOR A LOT OF REASONS, BUT WE’RE
NOT GOING TO GO TO THE ACA. I PERSONALLY SEE SINCE MY FOCUS IS RESEARCH,
I SEE A LOT OF OBSTACLES. WE’VE BEEN TRYING FOR YEARS NOW, WE’VE HAD
TWO MAJOR MEETINGS IN EDUCATING MEDICAL JOURNALS ABOUT THE IMPORTANCE OF COVERING SEX DIFFERENCE,
MAKING SURE THAT PARTICIPANTS AND CLINICAL TRIALS ARE IDENTIFIED AS BEING MALE OR FEMALE,
WE’VE MADE A LOT OF PROGRESS BUT NOT 100%, AS I SAID EARLIER, IT’S ONE THING TO HAVE
WOMEN AND MINORITIES IN CLINICAL TRIALS, IT’S ANOTHER THING TO HAVE SEX ANALYSIS, WE’RE
WAY BEHIND THAT. THE FDA IS WORKING ON THAT, I DON’T KNOW HOW
MANY YOU HAVE KNOW ABOUT THE SNAPSHOTS THAT ARE ON THEIR WEBSITE LOOKING AT THE RESEARCH
RESULTS OF APPROVED PRODUCTS AND WHETHER THEY’RE CLINICALLY RELEVANT TO SUBPOPULATIONS AND
THAT’S RELATIVELY NEW. THAT HASN’T EXTENDED TO DEVICES AND DIAGNOSTICS,
WHICH IS SOMETHING THAT WE’RE LOOKING AT AS WELL. SO I THINK� AND AS I SAID EARLIER, GOING
FROM BASIC TO CLINICAL COULD TAKE MANY YEARS, AND WE REALLY HAVE A LOT OF QUESTIONS BUT
WE REALLY DON’T HAVE VERY MANY ANSWERS AND I THINK IN TERMS OF THE BIOSCIENCE COMMUNITY,
THERE’S STILL A BIAS AGAINST WOMEN SCIENTIST, THEY STILL HAVE MORE DIFFICULTY GETTING THE
AWARDS AND GETTING PROMOTIONS THAN MEN DO. AND THERE IS� WE DON’T KNOW WHAT’S GOING
TO HAPPEN IN THE NEXT CONGRESS OR DURING� BEFORE THE NEXT� IN BETWEEN� I CAN’T REMEMBER
WHAT IT’S CALLED� WHAT’S GOING TO HAPPEN WITH THE RESEARCH ROLE, OR THE 21ST CENTURY
CURE, WHAT KIND OF FUNDING IS GOING TO BE AVAILABLE, SO I THINK THERE ARE A LOT OF OBSTACLES,
STILL, AS TO WHAT’S GOING TO HAPPEN IN THE FUTURE.>>THANK YOU SO MUCH. EXCELLENT REMINDERS FOR WHY WE ALL NEED TO
STAY FOCUSED AND KEEP MOVING AHEAD AND BUILDING ON THE WORK. LET ME TURN IT� OPEN IT UP TO THE AUDIENCE
AND SEE IF ANYONE ELSE WOULD LIKE QUESTIONS BECAUSE I COULD GO ON BUT I WANT TO SHARE
THIS OPPORTUNITY.>>GOOD MORNING, SUSAN CAMPBELL WITH WOMEN
HEART. THANK YOU VERY MUCH, THIS IS A COLLEGE COURSE
IN WOMEN’S HEALTH. BUT I’M INTERESTED IN YOUR THOUGHTS ON HOW
WE HAVE MOVED FROM THE DEFINITION OF WOMEN’S HEALTH BEING BASICALLY SEXUAL REPRODUCTIVE
SERVICES ON TO THE BROADER LANDSCAPE OF WOMEN’S HEALTH, INCLUDING CARDIOVASCULAR DISEASE,
DIABETES, ALZHEIMER’S, DEMENTIA, AND WHAT MORE WE CAN DO TO CONVEY THAT PRETTY COMPREHENSIVE
PICTURE.>>WELL, I THINK SUSAN KNOWS SINCE WE’VE WORKED
TOGETHER FOR A NUMBER OF YEARS, THIS IS WHAT THE SOCIETY WAS FOUNDED ON, NOT REPRODUCTIVE
ISSUES. WE FELT AT THE TIME THAT THOSE ISSUES WERE
ADEQUATELY COVERED EVEN THOUGH WE ALL KNOW THAT NEVER ENDS. BUT IN TERMS OF� ALL THE ORGANIZATIONS,
THERE WERE A NUMBER OF ORGANIZATIONS THAT WERE FOCUSING ON REPRODUCTIVE ISSUES. IMPORTANT, OF COURSE, THAT WAS THE DEFINITION
OF WOMEN’S HEALTH. AND THAT’S WHAT WE TRIED TO CHANGE. AND I THINK WE HAVE, ALTHOUGH IT’S ALSO INTERESTING
THAT AT CERTAIN POINTS THERE’S BEEN A BACKLASH IN TERMS OF WE KNOW ENOUGH ABOUT WOMEN’S HEALTH,
MEN’S HEALTH, THAT’S ANOTHER WHOLE STORY. BUT I THINK THE DEFINITION OF WOMEN’S HEALTH
DEFINITELY HAS CHANGED. IT HASN’T CHANGED IN THIS ELECTION, UNFORTUNATELY. IT’S STILL ALL ABOUT ALL THE CONTROVERSIAL
ISSUES THAT WE KNOW. BUT I THINK CERTAINLY IN THIS COMMUNITY, AND
AT THE OFFICE OF WOMEN’S HEALTH, WE’RE LOOKING AT A LOT OF OTHER ISSUES. IT’S NOT JUST MATERNAL AND CHILD CARE, REPRODUCTIVE,
AS IMPORTANT AS THAT IS. IT’S ALSO BEEN� I THINK WE ALL KNOW THAT
NICHD, FOR MANY YEARS, IT’S NOT STILL, FOCUSING MORE ON MATERNAL ISSUES THAN WOMEN’S HEALTH,
AND IT’S BEEN SORT OF A STRUGGLE BUT I THINK WE’RE MAKING PROGRESS ON GETTING THE OTHER
INSTITUTES TO BE LOOKING, WHETHER IT’S ALZHEIMER’S OR OSTEOPOROSIS OR AUTOIMMUNE CONDITIONS,
TO BE LOOKING AT WOMEN SPECIFICALLY AND NOT LUMPING MEN AND WOMEN TOGETHER. SO I THINK WE’RE MAKING PROGRESS. HOW MUCH PROGRESS WE’RE MAKING OUTSIDE OF
SORT OF ALL OF US WHO LIVE AND WORK THIS EVERY MINUTE, I DON’T KNOW, BUT I THINK WE’RE CERTAINLY
MAKING PROGRESS IN THE RIGHT DIRECTION.>>CINDY OR LINDA?>>THERE’S TWO THINGS GOING ON. ONE, OUR ORGANIZATIONS WORKED TOGETHER, YOU’VE
WORKED ON THIS YOURSELF, IF WE CAN GET THE FDA TO ACTUALLY MANDATE THE SEX ANALYSIS THAT
PHYLLIS HAS MENTIONED A COUPLE TIMES, THAT WOULD DRIVE BETTER TREATMENT. BUT WE NEED BETTER CARE TOO, AND I HAVE TO
SAY, THIS IS CONTROVERSIAL TO SAY, I’M NOT REALLY A FAN OF THE DECISION THAT WAS MADE
MANY YEARS AGO TO DESCRIBE OBGYNS AS WOMEN’S PRIMARY CARE DOCTORS. I KNOW THAT IT’S VERY IMPORTANT FOR WOMEN
TO HAVE ACCESS TO THEIR OBGYN WITHOUT A GATE KEEPER AND CALLING THEM PRIMARY CARE DOCTORS
FOR WOMEN DOES ACCOMPLISH THAT, THAT’S GOOD. BUT IT DOES STILL LEAVE WOMEN SORT OF FALLING
IN THE CRACKS BETWEEN TRUE SPECIALISTS IN WOMEN, BUT A SPECIALIST IN WOMEN’S REPRODUCTIVE
CARE, AND THE GREAT DOCTORS WE SEE AT OTHER TIMES IN OUR LIVES, FAMILY PRACTICE DOCTORS
AND INTERNISTS WHO MAYBE HAVE GOTTEN A LITTLE EXTRA SORT OF, OKAY, YOU DID HEART DISEASE,
NOW LET’S DO A LITTLE CME CLASS IN HEART DISEASE IN WOMEN. IT DOESN’T FEEL LIKE WE’RE COMPLETELY INTEGRATED
YET INTO THE CARE PROVISION.>>AND I THINK YOU TOUCH ON THE ISSUE OF HOW
WE’RE PERCEIVED, HOW WOMEN ARE PERCEIVED AND WE’RE FIRST PERCEIVED THROUGH A REPRODUCTIVE
LENS BUT OBVIOUSLY THERE’S MORE TO THAT, MORE TO US THAN THAT. THANKFULLY. BUT THIS IS VERY MUCH A PROCESS THAT PROBABLY
NEEDS TO HAPPEN IN MEDICAL SCHOOL� IN STATISTICS CLASSROOM, EPIDEMIOLOGY CLASSROOMS, BECAUSE
IT IS ABOUT HOW WE LOOK AT US AND THROUGH WHAT LENS.>>SO I WAS HEARING YOU TALK ABOUT MARKETING
AND THINGS LIKE THAT, WONDERING IF YOU COULD SPEAK TO REPRESENTATION. WHEN I WAS 21 YEARS OLD, I LEARNED THAT HEART
DISEASE WAS ONE OF THE NUMBER ONE KILLERS OF AFRICANAMERICAN WOMEN AND YET ALL THE BILLBOARDS
IN MINNEAPOLIS WERE REALLY HAPPY, SMILING WHITE WOMEN. I DON’T KNOW WHY THEY WERE SMILING IN THE
FIRST PLACE BECAUSE THE BILLBOARDS WERE ABOUT HEART DISEASE, BUT THEN I’M LIKE, OKAY, MAYBE
SOMEONE WHO LOOKS LIKE ME� BECAUSE THAT WOULDN’T AFFECT ME BECAUSE THERE’S NO ONE
THAT LOOKS LIKE ME ON THERE. SAME THING WITH BREAST FEEDING PAMPHLETS. EVERYWHERE I WAS IN HOSPITALS WHEN I WAS PREGNANT
WITH MY DAUGHTERS, I DIDN’T EVEN THINK THAT BLACK WOMEN BREAST FED BECAUSE I DIDN’T SEE
ANYONE THAT LOOKED LIKE ME DID THAT. THE DISNEY CHANNEL BROUGHT DR.�MCSTUFFINS,
THAT WAS FANTASTIC, THEY TRIED TO GET RID OF THAT AND THE HASHTAG WAS “REPRESENTATION
MATTERS.” PLEASE DON’T GET RID OF HIM BECAUSE THERE’S
SOMEBODY THAT LOOKS LIKE THEM THAT WANTS TO BE A DOCTOR. SO I’M JUST WONDERING IN THE FUTURE, CAN ANYONE
SPEAK ON WHAT WE CAN DO TO MAKE SURE THAT PEOPLE ARE MORE� THAT ASIAN WOMEN, THAT
HISPANIC WOMEN, THAT BLACK WOMEN, THEY SEE THINGS THAT LOOK LIKE THEM BECAUSE IT’S VERY
EASY TO ASSUME THAT SOMETHING DOESN’T AFFECT YOU OR YOUR PEOPLE IF YOU’RE NOT SEEING YOURSELF
REPRESENTED IN THE MEDICAL JOURNALS AND MEDICAL PAMPHLETS AND THINGS LIKE THAT. SO IF SOMEONE COULD SPEAK ON THAT, OR WHAT
WE CAN DO TO HELP, THAT WOULD BE IDEAL.>>THAT’S A GREAT POINT. AND IT’S BOTH WAY, BIDIRECTIONAL. WE GET THE IMPRESSION THESE ISSUES AREN’T
RELEVANT FOR US. I GUESS I’M NOT SUPPOSED TO BREAST FEED�
BUT THE MEDICAL COMMUNITY GETS A MESSAGE ALSO THAT WE ARE NOT GOING TO DO CERTAIN THINGS. THERE’S A LOT OF LITERATURE ON MEDICAL BIAS,
YOU KNOW, WHO GETS PAIN MEDS IN THE EMERGENCY DEPARTMENT. THERE WAS A STUDY JUST RELEASED THAT LOOKED
AT MEDICAL SCHOOL STUDENTS BEING LESS LIKELY TO PRESCRIBE PREEXPOSURE PROPHYLAXIS TO BLACK
WOMEN BECAUSE THE ASSUMPTION IS IF BLACK WOMEN TAKE PREP, WE’RE GOING TO ENGAGE IN EVEN RISKIER
SEXUAL BEHAVIOR. SO� YEAH. I HAVE NO WORDS. SO YOU’RE RIGHT, IF WE’RE ACTUALLY GOING TO
MAKE HEALTH A PRIORITY, THEN WE’VE GOT TO ENGAGE, ALL OF US, WHERE WE ARE AND SO THAT
MEANS WE’VE GOT TO SHOW EVERYBODY. HEART DISEASE AFFECTS ALL WOMEN. SO THEY NEED TO SEE THAT, BUT THE MEDICAL
PROFESSION NEEDS TO SEE IT AND THEY NEED TO ALSO BE COUNSELED, BE EDUCATED ON HOW THEY
INTERACT WITH PATIENTS. BECAUSE THERE ARE CLEAR DIFFERENCES IN QUALITY
OF CARE IN TREATMENT REGIMENT AND WHAT’S RECOMMENDED BY RACE AND ETHNICITY, AND IT WORKS TO OUR
DISADVANTAGE.>>ONE OR TWO MORE QUESTIONS.>>HI, GEORGE ASKU, DEPUTY COMMISSIONER OF
HEALTH IN NEW YORK CITY. PART OF MY PORTFOLIO IS MATERNAL� WE TALKED
ABOUT DISPARITIES,, YOU HIT THE 800POUND GORILLA, SOMETHING I STRUGGLE WITH IN NEW�YORK WHEN
I LOOK AT THE DATA WE HAVE ON THINGS LIKE SEVERE MATERNAL MORBIDITY, FOR INSTANCE, WHERE
IT’S 10 TIMES MORE LIKELY TO HAVE AN INCIDENT AMONG WOMEN OF COLOR. I JUST WANTED TO KNOW HOW� WHEN I THINK
I KNOW HOW YOU FEEL ABOUT IT BUT I WANT TO KNOW FROM THE OTHER FOLKS, THE ISSUE OF NAMING
THE 800POUND GORILLA IN THE ROOM, THAT’S REALLY INDIVIDUAL RACISM AND STRUCTURAL RACISM, AND
HOW IMPORTANT IS IT IN YOUR WORK TO NAME IT DIRECTLY AND OUTWARDLY SO THAT WE CAN ADDRESS
IT?>>I’D LIKE TO SPEAK TO THAT BECAUSE IT IS
SOMETHING WE UNDERSTAND AT THE NATIONAL WOMEN’S HEALTH NETWORK AND TRY TO ADDRESS. SO FOR EXAMPLE, THE COMMENT YOU MADE ABOUT
EXTREME MATERNAL MORBIDITY AS WELL AS MATERNAL MORTALITY BEING SO DISPARATE BY ETHNICITY. BUT YOU KNOW WHAT IS SO FRUSTRATING ABOUT
THAT, THAT WE GET AND SPEAK TO IS THAT YOU CAN’T EDUCATE YOURSELF OUT OF IT. YOU CAN EDUCATE YOURSELF OUT OF RISK FOR MANY
OTHER CONDITIONS IF YOU HAVE THE FAMILY STRUCTURE THAT GETS YOU THROUGH HIGH SCHOOL, THROUGH
COLLEGE, AND LIVING LIFE WITH A COLLEGE�DEGREE. BUT AFRICANAMERICAN WOMEN CANNOT EDUCATE THEMSELVES
OUT OF THE RISK OF MATERNAL MORTALITY THROUGH THAT PATHWAY. SO WHAT IS IT? IT’S WHAT YOU SPEAK TO AT LEAST IN PART, THE
EFFECT OF THE REST OF THE CONDITIONS OF THEIR LIFE, NOT THEIR OWN INDIVIDUAL CHOICES, THE
REST OF THE CONDITIONS OF THEIR LIFE THAT LEAD TO THE CIRCUMSTANCES THAT HAVE BEEN SO
PERSISTENT HERE. SO THAT’S WHAT AFFECTS MANY OF THE OTHER HEALTH
CONDITIONS LIKE HIGH BLOOD PRESSURE, SO IT’S SPEAKING ABOUT THE EFFECT OF RACISM ON PEOPLE’S
HEALTH IN ADDITION TO RACIAL AND ETHNIC DISPARITIES IN HEALTH CONDITIONS IS CRUCIALLY IMPORTANT
TO MOVE FORWARD IF WE’RE GOING TO MOVE TO A JUSTICE BASED HEALTHCARE SYSTEM.>>THANK YOU.>>JUST TO PUT A FINER POINT BECAUSE I AGREE
WITH CINDY, SO YES, THIS IS THE 800POUND GORILLA AND I DON’T THINK ANYBODY IN THIS ROOM WOULD
ARGUE RACISM AFFECTS OUR HEALTH, BUT I THINK UNTIL WE CAN QUANTIFY IT, IT’S GOING TO BE
TOUGH TO MAKE THIS CASE AT THE BEDSIDE OR BENCH SCIENCE, SO FOR EXAMPLE, THE BLACK WOMEN’S
HEALTH STUDY A FEW YEARS AGO PUBLISHED A PAPER LOOKING AT THE CAUSAL RELATIONSHIP BETWEEN
EXPERIENCES OF RACISM AND UTERINE FIBROID TUMORS. SO NOW YOU’VE GOT ONE AND I’M SURE THERE ARE
OTHERS, BUT I THINK WE’RE GOING TO HAVE TO TALK ABOUT THIS MORE IN THIS WAY TO GET PEOPLE’S
ATTENTION IN ORDER TO CHANGE BEHAVIORS IN TERMS OF HEALTHCARE DELIVERY, AND SYSTEMS
OF CARE.>>THANK YOU. WE HAVE ONE OR TWO MORE QUESTIONS?>>HI. I’M FROM CHAD, AND I WOULD LIKE REALLY TO
SAY THANK YOU. FORGIVE ME FOR MY ENGLISH, MY FIRST LANGUAGE
IS FRENCH AND ARABIC. I WILL TRY TO SPEAK ENGLISH. I WANT TO SAY REALLY THANK YOU BECAUSE WHAT
YOU ARE DOING HERE, WE DON’T HAVE IT IN AFRICA, HUMAN RIGHTS AND� ISSUE IS A REAL BIG PROBLEM
IN OUR COUNTRY, AND CHILDREN’S CARE TOO IS A BIG PROBLEM. AND I’M GRATEFUL TO BE HERE BECAUSE I LEARNED�
I LEARNED MANY THINGS FROM UNITED STATES AND FROM WHAT YOU ARE DOING FOR WOMEN, AND I AGREE
WITH YOU, WHEN YOU SAY THAT IT WILL BE GOOD TO SHARE EXPERIENCE FROM AFRICA AND HERE OR
OTHER COUNTRY, I ALWAYS SAY THAT WE ARE ALL THE SAME, WE HAVE DIFFERENT COLOR, DIFFERENT�
MANY DIFFERENCE, BUT THE DIVERSITY� BECAUSE WE HAVE ALL THE SAME COLOR OF BLOOD THAT IS
RED AND THAT IS BEAUTIFUL. NOW�
[APPLAUSE]>>I WOULD LIKE TO NOW HOW YOU ARE DOING TO
HELP TO SHARE THE EXPERIENCE THAT WE HAVE FROM AFRICA WITH AMERICANS HERE, BECAUSE I
WAS IN FRANCE MANY TIMES BEFORE I CAME HERE, AND I SAW THINGS THAT WE ARE DOING WHERE IN
AFRICA THAT WE DON’T DO IT HERE, AND I SAW MANY GOOD THINGS THAT WE ARE DOING HERE THAT
WE ARE NOT DOING IN AFRICA, AND THAT’S WHY I START TO WRITE A BOOK AND THE BOOK WILL
BE PUBLISHED THIS MONTH IN FRANCE ABOUT FEMALE GENITAL MUTILATION AND MY OBJECTIVE IS NOT
TO FIGHT AGAINST THIS PRACTICE BECAUSE THEY SAY THAT IS A CULTURAL TRADITION, I� WITH
THIS IDEA, BUT THIS BOOK IS JUST TO TEACH CHILDREN FROM THE GROUND AND GIVE THEM ALL
THE DETAIL OF THE PRACTICE SO WHEN THEY WILL GROW, THEY CAN CHOOSE TO STOP THIS PRACTICE
OR TO PROTECT THEMSELVES AND TO SAY NO. THAT IS THE FIRST THING. AND THE SECOND THING, SOMEONE ASKED ME WHY
YOU CAN TALK ABOUT FEMALE GENITAL MUTILATION TO PEOPLE THAT ARE WHITE AND YOUTH BECAUSE
I START AT THE COLLEGE AND THE FIRST TIME I TALK ABOUT THIS WAS LAST YEAR AND THEY WERE
ALL YOUNG AND I SAY MAYBE ONE DAY, THIS YOUNG BOY THAT IS AMERICAN WHITE OR BLACK, I DON’T
KNOW, HE CAN BE AMBASSADOR IN CHAD AND HE WILL SAY TODAY I WILL DISCUSS ONLY IF THEY
CAN DECIDE TO STOP THIS PRACTICE IN CHAD. SO MAYBE ONE DAY THEY CAN DO SOMETHING. SO MY QUESTION IS� THAT CAN HELP US TO SHARE
OUR DIFFERENCE. THANK YOU.>>THANK YOU SO MUCH. YOUR ENGLISH IS PERFECTLY CLEAR. THANK YOU. LET ME TURN TO MY PANEL FIRST AND THEN I WILL�
[INAUDIBLE]>>WELL, YOU TOUCHED ON IT. THERE IS THE OPPORTUNITY TO HAVE THE EXCHANGE
OF IDEAS. ALSO TO HELP PEOPLE UNDERSTAND WHAT IS BEHIND
THIS PRACTICE, BECAUSE IF WE DON’T KNOW, THERE’S SORT OF THIS RUSH TO JUDGMENT TO CRITICIZE
AND CONDEMN, BECAUSE WE KNOW WOMEN ACTUALLY DO THIS TO LITTLE GIRLS. BUT THERE’S A LONG HISTORY AND THERE’S A LOT
THAT NEEDS TO BE UNDERSTOOD. THIS IS NOT SO SIMPLE AS, YOU KNOW� BUT
YOU’RE TALKING ABOUT THIS FROM A HEALTH PERSPECTIVE, BUT ALSO A RIGHTS AND JUSTICE PERSPECTIVE,
AND I WOULD THINK THAT THE WORK THAT OFFICE OF WOMEN’S HEALTH HAS DONE AROUND WOMEN’S
RIGHTS IN GENERAL, BUT JUST HEALTH, WOULD BE� COULD BE VERY USEFUL AND IMPORTANT,
BUT THEN THE EXCHANGE COMING BACK FROM CHAD WOULD ALSO BE USEFUL. SO IMAGINE BUILDING� PEOPLE ARE TALKING
ABOUT THIS GLOBALLY, AND THERE’S LOTS OF DIFFERENT EFFORTS HAPPENING, BUT IMAGINE A TRULY GLOBAL
CONVERSATION, A GLOBAL OUTRAGE THAT OCCURRED THAT COULD BRING A STOP TO THIS PRACTICE AND
HOW POWERFUL THAT WOULD BE, AND THEN YOU MIGHT GET THE AMBASSADORS, THE WHITE BOY, THE BLACK
BOY, THE LATINOS, THE GIRLS WHO ALL ARE SAYING THIS IS UNACCEPTABLE AND WE’RE GOING TO TAKE
A STAND AGAINST IT.>>THANK YOU. THE OFFICE ON WOMEN’S HEALTH IS FUNDING SOME
WORK ON FEMALE GENITAL CUTTING, AND JOINTLY WITH THE CDC HAS SOME WORK UNDERWAY TO TRY
TO WORK IN COMMUNITIES AND LEARN MORE AND TRY TO ASSESS THE EXTENT OF THE PRACTICE OR
CURRENT PERCEPTIONS AROUND THE PRACTICE, SO ON YOUR POINT ABOUT BUILDING A STRONGER EXCHANGE
OR COLLABORATION AROUND THIS ISSUE, WE WOULD VERY MUCH TALK WITH YOU MORE AND FIGURE OUT
HOW WE WOULD DO THAT, IT WOULD BRING SUCH VALUE AND REALLY HELP US MOVE THE WORK FORWARD,
I AGREE COMPLETELY. THANK YOU SO MUCH. I THINK WE HAVE TIME FOR ONE MORE QUESTION.>>HI, MY NAME IS LAURA LUMKIN, I WRITE FOR
AMERICAN UNIVERSITY. HOW DO YOU THINK WE CAN MAKE HEALTH A BIGGER
DEAL ON COLLEGE CAMPUSES? I KNOW AS A STUDENT, I’M ALWAYS WORRIED ABOUT
MY NEXT EXAM OR INTERNSHIP, I’M NOT NECESSARILY THINKING ABOUT GETTING MY FLU SHOT OR EATING
DINNER, THERE’S A HUGE OUTBREAK OF HAND FOOT AND MOUTH DISEASE, SO HOW CAN IT BE MORE OF
A PRIORITY FOR YOUNGER PEOPLE?>>YOU’LL REMEMBER YEARS AGO, WE TRIED TO
START A PROGRAM ACTUALLY WITH THE SORORITIES IN TERMS OF EDUCATING YOUNG WOMEN ON WOMEN’S
HEALTH. MY UNDERSTANDING IS THAT ON A LOT OF THE CAMPUSES
NOW, THEY DON’T ALL HAVE SORORITIES, BUT ON A LOT OF THE CAMPUSES, THAT THE SORORITIES
ARE NOW SORT OF ENCOURAGED TO TAKE UP ISSUES LIKE THAT TO EDUCATE THEIR MEMBERS. NOW IT OBVIOUSLY HAS TO BE ON A BROADER SCALE. BUT I ALSO SPOKE AT GW A WHILE AGO TO THESE
YOUNG MEDICAL STUDENTS, AND I THINK MEDICAL AND JUST WOMEN’S STUDY STUDENTS, I THINK THERE’S
AN OPPORTUNITY TO SPEAK TO YOUNG WOMEN AT THE VARIOUS COLLEGES AND AS I SAID, ONE OF
THE WAYS WE DID IT WAS THROUGH THE SORORITIES, THAT WAS ALREADY AB ORGANIZED ORGANIZATION,
AND I DON’T KNOW, AGAIN, IF IT’S TRUE THROUGHOUT THE UNIVERSITY CAMPUSES, THEY DIDN’T HAVE
IT IN MY DAY, BUT THEY HAVE NOW PROGRAMS THAT SORORITIES HAVE TO AGREE TO DO, I GUESS, FOR
WHETHER IT BE ON CAMPUS OR WHATEVER. SO I THINK THERE IS SOME BEING DONE. I SPOKE AT MAYO CLINIC A COUPLE OF MONTHS
AGO ABOUT� AND THIS, AGAIN, IS MORE OF RESEARCH, BUT THE VARIOUS UNIVERSITIES AND MEDICAL SCHOOLS
AND CERTAIN SEX DIFFERENCES RESEARCH INTO THEIR CURRICULUM, AND THAT’S STARTING TO HAPPEN
NOW, SO I THINK THAT WOMEN’S STUDIES PROGRAMS AND SOME OF THE OTHER PROGRAMS IN UNIVERSITIES
ARE GOING TO HELP EDUCATE YOUNG WOMEN AND OLDER WOMEN WHO ARE IN� FOR ADDITIONAL STUDIES.>>ALL I WOULD SAY IS WE START WHERE PEOPLE
ARE AT. THAT’S WHEN THEY’RE GOING TO LISTEN TO YOU.
AND SO YOU’VE GOT AN ISSUE, PEOPLE WHO CARE ABOUT HEALTH AND WANT TO MAKE IT MORE OF AN
AWARENESS ON THEIR CAMPUS, HAVE TO GRAB AN ISSUE AND MAYBE THIS WAFT OF INFECTIOUS DISEASE
THAT’S RUNNING THROUGH YOUR CAMPUS RIGHT NOW, HOW COME, RIGHT? WE KNOW HOW TO STOP INFECTIOUS DISEASE OR
MINIMIZE THE SPREAD OF IT. HOW COME IT’S SWEEPING THROUGH A.U.? WELL, EVERYONE IN THIS AUDIENCE, INCLUDING
YOU, COULD PROBABLY ANSWER IT. PEOPLE AREN’T GETTING ENOUGH SLEEP, THEY AREN’T
WASHING THEIR HANDS, THEY’RE DOING� THEY AREN’T DOING THE CONTAGION PREVENTION THINGS. BUT IF THAT’S THE THING THAT GRABS PEOPLE,
SOMETIMES THE CAFETERIA GRABS PEOPLE, THERE’S SOMETHING GOING ON WITH FOOD SERVICE THAT
GETS PEOPLE FIRED UP, IT’S GRABBING PEOPLE WHERE THEY’RE AT, STRESSING THAT, AND THEN
BUILDING THIS SORT OF� WHAT ELSE WOULD NEED TO CHANGE, NEXT STEP.>>GREAT. THANK YOU. THIS HAS BEEN AN AMAZING PANEL DISCUSSION,
I FEEL SO PRIVILEGED, I FEEL LIKE I WANT TO GO HAVE LUNCH WITH ALL OF YOU AND CONTINUE
THE DISCUSSION. BUT THANK YOU, LINDA, CINDY AND PHYLLIS. THINK WE NEED TO CLOSE THE PANEL AND PLEASE
JOIN ME IN THANKING THEM. [APPLAUSE]>>REMARKABLE. SUCH AN INCREDIBLE MORNING. IT’S AMAZING, WHAT EVERYONE IN THIS ROOM HAS
ACCOMPLISHED, AND AGAIN, THANK YOU TO OUR PANELISTS, AWARD RECIPIENTS, OUR MANY GREAT
PARTNERS AND THE DEDICATED STAFF OF OUR OFFICE ON WOMEN’S HEALTH. I WANT TO RECOGNIZE ONE MORE TIME ALL OF YOU
FOR YOUR CONTRIBUTIONS TO ADVANCING WOMEN’S HEALTH. MANY OF YOU HAVE DEDICATED YOUR LIFE’S WORK
TO IMPROVING WOMEN’S HEALTH, AND I’D LIKE TO THANK YOU FOR YOUR ACCOMPLISHMENTS AND
FOR HELPING US BE ABLE TO DO OUR WORK EVERY DAY. OUR FIRST LADY HAS SAID COMMUNITIES AND COUNTRIES
AND ULTIMATELY THE WORLD ARE ONLY AS STRONG AS THE HEALTH OF OUR WOMEN. I CANNOT AGREE MORE, AND WE’VE HEARD SOME
GREAT DISCUSSION THIS MORNING TO THAT POINT. HERE AT THE OFFICE OF WOMEN’S HEALTH, WE ENVISION
A WORLD WHERE ALL WOMEN AND GIRLS CAN ACHIEVE THE BEST POSSIBLE HEALTH AND USE THE BEST
OPPORTUNITIES AND MAXIMIZE THEIR POTENTIAL BECAUSE OF THAT HEALTH. OVER THE NEXT 25 YEARS, WE WILL CONTINUE TO
WORK WITH OUR INCREDIBLE PARTNERS TO MAKE THIS VISION A REALITY. I’D TELL YOU JUST A VERY QUICK MOMENT THAT
I HAD EARLIER THIS MONTH AS I TOOK ON THE RESPONSIBILITY AS DR.�LEE VERY HAPPILY FINISHED
UP HER WONDERFUL TENURE. I WAS MULLING OVER HAVING WATCHED THIS FIELD
AND BEING A PART OF IT IN DIFFERENT WAYS OVER THESE PAST COUPLE DECADES, MULLING OVER WHETHER
WE STILL NEEDED AN OFFICE OF WOMEN’S HEALTH. MAYBE WE’D DONE WHAT WE’D SET OUT TO DO, MAYBE
WE DIDN’T NEED TO TALK ABOUT DIFFERENCES AND RESEARCH ANYMORE, THAT IT WAS BUILT IN, JUST
A PART OF WHAT HAPPENS. MAYBE SOME OF THOSE DISPARITIES THAT PUT WOMEN
AT SPECIFIC RISK OF NOT BEING ABLE TO REACH THEIR POTENTIAL WERE NOT THE ISSUES THEY WERE
25 YEARS AGO. THEN I WAS GETTING MY NAILS DRIED AND SCANNING
THE MAGAZINES AS YOU DO WHEN YOU WAIT FOR THAT, AND THE BINDER, ONE OF THEM SAID WOMEN’S
HEALTH. I SAID OH, GOOD, GIVE ME SOME IDEAS OF WHAT
I’M GETTING INTO. THE REST OF THE BINDER SAID “FIRM ABS AND
TIGHT BUTT.” I THOUGHT, WELL, WE’RE NOT DONE HAVING AN
OFFICE OF WOMEN’S HEALTH. [APPLAUSE]
SO WE STILL VERY MUCH NEED THE FOCUS AND MUCH MORE ELOQUENTLY THAN THAT, LINDA, CINDY AND
PHYLLIS, YOU’VE DONE AN AMAZING JOB, WHAT WE CAN ACCOMPLISH IN THE YEARS TO COME. THANK YOU, AND THANK YOU ALL SO MUCH FOR BEING
WITH US TODAY. [APPLAUSE]>>JUST FINALLY IN CLOSING, I JUST WANT TO
INVITE ALL OF YOU TO JOIN US FOR A RECEPTION AND I’M SURE AS WE WALK OUT THE AUDITORIUM,
WE’LL BE DIRECTED ACROSS THE WAY TO THE ATRIUM AREA. THANK YOU SO MUCH, AND AGAIN, WE JUST APPRECIATE
EVERYONE BEING WITH US THIS MORNING. HAVE A GOOD DAY.

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