Making the Public Health Case for Reparations
About the Project
The FXB Center’s Making the Public Health Case for Reparations project seeks to explore monetary reparations for African enslavement as a public health strategy to eliminate racial disparities in health outcomes. Scholarship on the need, and potential form, of reparations to U.S. descendants of slavery has not engaged public health researchers sufficiently. This project centers on exploring and addressing this gap.
Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
Principal Investigator and Co-Principal Investigator
Landscape Report
Note: The landscape of efforts to address reparations has been changing with time. This report reflects efforts prior to 2023.
In February 2022, the FXB Center released “Making the Public Health Case for Reparations: Landscape Report,” a first-of-its-kind report on reparations for Black Americans. The report considers whether longstanding racial health inequities could be mitigated by reparations efforts with the goal of engaging more health scholars in this conversation. Read the report.
Events
In November 2022, in partnership with Harvard Public Health magazine, the FXB Center for Health and Human Rights hosted a free, in-person symposium at Harvard University’s Martin Center. Throughout the day, we examined the challenging question of how to redress centuries of anti-Black racism – and how to ensure that reparations are designed with the long-term health of Black communities and individuals in mind. Speakers brought a wide range of expertise in law, policy, public health, history, media, and community organizing.
Graphic recording of the symposium created by writer and illustrator Laura Chow Reeve.
Summary of National Efforts
From a national lens, several U.S. jurisdictions have taken the initiative to model reparation efforts, which includes: Asheville, North Carolina; Durham, North Carolina; Evanston, Illinois; and the state of California. In addition, Mayors Organized for Reparations and Equity (MORE) includes 11 mayors in cities across America with shared justice commitments and strategies to fund pilot programs for reparations.
Leading with the most progress in reparation efforts, Evanston, Illinois has been the first and only city to repay its Black residents with cash payments. Its $25,000 payments can only be utilized for home infrastructure and will be given to 16 Black residents of its 12,000 in total. The payments will be the pilot steps in the pledge to allocate $10 million over the next 10 years.
The MORE coalition was formed in anticipation of the declaration of Juneteenth as a federal holiday and includes cities within California, Oklahoma, North Carolina, Rhode Island, Texas, Missouri, Colorado, and Minnesota. The coalition has shared commitments that aim at locating funding for pilot reparation programs, creating Black-led advisory committees, and urging the federal government to pass H.R. 40 (Commission to Study and Develop Reparation Proposals for African-Americans Act).
For a handful of these cities—Los Angeles, Austin, Durham, Asheville, and Providence—efforts are focused on studying their individual injustices of the past upon their residents. However, none of the cities have progressed far enough to solidify a specific spending budget on reparations. Overall, most of these cities have not decided what subset of the population will receive reparations or what form it may be. Accordingly, the nation’s overall progress towards reparations can be described as in its infancy stages. The next steps, after conducting studies, appear to be locating funding for pilot reparation programs and deciding which residents will benefit from a specific reparations form.
Related Work
Note: This work is not supported by the Making the Public Health Case for Reparations project.
Past Events
December 10, 2021 – Time for Reparations: A Global Perspective
Racial Justice
Learn more about the FXB Center’s work on structural racism here.
Recent Publications & Press
How reparations could affect Black mortality (Jourdyn A. Lawrence quoted, Harvard Public Health, January 7, 2025)
Politicians, power, and the people’s health: US elections and state health outcomes, 2012–2024, Health Affairs Scholar, Volume 2, Issue 12, December 10, Nancy Krieger, Soroush Moallef, Ruchita Balasubramanian, Tori L. Cowger, Alecia J. McGregor, Mary T. Bassett (Co-Authors)
Racial discrimination and cognitive function: An instrumental variable analysis, Social Science & Medicine, December 2024
Jourdyn A. Lawrence, Ichiro Kawachi (Co-Authors)
Reparations for African Enslavement in the U.S. and Black Survival Using the Panel Study of Income Dynamics, American Journal of Epidemiology, November 29, Jourdyn A. Lawrence, Jaquelyn L. Jahn, Justin M. Feldman, Natalia Linos, Mary T. Bassett (Co-Authors)
Podcast explores what drives health disparities (Brittney Francis quoted, Tori Cowger mentioned, Harvard T.H. Chan School of Public Health In the News 2024, October 16, 2024)
Addressing the Health Impacts of Racism on Children and Youth: Equity Until Equality, Academic Pediatrics, September-October 2024, Marie V. Plaisime (Co-Author)
Racial Residential Segregation, Redlining, and Health, JAMA Internal Medicine, September 30, Mary T. Bassett (Author)
Other past publications of note
Gilman, Matlin, and Mary T. Bassett. “It’s Time For Boston To Pay Reparations.” It’s Time For Boston To Pay Reparations | Cognoscenti, WBUR, 18 June 2021, [link]
Matache, Margareta. “It Is Time Reparations Are Paid for Roma Slavery.” Racism | Al Jazeera, 5 Oct. 2020, [link]
Bhabha, Jacqueline, et al., editors. Time for Reparations: A Global Perspective, University of Pennsylvania Press, Sept. 2021, [link]
Bassett, Mary T., and Sandro Galea. “Reparations as a Public Health Priority — A Strategy for Ending Black–White Health Disparities.” New England Journal of Medicine, vol. 383, no. 22, 2020, pp. 2101–2103., doi:10.1056/nejmp2026170, [link]