RE: An important piece!

Thank you for the article that highlights so well the different levels at which racism affects NDT, and for highlighting the disproportionate downstream consequences of that testing on Black families. If we were to move to universal testing, for instance, we would still have the racism of CPS and of the criminal justice system that would prevent this practice being equitable. As someone who studies and practices the importance of strength/asset-based approaches as a tool for antiracist practice, I am excited that you listed "deficit-based approaches" in your schematic. A place of intervention within HCP training programs is that we begin to teach and practice strength-based approaches among HCP. Our deficit-based approaches that focus on pathology and risk factors is steeped in white supremacy and serves to enforce and perpetuate structural racism. Let us begin to look at what people and communities, including pregnant parents do well, instead of focusing exclusively on risk factors, addictions, and disease.