The Black American Amputation Epidemic

                                         

 Black patients were losing limbs at triple the rate of others.

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The doctor put up billboards in the Mississippi Delta.

Amputation Prevention Institute, they read.

He could save their limbs, if it wasn’t too late.

The Black American Amputation Epidemic

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IT WAS A FRIDAY EVENING in the hospital after a particularly grueling week when Dr. Foluso Fakorede, the only cardiologist in Bolivar County, Mississippi, walked into Room 336. Henry Dotstry lay on a cot, his gray curls puffed on a pillow. Fakorede smelled the circumstances — a rancid whiff, like dead mice. He asked a nurse to undress the wound on Dotstry’s left foot, then slipped on nitrile gloves to examine the damage. Dotstry’s calf had swelled to nearly the size of his thigh. The tops of his toes were dark; his sole was yellow, oozing. Fakorede’s gut clenched. Fuck, he thought. It’s rotten.

Fakorede, who’d been asked to consult on the case, peeled off his gloves and read over Dotstry’s chart: He was 67, never smoked. His ultrasound results showed that the circulation in his legs was poor. Uncontrolled diabetes, it seemed, had constricted the blood flow to his foot, and without it, the infection would not heal. A surgeon had typed up his recommendation. It began: “Mr. Dotstry has limited options.”

Fakorede scanned the room. He has quick, piercing eyes, a shaved head and, at 38, the frame of an amateur bodybuilder. Dotstry was still. His mouth arched downward, and faint eyebrows sat high above his lids, giving him a look of disbelief. Next to his cot stood a flesh-colored prosthetic, balancing in a black sneaker.

Fakorede explained that he wasn’t the kind of doctor who cuts. He was there because he could test circulation, get blood flowing, try to prevent any amputation that wasn’t necessary. He hated that doctors hadn’t screened Dotstry earlier — when he’d had the stroke or lost his leg. “Your legs are twins,” he said. “What happens in one happens in the other.”

Dotstry needed an immediate angiogram, an imaging test that would show blockages in his arteries. He also needed a revascularization procedure to clean them out, with a thin catheter that shaves plaque and tiny balloons to widen blood vessels. His foot was decaying, fast. Though Fakorede ran an outpatient practice nearby, when doctors consulted him on inpatients at Bolivar Medical Center, the local hospital, he expected to use its facilities.

He asked his nurse to schedule the procedures. But by the time he had driven home to his ranch house on the northern edge of town, he hadn’t received an answer. Nor had he when he woke up on Saturday at 3:30 a.m., as he did every morning. By sunrise, he was restless at his kitchen counter, texting the hospital’s radiology director, explaining the need for an intervention on Monday, Martin Luther King Jr. Day. Within a few hours, he got a response: “I don’t have the staff or the supplies. I’m sorry.”

Now Fakorede was mad, walking briskly into his office, dialing friends on speaker phone, pacing around his conference room. He’d been raised in Nigeria, moved to New Jersey as a teenager and had come to practice in Mississippi five years earlier. He’d grown obsessed with legs, infuriated by the toll of amputations on African Americans. His billboards on Highway 61, running up the Delta, announced his ambitions: “Amputation Prevention Institute.”

Nobody knew it in January, but within months, the new coronavirus would sweep the United States, killing tens of thousands of people, a disproportionately high number of them black and diabetic. They were at a disadvantage, put at risk by an array of factors, from unequal health care access to racist biases to cuts in public health funding. These elements have long driven disparities, particularly across the South. One of the clearest ways to see them is by tracking who suffers diabetic amputations, which are, by one measure, the most preventable surgery in the country.

Look closely enough, and those seemingly intractable barriers are made up of crucial decisions, which layer onto one another: A panel of experts decides not to endorse screening for vascular disease in the legs; so the law allows insurance providers not to cover the tests. The federal government forgives the student loans of some doctors in underserved areas, but not certain specialists; so the physicians most critical to treating diabetic complications are in short supply. Policies written by hospitals, insurers and the government don’t require surgeons to consider limb-saving options before applying a blade; amputations increase, particularly among the poor.

Despite the great scientific strides in diabetes care, the rate of amputations across the country grew by 50% between 2009 and 2015. Diabetics undergo 130,000 amputations each year, often in low-income and underinsured neighborhoods. Black patients lose limbs at a rate triple that of others. It is the cardinal sin of the American health system in a single surgery: save on preventive care, pay big on the backend, and let the chronically sick and underprivileged feel the extreme consequences.

Henry Dotstry, Dr. Foluso Fakorede’s patient. (Ruddy Roye for ProPublica)

Fakorede grabbed his car keys and headed to the hospital. He walked straight to the lab. As he suspected, it had all the supplies that he needed. Why won’t they give me staff? he wondered. They wouldn’t do that to a surgeon.

He has little tolerance for this kind of transgression. He is militaristic, to an extreme. To him, nonhealing wounds are like heart attacks. “Time is muscle,” he repeats. He calls huddles when nurses forget to check a patient’s ankles: “If you haven’t assessed both legs, I don’t want to walk into that room.” He considers each of his procedures an act of war. When people stand in his way, he sends a barrage of text messages, punctuated by exclamation marks. And he uses his cellphone to collect evidence that the system is working against his patients, and his efforts.

He pulled out his iPhone and photographed the hospital’s wires and catheters, IVs and port protectors. He shot the images over to the hospital’s radiology director. Fakorede’s private practice was closed for the holiday weekend. He calculated that he had only a few days to carry out some plan before Dotstry’s remaining leg was amputated.


TWO MAPS EXPLAIN why Fakorede has stayed in the Mississippi Delta. One shows America’s amputations from vascular disease. The second shows the enslaved population before the Civil War; he saw it at a plantation museum and was stunned by how closely they tracked. On his phone, he pulls up the images, showing doctors, or history buffs, or anyone who will listen. “Look familiar?” he asks, toggling between the maps. He watches the realization set in that amputations are a form of racial oppression, dating back to slavery.

AVERAGE ANNUAL AMPUTATIONS, 2007–9

0–5
5–8
8–10
10–13
13+

The average number of amputations for peripheral artery disease per 10,000 patients per year. Source: Dartmouth Atlas of Healthcare

ENSLAVED POPULATION IN 1860

0%
0–10%
10–30%
30–50%
50%+

The percentage of the population enslaved in 1860. Source: IPUMS NHGIS, University of Minnesota

Fakorede was initially tempted to move to the Delta while practicing in Tennessee. He befriended a medical device sales rep named Maurice Hampton who had grown up in the Mississippi region. Hampton talked about how black families were leery of local hospitals and how few black doctors in the Delta specialized in vascular work. “It’s the norm to go to Walmart and see an amputation or a permacath in the neck,” he’d told Fakorede. “If you don’t see one, then you didn’t stay but two minutes.”

Then, a little over a year into his Tennessee job, Fakorede found himself at loose ends. He’d raised concerns that he was being billed for expenses that weren’t his and asked for an audit; though the audit later found that the clinic where he worked had claimed over $314,000 in improper expenses, he was quickly terminated. Fakorede sued the clinic for retaliation under the False Claims Act and lost. (The clinic’s lawyer said his client had no comment, but there were “numerous” reasons for Fakorede’s departure.) In the spring of 2015, he had a mortgage, a quarter of a million dollars in student debt and four months of severance pay. He also had an impulse to understand the Delta.

A highway in the Mississippi Delta. (Andrea Morales for ProPublica)

Fakorede spent four days driving through its long, flat stretches of farmland dotted with small towns and shotgun houses. The wood-slat homes and bumpy roads reminded him of his grandparents’ village in the Nigerian state of Ondo, where he’d spent summers as a kid. He drove scores of miles on the Mississippi highways without seeing a single grocery store; fast-food chains lit the busiest intersections. He was startled by the markers of disease — the missing limbs and rolling wheelchairs, the hand-built plywood ramps with metal rails. He thought of amputees like “an hourglass,” he said, “that was turned the day they had their amputation.” Mortality rates rise after the surgeries, in part, because many stop walking. Exercise improves circulation and controls blood sugar and weight. The less activity a person does, the higher the risk of heart attacks and strokes. Within five years, these patients were likely to be dead.

Fakorede weighed taking a lucrative job up north, near his parents, who had both been diagnosed with diabetes. He had professional connections there; he’d gone to Rutgers Robert Wood Johnson Medical School and done a residency at NewYork-Presbyterian Weill Cornell Medical Center. But the South, he felt, needed him. About 30 million people in America had diabetes, and Mississippi had some of the highest rates. The vast majority had Type 2; their bodies resisted insulin or their pancreas didn’t produce enough, making their blood sugar levels rise. Genetics played a role in the condition, but so did obesity and nutrition access: high-fat meals, sugary foods and not enough fiber, along with little exercise. Poverty can double the odds of developing diabetes, and it also dictates the chances of an amputation. One major study mapped diabetic amputations across California, and it found that the lowest-income neighborhoods had amputation rates 10 times higher than the richest.

The Delta was Mississippi’s poorest region, with the worst health outcomes. Fakorede had spent years studying health disparities: African Americans develop chronic diseases a decade earlier than their white counterparts; they are twice as likely to die from diabetes; they live, on average, three years fewer. In the Delta, Fakorede could treat patients who looked like him; he could find only one other black interventional cardiologist in the entire state. A growing body of evidence had shown how racial biases throughout the medical system meant worse results for African Americans. And he knew the research — black patients were more responsive to, and more trustful of, black doctors. He decided after his trip that he’d start a temporary practice in Mississippi, and he rented an apartment deep in the Delta.

He fantasized about building a cardiovascular institute and recruiting a multidisciplinary team, from electrophysiologists to podiatrists. But as he researched what it would take, he found a major barrier. Medical specialists with student debt, who graduate owing a median of $200,000, generally could not benefit from federal loan forgiveness programs unless they got jobs at nonprofit or public facilities. Only a few types of private practice providers — primary care, dentists, psychiatrists — qualified for national loan forgiveness. The Delta needed many other physicians. Though Bolivar County was at the center of a diabetes epidemic, there wasn’t a single diabetes specialist, an endocrinologist, within 100 miles.

Fakorede in his clinic with a patient. (Ruddy Roye for ProPublica)

Fakorede leased a windowless space in the Cleveland Medical Mall, a former shopping center that had been converted to doctors’ offices. People came to him with heart complaints, but he also asked them to remove their socks. Their legs alarmed him. Their toes were black and their pulses weak. Their calves were cold and hairless. Some had wounds but didn’t know it; diabetes had numbed their feet. Many had been misdiagnosed with arthritis or gout, but when Fakorede tested them, he found peripheral artery disease, in which clogged arteries in the legs limit the flow of blood.

This is what uncontrolled diabetes does to your body: Without enough insulin, or when your cells can’t use it properly, sugar courses through your bloodstream. Plaque builds up faster in your vessels’ walls, slowing the blood moving to your eyes and ankles and toes. Blindness can follow, or dead tissue. Many can’t feel the pain of blood-starved limbs; the condition destroys nerves. If arteries close in the neck, it can cause a stroke. If they close in the heart, a heart attack. And if they close in the legs, gangrene.

Within a month, Bolivar Medical Center had credentialed Fakorede, allowing him to consult on cases and do procedures in the hospital. His most complicated patients came in through the emergency room. Some arrived without any inkling that they had gangrene. One had maggots burrowing in sores. Another showed up after noticing his dog eating the dead flesh off the tips of his toes. Fakorede took a photo to add to his collection. “It was a public health crisis,” he told me. “And no one was talking about amputations and the fact that what was happening was criminal.”

On weekends, Fakorede had been driving back to his five-bedroom home in Tennessee, but in August of 2015, he decided to go all-in on Bolivar County. He sold his house and black Mercedes G-Wagon, and applied for funding to build a practice in the Delta: Cardiovascular Solutions of Central Mississippi. He pitched himself as a heart guy and a plumber, removing buildup in the arteries. Four banks denied him loans, so he borrowed money from friends. He gave himself a two-year window to reduce amputations and publish his outcomes.


The Delta was once a cotton empire. (Andrea Morales for ProPublica)

THE DELTA FLOOD PLAIN runs 7,000 square miles along the northwestern edge of the state, with sweet-smelling, clay-like soil cordoned between bluffs and the banks of the Mississippi River. By the 19th century, the primeval forests had been transformed into a cotton empire; at the start of the Civil War, more than 80% of people in many Delta counties were enslaved. Sharecropping emerged after emancipation, and black farmers cultivated small plots in return for a portion of their crop. They lived on credit — for food and feed and clothing — until the harvest, but even then, their earnings rarely covered their expenses.

For decades, African Americans in the South struggled to find and afford health care. The American Medical Association excluded black doctors, as did its constituent societies. Some hospitals admitted black patients through back doors and housed them in hot, crowded basements. Many required them to bring their own sheets and spoons, or even nurses. Before federal law mandated emergency services for all, hospitals regularly turned away African Americans, some in their final moments of life.

Fakorede was drawn to Bolivar County, in part, because of its history. He’d run out of gas there when he was first scouting the region, and later that evening, he’d Googled its background. For a brief moment, Bolivar was the center of a movement for public health care, driven by the conviction that racial equality was not possible without justice in health. In 1964, when a group of physician activists traveled to the Delta, Robert Smith, a black doctor from Jackson, saw rocketing rates of intestinal parasites and maternal death. “I understood for the first time what it truly meant to be black in Mississippi,” he told a magazine. Under President Lyndon B. Johnson’s War on Poverty, a Boston doctor secured funding to open a community health center in Bolivar, which he grew with the help of Smith. Clinicians worked with residents to take on housing, sanitation, exercise and nutrition. Its success spawned a national project of more than a thousand Federally Qualified Health Centers for the underserved. But funding shrank under President Richard Nixon, and the centers’ initiatives were scaled back to basic primary care.

By the time Fakorede moved to the Delta, in 2015, the state had the nation’s lowest number of physicians per capita. It had not expanded Medicaid to include the working poor. Across the country, 15% of African Americans were still uninsured, compared with 9% of white Americans. That year, Jennifer Smith, a professor at Florida A&M University College of Law, wrote in the National Lawyers Guild Review what Fakorede saw firsthand: “While the roots of unequal and inequitable health care for African Americans date back to the days of slavery, the modern mechanisms of discrimination in health care has shifted from legally sanctioned segregation to inferior or non-existent medical facilities due to market forces.”

Fakorede understood that to reach patients, he needed referrals, so he met primary care providers at hospitals and clinics. He asked them to screen for vascular disease, measuring blood pressure at the ankle and the arm. Many didn’t have the time; given the shortage of local physicians, some were seeing up to 70 patients a day. Others didn’t know much about peripheral artery disease or why it was important to diagnose. Some were offended by Fakorede’s requests. Michael Montesi, a family doctor, was grateful for the help, but he found it brash for the new doctor in town to start telling the veterans what to do. He recalled thinking, “Where were you the first 12 years of my practice, when I needed a cardiologist, when I needed an OB-GYN, when I needed a surgeon, when I had to do an amputation in the ER, or deliver a baby that was 23 weeks and watch the baby die because there was nobody there that could take care of him?”

The brushoffs disturbed Fakorede, but when he dug deeper, he realized that the doctors weren’t only overwhelmed; they had no guaranteed payment for this vascular screening. The Affordable Care Act mandates that insurers cover all primary care screenings that are recommended by the U.S. Preventive Services Task Force, an independent panel of preventive care experts. The group, though, had not recommended testing anybody without symptoms, even the people most likely to develop vascular disease — older adults with diabetes, for example, or smokers. (Up to 50% of people who have the disease are believed to be asymptomatic.) As specialists, cardiologists are reimbursed if they screen patients with risk factors. But by the time patients got to Fakorede, the disease was sometimes too far along to treat. Many already had a nonhealing wound, what’s known as “end stage” peripheral artery disease, the last step before an amputation.

When Luvenia Stokes came to Fakorede, she had already lost her right leg at the age of 48. Like many Delta residents, she grew up in a food desert, and without money for fresh produce, she’d developed diabetes at a young age. She said that a pedicurist nicked her toe, and the small cut developed an infection. Without good blood flow, it began bubbling with pus. Stokes told Fakorede that no doctor had performed an angiogram to get a good look at the circulation or a revascularization to clean out the arteries. A surgeon removed her second toe. Without cleared vessels, though, the infection spread. Within weeks, a new surgeon removed her leg.

Luvenia Stokes. (Ruddy Roye for ProPublica)

Stokes lived in a single-wide trailer with her mother. Her wheelchair could not fit in the doorways, so she inched through sideways with a walker. Because she could hardly exercise, she gained 48 pounds in two years. The amputation hadn’t treated her vascular disease, and a stabbing pain soon engulfed her remaining leg, “like something is clawing down on you,” she said. When she finally made it to Fakorede, she told him that one doctor had prescribed neuropathy medication and another had diagnosed her with arthritis. “I’m not letting them get that other leg,” Fakorede told her. Stokes’ grandmother, Annie, who lives in a nearby trailer, had lost both her legs, above the knee, to diabetes. Her cousin Elmore had lost his right leg, too.

General surgeons have a financial incentive to amputate; they don’t get paid to operate if they recommend saving a limb. And many hospitals don’t direct doctors to order angiograms, the most reliable imaging to show if and precisely where blood flow is blocked, giving the clearest picture of whether an amputation is necessary and how much needs to be cut. Insurers don’t require the imaging, either. (A spokesperson for America’s Health Insurance Plans, a leading industry trade association, said, “This is not an area where there is likely to be unnecessary surgery.”) To Fakorede, this was like removing a woman’s breast after she felt a lump, without first ordering a mammogram.

Nationwide, more than half of patients do not get an angiogram before amputation; in the Delta, Fakorede found that the vast majority of the amputees he treated had never had one. Now, he was determined to make sure that no one else lost a limb before getting the test. This wasn’t a controversial view: The professional guidelines for vascular specialists — both surgeons and cardiologists — recommend imaging of the arteries before cutting, though many surgeons argue that in emergencies, noninvasive tests like ultrasounds are enough. Marie Gerhard-Herman, an associate professor of medicine at Harvard Medical School and a cardiologist at Brigham and Women’s Hospital, chaired the committee on guidelines for the American College of Cardiology and the American Heart Association. She told me that angiography before amputation “was a view that some of us thought was so obvious that it didn’t need to be stated.” She added: “But then I saw that there were pockets of the country where no one was getting angiograms, and it seemed to be along racial and socioeconomic lines. It made me sick to my stomach.”

Stokes wasn’t at immediate risk of losing her left leg when she met Fakorede, but pain prevented her from walking. She had a severe form of the disease, and Fakorede booked her for an angiogram and revascularization. He inserted a wire into her arteries and cleaned out the clogged vessels, letting oxygen-rich blood rush to her remaining foot. While she was recovering in Fakorede’s lab, she thought about her neighbors who had the same problems. “I really don’t like what’s happening to us,” she said to me. “They’re not doing the tests on us to see if they can save us. They’re just cutting us off.”

A wooden ramp and concrete steps outside Stokes’ trailer. (Ruddy Roye for ProPublica)

Patients didn’t know about vascular disease, or why their legs throbbed or their feet blackened, so Fakorede went to church. The sales rep, Hampton, introduced him to pastors, and several times each month, he stood before a pulpit. He told the crowds that what was happening was an injustice, that they didn’t need to accept it. He told them to get screened, and if any surgeon wanted to cut off their limbs, to get a second opinion. In the lofty Pilgrim Rest Baptist Church, in Greenville, he asked the congregation, “How many of you know someone or know of someone who’s had an amputation?” Almost everyone raised their hands.

At first, Fakorede took a confrontational approach with colleagues. Some seemed skeptical that he could “prevent” amputations; it’s a tall claim for a complex condition. Once, when a doctor had disregarded his advice, he’d logged it in the electronic health record, so the oversight would be on display for anyone who looked up his patient’s chart. Fakorede could fume when people questioned his authority; self-confidence carried him, but it sometimes blinded him to his missteps. Over time, though, Fakorede tried to rein in the arrogance. “You peel off a layer that may be comprised of: I’m from up North, I know it all, you should be thankful we’re here to provide services that you probably wouldn’t get before.” He picked up some Southern manners. Fakorede began texting doctors with photos of their patients’ feet along with X-rays of their arteries, before his intervention and afterward. Referrals picked up, and within a year, he’d seen more than 500 patients.

But Bolivar Medical Center, he learned, was turning away people who couldn’t pay a portion of their revascularization bill upfront. Several former employees told me the same. “It’s a for-profit hospital, it’s no secret, it’s the name of the game,” Fakorede said. “But a for-profit hospital is the only game in town in one of the most underserved areas. So what happens when a patient comes in and can’t afford a procedure that’s limb salvage? They eventually lose their limbs. They’ll present back to the emergency room with a rotten foot.” And a surgeon would have no choice but to amputate. (A hospital spokeswoman said that last year, it gave $25 million in charity care, uncompensated care and uninsured discounts. Asked if it turned away patients who couldn’t pay for revascularization, she did not respond directly: “We are dedicated to providing care to all people regardless of their ability to pay.”)

The practice was discriminatory, he reasoned, and also financially backward. At $237 billion in medical costs each year, diabetes is the most expensive chronic disease in the country; one of every four health care dollars is spent on a person with the condition. Left untreated, the costs pile on. Medicare spends more than $54,000 a year for an amputee, including follow-ups, wound care and hospitalizations; the government program is the country’s largest payer. Then come the uncounted tolls: lost jobs, a dependence on disability checks, relatives who sacrifice wages to help with cooking and bathing and driving.

By the time Carolyn Williams came to see Fakorede, in 2016, she’d been uninsured with diabetes for 20 years; she’d worked at a housing nonprofit and for a food assistance program, but neither had offered coverage. At the age of 36, she’d needed a triple bypass surgery, and at 44, she had three toes amputated. Untreated leg pain left her needing a wheelchair; she pulled out of Delta State University, where she was pursuing a degree in social work. Fakorede reconstituted blood flow in her legs and got her walking. But the diabetes was already destroying her kidneys. She joined the government’s disability rolls. She also went on dialysis, at a yearly cost to Medicare of $90,000.

On the days when Fakorede wanted to give up and leave, he drove to an Emmett Till memorial in Money, Mississippi. After 14-year-old Till was mutilated and murdered, in 1955, his mother had insisted on opening his casket. “Let the people see what I’ve seen,” she said, and his image brought national outrage to racist violence in the South. Fakorede thought often about how that decision sparked the Civil Rights movement. He thought about it as he exhibited his photos of rotten feet and limbless bodies, his own proof of what he considered a modern atrocity. He didn’t want to live by Bolivar Medical’s policies. He decided that in order to treat as many people as possible, irrespective of income or insurance, he needed to build a lab of his own.


THIS JANUARY, THAT LAB was now Dotstry’s best shot. The hospital’s consulting surgeon expected to amputate his leg below the knee. He had written that because Dotstry’s kidneys were impaired, the contrast dye in an angiogram would be dangerous. But Fakorede could replace the dye with a colorless gas, which wouldn’t jeopardize Dotstry’s health.

It would have made the most sense to perform the procedure at the hospital; Dotstry had been admitted and was occupying a bed. But after Fakorede opened his outpatient lab and hired away two techs and a nurse, a spokeswoman said the hospital stopped doing certain interventions. She told me it shouldn’t have surprised Fakorede that they couldn’t schedule Dotstry’s case, and that if he had been unable to treat a patient in his lab, the hospital could have worked with him to find another. Fakorede told me he’d never received such a message. When a doctor asks him to treat an inpatient with an acute condition, his responsibility, as he sees it, is to do it in the hospital. “If I don’t have a hospital that wants to coordinate,” he asked, “what do I do?”

Fakorede prepares for a procedure. (Ruddy Roye for ProPublica)

The answer, at least this time, was to get his patient out of there. He called Dotstry’s doctor and convinced her to discharge him for the intervention. Then, at noon on Saturday, Fakorede walked back into Room 336. Dotstry’s sister, Judy, was standing by his bed. She wore tall leather boots over acid-washed jeans, with a thick, black wig in a braid down her back.

Fakorede handed over his card. “I called the hospital to see if we can do this case on Monday,” he said, “and they said no.”

Judy inhaled. “What now?”

Fakorede laid out the plan for a Monday morning angiogram in his own procedure room. He would open up as many vessels as he could. If he could get circulation to Dotstry’s foot, he might be able to save it. He wasn’t sure about the toes.

When Dotstry had suffered his stroke several years back, Judy had become his caregiver. She’d stopped taking jobs in home care and supported her brother without pay — shuttling him to doctors’ appointments, controlling his sugars, managing his medications. After his amputation, she’d helped him learn to walk again. In place of a salary, she’d drawn disability for an old work injury; she’d been electrocuted while operating a machine, and the nerves in her arm were damaged, making her hands tremble. But she couldn’t stay unemployed forever. This past fall, she had gone back to work, cleaning the local post office.

After Fakorede left, Judy looked over at her brother, who sat slumped over the side of the cot, a blue gown slipping off his bony shoulders. Their father had been a sharecropper, and Dotstry had dropped out of elementary school to help on the farm, harvesting soybeans, rice and cotton. Of 10 kids, he was the oldest boy, and he took care of the others, bringing in cash and cooking them dinner. They almost never saw a doctor. Instead, they’d relied on cod liver oil, or tea from hog hoofs, parched over a fire.

Dotstry had spent his career driving tractors, hauling crops and plowing fields, but he wasn’t insured and still rarely saw doctors. At 60, when he was diagnosed with Type 2 and prescribed insulin, he didn’t know how to manage the medicine properly; he had never learned to read. Insulin pumps were too expensive — more than $6,000. His blood sugar levels often dropped, and he sometimes passed out or fell on the job. Little by little, his employer cut back his duties. In 2015, he had a stroke; diabetes had raised his risk. A year later, his right foot blackened and was amputated at the ankle. The infection kept spreading, and soon, his lower leg went. He could no longer work.

Two of his sisters had died after complications of diabetes. Judy had stood over their beds like she was now standing over Dotstry’s. He’s still here, she reminded herself.

Dotstry with his niece Shequita, his girlfriend and his sister Judy. (Ruddy Roye for ProPublica)

She pulled out her phone and called another brother. “They gonna amputate his foot, cause it’s bad,” she said. “Toe’s rotted.”

Dotstry looked up from the bed. “No!” he shouted. “They can’t take that off. Why?”

“Why you think your foot look like that? Why you think it smells? It stinks!” she said. Dotstry reached down to unwind the gauze. Judy wondered why he hadn’t told her that his foot was infected sooner. She lowered her voice. “You were doing pretty good. If you wasn’t, I could have tried to get back in there and do something.”

Her daughter, Shequita, ran into the room, huffing. She was loud and pissed off. “Whose foot is that?” she shrieked. She kneeled by the cot and helped Dotstry scoot up onto his pillow, stretching out his legs. He was usually a prankster, a hard-headed contrarian, the uncle who’d picked her up and spun her around like an airplane. She was thrown off by how quiet he’d become.

“Your daughter wants to know if you want to come stay with her, if you want to come to Texas,” Shequita told him.

Dotstry knew the offer was on the table, but he hadn’t yet accepted. A few days earlier, a tornado had torn the roof from his trailer, and he was, for the moment, without a home.

“She said it’s a lot better doctors up there,” Shequita continued, “and if she gotta stop working to take care of you, she can do that.” She gripped her hands around the frame of the bed and leaned over it, locking her eyes with his. “I need you to be thinking hard about this, sir. This ain’t you. I need you to get back to you.”

“He ain’t gotta go to Texas,” Judy interrupted.

Shequita shot back: “You gonna take care of him?”

Judy was silent. She knew that she couldn’t, not like before. She needed her paycheck for home repairs; a flood had warped her wooden floors. But Dotstry’s daughter was younger, and Judy thought that if she quit her job at Walmart, she’d get restless. Besides, Dotstry knew no one in Texas. She pictured him in a wheelchair, staring off, confused about where he was. Judy figured if he went, he’d go on and die.

She crossed her arms. “He’ll be all right if they don’t have to amputate that leg,” she said.

Shequita looked at her mother. She walked over to where she stood, by a shaded window, and threw her arms around her neck. Then, she left the room. Judy hoisted herself up onto the foot of her brother’s cot. She swung her legs up so that she faced him, and she laid herself down.


ABOUT EVERY FIVE YEARS, the doctors and researchers who make up the U.S. Preventive Services Task Force reassess their screening guidelines. In 2018, the members returned to peripheral artery disease and the blood flow tests that Fakorede had asked local primary care doctors to conduct. Once again, the panel declined to endorse them, saying there was not enough evidence that the tests benefited the average asymptomatic American.

In their statement, they acknowledged that public commenters had raised concerns that the disease “is disproportionately higher among racial/ethnic minorities and low-socioeconomic populations” and that this recommendation “could perpetuate disparities in treatment and outcomes.” In response, the panel said it needed better evidence. But as the National Institutes of Health has found, minorities in America make up less than 10% of patients in clinical trials.

Dr. Joshua Beckman, the director of vascular medicine at Vanderbilt University Medical Center, was an expert reviewer of the evidence base for the task force, and its final report struck him as irresponsible. It hardly noted the advantages of treatment after screening; the benefits were right there in the data that he saw. The panel discounted the strongest study, a randomized control trial, which demonstrated that vascular screening, for men ages 65 to 74, reduced mortality and hospital days. (The study bundled peripheral artery disease screening with two other tests, but in Beckman’s eyes, the outcomes remained significant.) He was confused about why the task force had published its evaluation of screening the general public, when it was clear that the condition affects specific populations. Several American and European professional society guidelines recommended screening people with a higher risk. “You wouldn’t test a 25-year-old for breast cancer,” he told me. “Screening is targeted for the group of women who are likely to get it.”

Dr. Alex Krist, the chair of the task force, repeated the group’s position in an email that the data was not strong enough to endorse screening, even for at-risk patients. “The Task Force does not do its own research, so we can’t fix these research gaps, but we can — and did — ring the alarm bell to raise awareness of this vital issue among researchers and funders.”

Fakorede performs a revascularization procedure with an assistant. (Ruddy Roye for ProPublica)

Vascular surgeons who have spent their careers studying limb salvage have come to see preventive care as perhaps more important than their own last-ditch efforts to open blood vessels. Dr. Philip Goodney, a vascular surgeon and researcher at Dartmouth and White River Junction VA Medical Center, made a name for himself with research that showed how the regions of the country with the lowest levels of revascularization, like the Delta, also had the highest rates of amputation. But revascularizations aren’t silver bullets; patients still must manage their health to keep vessels open. Now, Goodney believes his energy is better spent studying preventive measures earlier in the disease’s progression, like blood sugar testing, foot checks and vascular screening. Many patients have mild or moderate disease, and they can be treated with medicine, counseled to quit nicotine, exercise and watch their diet. “We need to build a health system that supports people when they are at risk, when they are doing better and when they can keep the risk from coming back,” he told me. “And where there’s a hot spot, that’s where we need to focus.”

Fakorede scrolled through the task force’s statement. “You want more data? Really? Who has the highest amputation rates in America?” he asked. “That’s your data.” He had taken to the national stage, speaking at conferences about what he’d witnessed in Bolivar. On behalf of the Association of Black Cardiologists, he testified before Congress, convincing U.S. Rep. Donald M. Payne Jr., a Democrat from New Jersey, along with U.S. Rep. Gus Bilirakis, a Republican from Florida, to start a Congressional Peripheral Artery Disease Caucus. The group is pushing for the task force to reevaluate the evidence on screening at-risk patients, for federal insurers to start an amputation prevention program and for Medicare to ensure that no amputation is allowed before evaluating arteries. Other groups are advocating for legislation that would require hospitals to publicly report their amputation rates.

In Bolivar, Fakorede had seen more than 10,000 cardiovascular patients from around the Delta. Dr. DeGail Hadley, a primary care provider in town, told me that before Fakorede arrived, he wasn’t sure what was best to do for patients with rotting feet. “It was always a process of transferring the patients to Jackson or Memphis, which can be difficult.” Both cities were two hours away. Now, Fakorede was performing about 500 angiograms annually in town. Last year, he published a paper in Cath Lab Digest describing an 88% decrease in major amputations at Bolivar Medical Center, from 56 to seven. (Fakorede did not provide me with all of his sources.) The hospital has different internal figures, which also reflect a significant decrease. Between 2014 and 2017, the hospital recorded that major amputations had fallen 75% — from 24 to six.

Fakorede couldn’t catch everyone in time, and he was haunted by the patients who got to him too late. A week before he’d met Dotstry, Sandra Wade had come in with an open sore on her right big toe. She came from a family of diabetics. Her mother had died after a diabetic coma. Her cousin had just lost a leg. Her oldest sister, who’d raised her, had given up on walking when a tired, burning, itching sensation consumed her legs. Now, Wade felt it, too.

Sandra Wade. (Ruddy Roye for ProPublica)

“I don’t want to give up like that,” Wade had said, reclining in a cot in Fakorede’s pre-procedure room. “I want my toes. I don’t want to lose not one limb. I choose life.” She elongated her O’s. She was 55 and had a high, gentle voice, a wide smile and big, curled lashes under loose, curled hair. She had spent most of her career in food service and retail, recently managing a Family Dollar, but after diabetes took her eyesight, she’d had to quit. She wondered if the sodas and chips that had fueled her at the store had accelerated her disease. Or if she’d focused so much on her son, who was developmentally disabled, that she’d neglected herself. She didn’t like to offload blame onto her genes. “Somebody’s gotta try to change the cycle,” she’d said. “I really want to be the one.”

Fakorede inserted an IV into the top of her leg. He opened up each of her blocked arteries, one at a time, until he got to the most important one, which ran along her inner calf. It was supposed to supply blood to her open wound, and she needed it to heal. Without it, she’d likely lose her toe. If she didn’t control her sugars, she could lose her lower leg next. Fakorede was hopeful as he slid a wire through the vessel in her knee, and into that crucial artery in her calf. But then, about a third of the way down, it stopped. It was as if the vessel itself had evaporated.


UNDER A CRISP, WIDE SKY, on Martin Luther King Jr. Day, churches around town were opening their doors for services. Fakorede’s office was scheduled to be closed, but he’d called in his nurses and radiology technicians, even those out hunting deer, to staff Dotstry’s case.

“What’s up, young man?” Fakorede greeted Dotstry, who was slowly fading into his Ambien, and he handed Judy a diagram of a leg. “The prayer is that we can find this many vessels to open up,” he said, pointing to the paper. “As soon as I’m done, I’ll let you know what I find.”

In the procedure room, he put on his camouflage-patterned lead apron, and with an assistant, he inserted an IV near Dotstry’s waist. He wound a wire across Dotstry’s iliac artery, into the top of his left leg. The femoral artery was open, even though it had hardened around the edges, a common complication of diabetes. They shot a gas down the arteries in Dotstry’s lower leg so the X-ray could capture its flow. Fakorede looped his thumbs into the top of his vest, waiting for the image. Other than a small obstruction, circulation to the toes was good. “They don’t need to whack off the knee,” he said, staring at the screen. Dotstry would lose one toe.

After they’d cleaned out the plaque, Fakorede called Judy into the lab and pulled up the X-rays. Dotstry snored in the background. The doctor showed Judy a playback of the blood moving through the vessels. She could tell that his foot had enough flow. She folded over, running her palms along her thighs. “Y’all have done a miracle, Jesus.”

Dotstry would need aggressive wound care, help controlling his sugars and a month in rehab following his toe amputation. In the meantime, Judy and her daughter would have to learn to manage his antibiotics and find him an apartment. He’d still be able to tinker with his cars, as he did most afternoons. And as far as Judy was concerned, he wasn’t moving to Texas.

Fakorede scrubbed out. He sat at his desk to update Dotstry’s doctors. He called an infectious disease specialist, 35 miles south, to check on whether he could see Dotstry the following morning. Then, he dialed the hospital and asked for one of the nurses. He explained what he’d found: that Dotstry didn’t need a leg amputation.

“Oh, great,” the nurse replied. “The surgeon was calling and asking about that. He called and tried to schedule one.”

Fakorede had been typing up notes at the same time, but now he stopped. “He was trying to schedule it when?” he asked.

“He was trying to schedule it today.”


ABOUT THE REPORTING

For this story, Lizzie Presser spent over a month in Mississippi, in December and January, speaking with dozens of patients and shadowing doctors, in clinic and in procedures. She interviewed over a dozen medical professionals whose work has intersected with Fakorede’s, including nurses, limb-salvage specialists, primary care providers and the hospital’s consulting surgeon, Dr. Roger Blake, who corroborated all facts related to his treatment plan for Henry Dotstry. She asked Bolivar Medical Center if it believed it provided Dotstry with adequate care. Even with Dotstry’s permission, the hospital declined to comment on his case, citing patient privacy.

The scenes in the story are informed by her own observations and interviews with the subjects to fill in details, including their thoughts at the time.

To put her observed reporting into national context, she reviewed the salient medical research and interviewed more than a dozen experts in all corners of the health care system, from those who treat diabetic patients to those who inform and set policies around care.

Lizzie Presser covers health, inequality and how policy is experienced for ProPublica.

Benjamin Hardy contributed research to this story. Maps by Lena Groeger. Design and production by Jillian KumagaiAgnes Chang, and David Sleight.

Source: The Black American Amputation Epidemic

Under CARES Act, These Moms Should Be Home. They Remain in COVID-Filled Prisons.

When COVID entered the federal medical prison in Carswell, Texas, it ballooned within weeks — of the 1,288 people tested, 504 were positive. In one housing unit of 300 women, only 26 women tested negative, including 56-year-old Sandra Shoulders.

Shoulders has severe diabetes, respiratory problems, and, since entering prison in 2015, chronic kidney disease, leaving her at only 30 percent kidney function. All of these make her more vulnerable to becoming debilitated, if not dying, from COVID.

Meanwhile, the prison’s practices discourage people from getting tested for COVID. “Even when inmates feel ill now, they are so scared of those conditions to speak up,” Shoulders explained. She described how those who tested positive were treated: “You are held in a room, and expected to wear the same set of clothes for 21+ days, without laundry facilities. Food is dropped by the door and physically kicked into the room by the guards.”

After Congress passed the Coronavirus Aid, Relief and Economic Security (CARES) Act, Attorney General William Barr issued a memo to the Bureau of Prisons (BOP), the agency responsible for federal prisons, expanding the criteria under which to release people to home confinement to stem the spread of COVID. The expanded criteria prioritize people whose age or health makes them vulnerable to COVID, as well as those in low- and medium-security prisons, people whose reentry plans show that they are less likely to contract COVID if not incarcerated, and people with low risk-assessment (or PATTERN) scores.

In August, a prison case manager said that Shoulders qualified for home confinement on September 25. Elated, she began making plans to join her godsister in Chicago. She also planned to reconnect with her three children and her 16 grandchildren, some of whom she only knew through photos and video calls.

Sandra Shoulders before incarceration.

Three weeks later, prison administrators told Shoulders that the BOP’s Central Office had denied her release. She was not told why. “I had to call my family and give them this heartbreaking news,” Shoulders told Truthout. The news not only left her reeling, but sent Shoulders — who has bipolar disorder, an anxiety disorder and obsessive-compulsive disorder — into what she calls a “serious mental health crisis and meltdown.”

Full article and the series.

Source: Under CARES Act, These Moms Should Be Home. They Remain in COVID-Filled Prisons. 

Why You Really Can’t Fight City Hall, At Least Over the Police – POLITICO

In the early morning hours of January 28, 2000, a Black police officer named Cornel Young Jr. —“Jai” to those who knew him—was off duty, dressed in plain clothes, and waiting on a steak sandwich from an all-night diner in a rough section of Providence, Rhode Island. A fight broke out at the front of the restaurant and quickly spilled outside. Someone brandished a gun. Young jumped into action, shouting “Police!” as he rushed through the diner and drew his weapon. Within seconds, he would be bleeding in the snow outside the restaurant, shot multiple times by two white, uniformed officers from his own department. Within hours, he would be dead.

Those are the basic facts, and the sadness of them transcends politics. If Black lives matter and blue lives matter, as they all most assuredly do, the killing of patrolman Cornel “Jai” Young was doubly tragic.

But the tragedy does not end there. As an attorney who has litigated civil rights cases, I can tell you that the tragedy of Jai Young’s story actually ends in a courtroom, some six years after his death, when the city of Providence slipped through a gaping chasm in federal civil rights law—one that has largely escaped scrutiny in the current national push for racial justice reform. It’s called the Monell Rule, and it’s why cities and police departments are rarely held accountable for the actions of police officers.

To learn more about her case, I recently reached out to Leisa Young, Jai’s mother, who fought the city of Providence in court for the better part of five years. She is an impressive woman: a bright, successful, former single mother who lifted herself out of poverty while raising an exceptional son. The pain of his death has hardened with time, the way scar tissue fills a wound that once might have been fatal. When she speaks of Jai now, Leisa’s voice does not crack, though she tends to change the subject.

The story she tells is awash in irony. Jai had entered the police force to change it, and he died, Leisa believes, because of the very problems he wanted to fix. Growing up, Jai had not been immune to the racial profiling so often experienced by young Black males. But his father—from whom Leisa had long since been divorced—was a police officer, and through him Jai developed an interest in community-based police reforms. By joining the force, Jai hoped to change what he saw as a militaristic approach to policing, especially in low-income neighborhoods like the one where he eventually died.

Leisa tells me that one of the cops who shot her son had been his classmate at the police academy and might have recognized him if he had only paused an instant before shooting: “Out of uniform, in that neighborhood, Jai was just another target.”

When asked about the city’s handling of her son’s case, Leisa responds with exasperation—the type of chronic emotional fatigue known only to those unfortunate souls who have spent years fighting a more powerful and highly motivated enemy. You can’t fight city hall, they say. Most people know the phrase; Leisa Young has lived it.

From the very beginning, the city circled the wagons. Just two days after Jai’s death, the mayor of Providence declared in the local press that race had not been a factor in the shooting. In a televised interview, a high-ranking officer predicted the two shooters would be exonerated by the department’s internal investigation, which was just barely underway. Meanwhile, Leisa says, city officials worked privately to convince her that Jai was somehow at fault in his own death because he had been pointing his firearm sideways, “like a thug.” Recalling the accusation now, Leisa dismisses it with a laugh that is somehow charming and bitter at the same time: “Where would he have learned that? In thug school?”

The 2003 verdict has never been overturned, and in the eyes of the law, the violation of Jai Young’s civil rights is an unassailable fact. That verdict almost certainly would have ended the case if Leisa had been suing a trucking company over a traffic accident, or a chemical company over a cancer-causing pesticide. But hers was a civil rights lawsuit against a city government, and though she still does not understand what it means or why, she would spend the next two years trying to overcome something called the Monell Rule.

I first learned about the Monell Rule in 2013, shortly after I accepted my first civil rights case. I had been practicing business law in Texas for 15 years when a friend asked for my help in a case involving threats and extortion by a small-time city government. It was not my area of the law, so I immersed myself in legal research, and it wasn’t long before I encountered this little-known legal rule that, despite its obscurity, plays a massive role in virtually every federal civil rights lawsuit against a city or county government. One case led to another, and I have been fighting the Monell Rule ever since.

To understand it, one must go back briefly to the end of the Civil War, when Congress passed the Civil Rights Act of 1871. The 13th, 14th and 15th Amendments had just been ratified, promising civil rights to emancipated slaves and other citizens. The 1871 law—also known as the Third Enforcement Act—was designed to provide a mechanism for enforcing these constitutional guarantees and it authorizes individual citizens to bring private lawsuits for civil rights violations committed by police and other persons cloaked in the authority of state or local governments. Today, among lawyers, this law is known simply as “Section 1983,” and it remains one of the most important civil rights statutes in the country.

In 1961, in a case called Monroe v. Pape, the U.S. Supreme Court ruled that city governments were exempt under Section 1983. The Monroe case involved horrific allegations of racial abuse at the hands of 13 Chicago police officers who had allegedly broken into a Black couple’s apartment and forced them to stand naked in front of their children as they beat the father with a flashlight, degraded him with racial slurs and ransacked the apartment. The Supreme Court ruled that the officers could be sued under Section 1983, but the city of Chicago could not.

Unsurprisingly, the Monroe decision was met with heavy criticism, and the Supreme Court eventually reversed itself—sort of. In Monell v. Department of Social Services of the City of New York, the high court ruled that cities are accountable under Section 1983, but only if the civil rights violation was caused by “official policy” of the city government. The court’s reasoning was based on a strained reading of the 1871 law, and has been often criticized ever since, but the rule established in Monell has nonetheless survived and evolved.

Today, “official policy” can be proven in multiple ways, but the gist is always the same: the civil rights violation must have been caused by a deliberate policy choice made at the highest levels of a city government, or by a pattern of institutional neglect so pervasive and consistent that it constitutes “deliberate indifference” by city policymakers. It is a very high bar, and clearing it often depends on facts and concepts that are inherently elusive.

The Monell Rule is unique to civil rights litigation and exists nowhere else in the legal world. If, for example, an Amazon delivery driver were to negligently cause a traffic accident while on the job, Amazon would ordinarily be liable for the victim’s injuries; there would be no need for the victim to prove that Jeff Bezos or Amazon’s board of directors had caused the accident through their corporate policies or their “deliberate indifference” to the rights of potential accident victims. In the civil rights context, however, that is essentially what the Monell Rule requires. In simplest terms, the Monell Rule is a barrier to government accountability. It puts legal distance between city governments and their employees, allowing cities to avoid responsibility for the on-the- job conduct of their own police officers.

As a practical matter, the Monell Rule blocks the only pathway by which civil rights victims can hold police departments accountable. Victims of police violence have three basic avenues to justice: criminal prosecution of the individual officers involved; a civil lawsuit against the same officers; or a civil lawsuit against the municipality that employs them. The first two avenues have their own unique challenges, such as the high burden of proof in criminal cases, or the qualified immunity standard that protects individual police officers from liability in civil suits. But the first two avenues—even where successful—punish only the individual officers. It is only the third avenue that has the potential to impact municipal police departments as a whole, and the Monell Rule blocks that avenue like a barricade.

Source: Why You Really Can’t Fight City Hall, At Least Over the Police – POLITICO

America doesn’t want unity. It wants absolution without restitution ::: Renee Graham :: The Boston Globe

America doesn’t want unity. It wants absolution without restitution

Renee Graham, Boston Globe

Throughout his campaign, and especially during his first speech as president-elect, Joe Biden stressed the need for unity. “Our nation is shaped by the constant battle between our better angels and our darkest impulses,” he said. “It is time for our better angels to prevail.”

Abraham Lincoln first summoned “the better angels of our nature” in his inaugural speech in 1861. A month later, the Civil War began; we’ve been waiting ever since for these rumored apparitions of our nation’s inherent goodness to prevail.

America has never wanted unity. It prefers absolution over restitution.

When this nation’s leaders speak of unity, that often means, “We need to move on,” even though unchecked trauma leaching from one generation to another prohibits any such thing. For many of us, especially Black and brown people, unity is a five-letter word for “Shut up and get over it.” That is how this nation regards calls for repair of systemic disenfranchisement.

Before accord, there must be an accounting — otherwise, it’s like leaving a tick’s head embedded beneath the skin. The problem is less visible, but the host body remains sick and unsound.

In his speech, Biden seemed to speak very specifically about the horrors imposed these past four years. (And they aren’t over.) Of course, what we witnessed during the Trump years was an amplification of the racism and other hatreds that plagued this country long before a failed businessman became a failed president.

“Every day we hear about how society is splitting apart — a polarized Congress, a fragmented media market, a persistent schism among Americans over social issues. But really, how bad are the divisions?” Bob Cohn (now president of The Economist), wrote in The Atlantic. His conclusion: “Pretty bad.”

That was seven years ago. Trump did not create the divisions; he exploited the hell out of them.

About 10 million more people voted for Trump in the 2020 election than in 2016. Again, most of them are white. This I believe: They want to be feared, not understood, and their only definition of unity is aligning against anyone who doesn’t think like them. They’re willing to tear this nation apart with baseless, anti-democracy conspiracies to slake one man’s flimsy ego and their own relevance in an increasingly multiracial, multicultural nation.

Fox News is even chiding Democrats for lobbing “angry rhetoric at those who have worked with and for, and even those who simply support, Trump.” For the president’s propaganda network, achieving unity is a burden to be borne only by those who oppose the president. I don’t hear many Trump supporters reckoning with why they still support the worst president in modern American history.

And that’s par for this country. During a 2017 Harvard conference on universities and slavery, writer Ta-Nehisi Coates said, “I don’t know how you conduct research that says your very existence is rooted in a great crime, and you just say, at best, ‘Sorry,’ and walk away.

For its entire existence, America has mostly walked away. From nearly 250 years of Black people in bondage to the genocidal “Trail of Tears” that forced thousands of Indigenous people from their lands in the 1800s; from the 1921 Tulsa Race Massacre during which white people killed hundreds and destroyed that Oklahoma city’s “Black Wall Street” to every barbarity the current administration concocted to punish those who sought only a better life, this nation continually opts for historical amnesia over atonement.

As the Rev. Bernice King, daughter of Martin Luther King Jr., tweeted, “We can’t skip justice and get to peace.” Nor can we get there without equality.

Scars of this catastrophic presidency will lie alongside festering wounds long untended. There’s no shortcut to unity, a challenge in a nation that would rather be comfortable than truthful. This unfinished democracy will never be whole until all of its practitioners abandon the collective silence that cloaks their complicity. To move toward unity, white supremacy must first be demolished. America has shown no serious inclination to do that, and more than 72 million Trump voters serve as damning proof.

For the sake of this country, I wish Biden every success. I hope he understands that unity is not self-achieving. The most arduous labor must be done by those who have inflicted or benefited from the pain of so many others. Until then, do not ask me to forgive all this nation is too eager to forget.


Renée Graham can be reached at renee.graham@globe.com. Follow her on Twitter @reneeygraham.

Source: America doesn’t want unity. It wants absolution without restitution – The Boston Globe

Births of a Nation, Redux | Boston Review

Births of a Nation, Redux

Births of a Nation, Redux

Surveying Trumpland with Cedric Robinson

ROBIN D. G. KELLEY

Image: A poster for Birth of a Nation (1915)

November 5, 2020

I wrote the following essay, “Births of a Nation: Surveying Trumpland with Cedric Robinson,” in the wake of Trump’s 2016 victory, but it could have been written today—two days into a still unsettled presidential election; two days of witnessing frenzied, nail-biting, soul-searching Democrats wondering what happened to the blue wave and why 68 million people actually voted for Trump; two days of threats from the White House that they will fight in the courts and in the streets before giving up power. And today Cedric Robinson, pioneering scholar of what he called the “Black Radical Tradition,” would have celebrated his eightieth birthday.

Today Cedric Robinson would have celebrated his eightieth birthday. What Robinson identified as “the rewhitening of America” a century ago is what we’re seeing play out today.

The lessons I took from Cedric in the aftermath of Trump’s election still stand: our problem is not polling, or the failure of Democrats to mobilize the Black and Latinx vote (they came out, often at great risk to their health and safety), or a botched effort to reach working-class whites with a strong, colorblind class-based agenda. What Robinson identified as “the rewhitening of America” a century ago is what we’re seeing play out today.

But before reviving the tired race-versus-class debate, pay attention: Robinson was making an argument about racial regimes as expressions of class power and how racism undergirds class oppression. As I quoted Robinson before: “White patrimony deceived some of the majority of Americans, patriotism and nationalism others, but the more fugitive reality was the theft they themselves endured and the voracious expropriation of others they facilitated. The scrap which was their reward was the installation of Black inferiority into their shared national culture. It was a paltry dividend, but it still serves.” (The emphasis is mine.)

What we’ve seen is the consolidation of a racial regime based—as are all racial regimes—on “fictions” “masquerading as memory and the immutable.” Trump is saving white suburban women from Black rapists and drug dealers who want to take their Section 8 vouchers out to gated communities. He’s protecting our borders from “illegals” who have no claims whatsoever to this white man’s country. He’s shielding the nation from wicked critical race theorists and Howard Zinn with “patriotic education.” He responds to the assault on white supremacist mythologies by defending Confederate monuments. He dispatches federal military forces to crush antiracist protests and declares Kyle Rittenhouse a patriot for killing two unarmed Black Lives Matter protesters. And he dusts off the tried and true strategy of labeling all challengers to the regime “communists and socialists.” (When Biden brags “I beat the socialists!” and “I am the Democratic Party,” he plays right into the regime’s fictions—he is the neoliberal moderate taking back the country from rioters, fascists, and socialists.)

We keep telling ourselves that Trump was elected as a backlash to a Black president, but really he was elected as a backlash to a Black movement. President Obama presided during the killing of Mike Brown, Tamir Rice, Tanisha Anderson, Philando Castile, Alton Sterling, Freddie Gray, Sandra Bland—ad infinitum. It was the mass rebellion against the lawlessness of the state—in Ferguson, in Baltimore, in Chicago, in Dallas, in Baton Rouge, in New York, in Los Angeles, and elsewhere—that prompted Trumpian backlash.

We keep telling ourselves that Trump was elected as a backlash to a Black president, but really he was elected as a backlash to a Black movement. Fear and racism feed off of insecurity.

The massive vote for Trump and his fascist law-and-order rhetoric should also be seen as a backlash to a movement. Some of us believed Black Spring rebellion in the wake of the murders of George Floyd, Breonna Taylor, and Ahmad Arbery signaled a national reckoning around racial justice. But rather than reverse the rewhitening of America, our struggles catalyzed and concretized the racial regime’s explicit embrace of white power. Once again, an unstable ruling class drapes itself in white sheets, puts on its badge and brings out its guns. Fear and racism feed off of insecurity. And in the face of a global pandemic, joblessness, precarity, and an economy on the verge of collapse, this paltry dividend still serves.

If we’d paid attention, we wouldn’t have expected a Biden landslide or a blue wave ripping the Senate from Kentucky’s Mitch McConnell grip. It is not a coincidence that Louisville is on fire over the murder of Breonna Taylor and countless others who died at the hands of police in McConnell’s state. Kentucky has always been a battleground. California is too, and we’re not necessarily winning. Voters just defeated affirmative action, rent control, and the labor rights of gig workers. And despite some important victories, California delivered a lot of votes to Trump. We need to face the fact that our entire country, and the world, is a battleground. Trump and McConnell have succeeded in packing the Supreme Court with reactionaries. Trump’s backers still run the Senate. Gun-toting men and women in red hats stand outside vote-tabulating centers, threatening to do whatever is needed to secure a Trump victory. They yell “stop the count.”

Even with a Biden victory, the failure of the blue wave will be attributed in part to a certain kind of identity politics—Black and Latinx voter turnout less than what was expected—or to the militancy of antiracist protests, or to left-leaning candidates who scared off white moderates by pushing for single-payer healthcare and a Green New Deal. We should not see these as problems for legitimate Democrats. We’ve been witnessing authentic small-d democracy in action. In the streets we’ve seen a movement embrace Black, Brown, and Indigenous people, queer feminism, and a horizontal leadership model that emphasizes deliberative, participatory democracy.

We have an electoral college, battleground states, and voter suppression because the U.S. political order was built on anti-democracy.

This is the democracy Cedric Robinson insisted we embrace. He reminded us that the U.S. political order was built on anti-democracy, a theory of so-called enlightened governance that excludes the popular classes. This is why we have an electoral college, why we have battleground states, and why voter suppression was built into our country’s DNA. As I wrote three years ago, “today’s organized protests in the streets and other places of public assembly portend the rise of a police state in the United States. For the past five years, the insurgencies of the Movement for Black Lives and its dozens of allied organizations have warned the country that unless we end racist state-sanctioned violence and the mass caging of black and brown people, we are headed for a fascist state.”

We’re already here. And there is no guarantee that a Biden-Harris White House will succeed in completely reversing this trend. Nor should we expect presidents and their cabinets to do this work. That would put us back where we started—with tacit acceptance of the principles of anti-democracy.

Cedric’s words from exactly twenty years ago still haunt: “For the moment . . . an unelected government has seized illegal powers. That must be opposed with every democratic weapon in our arsenal.”

Happy Birthday, Dr. Robinson.


March 6, 2017


Cedric Robinson was fond of quoting his friend and colleague Otis Madison: “The purpose of racism is to control the behavior of white people, not Black people. For Blacks, guns and tanks are sufficient.” Robinson used the quote as an epigraph for a chapter in Forgeries of Memory and Meaning (2007), titled, “In the Year 1915: D. W. Griffith and the Rewhitening of America.” When people ask what I think Robinson would have said about the election of Donald Trump, I point to these texts as evidence that he had already given us a framework to make sense of this moment and its antecedents.

Robinson’s work—especially his lesser-known essays on democracy, identity, fascism, film, and racial regimes—has a great deal to teach us about Trumpism’s foundations, about democracy’s endemic crises, about the racial formation of the white working class, and about the significance of resistance in determining the future.

Source: Births of a Nation, Redux | Boston Review

Black Radical Activists and the Dangers of the Police State – AAIHS

Black Radical Activists and the Dangers of the Police State

During recent anti-police brutality protests and marches across the United States, American police forces have displayed the very behavior that brought people to the streets in protest. Activists have been harassed, beaten, arrested, shot at with rubber bullets and tear gas, and shot and killed by white vigilantes encouraged by police. Critics have focused their blame on the largely peaceful protestors rather than the violent police forces whose actions have been caught on camera. The police have also used their arrest power to try and stifle protest including, in one incident, arresting the only Black state legislator in Kentucky during a protest against the police violence that killed Breonna Taylor. Police abuse during social justice protests has a long history and has been part of the resistance to the kind of radical political change needed for racial justice. Angelo Herndon’s activism in the 1930s, his frequent arrests, and his unjust imprisonment is part of this long tradition of using police to prevent racial justice and stifle dissent.

In 1937, Herndon published his memoirs titled Let Me Live, where he related his family’s poverty, his employment struggles, and most importantly his radicalization in the Communist Party. The book is sometimes considered one of the first prison memoirs, but some scholars have recently argued that it is a poignant critique of racial capitalism. Herndon’s story of growing up in poverty and facing racial discrimination and police harassment demonstrate what Charisse Burden-Stelly has described as the “mutually constitutive nature of racialization and capitalism.”

In Let Me Live, Herndon describes his growing awareness of capitalist exploitation as well as the use of police as capitalist agents to control Black bodies. Herndon was born in Wyoming, Ohio in 1913, one of eight children. His family’s precarious financial position declined further after his father died from miner’s pneumonia when he was nine years old. At only thirteen, Herndon and his older brother Leo left home and traveled to Lexington, Kentucky to find work as miners. His first job as a miner, working and living in a segregated community, was a wake-up call. His wages, which were meant to help his whole family, were often consumed by company fees leaving him and his brother barely able to support themselves. Frustrated, the Herndon’s left Kentucky and went to their father’s birthplace, Birmingham, Alabama. Leo found a job, but Angelo remained unemployed. In the process of trying to find work, Herndon met a labor agent who convinced him to leave town for work on a bridge. When he arrived, he realized that he and other Black laborers had been lured to work as slave laborers policed by armed guards and given no wages. Herndon and a few other workers managed to escape, despite being chased by dogs.

Herndon’s time in Birmingham radicalized him further. When he finally found work with a mining company, he was disgusted with the company union that failed to advocate for workers. He witnessed a coworker’s death after management failed to make necessary repairs to the machinery he worked on; he and other employees moved his body out of the way to continue work. While traveling through town he witnessed a conductor beat a Black man who did not defend himself; his frustrations mounted until one day he refused to move on a Jim Crow car, he was left alone after the conductor told people he was crazy. In June 1930 he happened upon an Unemployed Council (UC) leaflet announcing a meeting, this was Herndon’s introduction to political organization and the Communist Party (CPUSA).

Herndon became a UC organizer and began attending meetings, organizing events, and traveling to UC conferences. He respected the UC and CPUSA for embracing an antiracist position and calling for working-class unity and he came to believe that communism was the “only philosophy of living worthy of a thinking civilized man.” Unfortunately for Herndon, the police did not take kindly to communist organizing and especially to a Black communist. As Marion Ross argues, Herndon’s “redness” and “Blackness” made him a criminal in the eyes of the law. His first arrest came when he tried to organize his fellow miners into the United Mine Workers, he was charged with vagrancy, though he was employed, and held in solitary confinement for seven days.

At his trial, the prosecutor focused on the threat Black men posed to white women’s virtue; this was enough for a guilty sentence and twelve months imprisonment and a $500 fine. When the prosecutor painted Herndon as a sexual predator, he was alerting the all-white jury to the belief that the Black body had to be controlled to secure white supremacy. His conviction was eventually overturned in the circuit court, but it was enough to move Herndon to officially join the CPUSA. Soon after he was arrested again walking to a CPUSA Labor Day rally; he was held for eleven days with other prisoners detained for mental illness. After his second arrest, Herndon’s memoir pivots from a story of radicalization to one of fascist police abusing him and his fellow organizers with impunity.

Herndon’s every movement in Birmingham was followed by police who arrested him on any pretense; it became such a frequent occurrence that he claimed it drove him further into the arms of the CPUSA. But it also became too difficult to live there, so in 1931 he took a job with the Trade Union Unity League to help organize longshoremen in New Orleans. Even in Louisiana the police dogged his every move, and he was arrested again. He also became active in the campaign to free the Scottsboro boys, nine Black youths arrested for allegedly raping two white women on a train.

Herndon returned to Alabama to organize for the Scottsboro defense and to try and help with the organization of sharecroppers in Camden County, but he was chased out of town by the threats of a lynch mob. When he arrived back in Birmingham he was arrested right off the train. Herndon did not stay long, he was sent to organize for the UC in Atlanta, GA in 1932. When the city announced it was going to drop over 20,000 people from the relief rolls, Herndon sprung into action. He began producing leaflets and organizing marches, all of which brought law enforcement attention. While picking up mail at the post office he was arrested and charged under an 1861 law to prevent slave insurrections; the place where he was staying was raided and all of his pamphlets and books were seized, later to be used against him in court.

Herndon described his subsequent imprisonment, trials, and conviction as being “crucified by capitalist law and order.” He was held incommunicado until a fellow inmate smuggled out a letter to the International Labor Defense, an organization devoted to defending workers. It was this arrest that prompted Herndon to write Let Me Live; in it he described his months in solitary, then on death row, the “kangaroo court” trial in which the prosecutor went into a “lynch frenzy,” and his conviction and sentence of 18-20 years on a chain gang, a death by labor sentence. This arrest would make Angelo Herndon a household name for radicals raising awareness about the dangers of the police state and its concerted efforts to quash social justice. All told, Herndon would spend two and a half years in jail while his appeals were heard. After the CPUSA mobilized a global defense around Herndon, the charges would eventually be dropped, and he would be free. He later described his imprisonment as an “apprenticeship in the revolutionary struggle.”

Herndon recognized what even today some Americans are only just realizing: that the police are not public servants meant to keep the peace, that they are agents of social control. While speaking to other prisoners, Herndon told them that if there was a “decent government” who cared for people’s needs, rather than protecting capitalist profits, fewer people would be imprisoned. Herndon was arrested so many times as a known UC organizer that he lost count; he recruited others to the UC and CPUSA by arguing that they had to make change because we are all “in the same leaky boat.” His memoirs have been described as prison literature, a critique of racial capitalism, communist propaganda, and in the tradition of slave narratives — it is also a book about police abuse and control and policing as a tool to control Black America and working people. It is a narrative that is all too familiar to today’s activists, that policing is a barrier rather than a path to social justice.

Source: Black Radical Activists and the Dangers of the Police State – AAIHS

What a Black Power Attorney Tells Us About How to Handle a Biden/Harris Presidency | by Nkechi Taifa | Nov, 2020 | Medium

But the question is always this, at least when we talk about Black movements — relevant to whom? For what purpose? Where is the strategy other than demanding to stay alive, and then going into electoral politics as a moderate to progressive Democrat?

Source: What a Black Power Attorney Tells Us About How to Handle a Biden/Harris Presidency | by Nkechi Taifa | Nov, 2020 | Medium

Jon Henry’s ‘Stranger Fruit’ shows Black mothers’ constant fear of loss and trauma

For America’s Black mothers, the fear of loss and trauma is constantWhen photographer Jon Henry poses families as if in mourning, he’s calling out police violence that too often kills young Black men and terrifies their mothers.

Source: Jon Henry’s ‘Stranger Fruit’ shows Black mothers’ constant fear of loss and trauma

Tearing Down Black America | Boston Review

Tearing Down Black America

Policing is not the only kind of state violence. In the mid-twentieth century, city governments, backed by federal money, demolished hundreds of Black neighborhoods in the name of urban renewal.

BRENT CEBUL

Lincoln Center under construction, after the demoltion of the historically black neighborhood of San Juan Hill. Image: NYPL

When James Baldwin visited San Francisco in 1963 to film a documentary about U.S. racism, he encountered neighborhoods in turmoil: the city was seizing properties through eminent domain, razing them, and turning them over to private developers. Part of a massive, federal urban renewal program, nearly 5,000 families—no fewer than 20,000 residents, the majority of them people of color—were being displaced from rental homes, private property, and businesses in the Western Addition neighborhoods. Baldwin spoke to a Black teenager who had just lost his home and watched as his neighborhood was destroyed. He told Baldwin: “I’ve got no country. I’ve got no flag.” Soon after, Baldwin would say: “I couldn’t say you do. I don’t have any evidence to prove that he does.”

At the very moment when the civil rights movement secured voting rights and the desegregation of public and private spaces, the federal government unleashed a program that enabled local officials to simply clear out entire Black neighborhoods.

That young man was one of millions of Americans, disproportionately of color, who lost homes and communities through the federal urban renewal program. In discussing its human costs—colossal in scope and yet profoundly intimate—Baldwin helped popularize a phrase common in Black neighborhoods: urban renewal meant “Negro removal.” To steal people’s homes, Baldwin understood, was to shred the meaning of their citizenship by destroying their communities. And “the federal government,” he said, “is an accomplice to this fact.”

The 1921 Tulsa massacre and redlining have pierced the popular consciousness in recent years as ways that, through murder and markets, Black communities were destroyed. Curiously, urban renewal has so far remained on the margins of these discussions. Yet that program, in operation between 1949 and 1974, constituted one of the most sweeping and systematic instances of the modern destruction of Black property, neighborhoods, culture, community, businesses, and homes. At its peak in the mid-1960s, urban renewal displaced a minimum of 50,000 families annually—a 1964 House of Representatives report estimated the figure at more like 66,000.

At the very moment when the civil rights movement secured voting rights and the desegregation of public and private spaces, the federal government unleashed a program that enabled local officials to simply clear out entire Black neighborhoods. Federal subsidies went to more than 400 cities, suburbs, and towns, supported more than 1,200 projects, and displaced a minimum of 300,000 families—perhaps some 1.2 million Americans. While Black Americans were just 13 percent of the total population in 1960, they comprised at least 55 percent of those displaced. And, while we tend to remember urban renewal as a big-city program, pursued by titans such as Robert Moses in New York, the vast majority of projects were carried out in cities of 50,000 residents or fewer. These were small cities such as Greenville, North Carolina, where 207 families of color and 11 white families were displaced; Tupelo, Mississippi, where 217 families of color and 31 white families were displaced; and Demopolis, Alabama, where 55 families of color and 7 white families were displaced. Urban Renewal was spread as widely as today’s marches for social justice.

Today, as racially disparate rates of eviction, police violence, and capital flight raise urgent questions about the right to live in safe, thriving communities, a more complete reckoning with urban renewal’s record of destruction is necessary. Fortunately, because urban renewal was federally funded, Washington collected data about how projects unfolded; these records also allow us to reconstruct the many costs of urban renewal. Thanks to a recent comprehensive digital mapping project which I helped spearhead at the University of Richmond’s Digital Scholarship Lab, it’s now possible for the first time to visualize how hundreds of urban renewal projects displaced tens of thousands of Americans. While private–public practices such as redlining help explain the staggering racial wealth gap, the history of urban renewal, though no less materially devastating, involved kinds of theft that are more difficult to quantify—thefts that amount to the destruction of entire lifeworlds. And, the political and economic forces that made urban renewal seem like a good idea at the time continue to shape the precarity of neighborhoods of color today. Like redlining, profit— in this case, returns derived from boosting property taxes— continues to define the state’s interest in destabilizing Black neighborhoods.

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The political and economic forces that made urban renewal seem like a good idea at the time continue to shape the precarity of neighborhoods of color today.

As the United States emerged from World War II, many cities faced a housing crunch. Whites policed the racial boundaries of their neighborhoods, often violently. And so as greater numbers of African Americans migrated north in search of manufacturing jobs and to escape the South’s more formal system of Jim Crow, Black neighborhoods quickly became overcrowded. Residents were often subjected to exorbitant rents in derelict housing owned by slumlords. Families and friends boarded together. Others sublet rooms to meet extortionate rents. Segregated neighborhoods in northern cities became so crowded that many schools operated in two shifts—half of the students went in the morning, the other half in the afternoon. “Blight” was the term policymakers used to describe the worsening conditions structured by these national practices of urban segregation.

Meanwhile, city budgets teetered on the edge of fiscal cliffs, from which they had only just clawed their way back up. The economic exuberance of the 1920s had produced an urban and suburban “land boom,” as the Wall Street Journal put it—the overheated, last gasp of a period “of great and extended prosperity.” Cities fueled this speculation by taking on staggering levels of debt to support the infrastructure that made private property profitable. Net annual additions to municipal debt between 1923 and 1931 averaged over $845 million (or more than $13.5 billion in 2020 dollars), or enough, as one contemporary analyst accurately predicted, “to keep municipal finance in a turmoil for two decades or more.”

When the bottom fell out of the stock market, the consequences quickly ricocheted through urban land markets and city budgets. Property values plummeted, and tax delinquency skyrocketed. In the Great Depression, some 1,200 local or county governments defaulted or went bankrupt.

The New Deal helped stabilize the situation. Later, defense conversion and contracting in World War II injected desperately needed capital into cities. But cities still held considerable debt, and the New Deal’s public works agenda was not without its own considerable costs—while federally subsidized labor constructed many bridges, libraries, schools, and sewage plants, these public assets had also become new line items on municipal budgets. Moreover, as the Depression shuttered factories and the Great Migration brought new residents, officials worried that property tax revenues would never rise to meet these new burdens.

As early as the late 1930s, New Dealers were increasingly concerned that city budgets were fiscal time bombs that threatened to explode the entire progressive project. And they saw that local governments were already using New Deal works programs to remedy the situation. As Mabel Walker, an urban analyst, noted in 1938, in New York City, federally subsidized works projects had begun “siphoning off [the] slum population,” constructing affordable housing “in cheaper areas,” and might even facilitate the delivery of cleared land to “higher income groups” and “business and industry.” The result, she wrote, was “in effect a gigantic subsidy or bonus handed out to property holders in these slum areas” who could never have assembled enough private capital to reset urban land markets themselves. By 1938 Mayor Fiorello LaGuardia estimated the city had torn down or gutted nearly 9,000 buildings. In Philadelphia federal support for clearance subsidized the demolition of 8,328 structures, releasing land with an estimated value of $11.5 million.

Federal leaders struck on the idea of using urban renewal to harness this haphazard redevelopment of cities and turn it into a more coherent, national program of planning, redevelopment, and housing. They also recognized that the federal government’s budget overwhelmingly depended on capital generated in cities in the form of confiscatory, progressive corporate and personal income tax rates. As one of urban renewal’s federal designers put it, short of “a nation-wide overhauling of our traditional arrangements for taxation and public expenditures,” “it seems only fair that the federal government should aid the local governments to the extent necessary to cover their urgently needed outlays.” Federally subsidized slum clearance and redevelopment could put cities back on the path to fiscal independence—and the federal government wouldn’t have to share much of its precious income tax revenue.

Local government officials and their private sector partners were much less interested in creating public housing than they were in commercial redevelopment.

World War II delayed the initiative, but the Housing Act of 1949 set aside significant financing to enable cities to build public housing and to demolish neglected, overcrowded neighborhoods, and antiquated or abandoned industrial properties. As in a number of New Deal programs, the subsidies would be offered in the form of bonded debt, which, after cities delivered a matching share, the federal government would retire. The goal with such a convoluted system of finance was to get capital moving through private financial institutions and to plausibly deemphasize the role of the national government. These were local programs.

This growing mishmash of priorities was a hallmark of midcentury liberalism, which forged cross-cutting relationships with many different interest groups. Some policymakers, for instance, worked closely with real estate interests and business groups and their allies in city halls. Together they hungered for the potential bonanza of private redevelopment and city property tax yields. Others were aligned with progressive public housing advocates or worked closely to cultivate the support of African American community leaders. When he signed the 1949 bill, a signature piece of his Fair Deal agenda, President Harry S. Truman heralded a new front in the war for civil rights: securing a decent home for all Americans. Early on, Black clergy and civil rights activists were among the initiatives’ most hopeful supporters.

Congress soon confronted the reality that few local governments were pursuing the program. Local government officials and their private sector partners were much less interested in creating public housing than they were in commercial redevelopment. But the act’s regulations mandated that housing projects were to be prioritized.

Rather than amend the legislation to offer greater incentives for housing, a revised version of the legislation, the Housing Act of 1954, created the federal Urban Renewal Administration, ceding to the interests of commercial lobbyists and mayors. The act loosened housing mandates and so unleashed a goldmine of federally financed business-oriented clearance and development.

Many of the developments that resulted are among their city’s most iconic. New York City’s Lincoln Square, anchored by Lincoln Center, displaced at least 4,000 families, many of whom were recent arrivals from Puerto Rico. (One imagines some of those residents had been displaced from Puerto Rico, too, where the federal government funded renewal projects in some 30 municipalities, displacing at least 10,000 families.) Pedro Quinones protested displacement by joining a movement called Save Our Homes. As he correctly understood, the program “has come to New York to ‘clean up’ minority groups.” But “we are living there very happily, Puerto Ricans, Negroes, Japanese-Americans and other minorities. . . . We don’t want these communities broken up, but the city wants to have what are called ‘better class people’ there.”

Other projects underwrote the emergence of the “meds and eds” economy that fuel so many cities today. The University of Chicago displaced more than 4,000 families in a series of projects. Clearance and construction of Oklahoma City’s University Medical Center displaced at least 700, disproportionately African American families. And Detroit’s massive Medical Center displaced around 2,000 families, again disproportionately of color. That campus now anchors the city’s fashionable Midtown neighborhood. The University of Pennsylvania spurred projects that displaced more than 700 African American families and a thriving Black business district. That community, called Black Bottom, had been owned or occupied by African Americans since at least the Civil War. Many of its men were Union Army veterans.

“We are living there very happily, Puerto Ricans, Negroes, Japanese-Americans and other minorities. We don’t want these communities broken up, but the city wants ‘better class people’ there.”

Just counting families displaced, however, misses important dimensions of what made this so devastating. While they may not have been thriving in the terms that counted on municipal balance sheets, and while many residents were in dire economic straits, the informal, unplanned mix of public and private, business and culture often amounted to thriving communities. In New York, for instance, more than 600 businesses sat within the Lincoln Square project footprint, businesses that defined the commercial and cultural life of the neighborhood: diners and luncheonettes, candy stores and beauty parlors, a “Chinese goods” store, photography studios, a detective agency, and a funeral parlor.

For displaced businesses, federal law authorized a $2,500 reimbursement for “moving and fixtures” (the ceiling was ultimately abolished, but payments were still at local officials’ discretion). But business owners protested that the figure was a pittance compared to the costs associated with moving, reopening, and lost revenue in the meantime. Small businesses operated on vanishingly slim margins. One pharmacist estimated the cost of relocating and reopening was more like $20,000. Many displaced businesses simply closed down. These dynamics played out in small cities such as Rome, Georgia, too. Callie Martin had owned and operated Let’s Eat Café in the city’s cleared Black neighborhood. After packing up, moving, and reopening, she was barely scraping by. “I was able to give work to two people,” she told the local paper in 1971. “But now I’m just working by myself and not really making ends meet.” Renewal “really caused me to lose a decent living.” Hubert Holland, who lost his barber shop was clearer: “The way I see it, they destroyed the Negro businesses, what little they had.” Two years after clearance, just four of Rome’s 16 displaced Black businesses had reopened. As of 1963, some 39,399 businesses were reported to have been displaced through urban renewal alone (the federal highway program displaced thousands more). Urban renewal would run for another 11 years.

The vast majority of families displaced were renters: a 1968 study found that two thirds of all “relocatees” and three quarters of non-white families displaced were renters. While their landlords—slumlords in many cases—would be compensated for the loss of their property (and some quite handsomely), very often the families that actually lived in these buildings were not. Instead, federal statutes entitled these citizens to “relocation assistance”—vague guidelines that local authorities assist displaced families with finding temporary housing. The legislation “authorized” local governments to offer up to $300 in relocation grants to displaced families. That figure was raised to $500 in 1964, the first year that relocation funds and rental assistance were included elderly individuals. But in many cities, “relocation assistance” simply amounted to flyers with lists of local real estate brokers.

Because of baked-in local discretion, thousands and thousands of those who were displaced never received any financial assistance. Cities made little attempt to keep track of those who were displaced because if they didn’t know where people went, they couldn’t compensate them; as a result, displacement records constitute one of the archival silences of urban renewal. In one Cleveland neighborhood, 717 families’ homes were razed to clear land for industrial redevelopment. Of them, 224 moved to “unknown” locations (they were likely living with friends and family); 57 moved into other forms of “substandard” housing; and 301 still lived, as the city’s Black paper reported, “in the midst of abandoned housing.” Across a number of Cleveland’s renewal programs, officials admitted not knowing what had become of another 1,194 families.

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Thousands of those who were displaced never received financial assistance. Cities made little attempt to keep track of those who were displaced because if they didn’t know where people went, they couldn’t compensate them.

The transfer of wealth, capital, and land from these communities to large business interests and developers only scratches the surface of the damage done by urban renewal. Ties of kinship and community were shattered. The loss of a sense of “rootedness” was devastating. Grady Abrams, who was displaced from the Five Points neighborhood in Augusta, Georgia, recalled the traumatic experience of his lost community. “It is one thing to leave your home, your neighborhood on your own, to be forced out is a different manner.” He testified to the lasting trauma: “It was, to me, the closest thing to death I can think of. In fact, my neighbors and I lost relationships forever. There is nothing of the past now in Five Points that I can show my grandchildren and great grandchildren that was part of my past. Nothing at all.”

All of these issues were known to federal administrators. As one 1965 report found, thanks to urban renewal, “Nonwhites have been forced into already crowded housing facilities, thereby spreading blight, aggravating ghettoes, and generally defeating the social purpose of urban renewal.” Displaced citizens, another report found, “are faced with having to reconstruct their lives. . . . They must terminate relationships and break routines that—especially for the elderly—have been equated with life itself.” These were connections to tradition, community, and history that the built environment makes manifest—the millions of memories and attachments we make to each other through spaces like street corners and schools, bars and barber shops.

As we try to reconstruct these histories, so far we only have comprehensive family displacement data for the years 1950–66. These figures dramatically undercount families of color because in many places Latin and Caribbean communities were counted as white, as in the Lincoln Center project and a number of clearance projects in California. Moreover, the government only counted families for displacement purposes, because they were the primary displacees entitled to the paltry and frequently underdelivered relocation assistance grants. Non-elderly single people and nonconforming households—by which officials meant gay and lesbian families and those in which unmarried women and men cohabitated—were not entitled to relocation assistance. They literally didn’t count.

Rather than solve urban decay, urban renewal often exacerbated the problems. Many projects took years to complete. In the state of New York, it took an average of 8 years to develop a project; in New York City the average was 13 years. Those who stuck around their old neighborhoods often lived among boarded-up and vacated buildings or vacant lots. Not surprisingly, crime, which often hadn’t been much of a problem before, frequently took hold. Once optimistic Black residents—who had hoped to take their relocation checks out to the suburbs or use them to secure new homes in their old neighborhoods—couldn’t wait to get out. As one Black property-owner in Cleveland put it, “I’d move tonight if the city will buy my property. I’m ready to get out.” But in Cleveland, as in other cities, the local urban renewal office often intentionally delayed purchasing properties. In the mid-1960s, the federal Civil Rights Commission found that city officials allowed targeted properties to fall into further disrepair in order to secure a lower purchasing price ahead of demolition.

As historian Arnold Hirsch found in his landmark study of midcentury Chicago, clearing out African Americans was often the entire point: as the Chancellor of the University of Chicago put it, the program would act as “an effective screening tool” and as a way of “cutting down the number of Negroes” in the neighborhood surrounding the elite institution. That said, communities of color, immigrants, and the elderly were not alone in shouldering the costs of urban renewal. Many working-class white communities were devastated as well. While white families had more options for neighborhoods where they could move, and greater access to traditional mortgages, the loss of community and history reverberated across the color line.

“It is one thing to leave your neighborhood on your own, to be forced out is a different manner. It was, to me, the closest thing to death I can think of. There is nothing of the past now that I can show my grandchildren.”

In Boston, the majority of families displaced to build the city’s new West End and brutalist Government Center complex—nearly 70 percent—were white. Though even that figure suggests that nonwhite Bostonians were disproportionately displaced: as of 1960, they were still less than 10 percent of the city’s population. Still, the sheer number of white families displaced in Boston, more than 7,000, is staggering. And, as in Black neighborhoods, class played an important role in leading officials to choose certain communities—those with fewer resources and less political clout suffered greater losses. In Brooklyn, for instance, white, middle-class gentrifiers successfully blocked or modified key aspects of Robert Moses’s redevelopment plans for Brooklyn Heights and neighborhoods farther south. In the process, they also taught city planners about the potential value to be gained through preservation and gentrification. From these clashes emerged new, subtler and more recognizably modern forms of urban renewal: code enforcement, historical zoning, targeted policing.

In total, at least 550 square miles of U.S. cities were razed through urban renewal. The scale of displacement in big cities was staggering. Washington, D.C.’s Southwest projects displaced more than 4,000 families. The Lubbock, Texas, Coronado project forced out nearly 1,300 families and, federal data shows, managed not to touch a single white family. The country’s single largest project in terms of dislocation was Cincinnati’s Kenyon-Barr, which displaced at least 4,953 families—4,824 of which were African American. However, the intimacy of clearance in small city renewal projects was no less devastating. Communities that had lived and worked beside each other were ripped apart. Tiny Danville, Kentucky—population 9,010 in 1960—cleared out its lone Black residential and commercial district, displacing businesses and at least 48 families of color. When violence erupted in smaller cities in Georgia—Augusta in 1970 and Rome in 1971—a younger generation of African Americans in these communities signaled that discriminatory policing and displacement continued to define their second-class citizenship.

Throughout, local and federal officials kept their eyes on the bottom line: property values and property tax revenues. As the commissioner of the federal Urban Renewal Administration testified before Congress, the leading rationale for the program had “always been to sustain and increase the capacity of cities to meet rising needs for essential public facilities and services”; “private enterprise could not do it alone”; and “the impact of urban renewal upon taxable values is particularly important.” Local officials enthusiastically ratified these commitments. In Chicago, Mayor Richard Daley expected the city’s tax harvest on renewed land to rise from $2.3 million to $4.8 million. The massive Southwest, Washington, D.C., renewal project—estimated to displace some 2,500 black families—was expected to produce nearly $5 million in tax revenue annually against less than $600,000 prior to clearance. Even Tiny Calexico, California, population 7,900 in 1960, situated on the California–Mexico border, predicted a nearly fourfold uptick in property tax yields on its renewed land, from $4,400 to $16,400.

Many projects failed, leaving cities under pressure to boost property values through aggressive policing tactics. In the wake of Michael Brown’s killing, the DOJ found that Ferguson’s harsh policing of Black residents was the result of a systemic effort to raise revenue.

Yet, for many cities, these forecasts were dead wrong. Many projects failed to materialize, often removing otherwise “productive” properties from the tax rolls. The result has been even greater pressure on municipal governments to boost property values and tax yields, goals they have often pursued through greater borrowing and aggressive policing tactics. In the wake of Michael Brown’s killing by Ferguson, Missouri, police, the U.S. Department of Justice found that the city’s harsh policing of its Black residents was the result of a systemic effort to raise revenue. The recent allegations that Breonna Taylor’s murder by Louisville police was tied to a special police squad—“Place Based Investigations”—makes the linkage between policing, municipal revenue creation, and redevelopment even clearer. According to attorneys for Taylor’s family, the warrants associated with narcotics investigations were meant to address one of the “primary roadblocks” to a multimillion-dollar redevelopment initiative. As the attorneys put it, “When the layers are peeled back, the origin of Breonna’s home being raided by police starts with a political need to clear out a street for a large real estate development project and finishes with a newly formed, rogue police unit violating all levels of policy, protocol and policing standards.”

The young man James Baldwin spoke with in San Francisco understood that the fullest expressions of identity and citizenship rest on the most intimate foundations—the spaces of home and community through which our lives take on meaning, a neighborhood to which we might return, memories created and that come rushing back. Returning to such spaces enables us to rediscover our roots, collapsing, for a moment, the distance between past and present. Urban renewal robbed generations of these formative spaces—and much more besides.

As today’s movements for social justice grapple with state-sanctioned violence on communities of color, we must also be alert to the fact that policing is but one branch of the local state. While the audacity and scale of urban renewal was exceptional, the structural conditions and fiscal-political logics that created it are still with us. Indeed, today’s austerity and municipal debt only increases urban budgetary pressures, which helps explain why cities led by Black mayors and councils are as likely as any other to pursue aggressive displacement and redevelopment schemes. These powerful dynamics also help explain why city officials resist calls for defunding the police: they guard present property values and are one among a number of tools for producing the property values of the future. Focusing on policing alone, then, misses this broader picture—of urban real estate, the fiscal bases of city governance, and capitalism. Producing flourishing Black communities today means addressing all of these forces at once.

 

Source: Tearing Down Black America | Boston Review

Their Family Bought Land One Generation After Slavery. The Reels Brothers Spent Eight Years in Jail for Refusing to Leave It.

Their Family Bought Land One Generation After Slavery.

Licurtis Reels, left, and Melvin Davis.

The Reels Brothers Spent Eight Years in Jail for Refusing to Leave It.

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reels-land

IN THE SPRING OF 2011, the brothers Melvin Davis and Licurtis Reels were the talk of Carteret County, on the central coast of North Carolina. Some people said that the brothers were righteous; others thought that they had lost their minds. That March, Melvin and Licurtis stood in court and refused to leave the land that they had lived on all their lives, a portion of which had, without their knowledge or consent, been sold to developers years before. The brothers were among dozens of Reels family members who considered the land theirs, but Melvin and Licurtis had a particular stake in it. Melvin, who was 64, with loose black curls combed into a ponytail, ran a club there and lived in an apartment above it. He’d established a career shrimping in the river that bordered the land, and his sense of self was tied to the water. Licurtis, who was 53, had spent years building a house near the river’s edge, just steps from his mother’s.

Their great-grandfather had bought the land a hundred years earlier, when he was a generation removed from slavery. The property — 65 marshy acres that ran along Silver Dollar Road, from the woods to the river’s sandy shore — was racked by storms. Some called it the bottom, or the end of the world. Melvin and Licurtis’ grandfather Mitchell Reels was a deacon; he farmed watermelons, beets and peas, and raised chickens and hogs. Churches held tent revivals on the waterfront, and kids played in the river, a prime spot for catching red-tailed shrimp and crabs bigger than shoes. During the later years of racial-segregation laws, the land was home to the only beach in the county that welcomed black families. “It’s our own little black country club,” Melvin and Licurtis’ sister Mamie liked to say. In 1970, when Mitchell died, he had one final wish. “Whatever you do,” he told his family on the night that he passed away, “don’t let the white man have the land.”

Mitchell didn’t trust the courts, so he didn’t leave a will. Instead, he let the land become heirs’ property, a form of ownership in which descendants inherit an interest, like holding stock in a company. The practice began during Reconstruction, when many African Americans didn’t have access to the legal system, and it continued through the Jim Crow era, when black communities were suspicious of white Southern courts. In the United States today, 76% of African Americans do not have a will, more than twice the percentage of white Americans.

Many assume that not having a will keeps land in the family. In reality, it jeopardizes ownership. David Dietrich, a former co-chair of the American Bar Association’s Property Preservation Task Force, has called heirs’ property “the worst problem you never heard of.” The U.S. Department of Agriculture has recognized it as “the leading cause of Black involuntary land loss.” Heirs’ property is estimated to make up more than a third of Southern black-owned land — 3.5 million acres, worth more than $28 billion. These landowners are vulnerable to laws and loopholes that allow speculators and developers to acquire their property. Black families watch as their land is auctioned on courthouse steps or forced into a sale against their will.

Between 1910 and 1997, African Americans lost about 90% of their farmland. This problem is a major contributor to America’s racial wealth gap; the median wealth among black families is about a tenth that of white families. Now, as reparations have become a subject of national debate, the issue of black land loss is receiving renewed attention. A group of economists and statisticians recently calculated that, since 1910, black families have been stripped of hundreds of billions of dollars because of lost land. Nathan Rosenberg, a lawyer and a researcher in the group, told me, “If you want to understand wealth and inequality in this country, you have to understand black land loss.”

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The waterfront that borders the 65-acre tract.

By the time of Melvin and Licurtis’ hearing in 2011, they had spent decades fighting to keep the waterfront on Silver Dollar Road. They’d been warned that they would go to jail if they didn’t comply with a court order to stay off the land, and they felt betrayed by the laws that had allowed it to be taken from them. They had been baptized in that water. “You going to go there, take my dreams from me like that?” Licurtis asked on the stand. “How about it was you?”

They expected to argue their case in court that day. Instead, the judge ordered them sent to jail, for civil contempt. Hearing the ruling, Melvin handed his 83-year-old mother, Gertrude, his flip phone and his gold watch. As the eldest son, he had promised relatives that he would assume responsibility for the family. “I can take it,” he said. Licurtis looked at the floor and shook his head. He had thought he’d be home by the afternoon; he’d even left his house unlocked. The bailiff, who had never booked anyone in civil superior court, had only one set of handcuffs. She put a cuff on each brother’s wrist, and led them out the back door. The brothers hadn’t been charged with a crime or given a jury trial. Still, they believed so strongly in their right to the property that they spent the next eight years fighting the case from jail, becoming two of the longest-serving inmates for civil contempt in U.S. history.


LAND WAS AN IDEOLOGICAL PRIORITY for black families after the Civil War, when nearly 4 million people were freed from slavery. On Jan. 12, 1865, just before emancipation, the Union Army Gen. William Tecumseh Sherman met with 20 black ministers in Savannah, Georgia, and asked them what they needed. “The way we can best take care of ourselves is to have land,” their spokesperson, the Rev. Garrison Frazier, told Sherman. Freedom, he said, was “placing us where we could reap the fruit of our own labor.” Sherman issued a special field order declaring that 400,000 acres formerly held by Confederates be given to African Americans — what came to be known as the promise of “40 acres and a mule.” The following year, Congress passed the Southern Homestead Act, opening up an additional 46 million acres of public land for Union supporters and freed people.

The promises never materialized. In 1876, near the end of Reconstruction, only about 5% of black families in the Deep South owned land. But a new group of black landowners soon established themselves. Many had experience in the fields, and they began buying farms, often in places with arid or swampy soil, especially along the coast. By 1920, African Americans, who made up 10% of the population, represented 14% of Southern farm owners.

Swimmers at the beach on Silver Dollar Road.

A white-supremacist backlash spread across the South. At the end of the 19th century, members of a movement who called themselves Whitecaps, led by poor white farmers, accosted black landowners at night, beating them or threatening murder if they didn’t abandon their homes. In Lincoln County, Mississippi, Whitecaps killed a man named Henry List, and more than 50 African Americans fled the town in a single day. Over two months in 1912, violent white mobs in Forsyth County, Georgia, drove out almost the entire black population — more than a thousand people. Ray Winbush, the director of the Institute for Urban Research, at Morgan State University, told me, “There is this idea that most blacks were lynched because they did something untoward to a young woman. That’s not true. Most black men were lynched between 1890 and 1920 because whites wanted their land.”

By the second half of the 20th century, a new form of dispossession had emerged, officially sanctioned by the courts and targeting heirs’ property owners without clear titles. These landowners are exposed in a variety of ways. They don’t qualify for certain Department of Agriculture loans to purchase livestock or cover the cost of planting. Individual heirs can’t use their land as collateral with banks and other institutions, and so are denied private financing and federal home-improvement loans. They generally aren’t eligible for disaster relief. In 2005, Hurricane Katrina laid bare the extent of the problem in New Orleans, where 25,000 families who applied for rebuilding grants had heirs’ property. One Louisiana real-estate attorney estimated that up to $165 million of recovery funds were never claimed because of title issues.

Heirs are rarely aware of the tenuous nature of their ownership. Even when they are, clearing a title is often an unaffordable and complex process, which requires tracking down every living heir, and there are few lawyers who specialize in the field. Nonprofits often pick up the slack. The Center for Heirs’ Property Preservation, in South Carolina, has cleared more than 200 titles in the past decade, almost all of them for African-American families, protecting land valued at nearly $14 million. Josh Walden, the center’s chief operating officer, told me that it had mapped out a hundred thousand acres of heirs’ property in South Carolina. He said that investors hoping to build golf courses or hotels can target these plots. “We had to be really mindful that we didn’t share those maps with anyone, because otherwise they’d be a shopping catalogue,” he told me. “And it’s not as if it dries up. New heirs’ property is being created every day.”

Through interviews and courthouse records, I analyzed more than three dozen cases from recent years in which heirs’ property owners lost land — land that, for many of them, was not only their sole asset but also a critical part of their heritage and their sense of home. The problem has been especially acute in Carteret County. Beaufort, the county seat, was once the site of a major refugee camp for freed people. Black families eventually built homes near where the tents had stood. But in the 1970s the town became a tourist destination, with upscale restaurants, boutiques, and docks for yachts. Real-estate values surged, and out-of-town speculators flooded the county. David Cecelski, a historian of the North Carolina coast, told me, “You can’t talk to an African-American family who owned land in those counties and not find a story where they feel like land was taken from them against their will, through legal trickery.”


Gertrude’s yard, near the trailers of relatives.

BEAUFORT IS A QUAINT TOWN, lined with coastal cottages and Colonial homes. When I arrived, last fall, I drove 20 miles to Silver Dollar Road, where Melvin and Licurtis’ family lives in dozens of trailers and wood-panelled houses, scattered under pine and gum trees.

Melvin and Licurtis’ mother, Gertrude, greeted me at her house and led me into her living room, where porcelain angels lined one wall. Gertrude is tough and quiet, her high voice muffled by tobacco that she packs into her cheek. People call her Mrs. Big Shit. “It’s because I didn’t pay them no mind,” she told me. The last of Mitchell Reels’ children to remain on the property, she is the family matriarch. Grandchildren, nieces and nephews let themselves into her house to pick up mail or take out her trash. Around dinnertime on the day I was there, the trickle of visitors turned into a crowd. Gertrude went into the kitchen, coated fish fillets with cornmeal and fried them for everyone.

Her daughter Mamie told me that Melvin and Licurtis had revelled in the land as kids, playing among the inky eels and conch shells. In the evenings, the brothers would sit on the porch with their cousins, a rag burning to keep the mosquitoes away. On weekends, a pastor strode down the dirt street, robed in white, his congregants singing “Wade in the Water.” Licurtis was a shy, humble kid who liked working in the cornfields. Melvin was his opposite. “When the school bus showed up, when he come home, the crowd would come with him and stay all night,” Gertrude said. When Melvin was 9, he built a boat from pine planks and began tugging it along the shore. A neighbor offered to teach him how to shrimp, and, in the summer, Melvin dropped nets off the man’s trawler. He left school in the 10th grade; his catch was bringing in around a thousand dollars a week. He developed a taste for sleek cars, big jewelry and women, and started buying his siblings Chuck Taylors and Timberlands.

Gertrude was the administrator of the estate. She’d left school in the eighth grade and wasn’t accustomed to navigating the judicial system, but after Mitchell’s death she secured a court ruling declaring that the land belonged to his heirs. The judgment read, “The surviving eleven (11) children or descendants of children of Mitchell Reels are the owners of the lands exclusive of any other claim of any one.”

Gertrude in her living room overlooking the shoreline.

In 1978, Gertrude’s uncle Shedrick Reels tried to carve out for himself the most valuable slice of land, on the river. He used a legal doctrine called adverse possession, which required him to prove that he had occupied the waterfront for years, continuously and publicly, against the owners’ wishes. Shedrick, who went by Shade and worked as a tire salesman in New Jersey, hadn’t lived on Silver Dollar Road in 27 years. But he claimed that “tenants” had stood in for him — he had built a house on the waterfront in 1950, and relatives had rented it or run it as a club at various times since. Some figured that it was Shade’s land. He also produced a deed that his father, Elijah, had given him in 1950, even though Mitchell, another of Elijah’s sons, had owned the land at the time.

Shade made his argument through an obscure law called the Torrens Act. Under Torrens, Shade didn’t have to abide by the formal rules of a court. Instead, he could simply prove adverse possession to a lawyer, whom the court appointed, and whom he paid. The Torrens Act has long had a bad reputation, especially in Carteret. “It’s a legal way to steal land,” Theodore Barnes, a land broker there, told me. The law was intended to help clear up muddled titles, but, in 1932, a law professor at the University of North Carolina found that it had been co-opted by big business. One lawyer said that people saw it as a scheme “whereby rich men could seize the lands of the poor.” Even Shade’s lawyer, Nelson Taylor, acknowledged that it was abused; he told me that his own grandfather had lost a 50-acre plot to Torrens. “First time he knew anything about it was when somebody told him that he didn’t own it anymore,” Taylor said. “That was happening more often than it ever should have.”

Mitchell’s kids and grandkids were puzzled that Shade’s maneuver was legal—they had Mitchell’s deed and a court order declaring that the land was theirs. And they had all grown up on that waterfront. “How can they take this land from us and we on it?” Melvin said. “We been there all our days.” Gertrude’s brother Calvin, who handled legal matters for the family, hired Claud Wheatly III, the son of one of the most powerful lawyers in town, to represent the siblings at a Torrens hearing about the claim. Gertrude, Melvin and his cousin Ralphele Reels, the only surviving heirs who attended the hearing, said that they left confident that the waterfront hadn’t gone to Shade. “No one in the family thought at the end of the day that it was his land and we were going to walk away from it forever,” Ralphele told me.

Wheatly told me a different story. In his memory, the Torrens hearing was chaotic, but the heirs agreed to give Shade, who has since died, the waterfront. When I pressed Wheatly, he conceded that not all the heirs liked the outcome, but he said that Calvin had consented. “I would have been upset if Calvin had not notified them, because I generally don’t get involved in those things without having a family representative in charge,” he told me. He said that he never had a written agreement with Calvin — just a conversation. (Calvin died shortly after the hearing.) The lawyer examining Shade’s case granted him the waterfront, and Wheatly signed off on the decision. The Reels family, though it didn’t yet know it, had lost the rights to the land on the shoreline.

Licurtis had set up a trailer near the river a couple of years earlier, in 1977. He was working as a brick mason and often hosted men from the neighborhood for Budweiser and beans in the evenings. Melvin had become the center of a local economy on the shore. He taught the men how to work the water, and he paid the women to prepare his catch, pressing the soft crevice above the shrimps’ eyes and popping off their heads. He had a son, Little Melvin, and in the summers his nephews and cousins came to the beach, too. One morning, he took eight of them out on the water and then announced that he’d made a mistake: only four were allowed on the boat. He threw them overboard one by one. “We’re thinking, We’re gonna drown,” one cousin told me. “And he jumps off the boat with us and teaches us how to swim.”

In 1982, Melvin and Gertrude received a trespassing notice from Shade. They took it to a lawyer, who informed them that Shade now legally owned a little more than 13 acres of the 65-acre plot. The family was stunned, and suspicious of the claim’s validity. Many of the tenants listed to prove Shade’s continuous possession were vague or unrecognizable, like “Mitchell Reels’ boy,” or “Julian Leonard,” whom Gertrude had never heard of. (She had a sister named Julia and a brother named Leonard but no memory of either one living on the waterfront.) The lawyer who granted the land to Shade had also never reported the original court ruling that Gertrude had won, as he should have done.

Shade’s ownership would be almost impossible to overturn. There’s a one-year window to appeal a Torrens decision in North Carolina, and the family had missed it by two years. Soon afterward, Shade sold the land to developers.

Melvin’s club, Fantasy Island, still stands on the 13-acre plot that the Reels lost.

THE REELSES KNEW that if condos or a marina were built on the waterfront the remaining 50 acres of Silver Dollar Road could be taxed not as small homes on swampy fields but as a high-end resort. If they fell behind on the higher taxes, the county could auction off their property. “It would break our family right up,” Melvin told me. “You leave here, you got no more freedom.”

This kind of tax sale has a long history in the dispossession of heirs’ property owners. In 1992, the NAACP accused local officials of intentionally inflating taxes to push out black families on Daufuskie, a South Carolina sea island that has become one of the hottest real-estate markets on the Atlantic coast. Property taxes had gone up as much as 700% in a single decade. “It is clear that the county has pursued a pattern of conduct that disproportionately displaces or evicts African-Americans from Daufuskie, thereby segregating the island and the county as a whole,” the NAACP wrote to county officials. Nearby Hilton Head, which as recently as two decades ago comprised several thousand acres of heirs’ property, now, by one estimate, has a mere 200 such acres left. Investors fly into the county each October to bid on tax-delinquent properties in a local gymnasium.

In the upscale town of Summerville, South Carolina, I met Wendy Reed, who, in 2012, was late paying $83.81 in taxes on the lot she had lived on for nearly four decades. A former state politician named Thomas Limehouse, who owned a luxury hotel nearby, bought Reed’s property at a tax sale for $2,000, about an eighth of its value. Reed had a year to redeem her property, but, when she tried to pay her debt, officials told her that she couldn’t get the land back, because she wasn’t officially listed as her grandmother’s heir; she’d have to go through probate court. Here she faced another obstacle: heirs in South Carolina have 10 years to probate an estate after the death of the owner, and Reed’s grandmother had died 30 years before. Tax clerks in the county estimate that each year they send about a quarter of the people who try to redeem delinquent property to probate court because they aren’t listed on the deed or named by the court as an heir. Limehouse told me, “To not probate the estate and not pay the taxes shouldn’t be a reason for special dispensation. When you let things go, you can’t blame the county.” Reed has been fighting the case in court since 2014. “I’m still not leaving,” she told me. “You’ll have to pack my stuff and put me off.”


FOR YEARS, the conflict on Silver Dollar Road was dormant, and Melvin continued expanding his businesses. Each week, Gertrude packed two-pound bags of shrimp to sell at the farmers’ market, along with petunias and gardenias from her yard. Melvin was also remodelling a night club, Fantasy Island, on the shore. He’d decked it out with disco lights and painted it white, he said, so that “on the water it would shine like gold.”

The majority of the property remained in the family, including the land on which Gertrude’s house stood. But Licurtis had been building a home in place of his trailer on the contested waterfront. “It was the most pretty spot,” he told me. “I’d walk to the water, and look at my yard, and see how beautiful it was.” He’d collected the signatures of other heirs to prove that he had permission, and registered a deed.

A palm tree and colored lights inside Fantasy Island.

When real-estate agents or speculators came to the shore, Melvin tried to scare them away. A developer told me that once, when he showed the property to potential buyers, “Melvin had a roof rack behind his pickup, jumped out, snatched a gun out.” It wasn’t the only time that Melvin took out his rifle. “You show people that you got to protect yourself,” he told me. “Any fool who wouldn’t do that would be crazy.” His instinct had always been to confront a crisis head on. When hurricanes came through and most people sought higher ground, he’d go out to his trawler and steer it into the storm.

The Reels family began to believe that there was a conspiracy against them. They watched Jet Skis crawl slowly past in the river and shiny SUVs drive down Silver Dollar Road; they suspected that people were scouting the property. Melvin said that he received phone calls from mysterious men issuing threats. “I thought people were out to get me,” he said. Gertrude remembers that, one day at the farmers’ market, a white customer sneered that she was the only thing standing in the way of development.

In 1986, Billie Dean Brown, a partner at a real-estate investment company called Adams Creek Associates, had bought Shade’s waterfront plot sight unseen to divide and sell. Brown was attracted to the strength of the Torrens title, which he knew was effectively incontrovertible. When he discovered that Melvin and Licurtis lived on the property, he wasn’t troubled. Brown was known among colleagues as Little Caesar — a small man who finished any job he started. In the early 2000s, he hired a lawyer: Claud Wheatly III. The man once tasked with protecting the Reels family’s land was now being paid to evict them from it. Melvin and Licurtis saw Wheatly’s involvement as a clear conflict of interest. Their lawyers tried to disqualify Wheatly, arguing that he was breaching confidentiality and switching sides, but the judge denied the motions.

Claud Wheatly III at his office.

Earlier this year, I met Wheatly in his office, a few blocks from the county courthouse. Tall and imposing, he has a ruddy face and a teal-blue stare. We sat under the head of a stuffed warthog, and he chewed tobacco as we spoke. He told me that he had no confidential information about the Reelses, and that he’d never represented Melvin and Licurtis; he’d represented their mother and her siblings. “Melvin won’t own one square inch until his mother dies,” he said.

In 2004, Wheatly got a court order prohibiting the brothers from going on the waterfront property. The Reels family began a series of appeals and filings asking for the decree to be set aside, but judge after judge ruled that the family had waited too long to contest the Torrens decision.

Licurtis didn’t talk about the case, and tried to hide his stress. But, Mamie told me, “you could see him wearing it.” Occasionally, she would catch a glimpse of him pacing the road early in the morning. When he first understood that he could face time in jail for remaining in his house, he tried removing the supports underneath it, thinking that he could hire someone to wrench the foundation from the mud and move it elsewhere. Gertrude wouldn’t allow him to go through with it. “You’re not going with the house nowhere,” she told him. “That’s yours.”

At 4 a.m. on a spring day in 2007, Melvin was asleep in his apartment above the club when he heard a boom, like a crash of thunder. He went to the shore and found that his trawler, named Nancy J., was sinking. Yellow plastic gloves, canned beans and wooden crab boxes floated in the water. There was a large hole in the hull, and Melvin realized that the boom had been an explosion. He filed a report with the sheriff’s office, but it never confirmed whether an explosive was used or whether it was an accident, and no charges were filed. Melvin began to wake with a start at night, pull out his flashlight, and scan the fields for intruders.

By the time of the brothers’ hearing in 2011, Melvin had lost so much weight that Licurtis joked that he could store water in the caverns by his collarbones. The family had come to accept that the dispute wasn’t going away. If the brothers had to go to jail, they would. Even after the judge in the hearing found them guilty of civil contempt, Melvin said, “I ain’t backing down.” Licurtis called home later that day. “It’ll be all right,” he told Gertrude. “We’ll be home soon.”


ONE OF THE MOST PERNICIOUS legal mechanisms used to dispossess heirs’ property owners is called a partition action. In the course of generations, heirs tend to disperse and lose any connection to the land. Speculators can buy off the interest of a single heir, and just one heir or speculator, no matter how minute his share, can force the sale of an entire plot through the courts. Andrew Kahrl, an associate professor of history and African-American studies at the University of Virginia, told me that even small financial incentives can have the effect of turning relatives against one another, and developers exploit these divisions. “You need to have some willing participation from black families — driven by the desire to profit off their land holdings,” Kahrl said. “But it does boil down to greed and abuse of power and the way in which Americans’ history of racial inequality can be used to the advantage of developers.” As the Reels family grew over time, the threat of a partition sale mounted; if one heir decided to sell, the whole property would likely go to auction at a price that none of them could pay.

When courts originally gained the authority to order a partition sale, around the time of the Civil War, the Wisconsin Supreme Court called it “an extraordinary and dangerous power” that should be used sparingly. In the past several decades, many courts have favored such sales, arguing that the value of a property in its entirety is greater than the value of it in pieces. But the sales are often speedy and poorly advertised, and tend to fetch below-market prices.

On the coast of North Carolina, I met Billy Freeman, who grew up working in the parking lot of his uncle’s beachside dance hall, Monte Carlo by the Sea. His family, which once owned thousands of acres, ran the largest black beach in the state, with juke joints and crab shacks, an amusement park and a three-story hotel. But, over the decades, developers acquired interests from other heirs, and, in 2008, one firm petitioned the court for a sale of the whole property. Freeman attempted to fight the partition for years. “I didn’t want to lose the land, but I felt like everybody else had sold,” he told me. In 2016, the beach, which covered 170 acres, was sold to the development firm for $1.4 million. On neighboring beaches, that sum could buy a tiny fraction of a parcel so large. Freeman got only $30,000.

Billy Freeman on a pier that remains in his family’s possession.

The lost property isn’t just money; it’s also identity. In one case that I examined, the mining company PCS Phosphate forced the sale of a 40-acre plot, which contained a family cemetery, against the wishes of several heirs, whose ancestors had been enslaved on the property. (A spokesperson for the company told me that it is a “law-abiding corporate citizen.”)

Some speculators use questionable tactics to acquire property. When Jessica Wiggins’ uncle called her to say that a man was trying to buy his interest in their family’s land, she didn’t believe him; he had dementia. Then, in 2015, she learned that a company called Aldonia Farms had purchased the interests of four heirs, including her uncle, and had filed a partition action. “What got me was we had no knowledge of this person,” Wiggins told me, of the man who ran Aldonia. (Jonathan S. Phillips, who now runs Aldonia Farms, told me that he wasn’t there at the time of the purchase, and that he’s confident no one would have taken advantage of the uncle’s dementia.) Wiggins was devastated; the 18 acres of woods and farmland that held her great-grandmother’s house was the place that she had felt safest as a child. The remaining heirs still owned 61% of the property, but there was little that they could do to prevent a sale. When I visited the land with Wiggins, her great-grandmother’s house had been cleared, and Aldonia Farms had erected a gate. Phillips told me, “Our intention was not to keep them out but to be good stewards of the property and keep it from being littered on and vandalized.”

Last fall, Wiggins and her relatives gathered for the auction of the property on the courthouse steps in the town of Windsor. A bronze statue of a Confederate soldier stood behind them. Wiggins’ cousin Danita Pugh walked up to Aldonia Farms’ lawyer and pulled her deed out of an envelope. “You’re telling me that they’re going to auction it off after showing you a deed?” she said. “I’m going to come out and say it. The white man takes the land from the black.”

Hundreds of partition actions are filed in North Carolina every year. Carteret County, which has a population of 70,000, has one of the highest per-capita rates in the state. I read through every Carteret partition case concerning heirs’ property from the past decade, and found that 42% of the cases involved black families, despite the fact that only 6% of Carteret’s population is black. Heirs not only regularly lose their land; they are also required to pay the legal fees of those who bring the partition cases. In 2008, Janice Dyer, a research associate at Auburn University, published a study of these actions in Macon County, Alabama. She told me that the lack of secure ownership locks black families out of the wealth in their property. “The Southeast has these amazing natural resources: timber, land, great fishing,” she said. “If somebody could snap their fingers and clear up all these titles, how much richer would the region be?”

Mansions on land once owned by Freeman’s family.

Thomas W. Mitchell, a property-law professor at Texas A&M University School of Law, has drafted legislation aimed at reforming this system, which has now passed in 14 states. He told me that heirs’ property owners, particularly those who are African-American, tend to be “land rich and cash poor,” making it difficult for them to keep the land in a sale. “They don’t have the resources to make competitive bids, and they can’t even use their heirs’ property as collateral to get a loan to participate in the bidding more effectively,” he said. His law, the Uniform Partition of Heirs Property Act, gives family members the first option to buy, sends most sales to the open market, and mandates that courts, in their decisions to order sales, weigh non-economic factors, such as the consequences of eviction and whether the property has historic value. North Carolina is one of eight states in the South that has held out against these reforms. The state also hasn’t repealed the Torrens Act. It is one of fewer than a dozen states where the law is still on the books.

Last year, Congress passed the Agricultural Improvement Act, which, among other things, allows heirs’ property owners to apply for Department of Agriculture programs using nontraditional paperwork, such as a written agreement between heirs. “The alternative documentation is really, really important as a precedent,” Lorette Picciano, the executive director of Rural Coalition, a group that advocated for the reform, told me. “The next thing we need to do is make sure this happens with FEMA, and flood insurance, and housing programs.” The bill also includes a lending program for heirs’ property owners, which will make it easier for them to clear titles and develop succession plans. But no federal funding has been allocated for these loans.


THE FIRST TIME I MET Melvin and Licurtis in the Carteret jail, Melvin filled the entire frame of the visiting-room window. He is a forceful presence, and prone to exaggeration. His hair, neatly combed, was streaked with silver. He didn’t blink as he spoke. Licurtis had been given a diagnosis of diabetes, and leaned against a stool for support. He still acted like a younger brother, never interrupting Melvin or challenging his memory. He told me that, at night, he dreamed of the shore, of storms blowing through his house. “The water rising,” Licurtis said. “And I couldn’t do nothing about it.” He was worried about his mother. “If they took this land from my mama at her age, and she’d been farming it all her life, you know that would kill her,” he told me.

The brothers were seen as local heroes for resisting the court order. “They want to break your spirits,” their niece Kim Duhon wrote to them. “God had you both picked out for this.” Even strangers wrote. “When I was a kid, it used to sadden me that white folks had Radio Island, Atlantic Beach, Sea Gate and other places to swim, but we didn’t!” one letter from a local woman read. She wrote that, when she was finally taken to Silver Dollar Road, “I remember seeing nothing but my own kind (Blk Folks!).”

In North Carolina, civil contempt is most commonly used to force defendants to pay child support. When the ruling requires a defendant to pay money other than child support, a new hearing is held every 90 days. After the first 90 days had passed, Melvin asked a friend in jail to write a letter on his behalf. (Melvin couldn’t read well, and he needed help writing.) “I’ve spent 91 days on a 90 day sentence and I don’t understand why,” the letter read. “Please explain this to me! So I can go home, back to work. Sincerely, Melvin Davis.” The brothers learned that although Billie Dean Brown’s lawyer had asked for 90 days, the court had decided that there would be no time restriction on their case, and that they could be jailed until they presented evidence that they had removed their homes. They continued to hold out. Brown wasn’t demolishing their buildings while they were incarcerated, and so they believed that they still had a shot at convincing the courts that the land was theirs. That fall, Brown told the Charlotte Observer, “I made up my mind, I will die and burn in hell before I walk away from this thing.” When I reached Brown recently, he told me that he was in an impossible position. “We’ve had several offers from buyers, but once they learned of the situation they withdrew,” he said.

A house that Melvin built, now wrecked, near the waterfront.

Three months turned into six, and a year turned into several. Jail began to take a toll on the brothers. The facility was designed for short stays, with no time outside, and nowhere to exercise. They couldn’t be transferred to a prison, because they hadn’t been convicted of a crime. Early on, Melvin mediated fights between inmates and persuaded them to sneak in hair ties for him. But over time he stopped taking care of his appearance and became withdrawn. He ranted about the stolen land, though he couldn’t quite nail down who the enemy was: Shade or Wheatly or Brown, the sheriffs or the courts or the county. The brothers slept head to head in neighboring beds. “Melvin would say crazy things,” Licurtis told me. “Lay on down and go to sleep, wake up, and say the same thing again. It wore me down.” Melvin is proud and guarded, but he told me that the case had broken him. “I’m not ashamed to own it,” he said. “This has messed my mind up.”

Without the brothers, Silver Dollar Road lost its pulse. Mamie kept her blinds down; she couldn’t stand to see the deserted waterfront. At night, she studied her brothers’ case, thumbing through the court files and printing out the definitions of words that she didn’t understand, like “rescind” and “contempt.” She filled a binder with relatives’ obituaries, so that once her brothers got out they would have a record of who had passed away. When Claud Wheatly’s father died, she added his obituary. “I kept him for history,” she told me.

Gertrude didn’t have the spirit to farm. Most days, she sat in a tangerine armchair by her window, cracking peanuts or watching the shore like a guard. This winter, we looked out in silence as Brown’s caretaker drove through the property. Melvin and Licurtis wouldn’t allow Gertrude to visit them in jail. Licurtis said that “it hurt so bad” to see her leave.

Other members of the family — Melvin and Licurtis’ brother Billy, their nephew Roderick and their cousin Shawn — kept trying to shrimp, but the river suddenly seemed barren. “It might sound crazy, but it was like the good Lord put a curse on this little creek, where ain’t nobody gonna catch no shrimp until they’re released,” Roderick told me. Billy added, “It didn’t feel right no more with Melvin and them not there, because we all looked out for one another. Some mornings, you didn’t even want to go.”

Debris on the beach.

Sheriff’s deputies came to the property a few times a week, and they wouldn’t allow the men to dock their boats on the pier. One by one, the men lost hope and sold their trawlers. Shawn took a job at Best Buy, cleaning the store for $11.50 an hour, and eventually moved to Newport, 30 miles southwest, where it was easier to make rent. Billy got paid to fix roofs but soon defaulted on the mortgage for his house on Silver Dollar Road. “One day you good, and the next day you can’t believe it,” he told me.

Roderick kept being charged with trespassing, for walking on the waterfront, and he was racking up thousands of dollars in legal fees. He’d recently renovated his boat — putting in an aluminum gas tank, large spotlights and West Marine speakers — but, without a place to dock, he saw no way to hold on to it. He found work cutting grass and posted his boat on Craigslist. A white man responded. They met at the shore, and, as the man paid, Roderick began to cry. He walked up Silver Dollar Road with his back to the river. He told me, “I just didn’t want to see my boat leave.”


THE REELS BROTHERS were locked in a hopeless clash with the law. One judge who heard their case likened them to the Black Knight in “Monty Python and the Holy Grail,” who attempts to guard his forest against King Arthur. “Even after King Arthur has cut off both of the Black Knight’s arms and legs, he still insists that he will continue to fight and that no one may pass — although he cannot do anything,” the judge wrote, in an appeals-court dissent.

In February, nearly eight years after Melvin and Licurtis went to jail, they stood before a judge in Carteret to request their release. They were now 72 and 61, but they remained defiant. Licurtis said that he would go back on the property “just as soon as I walk out of here.” Melvin said, “I believe that land is mine.” They had hired a new lawyer, who argued that it would cost almost $50,000 to tear down the brothers’ homes. Melvin had less than $4,000 in the bank; Licurtis had nothing. The judge announced that he was releasing them. He warned them, however, that if they returned to their homes they’d “be right back in jail.” He told them, “The jailhouse keys are in your pockets.”

Melvin, left, and Licurtis, on his mother’s porch, with his former house behind him.

An hour later, the brothers emerged from the sheriff’s department. Melvin surveyed the parking lot, which was crowded with friends and relatives. “About time!” he said, laughing and exchanging hugs. “You stuck with me.” When he spotted Little Melvin, who was now 39, he extended his arm for a handshake. Little Melvin pulled it closer and buried his face in his father’s shoulder, sobbing.

When Licurtis came out, he folded over, as if his breath had been pulled out of him. Mamie wrapped her arms around his neck, led him to her car, and drove him home. When they reached Silver Dollar Road, she honked the horn all the way down the street. “Back on Silver Dollar Road,” Licurtis said, pines flickering by his window. “Mm-mm-mm-mm-mm.”

Melvin spent his first afternoon shopping for silk shirts and brown leather shoes and a cell phone that talked to him. Old acquaintances stopped him — a man who thanked him for his advice about hauling dirt, a DJ who used to spin at Fantasy Island. While in jail, Melvin had been keeping up with his girlfriends, and 11 women called looking for him.

Melvin told me that he’d held on for his family, and for himself, too. But away from the others his weariness showed. He acknowledged that he was worried about what would happen, his voice almost a whisper. “They can’t keep on doing this. There’s got to be an ending somewhere,” he said.

A few days later, Gertrude threw her sons a party, and generations of relatives came. The family squeezed together on her armchairs, eating chili and biscuits and lemon pie. Mamie gave a speech. “We gotta get this water back,” she said, stretching her arms wide. “We gotta unite. A chain’s only as strong as the links in it.” The room answered, “That’s right.” The brothers, who were staying with their mother, kept saying, “Once we get this land stuff sorted out . . .” Relatives who had left talked about coming back, buying boats and go-karts for their kids. It was less a plan than a fantasy — an illusion that their sense of justice could overturn the decision of the law.

Pine trees by the shore.

The brothers hadn’t stepped onto the waterfront since they’d been back. The tract was 100 feet away but out of reach. Fantasy Island was a shell, the plot around it overgrown. Still, Melvin seemed convinced that he would restore it. “Put me some palm trees in the sand and build some picnic tables,” he said.

After the party wound down, I sat with Licurtis on his mother’s porch as he gazed at his house, which was moldy and gutted, its frame just visible in the purple dusk. He reminisced about the house’s wood-burning heater, the radio that he’d always left playing. He said that he planned to build a second story and raise the house to protect it from floods. He wanted a wraparound deck and big windows. “I’ll pour them walls solid all the way around,” he said. “We’ll bloom again. Ain’t going to be long.”


Worried about protecting heirs’ property owners? We made a list of ways that families can protect themselves and describe legislative reforms that experts have proposed.

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Lizzie Presser covers health and healthcare policy at ProPublica. She previously worked as a contributing writer for The California Sunday Magazine, where she wrote about labor, immigration, and how social policy is experienced.

Design and production by Jillian Kumagai and Agnes Chang.