Official Statement

National APAMSA is proud to sign onto the following petition for racial justice in eGFR reporting. Race is a sociological construct, not a biological fact, and race-based tests and therapies should no longer be an unquestioned part of our medical practices. We are passing on the following request from the petition authors for individuals to sign on to the petition:

Since June, numerous institutions across the country, including UCSF, have successfully eliminated race-based eGFR reporting, but it needs to happen in ALL hospitals. So, with this new, national petition, we are taking our demands to the National Kidney Foundation-American Society of Nephrology (NKF-ASN) and beyond.

If you haven’t already, please sign on to the National Petition for Racial Justice in eGFR reporting. Link for sharing: https://tinyurl.com/change-egfr

This is not just about eGFR, and it’s not just about 1 or 2 individually isolated problematic race-based equations or guidelines. It’s a whole system’s problem of weaponizing race as biology. And it’s not just about our institution. It’s all of healthcare. Thank you for considering signing on!

In solidarity,
Drs. Monica Hahn, Stephen Richmond, Juliana Morris, Nathan Kim, and Vanessa Grubb

On September 25th 2020, the Department of Homeland Security released a proposal to limit foreign student visas to two years. According to the proposal, after two years, the students will have to reapply for an extension to stay in the country and complete their education. The supposed purpose is to allow for increased accountability, identification of security threats, and oversight regarding the foreign students, such as discontinuing education for students who are “more likely to fail”. The proposal specifically targets students from 59 countries – those designated as “state sponsors of terrorism” and those with a high rate of visa overstays. The majority of these students are from African nations, China, India, Brazil, and Canada.

This proposal is not the first time Trump has attempted to decrease the number of foreign students and workers in the U.S.; in July of 2020, the administration attempted to remove all foreign students studying through online programs. This proposal may appear reasonable on its surface, but the vague criteria for discontinuation – such as “suspicion for potentially applying for additional immigration benefits” – allows too much room for for immigration officers to act on racism and xenophobia rather than national interest, and leaves international students to face the burden of uncertainty regarding their status and safety, as well as long and arduous re-application processes. Additionally, this proposal could deprive the country of high levels of revenue as well as future members of the skilled workforce, posing real consequences for the U.S. economy.

Finally, we are concerned that this proposal would disproportionately impact Asian American and Pacific Islander healthcare students. Nursing, physician, and scientist training programs all take longer than 2 years to complete, and our community makes up over 10% of the healthcare workforce. We stand opposed to this potential policy and to the treatment of our international students as threats, rather than assets, to our country.

In Solidarity,

National APAMSA

APAMSA mourns and condemns the murders of George Floyd (5/25/20), Breonna Taylor (3/13/20), Tony McDade (5/27/20), and Ahmaud Arbery (2/23/20).

We recognize that these senseless deaths are part of a long history of police brutality and violence against Black people in America. This is a public health issue: police brutality is a leading cause of death for young Black men in the United States, and the chronic stress associated with systemic racial inequity causes disproportionate suffering in Black communities through lower quality of life and mental health. Barriers to resources further exacerbate racial inequities in health outcomes for chronic diseases and acute illness alike, including COVID-19.

As Asian/Pacific Islander Americans, we recognize that anti-black racism is one of the foundations of injustice in the United States, and paves the way for racism against other people of color. Correspondingly, we know that Black activists paved the way for our communities in their fight for voting rights, for integration, for equality. So just as Black leaders have stood with us in solidarity against the anti-Asian racism exacerbated by this pandemic, we stand with them against anti-black racism and affirm that Black Lives Matter.

At the same time, we know that Asian communities have perpetrated anti-blackness, benefited from proximity to whiteness, and contributed to the oppression of Black communities. One of the police officers present at George Floyd’s murder was Asian; he was complicit, as many of us are, in his silence and inaction. We are committed to self-reflection, to identifying and rooting out anti-blackness within ourselves and our communities, and to learning from our Black colleagues.

Additionally, as future medical professionals, we are called to provide the best possible care for our patients, no matter who they are. Doing so, however, is impossible in a system where Black men are regularly and unjustly killed by law enforcement without consequence. This consistent failure to protect and serve Black communities directly undermines the work we do as healers for our Black patients. Thus, in our mission to “do no harm,” we must call out and work to dismantle racism in healthcare and in society more broadly. And we cannot do this alone: we need our institutions of learning to center the voices of our Black colleagues and teachers, recognize racism as a public health issue, and educate our next generation of healthcare leaders to combat racism throughout their careers.

Finally, as the leaders of APAMSA, we call on our members to stand with us, to learn more about these issues and the ways in which they have been complicit in anti-blackness, and to actively speak out and fight against racism. This is a difficult, emotionally challenging process, but we are all here to support each other as we improve our community, our society, and – most importantly – Black lives. To quote Angela Davis: “In a racist society, it is not enough to be non-racist. We must be antiracist.”

Actions:

• Join us in refraining from purchases on 7/7/20, aka #BlackoutDay2020

• Join our Anti-Blackness Workshop on 6/13 and/or UWashington’s workshop on 6/15!

• Join our national Anti-Racism Working Group.

• Donate:

  • George Floyd’s family’s fundraiser

  • Louisville Community Bail Fund

  • Minnesota Freedom Fund

• Speak out:

  • Sign this petition for #Asians4BlackLives

  • For Breonna Taylor

  • 2020 police brutality actions/resources masterlist

  • Allyship masterlist

  • BlackLivesMatter action masterlist

• Talk about racism with your families:

  • Conversation starters

  • Helpful roadmap

  • Compiled resources for convos w/ South Asian families

  • Letters for Black Lives translated into various Asian languages (also has videos if you can’t read!)

• Learn more:

  • #Asians4BlackLives official statement

  • Anti-black racism in healthcare / How to make black lives matter for COVID

  • Black/Asian feminist solidarity reading list

  • Asian Accountability To Black People: A very basic incomplete resource: bit.ly/aznsplzdobetter

  • API/Black Solidarity and Anti-Racism Resource List

  • http://antiracismforbeginners.com/

  • Nat’l Resource List:

  • Mini-Syllabus on Policing in the US

  • Free Online Course about African American History

In solidarity,

National APAMSA

Since SARS-CoV2 surfaced in Wuhan, China late last year, the pandemic has accelerated at an alarming pace and has now claimed more than 50,000 lives in the United States alone. Amid increasing reports of racist confrontations and widespread shortages of personal protective equipment (PPE), ventilators, hospital beds, testing kits, and healthcare workers, APAMSA is committed to supporting its members and assisting in nationwide efforts. Below, we provide resources for member students to stay informed and recommendations on how to get involved with your local community efforts.

Stay informed:

The situation continues to evolve at a rapid pace, with scientific data and policy guidelines being updated on a daily basis. In addition to conventional news sources, the following are great summative and digestible resources to stay up to date:

Harvard’s COVID curriculum for medical students

Kaiser Family Foundation’s COVID policy watch

Donating Medical Supplies:

Nationwide shortages of protective equipment have placed frontline healthcare workers at risk for contraction of COVID-19. Students who are able can contribute to supply efforts in the following ways:

1) Donate PPE to hospitals in your area

• DonatePPE.org

• GetUsPPE.org

• Covid19.give.providence.org

2) Make masks that local healthcare providers can use in situations where using an N95 respirator is not required (see instructional videos below). APAMSA will provide $50 grants to 5 chapters that organize mask-making drives! Please contact our Community Outreach Director Anthony Nguyen at outreach@apamsa.org if you are interested in this grant or if you would like National Board’s support in organizing a drive!

• How to Sew a Surgical Face Mask for Hospitals

• How to Make String Ties for a Cloth Face Mask

• How to Sew a Medical Face Mask with Ties

• JOANN Stores are Handing Out Free Fabric Supplies at Curbside to Anyone Sewing Face Masks at Home

Volunteer Opportunities:

Medical students are in a unique position during this pandemic. While several schools have offered early graduation to allow fourth year students to assist on the frontlines, junior students can also assist with community efforts in meaningful ways.

1) Those who are not volunteering on the front lines must stay at home to flatten the curve and minimize the burden on hospitals.

2) Volunteer and donate:

• Masterlist Sheet of Medical student volunteer opportunities – What is your school or chapter doing to combat COVID-19? Add it to this list!

• Donate to nonprofits supporting public health on various fronts

3) Disseminate multilingual resources to help patients who face language barriers to care, such as this AA and NHPI In-Language Resources for Coronavirus (COVID-19) compiled by the Asian and Pacific Islander American Health Forum (APIAHF)

Responding to Acts of Hatred:

With the virus initially breaking out in China and several high-profile figures referring to COVID-19 as “the Chinese virus”, there has been an increase in news reports of hate crimes against Asian & Pacific Islander Americans (APIA). APAMSA explicitly condemns these unconscionable acts and calls on members and peer organizations to help combat this hatred.

1. Your safety and the safety of others takes top priority. In response to active situations in which you or someone else is being harassed or attacked, some nonviolent approaches have involved de-escalation and/or intervening by offering support to the person being targeted.

• Hollaback! and Asian Americans Advancing Justice are hosting one-hour Bystander Intervention Training where you can learn more strategies to support those facing anti-APIA discrimination. There are six remaining training sessions next month. (We do not officially endorse any specific resource, as many organizations are addressing this issue)

2. Report hate crimes law enforcement or through online forms:

• Asian Pacific Policy and Planning Council

• StandAgainstHatred.org

• Call 1-800-771-7755 (Hotline for those in New York)

3. Be mindful of the language you use to talk about COVID-19

• This includes encouraging others to avoid language that equates Asian Americans with the virus or with the Chinese government, and discouraging jokes/memes that scapegoat APIA communities.

4) Demand your elected officials, campus leaders, and hospital administrators publicly denounce racism against APIA’s and enact policies that ensure protection and safety from racist violence.

5) Support APIA businesses that are struggling to attract customers due to stigma surrounding the virus.

6) Check in with APIA friends/colleagues and offer support.

In solidarity,

National APAMSA

On January 30 the U.S. State Department updated the travel advisory for China to “Level 4: Do Not Travel due to novel coronavirus first identified in Wuhan, China.” Following this advisory, President Trump declared the coronavirus a public health emergency in the United States and signed a proclamation suspending entry of non-U.S. citizens who have traveled to China in the 14 days preceding their attempted entry, except for immediate family of U.S. citizens or lawful permanent residents.

The President also mandated quarantine and medical screening of U.S. citizens upon their return to the U.S. Those who have been in China’s Hubei Province in the 14 days preceding their return will be subject to 14 days of mandatory quarantine. Those who have been to other areas of mainland China in the 14 days preceding their return will be subject to screening at the airport of entry and to heightened monitoring for 14 days.

Although a national response to this outbreak is certainly warranted, we are concerned that policies restricting international travel and collaboration may further escalate tensions by fomenting xenophobia out of proportion to the domestic threat of the outbreak. Through this approach, the U.S. is continuing a decades-old tradition of public health policies that encourage the blanket portrayal of Asian immigrants as carriers of terrible diseases. The American Civil Liberties Union also warned that these drastic measures may impinge on civil liberties. Jay Stanley, a ACLU political analyst, urges that “any detention of travelers and citizens must be scientifically justified and no more intrusive on civil liberties than absolutely necessary.” Plus, it is still unclear how much benefit would be gained from these restrictions and quarantines in addition to promoting basic hygiene practices alone.

In recent weeks there has been an increase in media reports of aggression against APIA (Asian Pacific Islander American) community members, particularly those of Chinese descent. These incidents have occasionally become violent, as in the cases of a man who assaulted a Chinese woman in a New York City subway, and an Asian American teen who was hospitalized following an assault by fellow high school students accusing him of having coronavirus. Similarly, there has been a rise in microaggressive actions targeting APIA students on university campuses, including demeaning comments from faculty and peers about Chinese dining and cultural practices. And some news outlets themselves have depicted the outbreak in ways that feed this paranoia, including using images of people wearing face masks without proper context and using blanket images of local Chinatowns in stories about the virus.

We are also alarmed that there is no longer a federal official in charge of coordinating our national response to global health crises and pandemics. The Trump administration eliminated this office two years ago, leaving us with a patchwork of agencies struggling to mount an organized response to the coronavirus outbreak. We therefore call for immediate reinstatement of this position, as this would improve dissemination of information to local governments hoping to respond to cases that emerge. This would also strengthen our ability to collaborate closely with international health organizations and follow their recommendations as more data on the coronavirus becomes available through medical journals such as the Journal of the American Medical Association (JAMA) and the New England Journal of Medicine (NEJM).

Together we can quell this global outbreak through the work of many agencies collaborating to limit its spread while developing a vaccine or novel antivirals, not by closing borders in ways that feed fear and prejudice.

Asian Pacific American Medical Student Association (APAMSA)

Student National Medical Association (SNMA)

American Medical Student Association (AMSA)

Over the weekend of January 4th, over 60 Iranians and Iranian Americans were detained at Washington State’s border with Canada and subjected to questions about their political views and allegiances, for up to 10 hours. Some were eventually refused entry. As an organization, APAMSA stands with our Iranian siblings and reaffirms our commitment to immigrant rights. The rights of all Americans and immigrants should be respected regardless of Iranian origin or descent.

From Japanese American internment during World War II to hundreds of hate crimes against South Asians/SWANA (Southwest Asian and North African) folks after 9/11, Asian Americans and Pacific Islanders are all too familiar with the othering, scapegoating, and violence that befalls our communities in times of international conflict. No matter who we are or how long our families have been in this country, we have been accused of being foreign, spies, or terrorists. Such accusations are ironic in that 1) they have never been effective for protecting national security – and indeed, are predicated more on racism than safety; 2) from farms to railroads, America was built with the support of our ancestors; and 3) although many of our families migrated here to seek better lives, many were also forced to do so by American interference in our countries of origin.

This is not the first time that immigration officials under the Trump administration have violated due process rights, and these recent actions further reinforce our understanding that despite the 14th Amendment, our citizenship does not protect us and any one of us could be targeted next. In this time of crisis, we encourage chapter leaders to support members who are personally impacted by the current environment, and all APAMSA members to familiarize themselves with the rights of themselves and their patients.

From the Council on American-Islamic Relations (CAIR) community advisory:

If you are visited by federal law enforcement agents, remember:

• You have the legal right to have a lawyer present when speaking with federal law enforcement agencies. This is true even if you are not a citizen or have been arrested or detained… Refusing to answer questions cannot be held against you and does not imply that you have something to hide. Answering a question incorrectly can hurt you more than not answering at all. An attorney is best able to protect your rights.

• You do not have to permit any law enforcement officer to enter your home or office if they do not have a warrant… If they say they have a warrant, politely ask to see it before allowing them to enter. If they have a warrant, be courteous and polite, but remember that you are under no obligation to answer questions without a lawyer present. You should tell the agents that you do not consent to the search so that they cannot go beyond what the warrant authorizes.

• You should never lie or provide false information to any law enforcement agency. Lying to law enforcement agents under any circumstance is a federal crime.

While traveling, remember:

• TSA/CBP cannot target you for additional screening or questions based on religious, racial, or ethnic profiling.

• US citizens cannot be denied entry for refusing to answer questions. Green card holders cannot be refused entry, unless their travel was not brief and innocent per USC 1101(a)(14). However, invoking your rights may result in delays.

• Non-citizen visa holders can be denied entry into the country for refusing to cooperate. If you have concerns, please speak to an attorney.

More legal resources can be found in CAIR’s “Know Your Rights” Guides (available in Arabic, Bengali, Bosnian, Farsi, Somali, and Urdu) and the Iranian American Bar Association’s Community Advisory.

APAMSA condemns the illegal detention of United States citizens, the ongoing threats against immigrant families, and the escalating xenophobia and racism that impacts the health and wellbeing of our communities.

In solidarity,

Your APAMSA National Board

APAMSA opposes recent political efforts in several states to undermine women’s ability to access necessary health care.

On Wednesday May 16th, Alabama’s governor signed into law a near-total ban on abortions from the time of conception, without exceptions for rape or incest. The law also allows doctors to be charged with up to a 99-year sentence for performing abortions in the state, if the mother’s life is not endangered.

A number of “heartbeat” bills have also passed in Iowa, Ohio, Kentucky, Mississippi, and Georgia, and there are efforts underway to pass such bills in Missouri, Louisiana, South Carolina, and West Virginia. These bills ban abortions after a fetal “heartbeat” can be detected, as early as six weeks into woman’s pregnancy. This is before many women are aware they are pregnant.

These laws pose a direct challenge to the standards established by the Supreme Court’s 1973 decision in Roe v. Wade regarding pregnant women’s liberty to choose to have an abortion, and threaten to severely limit access to what the American College of Obstetricians and Gynecologists (ACOG) recognizes as “an essential component of women’s health care” that should be discussed between patients and their health care providers “without undue interference by outside parties.” This recent wave of legislative actions by these states are clearly not just an infringement on a doctor’s ability to practice medicine but more importantly an encroachment on women’s Constitutionally protected reproductive rights.

For those who will be affected, please keep in mind that these bans have not taken effect yet. Specifically, the law in Alabama will not take effect for another six months. Additionally, the bill will likely be contested through the judicial system, so please get involved and make your voices heard through appropriate channels. Continue to stay informed on your local state laws and ensure that you have accurate information to help your patients navigate their healthcare. Our Advocacy Branch will post updates as more developments emerge and will list organizations working to combat the changes and/or to support patients.

We at APAMSA stand with healthcare providers in ensuring the best care for patients, and we stand with women in ensuring they have full access to medically indicated care.

In Solidarity,

Your APAMSA Leadership

The Asian Pacific American Medical Students Association (APAMSA) is a national organization of medical and pre-medical students committed to addressing the unique health challenges of Asian and Pacific Islander American (APIA) communities.

On Tuesday April 9, 2019, Texas Tech University Health Center Sciences Center came to an agreement with the U.S. Department of Education’s Office of Civil Rights to cease using race or national origin as one of the many factors involved in their admission process. As organizations who support, encourage, and uplift students who are underrepresented minorities, we are concerned with the outcome of future admissions cycles for underrepresented minority applicants going forward and fear this decision could have damaging effects on the health of communities of color. Previous literature has estimated that programs that banned race-conscious admissions led to a 17% decline of underrepresented students of color enrolling in medical school at public institutions in those states, underlining the consequences that the Texas Tech decision and similar policies will have on the diversity of future in-coming medical school classes and the health of their surrounding communities.

View the full Joint Statement on SNMA’s website!