{"id":622,"date":"2021-11-09T08:36:39","date_gmt":"2021-11-09T13:36:39","guid":{"rendered":"https:\/\/pressbooks.library.ryerson.ca\/pandemicpublicpolicy\/?post_type=chapter&#038;p=622"},"modified":"2022-01-17T14:06:46","modified_gmt":"2022-01-17T19:06:46","slug":"systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/chapter\/systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die\/","title":{"raw":"2c. \"Systemic racism is at the heart of economic inequality \u2014 and of how we get sick and die\"","rendered":"2c. &#8220;Systemic racism is at the heart of economic inequality \u2014 and of how we get sick and die&#8221;"},"content":{"raw":"<h1 class=\"h1\"><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die\/\" style=\"color: #0000ff\">Systemic racism is at the heart of economic inequality \u2014 and of how we get sick and die<\/a><\/span><\/h1>\r\n<div id=\"page-header\" class=\"header-style-dark\" data-imgready=\"true\">\r\n<div class=\"header-wrapper header-uncode-block\">\r\n<div data-parent=\"true\" class=\"vc_row style-color-nhtu-bg row-container\" id=\"row-unique-0\" data-section=\"0\">\r\n<div class=\"row limit-width row-parent row-header\" data-height-ratio=\"40\" data-row-header=\"true\" data-imgready=\"true\">\r\n<div class=\"wpb_row row-inner\">\r\n<div class=\"wpb_column pos-middle pos-center align_center column_parent col-lg-12 single-internal-gutter\">\r\n<div class=\"uncol style-dark\">\r\n<div class=\"uncoltable\">\r\n<div class=\"uncell double-block-padding\">\r\n<div class=\"uncont\">\r\n<div><em>First Policy Response<\/em>, <span class=\"date-info\" style=\"font-size: 1em\">FEBRUARY 24, 2021 <\/span><span class=\"uncode-ib-separator uncode-ib-separator-symbol\" style=\"font-size: 1em\">| <\/span><span class=\"category-info\" style=\"font-size: 1em\">IN\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/category\/equity-covid-19\/\" title=\"View all posts in Equity + COVID-19\" class=\"\" role=\"link\" style=\"color: #0000ff\">EQUITY + COVID-19<\/a> <\/span><\/span><span class=\"uncode-ib-separator uncode-ib-separator-symbol\" style=\"font-size: 1em\">| <\/span><span class=\"author-wrap\" style=\"font-size: 1em\"><span class=\"author-info\">BY\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/author\/grace-edward-galabuzi\/\" role=\"link\" style=\"color: #0000ff\">GRACE-EDWARD GALABUZI<\/a><\/span><\/span><\/span><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"page-header\" class=\"header-style-dark\" data-imgready=\"true\">\r\n<div class=\"header-wrapper header-uncode-block\">\r\n<div data-parent=\"true\" class=\"vc_row style-color-nhtu-bg row-container\" id=\"row-unique-0\" data-section=\"0\">\r\n<div class=\"row limit-width row-parent row-header\" data-height-ratio=\"40\" data-row-header=\"true\" data-imgready=\"true\">\r\n<div class=\"wpb_row row-inner\">\r\n<div class=\"wpb_column pos-middle pos-center align_center column_parent col-lg-12 single-internal-gutter\">\r\n<div class=\"uncol style-dark\">\r\n<div class=\"uncoltable\">\r\n<div class=\"uncell double-block-padding\">\r\n<div class=\"uncont\">\r\n<div class=\"vc_custom_heading_wrap \">\r\n<div class=\"heading-text el-text alpha-anim animate_when_almost_visible start_animation\">\r\n\r\n<em style=\"text-align: initial;font-size: 1em\">Published as part of a collaboration between <span style=\"color: #0000ff\"><a href=\"https:\/\/www.tvo.org\/\" style=\"color: #0000ff\">TVO.org<\/a><\/span> and First Policy Response<\/em>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<article id=\"post-85706\" class=\"page-body style-light-bg post-85706 post type-post status-publish format-standard has-post-thumbnail hentry category-equity-covid-19 tag-fpr-original tag-race tag-tvo\">\r\n<div class=\"post-wrapper\">\r\n<div class=\"post-body\">\r\n<div class=\"post-content un-no-sidebar-layout\">\r\n<div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-2\" data-section=\"2\">\r\n<div class=\"row triple-top-padding quad-bottom-padding exa-h-padding limit-width row-parent loaded-split-word\" data-imgready=\"true\">\r\n<div class=\"wpb_row row-inner\">\r\n<div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\">\r\n<div class=\"uncol style-light\">\r\n<div class=\"uncoltable\">\r\n<div class=\"uncell no-block-padding\">\r\n<div class=\"uncont\">\r\n<div class=\"uncode_text_column\">\r\n\r\nThe early proclamations about COVID-19 suggested that the virus does not discriminate. There was a sense that everyone was equally susceptible to this once-in-generations pandemic. But these assertions were quickly invalidated by the names and faces of those who were contracting the virus and perishing from it.\r\n\r\nOur pandemic response has shown clearly how race, class, and gender determine who is most likely to be in the line of fire: the Black, Brown, and Indigenous Canadians who keep working during the crisis while others shelter. They must work to live because they are precariously employed, as the standard employment relationship \u2014 with one permanent employer and stable, full-time hours \u2014 is gradually disintegrating as a labour-market norm. They earn <span style=\"color: #0000ff\"><a href=\"https:\/\/www.policyalternatives.ca\/publications\/reports\/canadas-colour-coded-income-inequality\" role=\"link\" style=\"color: #0000ff\">low wages<\/a><\/span> and have <span style=\"color: #0000ff\"><a href=\"https:\/\/www.wellesleyinstitute.com\/publications\/canadas-colour-coded-labour-market-the-gap-for-racialized-workers\/\" role=\"link\" style=\"color: #0000ff\">little wealth<\/a><\/span>\u00a0to fall back on.\r\n\r\nCOVID-19 has demonstrated starkly how social determinants of health include employment opportunities \u2014 the sectors of the economy and forms of work that racialized, and often poor, people have access to. In contrast, white Canadians, who have more economic resources, are far more likely to be protected against these outcomes.\r\n\r\n<\/div>\r\n<div class=\"uncode_text_column\">\r\n<div class=\"textbox shaded\"><em>The labour-market sorting by race, class and, gender that makes these disproportionate risks possible is the result of structural features of society that start in the school systems, operate into disparate opportunities in the labour market, and lead to uneven access to generational wealth and family income.<\/em><\/div>\r\nWhile there is some debate over whether class or race is to blame, this is an artificial dichotomy. We have enough documented evidence to show that insecure work, low income, and poor health outcomes are inextricably linked to both race and class.\u00a0Systemic racism lies at the heart not just of economic inequality in Canada but also of how we get sick and die.\r\n\r\nThroughout the pandemic, we have seen protection measures, particularly stay-at-home orders, exclude Canadians whose jobs were deemed to be an \u201cessential service\u201d \u2014 long-term-care workers,\u00a0grocery store\u00a0clerks, transit operators, and so on. These occupations carry a higher\u00a0risk\u00a0of infection by virtue of their ongoing proximity to others. Data collected so far has shown massive differences in COVID-19 infection rates between the working-class Black and Brown people who predominantly do these jobs in Canadian society and the white people who are more likely to be in office jobs that allow them to stay at home and shelter from risk without jeopardizing their incomes.\r\n\r\nFor example, racialized people \u2014 particularly Black and Filipino women \u2014 are more likely than those from other groups to be personal support workers, and there have been a significant number of COVID-19 cases among personal support workers in long-term-care homes, according to <span style=\"color: #0000ff\"><a href=\"https:\/\/www150.statcan.gc.ca\/n1\/pub\/45-28-0001\/2020001\/article\/00079-eng.htm\" role=\"link\" style=\"color: #0000ff\">Statistics Canada<\/a><\/span>\u00a0data. This makes them disproportionately vulnerable to infections, and possibly death, because of the power relationships in their work.\r\n\r\nThe labour-market sorting by race, class and, gender that makes these disproportionate risks possible is the result of structural features of society that start in the school systems, operate into disparate opportunities in the labour market, and lead to uneven access to generational wealth and family income. It also stems from a lack of adequate social policy, including unequal funding formulas that mean less government support for public education in some neighbourhoods; a lack of paid sick days; crowding on transit lines serving highly racialized and low-income neighbourhoods; a lack of investment in health resources in those neighbourhoods; and the persistence of racial discrimination in hiring processes that prevent Black and Brown people from obtaining high-wage, high-status jobs, even when they have the education and experience necessary.\r\n\r\nA number of actions are advisable here: Action on strengthening equitable access to employment for Black, Indigenous, and racialized workers. Public policy to address precarious employment and the conditions of <span style=\"color: #0000ff\"><a href=\"https:\/\/metcalffoundation.com\/publication\/the-working-poor-in-the-toronto-region-a-closer-look-at-the-increasing-numbers\/\" role=\"link\" style=\"color: #0000ff\">working poverty<\/a><\/span>\u00a0it generates. Employment-standards reforms, such as ensuring access to paid sick days for low-income earners. Anti-poverty measures, such as improved access to housing to decrease overcrowding among immigrant populations. And disaggregated data collection so we have a fuller picture of these impacts on particular communities.\r\n\r\nThere is a role for\u00a0local public-health agencies to engage directly with communities so that they can generate recommendations relevant to each community\u2019s conditions. At the national level, the Public Health Agency of Canada should leverage its resources to declare racism a\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/www.wellesleyinstitute.com\/wp-content\/uploads\/2012\/02\/Colour-Coded-Health-Care-Sheryl-Nestel.pdf\" role=\"link\" style=\"color: #0000ff\">social determinant of health<\/a><\/span> and work to confront it.\r\n\r\nIn total, we need a pan-Canadian strategy that includes the province and cities in implementing aggressive workplace and health-sector reforms to address the impact of systemic racism on work and life.\r\n\r\n<em style=\"text-align: initial;font-size: 1em\"><a href=\"https:\/\/policyresponse.ca\/author\/grace-edward-galabuzi\/\" class=\" molongui-font-size-27-px molongui-text-align-left \" itemprop=\"url\" role=\"link\"><span style=\"color: #0000ff\">Grace-Edward Galabuzi<\/span><\/a><\/em><em style=\"font-family: Lora, serif;font-size: 1em\"> is an associate professor in the Politics and Public Administration Department at Ryerson University and a research associate at the Centre for Social Justice in Toronto.<\/em>\r\n\r\n<strong style=\"text-align: initial;font-size: 1em\">Licence<\/strong><span style=\"text-align: initial;font-size: 1em\">: Article licenced under <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" style=\"color: #0000ff\">Attribution 4.0 International (CC BY 4.0)<\/a><\/span>\r\n\r\n<strong style=\"font-size: 1em\">Keywords<\/strong><span style=\"font-size: 1em\">: <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/fpr-original\/\" class=\"tag-cloud-link tag-link-160 tag-link-position-1\" role=\"link\" style=\"color: #0000ff\">FPR ORIGINAL<\/a><\/span><span style=\"font-size: 1em\">, <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/race\/\" class=\"tag-cloud-link tag-link-256 tag-link-position-2\" role=\"link\" style=\"color: #0000ff\">RACE<\/a><\/span><span style=\"font-size: 1em\">, <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/tvo\/\" class=\"tag-cloud-link tag-link-260 tag-link-position-3\" role=\"link\" style=\"color: #0000ff\">TVO<\/a><\/span>\r\n\r\n<strong style=\"text-align: initial;font-size: 1em\">Citation<\/strong><span style=\"text-align: initial;font-size: 1em\">: Galabuzi, G.-E. (2021, February 24). <span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die\/\" style=\"color: #0000ff\">Systemic racism is at the heart of economic inequality \u2013 and of how we get sick and die<\/a><\/span>. <\/span><em style=\"text-align: initial;font-size: 1em\">First Policy Response<\/em><span style=\"text-align: initial;font-size: 1em\">.\u00a0<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"mab-2100843123\" class=\"m-a-box \" data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"false\" data-author-type=\"user\" itemscope=\"\" itemtype=\"https:\/\/schema.org\/Person\">\r\n<div class=\"m-a-box-container molongui-border-none molongui-border-style-solid molongui-border-width-3-px m-a-box-shadow-none\">\r\n\r\n<hr \/>\r\n\r\n<h2 data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"true\" data-authors-count=\"3\">Quiz<\/h2>\r\n<strong>Quiz on Galabuzi's article \"Systemic racism is at the heart of economic inequality \u2013 and of how we get sick and die\"<\/strong>:\r\n\r\n[h5p id=\"7\"]\r\n\r\n[h5p id=\"6\"]\r\n\r\n[h5p id=\"1\"]\r\n\r\n<\/div>\r\n<\/div>\r\n[h5p id=\"2\"]\r\n\r\n[h5p id=\"3\"]\r\n\r\n<strong>Check the map below to see how COVID-19 has impacted various Canadian provinces between March 2020 and July 2020<\/strong>.\r\n<div id=\"mab-2100843123\" class=\"m-a-box \" data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"false\" data-author-type=\"user\" itemscope=\"\" itemtype=\"https:\/\/schema.org\/Person\">\r\n\r\n[h5p id=\"4\"]\r\n\r\n<a data-v-e1c1f65a=\"\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/www.flickr.com\/photos\/126110866@N08\/20110907723\"><span style=\"color: #0000ff\">\"Canada-Map-With-Cities\"<\/span><\/a><span data-v-e1c1f65a=\"\">by\u00a0<span style=\"color: #0000ff\"><a data-v-e1c1f65a=\"\" href=\"https:\/\/www.flickr.com\/photos\/126110866@N08\" target=\"_blank\" rel=\"noopener\" style=\"color: #0000ff\">larrywkoester<\/a><\/span><\/span><span>\u00a0is licensed under\u00a0<\/span><span style=\"color: #0000ff\"><a data-v-e1c1f65a=\"\" href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/?ref=ccsearch&amp;atype=rich\" target=\"_blank\" rel=\"noopener\" class=\"photo_license\" style=\"color: #0000ff\">CC BY 2.0<\/a><\/span>\r\n\r\n<strong>The chart below compares data from the map above. It accentuates the major difference between certain Canadian provinces and Canada as a whole<\/strong>.\r\n\r\n<\/div>\r\n<span>[h5p id=\"8\"]<\/span>\r\n\r\nFor more information, please read: <span style=\"color: #0000ff\"><a href=\"https:\/\/www150.statcan.gc.ca\/n1\/pub\/45-28-0001\/2020001\/article\/00079-eng.htm\" style=\"color: #0000ff\"><strong>COVID-19 mortality rates in Canada\u2019s ethno-cultural neighbourhoods<\/strong><\/a><\/span>\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/article>","rendered":"<h1 class=\"h1\"><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die\/\" style=\"color: #0000ff\">Systemic racism is at the heart of economic inequality \u2014 and of how we get sick and die<\/a><\/span><\/h1>\n<div id=\"page-header\" class=\"header-style-dark\" data-imgready=\"true\">\n<div class=\"header-wrapper header-uncode-block\">\n<div data-parent=\"true\" class=\"vc_row style-color-nhtu-bg row-container\" id=\"row-unique-0\" data-section=\"0\">\n<div class=\"row limit-width row-parent row-header\" data-height-ratio=\"40\" data-row-header=\"true\" data-imgready=\"true\">\n<div class=\"wpb_row row-inner\">\n<div class=\"wpb_column pos-middle pos-center align_center column_parent col-lg-12 single-internal-gutter\">\n<div class=\"uncol style-dark\">\n<div class=\"uncoltable\">\n<div class=\"uncell double-block-padding\">\n<div class=\"uncont\">\n<div><em>First Policy Response<\/em>, <span class=\"date-info\" style=\"font-size: 1em\">FEBRUARY 24, 2021 <\/span><span class=\"uncode-ib-separator uncode-ib-separator-symbol\" style=\"font-size: 1em\">| <\/span><span class=\"category-info\" style=\"font-size: 1em\">IN\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/category\/equity-covid-19\/\" title=\"View all posts in Equity + COVID-19\" class=\"\" role=\"link\" style=\"color: #0000ff\">EQUITY + COVID-19<\/a> <\/span><\/span><span class=\"uncode-ib-separator uncode-ib-separator-symbol\" style=\"font-size: 1em\">| <\/span><span class=\"author-wrap\" style=\"font-size: 1em\"><span class=\"author-info\">BY\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/author\/grace-edward-galabuzi\/\" role=\"link\" style=\"color: #0000ff\">GRACE-EDWARD GALABUZI<\/a><\/span><\/span><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"header-style-dark\" data-imgready=\"true\">\n<div class=\"header-wrapper header-uncode-block\">\n<div data-parent=\"true\" class=\"vc_row style-color-nhtu-bg row-container\" data-section=\"0\">\n<div class=\"row limit-width row-parent row-header\" data-height-ratio=\"40\" data-row-header=\"true\" data-imgready=\"true\">\n<div class=\"wpb_row row-inner\">\n<div class=\"wpb_column pos-middle pos-center align_center column_parent col-lg-12 single-internal-gutter\">\n<div class=\"uncol style-dark\">\n<div class=\"uncoltable\">\n<div class=\"uncell double-block-padding\">\n<div class=\"uncont\">\n<div class=\"vc_custom_heading_wrap\">\n<div class=\"heading-text el-text alpha-anim animate_when_almost_visible start_animation\">\n<p><em style=\"text-align: initial;font-size: 1em\">Published as part of a collaboration between <span style=\"color: #0000ff\"><a href=\"https:\/\/www.tvo.org\/\" style=\"color: #0000ff\">TVO.org<\/a><\/span> and First Policy Response<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<article id=\"post-85706\" class=\"page-body style-light-bg post-85706 post type-post status-publish format-standard has-post-thumbnail hentry category-equity-covid-19 tag-fpr-original tag-race tag-tvo\">\n<div class=\"post-wrapper\">\n<div class=\"post-body\">\n<div class=\"post-content un-no-sidebar-layout\">\n<div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-2\" data-section=\"2\">\n<div class=\"row triple-top-padding quad-bottom-padding exa-h-padding limit-width row-parent loaded-split-word\" data-imgready=\"true\">\n<div class=\"wpb_row row-inner\">\n<div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\">\n<div class=\"uncol style-light\">\n<div class=\"uncoltable\">\n<div class=\"uncell no-block-padding\">\n<div class=\"uncont\">\n<div class=\"uncode_text_column\">\n<p>The early proclamations about COVID-19 suggested that the virus does not discriminate. There was a sense that everyone was equally susceptible to this once-in-generations pandemic. But these assertions were quickly invalidated by the names and faces of those who were contracting the virus and perishing from it.<\/p>\n<p>Our pandemic response has shown clearly how race, class, and gender determine who is most likely to be in the line of fire: the Black, Brown, and Indigenous Canadians who keep working during the crisis while others shelter. They must work to live because they are precariously employed, as the standard employment relationship \u2014 with one permanent employer and stable, full-time hours \u2014 is gradually disintegrating as a labour-market norm. They earn <span style=\"color: #0000ff\"><a href=\"https:\/\/www.policyalternatives.ca\/publications\/reports\/canadas-colour-coded-income-inequality\" role=\"link\" style=\"color: #0000ff\">low wages<\/a><\/span> and have <span style=\"color: #0000ff\"><a href=\"https:\/\/www.wellesleyinstitute.com\/publications\/canadas-colour-coded-labour-market-the-gap-for-racialized-workers\/\" role=\"link\" style=\"color: #0000ff\">little wealth<\/a><\/span>\u00a0to fall back on.<\/p>\n<p>COVID-19 has demonstrated starkly how social determinants of health include employment opportunities \u2014 the sectors of the economy and forms of work that racialized, and often poor, people have access to. In contrast, white Canadians, who have more economic resources, are far more likely to be protected against these outcomes.<\/p>\n<\/div>\n<div class=\"uncode_text_column\">\n<div class=\"textbox shaded\"><em>The labour-market sorting by race, class and, gender that makes these disproportionate risks possible is the result of structural features of society that start in the school systems, operate into disparate opportunities in the labour market, and lead to uneven access to generational wealth and family income.<\/em><\/div>\n<p>While there is some debate over whether class or race is to blame, this is an artificial dichotomy. We have enough documented evidence to show that insecure work, low income, and poor health outcomes are inextricably linked to both race and class.\u00a0Systemic racism lies at the heart not just of economic inequality in Canada but also of how we get sick and die.<\/p>\n<p>Throughout the pandemic, we have seen protection measures, particularly stay-at-home orders, exclude Canadians whose jobs were deemed to be an \u201cessential service\u201d \u2014 long-term-care workers,\u00a0grocery store\u00a0clerks, transit operators, and so on. These occupations carry a higher\u00a0risk\u00a0of infection by virtue of their ongoing proximity to others. Data collected so far has shown massive differences in COVID-19 infection rates between the working-class Black and Brown people who predominantly do these jobs in Canadian society and the white people who are more likely to be in office jobs that allow them to stay at home and shelter from risk without jeopardizing their incomes.<\/p>\n<p>For example, racialized people \u2014 particularly Black and Filipino women \u2014 are more likely than those from other groups to be personal support workers, and there have been a significant number of COVID-19 cases among personal support workers in long-term-care homes, according to <span style=\"color: #0000ff\"><a href=\"https:\/\/www150.statcan.gc.ca\/n1\/pub\/45-28-0001\/2020001\/article\/00079-eng.htm\" role=\"link\" style=\"color: #0000ff\">Statistics Canada<\/a><\/span>\u00a0data. This makes them disproportionately vulnerable to infections, and possibly death, because of the power relationships in their work.<\/p>\n<p>The labour-market sorting by race, class and, gender that makes these disproportionate risks possible is the result of structural features of society that start in the school systems, operate into disparate opportunities in the labour market, and lead to uneven access to generational wealth and family income. It also stems from a lack of adequate social policy, including unequal funding formulas that mean less government support for public education in some neighbourhoods; a lack of paid sick days; crowding on transit lines serving highly racialized and low-income neighbourhoods; a lack of investment in health resources in those neighbourhoods; and the persistence of racial discrimination in hiring processes that prevent Black and Brown people from obtaining high-wage, high-status jobs, even when they have the education and experience necessary.<\/p>\n<p>A number of actions are advisable here: Action on strengthening equitable access to employment for Black, Indigenous, and racialized workers. Public policy to address precarious employment and the conditions of <span style=\"color: #0000ff\"><a href=\"https:\/\/metcalffoundation.com\/publication\/the-working-poor-in-the-toronto-region-a-closer-look-at-the-increasing-numbers\/\" role=\"link\" style=\"color: #0000ff\">working poverty<\/a><\/span>\u00a0it generates. Employment-standards reforms, such as ensuring access to paid sick days for low-income earners. Anti-poverty measures, such as improved access to housing to decrease overcrowding among immigrant populations. And disaggregated data collection so we have a fuller picture of these impacts on particular communities.<\/p>\n<p>There is a role for\u00a0local public-health agencies to engage directly with communities so that they can generate recommendations relevant to each community\u2019s conditions. At the national level, the Public Health Agency of Canada should leverage its resources to declare racism a\u00a0<span style=\"color: #0000ff\"><a href=\"https:\/\/www.wellesleyinstitute.com\/wp-content\/uploads\/2012\/02\/Colour-Coded-Health-Care-Sheryl-Nestel.pdf\" role=\"link\" style=\"color: #0000ff\">social determinant of health<\/a><\/span> and work to confront it.<\/p>\n<p>In total, we need a pan-Canadian strategy that includes the province and cities in implementing aggressive workplace and health-sector reforms to address the impact of systemic racism on work and life.<\/p>\n<p><em style=\"text-align: initial;font-size: 1em\"><a href=\"https:\/\/policyresponse.ca\/author\/grace-edward-galabuzi\/\" class=\"molongui-font-size-27-px molongui-text-align-left\" itemprop=\"url\" role=\"link\"><span style=\"color: #0000ff\">Grace-Edward Galabuzi<\/span><\/a><\/em><em style=\"font-family: Lora, serif;font-size: 1em\"> is an associate professor in the Politics and Public Administration Department at Ryerson University and a research associate at the Centre for Social Justice in Toronto.<\/em><\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Licence<\/strong><span style=\"text-align: initial;font-size: 1em\">: Article licenced under <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" style=\"color: #0000ff\">Attribution 4.0 International (CC BY 4.0)<\/a><\/span><\/p>\n<p><strong style=\"font-size: 1em\">Keywords<\/strong><span style=\"font-size: 1em\">: <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/fpr-original\/\" class=\"tag-cloud-link tag-link-160 tag-link-position-1\" role=\"link\" style=\"color: #0000ff\">FPR ORIGINAL<\/a><\/span><span style=\"font-size: 1em\">, <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/race\/\" class=\"tag-cloud-link tag-link-256 tag-link-position-2\" role=\"link\" style=\"color: #0000ff\">RACE<\/a><\/span><span style=\"font-size: 1em\">, <\/span><span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/tag\/tvo\/\" class=\"tag-cloud-link tag-link-260 tag-link-position-3\" role=\"link\" style=\"color: #0000ff\">TVO<\/a><\/span><\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\">Citation<\/strong><span style=\"text-align: initial;font-size: 1em\">: Galabuzi, G.-E. (2021, February 24). <span style=\"color: #0000ff\"><a href=\"https:\/\/policyresponse.ca\/systemic-racism-is-at-the-heart-of-economic-inequality-and-of-how-we-get-sick-and-die\/\" style=\"color: #0000ff\">Systemic racism is at the heart of economic inequality \u2013 and of how we get sick and die<\/a><\/span>. <\/span><em style=\"text-align: initial;font-size: 1em\">First Policy Response<\/em><span style=\"text-align: initial;font-size: 1em\">.\u00a0<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"mab-2100843123\" class=\"m-a-box\" data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"false\" data-author-type=\"user\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/Person\">\n<div class=\"m-a-box-container molongui-border-none molongui-border-style-solid molongui-border-width-3-px m-a-box-shadow-none\">\n<hr \/>\n<h2 data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"true\" data-authors-count=\"3\">Quiz<\/h2>\n<p><strong>Quiz on Galabuzi&#8217;s article &#8220;Systemic racism is at the heart of economic inequality \u2013 and of how we get sick and die&#8221;<\/strong>:<\/p>\n<div id=\"h5p-7\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-7\" class=\"h5p-iframe\" data-content-id=\"7\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"True or False question for Galabuzi article. Are all Canadians at equal risk of catching COVID-19\"><\/iframe><\/div>\n<\/div>\n<div id=\"h5p-6\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-6\" class=\"h5p-iframe\" data-content-id=\"6\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Mark the Words question for Galabuzi article. Which of the following are examples of essential services\"><\/iframe><\/div>\n<\/div>\n<div id=\"h5p-1\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-1\" class=\"h5p-iframe\" data-content-id=\"1\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Multiple choice question for Galabuzi article. Given our COVID-19 pandemic response,\u00a0which three of the following determine who is most likely to be in the line of fire\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"h5p-2\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-2\" class=\"h5p-iframe\" data-content-id=\"2\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Fill in the blanks question for Galabuzi article. Some members of racial minority groups are plagued by which two problems\"><\/iframe><\/div>\n<\/div>\n<div id=\"h5p-3\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-3\" class=\"h5p-iframe\" data-content-id=\"3\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Drag the words question for Galabuzi article. What factors are inextricably linked to both race and class\"><\/iframe><\/div>\n<\/div>\n<p><strong>Check the map below to see how COVID-19 has impacted various Canadian provinces between March 2020 and July 2020<\/strong>.<\/p>\n<div class=\"m-a-box\" data-plugin-release=\"4.3.11\" data-plugin-version=\"pro\" data-box-layout=\"slim\" data-box-position=\"below\" data-multiauthor=\"false\" data-author-type=\"user\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/Person\">\n<div id=\"h5p-4\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-4\" class=\"h5p-iframe\" data-content-id=\"4\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Image hotspots for Galabuzi article. Statistics Canada Highest COVID-19 Deaths In Canada for 2020\"><\/iframe><\/div>\n<\/div>\n<p><a data-v-e1c1f65a=\"\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/www.flickr.com\/photos\/126110866@N08\/20110907723\"><span style=\"color: #0000ff\">&#8220;Canada-Map-With-Cities&#8221;<\/span><\/a><span data-v-e1c1f65a=\"\">by\u00a0<span style=\"color: #0000ff\"><a data-v-e1c1f65a=\"\" href=\"https:\/\/www.flickr.com\/photos\/126110866@N08\" target=\"_blank\" rel=\"noopener\" style=\"color: #0000ff\">larrywkoester<\/a><\/span><\/span><span>\u00a0is licensed under\u00a0<\/span><span style=\"color: #0000ff\"><a data-v-e1c1f65a=\"\" href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/?ref=ccsearch&amp;atype=rich\" target=\"_blank\" rel=\"noopener\" class=\"photo_license\" style=\"color: #0000ff\">CC BY 2.0<\/a><\/span><\/p>\n<p><strong>The chart below compares data from the map above. It accentuates the major difference between certain Canadian provinces and Canada as a whole<\/strong>.<\/p>\n<\/div>\n<p><span><\/p>\n<div id=\"h5p-8\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-8\" class=\"h5p-iframe\" data-content-id=\"8\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Pie chart for Galabuzi article. Statistics Canada Highest COVID-19 Deaths In Canada for 2020\"><\/iframe><\/div>\n<\/div>\n<p><\/span><\/p>\n<p>For more information, please read: <span style=\"color: #0000ff\"><a href=\"https:\/\/www150.statcan.gc.ca\/n1\/pub\/45-28-0001\/2020001\/article\/00079-eng.htm\" style=\"color: #0000ff\"><strong>COVID-19 mortality rates in Canada\u2019s ethno-cultural neighbourhoods<\/strong><\/a><\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n","protected":false},"author":374,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-622","chapter","type-chapter","status-publish","hentry"],"part":471,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapters\/622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/wp\/v2\/users\/374"}],"version-history":[{"count":32,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapters\/622\/revisions"}],"predecessor-version":[{"id":1986,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapters\/622\/revisions\/1986"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/parts\/471"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapters\/622\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/wp\/v2\/media?parent=622"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/pressbooks\/v2\/chapter-type?post=622"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/wp\/v2\/contributor?post=622"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/pandemicpublicpolicy\/wp-json\/wp\/v2\/license?post=622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}