By Antoinette Stewart-Eneh, Special to California Black Media Partners

Word Count: 1058

Note: Client A, B & C, names are withheld for privacy; these accounts reflect my recollections as theirDoula.

Client A rocked her hips on a birthing ball, surrounded by pale wood and warm textiles in a softly lit Scandinavian-style office. I was her doula through a Southern California maternal health company combining nurse-led care, technology, and wraparound support.

She was a healthy Black woman in her thirties. Her baby girl was doing well; her partner took notes as we discussed labor and advocacy.

Then we turned to their chosen hospital. I knew it well—and remembered a phrase from another client’s experience: “Policy of Sovereignty.”

Client B had been told she needed a repeat cesarean as a precaution, though the reasoning was unclear. Her obstetrician, who performed her first cesarean two years earlier, had assured her throughout pregnancy that she was healthy, healed, and ready for a vaginal birth. We asked staff to review her chart, consult her obstetrician, and reconsider immediate surgery. Instead, they invoked the “Policy of Sovereignty.”

The physician on duty, we were told, had final authority, regardless of her established care plan. I asked whether an ultrasound or reassessing the baby’s position could offer clarity. Cesareans can be lifesaving. But were Client B’s history, informed consent, and circumstances guiding this decision—or was routine overriding individualized care? We kept asking for her obstetrician. Beneath every request was a deeper question: Was she being heard?

The Numbers Behind the Stories

Statistics arrive in clean columns. The experiences behind them do not.

Maternal mortality and pregnancy-related mortality use different time frames and methods and are not interchangeable. Finalized 2024 CDC data recorded 649 maternal deaths nationally. The overall rate was 17.9 deaths per 100,000 live births, but for non-Hispanic Black women it was 44.8, compared with 14.2 for White women and 12.1 for Hispanic women.

In California, Black birthing people experienced 56.5 pregnancy-related deaths per 100,000 live births during 2020–2022—3.8 times the White rate and four times the Asian rate.

As a doula serving Los Angeles and San Bernardino Counties, I see faces behind those numbers. I remember concerns raised softly, then firmly, then desperately. I am tired of watching Black families enter spaces meant to protect them, only to discover they must defend themselves while laboring, bleeding, trembling, or recovering.

Returning to Client A

Client A’s labor stretched nearly 48 hours. As her condition worsened, she, her partner, and I asked whether a cesarean should happen sooner. A provider questioned my place as a doula, then said she was next.

Six more hours passed.

She entered surgery visibly ill with a serious uterine infection, her baby malpositioned and stuck. Her partner later recalled the provider saying, “This baby would never have made it through the birth canal.”

Those words landed like a blow. Our urgency had been treated as ignorance. With Client B, we questioned why surgery was inevitable. With Client A, why it was delayed. Doula advocacy is not about one kind of birth. It is about informed consent, individualized care, and timely action. Hospital routine should never outweigh the person carrying the risk.

Survival Cannot Be the Standard

The Black maternal health crisis includes unequal care, untreated conditions, racial bias, delayed referrals, poor communication, and inadequate postpartum support. It is about birth plans respected only until a hospital becomes less busy and postpartum care that asks whether a mother survived, not whether she has what she needs to recover.

Survival cannot be the standard. Technology can support care, but it cannot replace human connection. An algorithm cannot detect fear in a patient’s eyes, and a mission statement alone cannot ensure adequate staffing or culturally responsive care.

The Story of Client C

Before I arrived, I heard the chaos through Client C’s phone. Staff struggled to locate her baby’s heartbeat on an external monitor as her fear and blood pressure rose. I pleaded for an internal electrode before surgery.

“There’s not enough time,” a nurse said.

“I would like to wait for my doula,” Client C called out.

But she was medicated, hurried through consent, and wheeled away while I listened.

In the operating room, after a shift change, another nurse placed an internal electrode and said, “The previous monitor wasn’t working.”

No one responded.

According to her father, the obstetrician avoided eye contact: “We need to move forward.”

Surgery may still have been necessary; that was not mine to determine. But if faulty equipment helped create the emergency, the family deserved acknowledgment and explanation—not silence. No family should have to wonder whether major surgery followed an unavoidable crisis or a machine failure no one recognized in time.

From Prevention to Accountability

After supporting nearly 100 families, I have learned that danger often begins before admission. I have urged clients to seek care—and heard why they feared returning: dismissed pain, harsh words, shame for asking questions.

Care cannot be holistic where Black families do not feel safe enough to speak or return. Representation matters, but providers of color cannot repair inequity alone. They need adequate staffing, mentorship, culturally responsive training, reliable equipment, and colleagues that are reflective of all the aforementioned. It’s not the Black providers job to care for just the Black patients, everyone should have the same goal.

The Momnibus Act, California’s Medi-Cal doula benefit, the Transforming Maternal Health Model and the Perinatal Equity Initiative require more than promises; they need sustained funding, reliable reimbursement and accountable implementation.

Birth should be sacred. Yet too many Black birthing people arrive carrying the burden of proving their pain is real. A doula can listen, educate, comfort, and advocate—but cannot repair a system that refuses to listen. The true measure of progress is what happens when a Black birthing person says, “Something is wrong.”

Are they believed? When equipment fails, is that failure acknowledged? Do families leave not merely alive, but safe, respected, supported, and whole?

Until those answers are consistently yes, California’s maternal health success story remains unfinished.

About the Author

Antoinette Stewart-Eneh is a mother of two, holistic maternal wellness advocate, and birth and postpartum doula who has supported families since 2019. She serves as program operations coordinator for Frontline Doulas, a volunteer client coordinator with the Joy in Birthing Foundation and a childbirth educator in South Los Angeles. She is studying to become a midwife and lactation educator.

Black voters have been among the Democratic Party’s most dependable supporters for generations. But loyalty and trust are not the same thing.

With less than a month to go before the midterm elections, Black voters and political strategists say years of inconsistent engagement and unmet expectations have left some voters questioning whether the party has earned their continued support. The challenge now is bigger than winning votes. It’s convincing distrustful voters that staying politically engaged is worth it.

Communications strategist Ashley Etienne argues that Democrats have spent years taking one of their most reliable voting blocs for granted, creating a widening trust gap that threatens the party’s long-term prospects in Texas and nationally.

“Trust is the currency of persuasion,” she said. “We’re seeing distrust at an all-time high, especially with Black voters … distrust of the media, institutions, the Democratic Party, self-agreement. Campaigns don’t lose because they fail to talk to voters. They lose because they fail to listen.”

Etienne, who served as a senior adviser to Presidents Barack Obama and Joe Biden and communications director for Vice President Kamala Harris, said repairing that relationship requires something considerably more difficult than another campaign advertisement. It requires listening.

Black support remains strong, but not absolute

Recent polling suggests Democrats continue to hold a substantial advantage among Black voters heading into November, but that support isn’t universal.

A July 2026 Pew Research Center survey found 68% of Black registered voters said they would support the Democratic candidate for U.S. House in their district, compared with 8% who favored the Republican. Another 25% said they were either unsure or would support another candidate.

That uncertainty follows some erosion in Democratic support among Black voters in the 2024 presidential election. A Pew analysis of validated voters found 83% of Black voters supported Kamala Harris in 2024, compared with 92% who supported Joe Biden in 2020.

Pew found that shift was driven less by individual voters switching from one party to another than by differences in who turned out to vote.

The findings don’t suggest Black voters have abandoned Democrats. They do raise questions about whether longstanding party loyalty is enough to guarantee participation.

“We’ve been making that same argument decade after decade,” Etienne said. “Those are becoming less persuasive arguments.”

Why is trust disappearing?

The distrust isn’t necessarily about one candidate or one election. For some Black voters, frustration comes from feeling heavily courted during election season without seeing enough progress afterward on the issues affecting their daily lives.

Housing costs remain a concern. So do education, economic opportunity, neighborhood investment, and the cost of everyday necessities.

That creates a difficult dynamic for campaigns: Asking voters to participate in a political system that some believe has not delivered enough for them.

It also raises a separate question. What happens when frustration with political parties becomes disengagement from the political process altogether?

What happens when voters stay home?

The answer can become particularly consequential in local elections, where races can be decided by hundreds of votes rather than thousands.

Harris County Democratic Party Chair Traci Gibson has pointed to several 2024 judicial races decided by narrow margins. District judge candidate Elaine Palmer lost by 304 votes, while Jeralynn Manor lost by 647 votes.

Gibson also warned about voters who begin Harris County’s lengthy ballot but don’t finish it.

“If you go into these polls and you vote for the first five people and then you leave, that’s how we get Elaine Palmer losing by about 300 votes,” Gibson said.

The larger issue extends beyond any candidate or political party. Judges are elected. School boards make decisions affecting students and families. City and county officials determine how public dollars are spent. State lawmakers decide which bills become state law.

Those decisions are made regardless of how many eligible voters participate.

For voters distrustful of political parties or government institutions, political participation also doesn’t have to mean unquestioning loyalty to either party.

Voters can research candidates individually, compare their positions, attend or watch candidate forums and examine an incumbent’s record against previous campaign promises. They can also learn what the often-overlooked offices farther down the ballot actually control.

In that sense, distrust can become a reason for greater scrutiny rather than disengagement.

Candidates have work to do, too

Responsibility for rebuilding participation doesn’t fall solely on voters.

At a recent Third Ward town hall hosted by state Rep. Jolanda “Jo” Jones, Harris County Precinct 7 Constable James “Smokie” Phillips and Houston Black American Democrats, voters and political strategists called for more sustained campaign engagement.

“Investment drives outcomes. If you don’t invest in it, it doesn’t work,” Etienne said.

She argued that campaigns spend heavily on polling, consultants and advertising while directing too little money toward Black-led political infrastructure and organizations with established relationships in Black communities.

Shamier Bouie, chair of Houston Black American Democrats, said organizing cannot begin a few months before Election Day.

“It’s all about year-round organizing, and increased investment in Black voter outreach … more funding for Black-led organizations that have relationships, infrastructure, and experience in effectively engaging Black communities,” Bouie said.

The question of investment also surfaced in July when Democratic U.S. Senate candidate James Talarico pledged $25 million toward Black voter outreach. Some voters wanted specifics about where and how that money would be spent.

“We still need our kids, we still need our schools equitably funded,” said Augie Cahee, vice president of marketing web delivery at JPMorgan Chase & Co. “So, we want to know what you’re going to do with the money. Don’t stand up and tell me $25 million and you don’t have a plan.”

The exchange illustrated the larger trust problem: Voters aren’t simply asking candidates to talk to them. They want to know what happens after the conversation.

From distrust to accountability

Karla West, a precinct chair for downtown’s Precinct 16, said responsibility ultimately belongs on both sides.

“We fell asleep at the wheel,” West said of voter turnout.

But she also challenged political leaders.

“The Democratic Party did not say what they would do for you,” West said. “We haven’t heard a plan for years. I’m sick of it. We have to have strategies, we have to have plans, we have to have a mechanism in place for people to feel they are heard.”

Defender Reporter Tannistha Sinha contributed to this report.

Based on reporting by Houston Defender.

The internet chatter about Black artists struggling to sell concert tickets points to a much larger crisis reshaping the touring business, according to recent industry reporting and artists’ own comments.

Since spring 2026, a wave of major touring acts across genres have canceled or postponed shows due to sluggish ticket sales, a trend some in the industry have dubbed “blue dot fever,” a reference to the blue markers that indicate empty seats on Ticketmaster’s venue maps.

The phenomenon is not limited to Black performers, but several recent examples involving Black artists have fueled online conversation about whether Black touring acts face extra hurdles. For a market like Houston, home to a large hip-hop and R&B fan base and a steady stream of major tour stops, the debate carries added weight.

Here are five reasons the touring business has gotten tougher for artists trying to fill seats.

Blue dot fever is spreading industrywide

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Black hip-hop megastars like Ludacris, T.I., Rick Ross, and BigXThaPlug felt the impact of Blue Dot Fever after struggling to sell tickets. Industry watchers say many artists are being booked into venues too large for their current draw, leaving sections visibly empty, discouraging last-minute buyers. The trend cuts across genres, but it has compounded challenges already facing some Black touring artists this year.

Fans keep comparing every artist to music’s biggest superstars

Grammy-winning singer Melanie Fiona recently weighed in on the online conversation about canceled shows and slow sales, explaining that most artists do not have the resources or reach of music’s top-tier headliners. The trade outlet Ticket News has made a similar point, noting that few artists can match the pricing structure or demand generated by superstar-level tours. When any artist falls short of that bar, fans and social media users are quick to call it a flop, even when the artist is still performing at a healthy level for their career stage.

Stadium bookings are outpacing actual demand

A hip-hop stadium concert set to take place in Louisville in October 2026, featuring Ludacris, T.I., Rick Ross, and BigXThaPlug, reportedly had nearly 47,000 seats still available as showtime approached. The example illustrates a broader booking problem. Venues sized for arena or stadium crowds do not always match the number of fans willing or able to buy tickets, regardless of an artist’s streaming numbers or name recognition. Some promoters are now facing pressure to book smaller, more intimate venues that better match an act’s current draw.

Rising costs are squeezing fans’ entertainment budgets

Housing, groceries, and everyday expenses have climbed for many households, and live music is often one of the first expenses fans cut. Older or legacy acts leaning on nostalgia appear to be hit hardest, since higher ticket and fee prices make attending a bigger financial decision than it once was. Newer or lower-profile Black artists competing for the same limited entertainment dollars face an uphill climb, especially when fans have to choose between one or two shows a year instead of several.

Social media shape who gets mainstream exposure

@dustintheindustryplant

Does TikTok Dominate the music industry.

♬ original sound – Dustin The Industry Plant

Black artists in hip-hop and R&B often compete for airplay and playlist placement within genre-specific categories rather than mainstream ones, which can limit the crossover exposure that turns streaming success into ticket sales. Artists working outside those two genres, including gospel, jazz, and Afrobeats-influenced acts, face a similar challenge in reaching audiences beyond their dedicated fan bases. Whether that structural gap is driving today’s sales slump remains an open question that industry analysts and artists are actively debating.

Based on reporting by Houston Defender.

In August Wilson’s “Ma Rainey’s Black Bottom,” Ma Rainey fights to control what happens to her music once she enters the recording studio. Today, musicians are confronting a new question: What happens when artificial intelligence can profit from the identity attached to their music?

Round House Theatre’s production of “Ma Rainey’s Black Bottom,” which runs through Oct. 18 in Bethesda, Maryland, brings an older struggle over artistic control to the stage. Set during a recording session in 1920s Chicago, Wilson’s play follows Ma and her band as conflicts over art, money and control expose the imbalance between the musicians creating the work and the people conducting the business around it. That same question of who can profit from an artist’s value is now being tested in a very different setting nearly a century later.

Musicians Jason Isbell, David Lowery, Guy Forsyth and Eduardo Calle filed a class-action lawsuit on Aug. 31 against AI music company Suno. They allege that the company commercially exploits artists through an AI system capable of generating music imitating artists’ identities and styles without permission. Suno disputes the allegations.

The U.S. Copyright Office has also studied AI-generated digital replicas and recommended federal legislation to address gaps in protections against unauthorized replicas of a person’s voice or appearance. Its broader AI inquiry received more than 10,000 public comments.

For Nicole Michelle Haskins, who portrays Ma Rainey in the Round House production, the struggle over power begins with understanding Ma as more than a demanding recording star.

“She is the only advocate she has,” Haskins said. “The choices presented to her are to surrender or fight. Ma chooses to fight.”

Haskins said Ma enters the recording studio knowing the value that she brings, even as the people around her repeatedly challenge her decisions. She exercises her leverage and pushes back when others attempt to dictate how the session will proceed.

The real Gertrude “Ma” Rainey was one of the earliest Black women to record blues commercially. Between 1923 and 1928, she made more than 100 recordings for Paramount Records, according to the Smithsonian.

One surviving agreement shows how at least part of that business worked. A Dec. 12, 1923, royalty agreement for “Walking Blues,” signed by Rainey and composer Lovie Austin, provided them two cents for each printed piano copy sold in the United States and Canada. They were also entitled to one-fourth of the royalties the publisher received from mechanical reproductions, minus a 10% collection cost.

For Haskins, portraying a character negotiating those relationships does not feel entirely removed from being an artist today.

“The life that I live as an artist is not that dissimilar from the world that August Wilson has written,” Haskins said.

The technology surrounding artists, however, has changed dramatically.

The scale of AI-generated music has grown quickly. In July, streaming service Deezer said it was receiving about 90,000 fully AI-generated tracks a day, more than half of its daily uploads. Those tracks accounted for less than 3% of all streams.

The lawsuit against Suno is not primarily a traditional copyright case about whether an AI-generated song copied a particular recording. Instead, the musicians rely largely on state right-of-publicity laws, which concern the commercial use of a person’s identity.

According to the complaint, users can enter musicians’ names and use them as a retrieval key for AI-generated music drawing on characteristics associated with those artists. The plaintiffs argue that an output does not have to copy a specific song or perfectly reproduce an artist’s voice for the artist’s commercial identity to be exploited.

Suno disputes that characterization of its technology. The company has said it does not use artists’ names as training metadata and does not permit users to prompt its system for specific artists. Suno says references to artists are filtered and redirected toward descriptions of musical characteristics. Its own prompting guide, for example, encourages users to describe features such as tempo, vocals and instrumentation, using phrases like “bright pop track,” “110 BPM,” “female vocals” and a “big synth hook.”

The Suno dispute centers on more than ownership of a particular song or recording. It raises the question of whether an artist’s name, likeness and other identifying characteristics can be used commercially to generate new music without permission.

Haskins resists describing that underlying conflict as merely contemporary.

“I don’t think they feel contemporary,” Haskins said of Ma’s concerns. “I think they feel worldly.”

For Haskins, AI is one setting for a larger struggle over who has power over creative work. She said the problem of Black people being separated from control of things they created has existed far longer than the technology now raising those questions. The Library of Congress notes that early record companies sometimes used white performers to record music associated with Black artists rather than hire the Black performers themselves, while Black musicians remained rare on early commercial recordings.

“It just hasn’t stopped happening,” she said.

That interpretation shapes the way Haskins portrays Ma’s fight for control. She pointed to a brief moment in the second act when Ma’s manager attempts to steer her toward a different song. Ma refuses and proceeds with the recording she intends to make.

Haskins said the moment stands out precisely because Ma does not need a dramatic confrontation to establish who has the final say.

“She’s not demanding control. She’s not asserting control,” Haskins said. “She is simply positioning herself in correct order.”

La Tetra Metts-Owens is a reporter forHUNewsService.com. She covers Prince George’s County and theater.

Based on reporting by Howard University News Service.

Sponsored by McDonald's.

A proud moment at the Obama Presidential Center in Chicago, where the Herman Petty Room now recognizes a true Chicago trailblazer. In 1968, Petty opened his first McDonald’s near Jackson Park, creating a breakthrough moment for Black entrepreneurship on the South Side and helping open doors for generations of business owners and community leaders.

 Joined by the Petty family and leaders from McDonald’s, the Black McDonald’s Operators Association (BMOA) and the Obama Foundation, the ceremony reflected Petty’s enduring impact on entrepreneurship, community investment and future changemakers.

NEW YORK — For anyone raised in the Caribbean, or in a Brooklyn, Bronx, or Queens household where the radio stayed tuned to home, there was never a time without the Mighty Sparrow. His voice was simply part of the furniture of our lives: at Carnival, at weddings, at Sunday lunch, in the car on the way to JFK. On Sunday, that voice went quiet.

Slinger Francisco, known to the world as the Mighty Sparrow, died Sunday, September 27, in New York. He was 91. His family said he passed peacefully after a brief illness, with loved ones at his bedside.

He was born in Grand Roy, Grenada, in 1935, and was still a small child when his family moved to Trinidad. Port of Spain made him. Its yards, its rum shops and its calypso tents gave him his rhythm and his sharp tongue. He sang in a church choir as a boy, but the city had a louder music, and by his late teens he was performing under the name that would become a title.

The breakthrough came in 1956 with “Jean and Dinah,” his mischievous farewell to the American servicemen leaving Trinidad after the war years. The song swept Carnival, winning him both the Road March and the Calypso King crown. It introduced a young performer who could be funny and fearless at once, who could make an entire nation laugh at itself and then think hard about what it had just laughed at.

He was fearless offstage too. A year after that first crown, he refused to compete over the paltry prize money offered to calypsonians, a stand that helped push the art form toward the respect and the pay its practitioners deserved.

Over six decades, he recorded hundreds of songs. He could turn a love story, a boast or a bit of bedroom comedy into a hit, but he was just as formidable when the subject was power. “Dan Is the Man in the Van” took apart a colonial schooling that taught Caribbean children nonsense about themselves. “Congo Man,” “Mr. Walker,” “The Lizard” and “Both of Them” became standards sung by people who had never set foot in a calypso tent. Long before anyone printed it on a poster, audiences had already crowned him the Calypso King of the World.

For New York’s Caribbean community, Sparrow was never just a visiting star. He made this city his home for many years and played its biggest rooms, including Madison Square Garden, before crowds of immigrants who heard in his voice the islands they had left behind. A Sparrow show here was less a concert than a homecoming.

Trinidad and Tobago honored him with the Trinity Cross, then its highest national award, and generations of calypsonians and soca artists have named him as the standard they measured themselves against. Fans called him “Birdie,” and the affection in that nickname said everything.

Tributes are already pouring in from across the region and the diaspora, and they will keep coming for weeks. But perhaps the truest tribute is the simplest one: somewhere tonight, in Port of Spain, St. George’s, Flatbush and beyond, someone is putting on a Sparrow record, turning it up, and singing along.

Based on reporting by New York Carib News.