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I’m Dr. Rob Winn and you're listening
to Real Cancer Talk

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from VCU Massey
Comprehensive Cancer Center.

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I am Community Clo
welcoming you to Community Conversations.

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You want to turn us all the way up.

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I say this every month, right?

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Well, I am Community Clo.

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Your hostess always keeping you updated.

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And I brought a few friends along on
this day of no copay and no white coats.

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Now we're going to be talking
about the American Association for Cancer

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Research Disparities Progress Report 2024.

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So to talk about it
are my special guest, Doctor Rodney Haring

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chair of the Department of Indigenous
Cancer Health, Roswell

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Park Comprehensive Cancer Center
out of Buffalo, New York.

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How are you, Doctor Haring?
I am doing well.

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How are you today?

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I'm doing good.
I see you ready to get into it.

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And we always in a win win situation
when we have this doc on board.

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Doctor Robert Winn of the Massey

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Cancer Comprehensive.,
that is, Cancer Center.

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How are you doing?

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You know what?

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Every time I'm with you,
all I do is win, win, win win.

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You know how that go?

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I know that's right.

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And another one. And another one.

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Now we're going to talk about the,
key cancer disparities statistics.

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Doctor Haring you want to share
some of those with our audience?

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Yeah.

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I can start off, first,
I just want to say

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I appreciate the opportunity
to share and kind of highlight

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and just some experiences about from our,
our indigenous communities,

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our native nations and

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tribal nations.

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And, we've had, a number of cancer
health disparities,

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related to a number of issues
over time from, you know,

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our people have been here since the
beginning of time and things have changed

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since that time.

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So some of our, cancer
disparities are related to,

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and you'll see that
in some of the reports coming out,

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the liver cancer, 
you know, other areas related to,

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kidney cancer and other areas
related to just, you know, things

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that have affected our community as over
time, co-occurring conditions included.

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And it's so interesting
when you think about

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what does this derived from,
we always looking at the disparity numbers

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when it comes to black people
or brown people or indigenous individuals.

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Where is this happening from?

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Could it be, nature or what,
Doctor Haring?

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Well, you know,
our people have always had

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a connection to nature,
like you're saying, an environment.

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And you'll see that the.

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Well, you know, what
we would call social drivers of health

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or some referred to as social determinants
of health.

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In fact,
our people in a number of different ways,

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access to care, transportation,
but in a cultural sense, to talk about,

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our connection, our indigenous knowledge
is, you know, how is our indigenous

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knowledge has changed, our access
to, living the way

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we used to eating the things that we used
to drinking the way we used to.

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And all of that changed over time.

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And, you know, believe that

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because of those,
westernized influences to our people,

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that those may have and probably do
have relationship to things like obesity.

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And, and if you look at obesity in the way
our, we live in that kind of context

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that has an influence
on, different types of cancer.

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So to say that relationships
and co-occurring conditions like diabetes

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also affects our people

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and our relationship
to some of these other

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co-occurring conditions
and to our cancer health disparities.

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So that's one piece of the puzzle.

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And looking at,
you know, how how do we prevent that?

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How do we look at that?
And whether that's related to,

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those kind of factors?

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We're a lot of like, you know, even though
we're from different nationalities.

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And, Doctor Winn
I want you to jump in on this.

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And, you know, you believe in cures.

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And this is where I think
this is where I think having Doctor

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Haring on and understanding

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that in the Commonwealth of Virginia,
we have several indigenous sort of tribes.

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But the Chickahominy,
you know, the Rappahannock, etc.

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But the reality is,
if you look at our numbers,

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whether you go east or you go west
or you go south, when we look at,

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endogenous, indigenous sort of, 
communities,

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they're suffering
just like many of the communities

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in the African-American
and rural white areas and rural areas.

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And I think that what we

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what we used to say, well,
there is nothing that we can do about it.

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And when I'm convinced
that this report does say is it identifies

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the problems and as doctor having
just sort of said identified the problems.

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But within those identifications,
the problems, they're also solutions.

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You know,
most of this isn't what we can't do.

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It's what we are willing to do.

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And so that's why I'm really excited about
not only the report, not only, you know,

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what were they doing with Chief Ann and,
and, and Chief Atkins, as you know, up

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in Charles City with Chickahominy
and others and the Iroquois nation.

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But what we can actually now know, before
you solve a problem, you have to know

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is there.

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The difference is,

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I think Doctor Haring and others now
have moved beyond admiring the problem.

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And now we like what
you going to do about it.

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And so that's where I'm really excited
about the things that we can actually

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think about as a group, about how to now
address some of these issues.

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And some of these issues are going to cost
a whole lot of money.

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Yeah. You know, but some of them
we have to be realistic.

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Just to say prevent, Sister Cloe...

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You know what people say.
Well just eat well.

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Well how are you going to eat

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well if you ain't got fresh fruits
and vegetables in your neighborhood?

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Yeah, in a 40 miles away.

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So we have to do a lot less
about telling people what they need

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to do and making sure that they have
what they need in the communities.

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And that's, I think, a really big focus
of this, of of why I was happy

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to chair the third, 
the third version of this, you know, sort

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of our AACR report, health equity report
because I was I was OG, back in the day.

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I was with the first 1 in 2020

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when we recognize
that there was no such report ever.

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In the United States, that was consistent.

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And every year of the year

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we've been committed to, you know, Doctor
Foti, that organization

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and others have been committed now
to bringing the information that we can.

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And when I'm just looking at this,
thank you so much

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for your wealth of information and all you
do, Doctor Winn and Doctor Haring

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And I'm just looking down
the scope of the key cancer disparities

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statistics
when we're looking at African-American,

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Alaska Native Asians, Pacific Islanders
and Hispanic individuals more than twice

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as likely will die from stomach cancer
compared to white people.

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And I know we live in a fast
paced society, but as you did,

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mentioned Doctor Haring from our culture
of eating everything from the ground up,

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we moved into a fast paced society now
where everything is made in the microwave.

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Could that be a contributor also, Doctor
Haring and/or Doctor Winn?

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I'm just asking. Yeah. You know.

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Yeah. That's true. That's absolutely true.

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If you think about what Doctor Winn was
saying about where we get our food, right.

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So you go to, a grocery store
and yeah, they may have, like, bananas,

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you know, they may have like, lettuce,
but for a traditional food to come

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from the earth, right, or wild onions
or, you know, different teas and

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the things that we hunt for

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and we don't always even have access
in our own minds to that

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and the relationship to our land
and what we get.

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And then going to our grocery stores

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and most reservations or territories
or reserves are in rural areas.

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And I, you know, faced some of the same
challenges to get fresh food.

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And and it's just really complicated.

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And how we cook
and what we use are all important.

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Now, I would also say that,
you know, across the country, you know,

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even though our people have been here
since the beginning of time,

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we haven't been in the conversation
most of the time as of late.

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One more, NCI designated cancer centers

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and organizations
have started to build more relationships.

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And, you know, that isn't just like,
oh, it's a good idea.

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A it's a federal responsibility
through treaty rights

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that we have these conversations,
that there are funding and support

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mechanisms at the conversations
that are there, that we're at the table.

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And so we really appreciate having,
you know, having us on.

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Oh, absolutely. Conversations.

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We really appreciate, at the NCI
designated

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cancer centers, having us at the table.

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And as Doctor Winn was saying,
you know, head in a Shawnee people,

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Iroquois was a word that came from,

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the French and is now used in America.

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But we ourselves call ourselves the hood
in Shawnee, or the people around us.

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And our people spend
most of the East Coast and into Ontario.

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And what is now Quebec.

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So before, Canada and the US were here
are people have always traversed

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these areas and lived along
the Great Lakes regions.

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And, you know, it's it's
been a big change.

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And a lot of these factors
of historical change and the way

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we approach things, yeah, our people
are understanding them moving forward.

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But at the same time, you know,
there are disparities there.

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We don't have the land base we once had.

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We don't have, you know, the language
that we once had and that's coming back.

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And, you know, in our resilient
way of life, we're still here.

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Yeah, we're still here.

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We're still, you know, the same land
we always walked on.

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But, you know, it's the microwave
and not the fire anymore.

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But I think is going the other way

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where we're starting to, you know,
bring our traditional ways back.

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And part of that indigenous knowledge

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and traditional ways
really supports our healthy lifestyles.

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So we're at the apex of our transition
now, and rekindling

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and resurgence of how we used to live
for the health and wellness of our people.

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We need all of our tribes
and all of our villages back.

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Definitely. We're going to take a break
and come on back.

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We have more good news.

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This is Community Conversations.

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Stay close.

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I am Community Clo.

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Welcome back to Community Conversations.

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This is a show of no copays
and no white coats.

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We're getting down to it.

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We're talking about key cancer
disparities statistics.

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And you know me
I go to the source and I want to make sure

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we're looking for solutions
and pursuing health equity.

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Joining me on the show is Doctor

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Rodney Haring chair of the department
of the Indigenous Cancer Health

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Roswell Park Comprehensive Cancer Center
in Buffalo, New York.

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And we also have Doctor Robert
Winn of the VCU Massey

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Comprehensive Cancer Center in Virginia,
let's say, Richmond, Virginia.

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Joining us on the show
now, we're going to get back into it.

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Doctor Haring let's talk about
some of these causes of cancer disparities

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when it comes to our indigenous family
and black folk.

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You know, across the nation
has been relationships within indigenous

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peoples and, and black people for many,
for many generations.

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I would say, here in this area,

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around Buffalo,
we have the Underground Railroad history,

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and many people from many, 
communities would come through this area.

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And as sovereign nations,
we always had that relationship

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and understanding and partnership
with people.

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And so we've always had relationship

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with, black communities, for,
for generations.

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And, you know, across the country as well.

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It hasn't just been here
in the our region, but across the country

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and into North America
and into Canada as well.

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So there is that relationship
that we've had.

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We honor that relationship.

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We often face some of the same health
disparities and same cancer

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health disparities.

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So the relationship has been there.

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We continue to honor that relationship, 
nation to community, to people, to people.

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And, you know,
that's how we that's how we work together.

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It's been taught to us
that way, as indigenous people, that we

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we honor those relationships and,
you know, working together, to find,

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resolution and solution and equity,

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amongst our peoples,
it's very important.

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So we carry that on the work that we do.

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Well, thank you for that, Doctor Haring.

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Doctor Winn, I need you to step on up

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when it comes to Indigenous and Indigenous
family, we're talking about tribes.

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Well what about this
African American village?

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How do we extend that olive branch
to get them

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involved with clinical trials and more?

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How do how do we do that? Yeah.

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So you know it, you know.

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And Brother Rodney,
I really appreciate it.

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Yes we do.

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One of the, one of the leaders
that you have, also Ronny Bell of that

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University of North Carolina,
part of that Linerberger Cancer Center.

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Here's the deal.

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Grandparents, great

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grandparents and great great grandparents
actually told us how to work together.

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So and actually, not only told us,
but showed us how to work together.

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And I think that, Doctor Herring,
that's something that I thought

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was really important
about getting back to really who we are.

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So we know how to do this.

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I mean, whether we're talking about
some of our tribes here,

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in the Commonwealth of Virginia,
or as of what we've done, in Florida

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or in Oklahoma and places like that,
we kind of have an idea

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when it comes to clinical trials.

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I actually think that it's
really important.

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In fact, as the AACR report came out,
we covered someone who was, literally

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from the Seneca nation
who actually sort of said that he

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if it were not for clinical trials,
if it were not for access to care, he

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wouldn't be here.

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And so

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this concept, though,
of bringing the molecules that become

00;13;21;28 - 00;13;23;14
the miracle medicines

00;13;23;14 - 00;13;27;14
and understanding that when you've reached
the end of the standard of care,

00;13;27;20 - 00;13;30;19
that the standard of care really
is the offering to our people

00;13;30;19 - 00;13;33;16
in all of our communities, access
to clinical trials

00;13;33;16 - 00;13;35;28
is something that is a work
that we're all going to have to do.

00;13;35;28 - 00;13;39;22
Latino communities, African-American
communities, indigenous communities.

00;13;39;28 - 00;13;43;12
Because the truth of the matter is,
we don't always know if the medicine

00;13;43;12 - 00;13;46;12
we give it to patient
X is going to work on patient Y.

00;13;46;13 - 00;13;47;11
Yeah, we need to know that.

00;13;47;11 - 00;13;52;07
And the only way to know that is
that we have to show up and be part of it.

00;13;52;15 - 00;13;55;09
So that when we think
about the miracle drugs,

00;13;55;09 - 00;13;57;23
we know that that miracle drug
is going to work for everybody.

00;13;57;23 - 00;14;00;04
So that I think that
that would be my pitch.

00;14;00;04 - 00;14;02;24
And that's going to I'm going to go to
that's my that's my story.

00;14;02;24 - 00;14;05;15
And I'll get to it.
Okay. And I think that folks

00;14;06;14 - 00;14;09;06
that folks like Doctor Haring and Doctor
Bell and others,

00;14;09;06 - 00;14;12;15
I think we're also taking that message out
to the African-American community

00;14;13;02 - 00;14;16;02
and to, you know,
and to our indigenous brothers.

00;14;16;02 - 00;14;17;19
And, you know,
you know, in the black community,

00;14;17;19 - 00;14;20;06
you know, we talk about
when they talk about good hair. Yeah.

00;14;20;06 - 00;14;21;18
You know, I got some
you know what I'm saying?

00;14;21;18 - 00;14;23;02
You know, this is that is something, you.

00;14;23;02 - 00;14;25;09
No, you didn’t. For different folks,
for African Americans.

00;14;25;09 - 00;14;26;05
Yes, I did.

00;14;26;05 - 00;14;27;09
You know, I did.

00;14;27;09 - 00;14;31;14
It all mixed up it, you know, you know,
we're just we're just God's children.

00;14;31;14 - 00;14;34;13
Doctor Haring is shaking
his head. You know. Yeah.

00;14;34;13 - 00;14;35;10
I gave it back.

00;14;35;10 - 00;14;37;26
I don't even know how I hang
around, Doctor Winn but I do.

00;14;37;26 - 00;14;40;24
That's right.
And we're all God's children.

00;14;40;24 - 00;14;42;12
That that's who we are right now.

00;14;42;12 - 00;14;44;20
We're all mixed up with something.

00;14;44;20 - 00;14;48;07
We're going to say, Doctor Winn has some
nice looking hair, too, and so do I.

00;14;48;07 - 00;14;51;07
So I think that that kind of brings us
together.

00;14;51;17 - 00;14;53;06
I'm Clo with the good hair too.

00;14;53;06 - 00;14;54;18
I'm Clo with the good hair too.

00;14;55;22 - 00;14;58;02
Take back the hair...

00;14;58;02 - 00;15;00;22
But but you know the what
the other point though,

00;15;00;22 - 00;15;03;19
and I think that doctor, Doctor Haring
can definitely speak to this,

00;15;03;19 - 00;15;07;16
is that we always think about, 
indigenous people

00;15;07;16 - 00;15;11;01
as only living on reservations
are only living in rural areas.

00;15;11;01 - 00;15;15;08
The reality is,
many of our indigenous folk also live

00;15;15;08 - 00;15;17;02
with in large cities like Chicago.

00;15;17;02 - 00;15;20;19
And so I don't know if Doctor Haring wants
to, you know, take that a little bit

00;15;20;19 - 00;15;24;00
and just kind of give us an,
you know, some insight into when we talk

00;15;24;00 - 00;15;27;00
about indigenous
health, it's not just always,

00;15;27;00 - 00;15;30;05
you know, in Tuscarora Valley or,
you know, rural areas.

00;15;30;05 - 00;15;32;10
Sometimes it's really in large cities.

00;15;32;10 - 00;15;34;11
And the health there also matters.

00;15;34;11 - 00;15;36;21
So, Doctor Haring
I know you're the leading expert on this,

00;15;36;21 - 00;15;39;21
but if you want it, you know
that, you know, talk about that and shed

00;15;39;21 - 00;15;41;07
light on that. That'd be great.

00;15;41;07 - 00;15;41;16
Yeah.

00;15;41;16 - 00;15;44;20
You know, same thing
for black communities, too, I think that,

00;15;44;20 - 00;15;47;26
you know, or sometimes
the job opportunities are in the city.

00;15;47;26 - 00;15;48;04
Right?

00;15;48;04 - 00;15;52;29
So, we sometimes our families,
may live on a reservation

00;15;52;29 - 00;15;55;04
and travel to the city
and eventually move to the city.

00;15;55;04 - 00;15;58;24
So some of the largest cities
in the country, like New York City,

00;15;58;24 - 00;16;02;03
LA, Chicago, there are large,

00;16;02;04 - 00;16;06;05
native and indigenous populations
and of course, black populations.

00;16;06;05 - 00;16;08;12
And there's, you know,
I think it's back and forth.

00;16;08;12 - 00;16;11;20
So we recognize what that means
to our communities and how,

00;16;12;04 - 00;16;16;07
you know, some family members
may live on the reservations

00;16;16;07 - 00;16;18;23
in the summer or, 
tribal territories in the summer

00;16;18;23 - 00;16;21;26
and then work in the winter
time in the, in the cities, so

00;16;21;26 - 00;16;26;28
that care has to also, move back
and forth where, you know, we had to move

00;16;27;29 - 00;16;29;13
our families, move about.

00;16;29;13 - 00;16;33;13
So and then sometimes we just end up
living in the city for whatever reason.

00;16;33;13 - 00;16;37;15
So there are, large populations,
in fact, in New York City

00;16;37;15 - 00;16;40;22
and LA, some of the largest, 
Native American Indigenous

00;16;40;22 - 00;16;43;22
populations in the country, 
do live in the city.

00;16;43;27 - 00;16;45;10
And it's multi tribal, right?

00;16;45;10 - 00;16;46;20
It isn't just one tribe.

00;16;46;20 - 00;16;48;12
The New York City is very diverse.

00;16;48;12 - 00;16;53;02
And there's over, there's 574 federally
recognized tribes in the United States.

00;16;53;02 - 00;16;58;07
So that means there's multiple,
tribal nations and some other nations face

00;16;58;07 - 00;17;01;23
different cancer health disparities, too,
as you know, in Alaska, for example,

00;17;02;06 - 00;17;05;25
there's, different types of cancer
are more prevalent

00;17;05;25 - 00;17;08;28
than, say, in New York or in California.

00;17;09;06 - 00;17;12;25
So even have to understand the differences
between tribal nations and,

00;17;12;25 - 00;17;16;02
you know, whether it's, genetic
or whether it's environmental.

00;17;16;20 - 00;17;19;01
It really plays a factor in
how that goes.

00;17;19;01 - 00;17;23;23
But I would say, you know, to one thing,
it's really important to or some of these,

00;17;24;25 - 00;17;26;08
kind of they've been there.

00;17;26;08 - 00;17;29;29
But I think more visible now in the AACR
reports are the conversation

00;17;29;29 - 00;17;32;09
around patient navigation
and what that means.

00;17;32;09 - 00;17;35;28
And, you know,
when when there's a, a coach, so to say

00;17;35;28 - 00;17;39;00
that helps you through the cancer
care journey like a patient navigator.

00;17;39;26 - 00;17;42;28
You know, I think it increases
it does increase screening.

00;17;43;12 - 00;17;44;27
A twofold sometimes.

00;17;44;27 - 00;17;48;01
So having that, 
patient navigator, support,

00;17;48;16 - 00;17;48;27
whether it

00;17;48;27 - 00;17;52;06
be, you know, getting to a screening early
and you see in the stats sometimes,

00;17;52;19 - 00;17;56;22
you know, you'll see like,
more people are entering into care,

00;17;56;22 - 00;18;01;07
but maybe more blacks and indigenous
people, have a greater mortality.

00;18;01;18 - 00;18;02;24
And sometimes that's related to,

00;18;02;24 - 00;18;04;20
just because they don't get screened
early enough.

00;18;04;20 - 00;18;07;12
So having a patient navigator
or a health coach,

00;18;07;12 - 00;18;10;12
you know, really being the forefront
of that conversation,

00;18;10;20 - 00;18;14;04
to help people get screened
and understand the journey, whether it be

00;18;14;04 - 00;18;16;17
on the reservation or in an urban context,

00;18;16;17 - 00;18;19;17
is really important
unless I just want to add to, you know,

00;18;20;04 - 00;18;23;04
when I, when I started
in the field of cancer care,

00;18;23;10 - 00;18;26;07
there weren’t too many native people
in kind of leadership roles

00;18;26;07 - 00;18;29;23
or in a scientist role or,
you know, but it's changing.

00;18;29;27 - 00;18;32;29
I think our, our areas of opportunity

00;18;33;10 - 00;18;37;02
for education, our program,

00;18;37;02 - 00;18;41;29
initiated a high school internship program
and a college internship program.

00;18;42;09 - 00;18;45;13
We've had over 40 indigenous students
over the past few years.

00;18;45;13 - 00;18;47;26
They're really the next mission of,

00;18;47;26 - 00;18;50;03
indigenous
cancer science is leading the way.

00;18;50;03 - 00;18;52;10
So those type of programs
are really important.

00;18;52;10 - 00;18;55;18
I know Doctor Winn has worked
with the students over his career too,

00;18;55;18 - 00;18;59;02
and it's really about putting something
forward for next generations.

00;18;59;07 - 00;19;03;04
Understanding causes of cancer disparities
and pursuing health equity.

00;19;03;09 - 00;19;04;19
That is what it's all about.

00;19;04;19 - 00;19;06;13
And we're going to start pursuing those.

00;19;06;13 - 00;19;08;26
Let's take another break and come on back.
Stay close.

00;19;08;26 - 00;19;11;28
This is Community Conversations.

00;19;12;17 - 00;19;16;07
I am Community Clo
welcome back to Community Conversations.

00;19;16;07 - 00;19;20;14
It’s a day of no co-pay and white coats
with Doctor Rodney

00;19;20;15 - 00;19;24;13
Haring of Roswell Park
Comprehensive Cancer Center in Buffalo,

00;19;24;13 - 00;19;28;08
New York, and Doctor Robert
Winn of the VCU

00;19;28;08 - 00;19;32;00
Massey Comprehensive Cancer Center
in Richmond, Virginia.

00;19;32;00 - 00;19;33;03
Welcome back to the show.

00;19;33;03 - 00;19;36;04
We've been talking about
understanding the causes of cancer

00;19;36;04 - 00;19;39;18
disparities, but we want to talk about
this progress report.

00;19;39;25 - 00;19;42;09
And there have been some strides made.

00;19;42;09 - 00;19;44;09
Right, Doctor Winn?

00;19;44;09 - 00;19;46;15
Yo, look,
you've had to turn this all the way up.

00;19;46;15 - 00;19;50;18
So we, we, we so, you know, we always talk

00;19;50;18 - 00;19;52;29
and we talk about the problems
and the problems and the problems.

00;19;52;29 - 00;19;56;09
Sometimes you can convince yourself
that we ain't made no progress.

00;19;56;09 - 00;19;57;12
And that's not true.

00;19;57;12 - 00;20;01;02
The report actually says that we have made
some substantial progress.

00;20;01;02 - 00;20;04;02
For example, the difference
between black and white deaths

00;20;04;05 - 00;20;08;01
in 1990 was about 33%.

00;20;08;09 - 00;20;11;26
So that meant that if you're
an African-American, that you were 33%

00;20;11;26 - 00;20;14;27
more likely to actually,
if you got cancer to die from it.

00;20;15;17 - 00;20;21;16
In 2020 and then in now in the 2020s,
that's down to 11%.

00;20;21;16 - 00;20;25;24
So it'll tell me we've made no progress to
the matter is that when it comes to lung

00;20;25;24 - 00;20;30;00
cancer differences, we've actually almost
narrowed the gap for some communities

00;20;30;03 - 00;20;33;08
where it used to be 4 or 5 times
higher for certain groups.

00;20;33;14 - 00;20;36;17
Most groups
now have actually, you know, reduced.

00;20;36;17 - 00;20;38;11
Now, that doesn't mean that
we ain't got problems.

00;20;38;11 - 00;20;40;13
It turns out that African-Americans

00;20;40;13 - 00;20;44;04
still have higher rates of dying
from breast cancer and prostate cancer.

00;20;44;04 - 00;20;47;05
It also means
that our indigenous communities

00;20;47;05 - 00;20;51;09
are still dying from, you know,
stomach cancers and other things.

00;20;51;13 - 00;20;54;09
So it does mean that
we still have work to do, but

00;20;54;09 - 00;20;57;09
we got to quit playing
like we ain't making no progress.

00;20;57;18 - 00;21;00;11
And that the fact of the matter is,
is that they “hide

00;21;00;11 - 00;21;03;12
the medicines from us to just make money.”
That's crazy talk.

00;21;03;12 - 00;21;04;18
That's a TikTok talk.

00;21;04;18 - 00;21;08;20
It turns out that if you can actually
get your head around it and get access

00;21;09;01 - 00;21;12;13
to these miracle drugs,
it is making a difference. Wow.

00;21;12;25 - 00;21;13;05
Yeah.

00;21;13;05 - 00;21;16;26
Differences and ancestry
related biological factors.

00;21;17;04 - 00;21;20;16
That was something unheard of before
because it was like when one

00;21;20;18 - 00;21;23;18
drug fits all before, Doctor Winn, right?

00;21;23;21 - 00;21;26;03
You know,
that's why we call it not listed.

00;21;26;03 - 00;21;30;09
We can go all the way back to 2015,
when I think Obama actually did

00;21;30;09 - 00;21;34;04
something that he didn't even recognize at
the time was a game changer.

00;21;34;14 - 00;21;36;09
He said that we shouldn’t just be,

00;21;36;09 - 00;21;40;12
the miracle is to actually have precision
based medicine.

00;21;40;23 - 00;21;43;15
I'm going to 
rephrase that person based medicine.

00;21;43;15 - 00;21;47;27
So that means we design
the drug specifically to you to work.

00;21;48;05 - 00;21;49;18
We have that ability.

00;21;49;18 - 00;21;53;09
And as a result of that,
not only has it been better screening,

00;21;53;16 - 00;21;56;11
not only has it been
that we've got better medicines,

00;21;56;11 - 00;21;59;11
but what happens is
we've been actually able to treat people

00;21;59;16 - 00;22;00;21
with these better medicines.

00;22;00;21 - 00;22;01;15
The problem

00;22;01;15 - 00;22;04;22
is that it still remains a struggle
on indigenous indigenous communities

00;22;04;23 - 00;22;08;12
and black American communities,
because we got issues around trust and

00;22;08;26 - 00;22;10;24
lots of other things to kind of get over.

00;22;10;24 - 00;22;11;23
But let's now plate

00;22;11;23 - 00;22;15;04
we all making progress,
including indigenous folk and black folk.

00;22;15;04 - 00;22;17;15
We all make making some progress.
All right.

00;22;17;15 - 00;22;21;27
Thank you so much for sharing that, Doctor
Robert Winn we are making some strides,

00;22;22;02 - 00;22;27;04
Doctor Rodney Haring, so what can we do
to continue to make even more strides?

00;22;27;15 - 00;22;29;07
You know, I like what Dr.

00;22;29;07 - 00;22;33;14
Winn is saying, you know, I think black,
people of color, indigenous

00;22;33;14 - 00;22;36;28
people are some of the strongest,
most resilient and intelligent people.

00;22;37;10 - 00;22;41;25
And that we as we continue
to grow our workforce,

00;22;42;11 - 00;22;47;20
our, our students come up, are getting
into different sectors of science.

00;22;48;05 - 00;22;52;03
And we have this, philosophy is called
the “seventh generation philosophy”

00;22;52;16 - 00;22;53;18
and it really talks

00;22;53;18 - 00;22;57;03
about the things that we're doing now
as scientists and where we're at,

00;22;57;20 - 00;23;02;10
those responsibilities were given to us
by our, past generations.

00;23;02;18 - 00;23;06;15
And we carry that and we carry that
responsibility to give those opportunities

00;23;06;29 - 00;23;08;04
to our future generations.

00;23;08;04 - 00;23;11;22
So the science that we're doing now,
it isn't really for the here and now.

00;23;12;01 - 00;23;13;21
It's for future generation forward.

00;23;13;21 - 00;23;17;08
And we look forward seven generations,
seven generations forward.

00;23;17;21 - 00;23;21;17
So the things that we're doing now
clinically, the clinical trials

00;23;21;17 - 00;23;26;02
that we're and starting to engage in
and learn more about

00;23;26;13 - 00;23;31;07
and be part of it isn't for the here
now, it's for seven generations forward.

00;23;31;07 - 00;23;33;09
Fast forward seven generations.

00;23;33;09 - 00;23;36;15
So to educate our people
about clinical trials,

00;23;36;16 - 00;23;39;18
to educate our tribal leaders
about clinical trials

00;23;39;28 - 00;23;43;18
so they that are, black
indigenous people of color

00;23;43;18 - 00;23;47;06
communities can make informed decisions
about being part of clinical trials.

00;23;47;16 - 00;23;49;08
And, you know, that's really important.

00;23;49;08 - 00;23;51;11
It isn’t, just something that.

00;23;51;11 - 00;23;53;07
Oh, well,
you know, here's the clinical trial.

00;23;53;07 - 00;23;53;29
You might be interested.

00;23;53;29 - 00;23;56;12
Let's be engaged in that conversation.

00;23;56;12 - 00;23;56;27
Let's make

00;23;56;27 - 00;24;00;17
informed decisions about our health
and how we move forward in good ways.

00;24;00;29 - 00;24;02;11
That is great.

00;24;02;11 - 00;24;05;25
Doctor Rodney Haring thank you so much
for this wealth of information.

00;24;05;25 - 00;24;07;22
And I can't stop saying it. Wealth

00;24;07;22 - 00;24;11;28
of information, wealth of information,
which is the opposite of disparity.

00;24;12;02 - 00;24;15;17
So we're looking at
cancer is not a death sentence anymore.

00;24;15;25 - 00;24;19;12
But in order to not do that,
we need more clinical trials

00;24;19;12 - 00;24;22;00
so we can walk into our cures.
Thank you so much.

00;24;22;00 - 00;24;27;12
Now, Doctor Winn, you going to send us
on home and help us all the way up.

00;24;28;01 - 00;24;31;09
But it will say, you know, I'm
I'm going to take a little page

00;24;31;09 - 00;24;35;15
out of Philadelphia, with 
you know, McFadden & Whitehead, is sorta

00;24;35;15 - 00;24;38;15
that old song ‘Ain't No Stopping Us
Now.’ I’m just letting you know,

00;24;38;25 - 00;24;41;05
you know what I’m saying? Gamble and Huff.

00;24;41;05 - 00;24;44;01
I’m just going to go with it. Ain't
no stopping us now. So appreciate you all.

00;24;44;01 - 00;24;45;06
Appreciate you so much.

00;24;45;06 - 00;24;48;07
Doctor Rodney Haring and Doctor
Robert Winn.

00;24;48;12 - 00;24;54;01
This has been Community Conversations
and I am Community Clo.