By May 15, 2020, all 50 states had announced plans to reopen their economies. These plans emerged on the heels of an increasing awareness that COVID-19 had hit minority communities particularly hard, especially Black communities. Despite constituting only 13% of the US population, Blacks have made up 24% of the deaths from COVID-19 nationally, rendering them at least twice as likely to die from COVID-19 than are other groups.[
The disproportionate impact of COVID-19 on minority communities has been partly attributed to the racial composition of the workers in economic sectors deemed essential, including home health care, nursing homes, and community food and housing services. In these sectors, where employees are likely to come into contact with COVID-19 (i.e., high-contact jobs), Blacks and Hispanics are more likely to be employed than are Whites.[
The plans that states have outlined to reopen economies will likely exacerbate the racial disparities in COVID-19 infection and mortality because of the imbalance in racial and ethnic labor composition. For example, in Georgia, the first industries that are set to reopen are gyms, hair salons, tattoo parlors, movie theaters and dine-in restaurants; New York announced plans to allow manufacturing, construction, and certain retailers to reopen first; and other states have announced plans to reopen food services and department stores first.[
According to data from the Department of Labor Statistics,[
Graph: FIGURE 1— Representation in Industries Set to Reopen of (a) African Americans/Blacks and (b) Hispanics/Latinos: United States, 2020
As the corpses from COVID-19 pile up, policymakers are fully aware that certain minority groups, particularly Blacks, have been disproportionately ravaged by the pandemic. Therefore, as governors across the nation announce plans to reopen certain industries in a stepwise fashion, they do so with the knowledge that this will exacerbate COVID-19's devastation of communities of color. Their disregard for this potential outcome as they reopen industries with mostly Black laborers exemplifies the essential–expendable paradox of Black lives in the United States. This means that, although many Blacks have been designated essential laborers during COVID-19 and are celebrated in many instances, many businesses and state governments have simultaneously treated them as expendable by not providing them with proper protection or support, which shows that their lives are devalued and their suffering ignored.
This treatment of Black people as both essential and expendable dates back to the era of chattel slavery. Before slavery was abolished, enslaved Black labor was essential to the US economy.[
Although the reopening of the economy during COVID-19 is not a formal scientific study, the plans to reopen the economy mirror a national experiment. States such as Florida, Texas, and Arizona, which were among the earliest to start reopening, currently have stark increases in COVID-19 cases. To date, there is no published data showing that racial disparities have worsened in these states that reopened first. There is much uncertainty about what will occur in the coming weeks and months as the economy tiptoes forward, and more time is needed to definitively demonstrate whether a rise in infections has occurred among Blacks and Hispanics during reopening. Because of the disproportionate representation of Black and Hispanic workers in both essential industries and the first wave of reopening industries, they will disproportionately be the subjects in an experiment administered by the state. And so, as US society looks on, working-class, vulnerable people of color will march back to the shop, office, or factory under life-threatening conditions, subjects in a national experiment to which they did not consent—an experiment that, like many before it, exploits the essential–expendable paradox of Black existence in the United States for the benefit of broader society.
To disrupt this essential–expendable paradox, there needs to be a targeted response to specifically supporting laborers of color and neighborhoods of color on state and federal levels. State and federal policymakers should swiftly implement holistic protections for essential workers. For example, the Occupational Safety and Health Administration should provide employers with resources to make COVID-19 tests freely available to workers in essential and reopening industries, especially given that data suggest that more of the testing is performed in White communities.[
The authors have no conflicts of interest to declare.
By J. Corey Williams; Nientara Anderson; Terrell Holloway; Ezelle Samford III; Jeffrey Eugene and Jessica Isom
Reported by Author; Author; Author; Author; Author; Author
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.
J. Corey Williams is with the Division of Child and Adolescent Psychiatry, Georgetown University Medical Center, Washington, DC. Nientara Anderson and Terrell Holloway are with the Department of Psychiatry, Yale-New Haven Hospital, New Haven, CT. Ezelle Samford III is with the Program on Race, Science, and Society, Center for Africana Studies, University of Pennsylvania, Philadelphia. Jeffrey Eugene is with the Children's Hospital of Philadelphia, Craig-Dalsimer Division of Adolescent Medicine, Philadelphia, PA. Jessica Isom is with the Department of Psychiatry, Codman Square Health Center, Boston Medical Center, Boston, MA.