Spokane Regional Health District Adjusts Equity Policies Amid Trump Administration Pressure

The Spokane Regional Health District recently updated its stance on health equity, a move partly motivated by concerns over possible cuts to federal grants. Alicia Thompson, the district’s Administrative Officer, confirmed that health equity remains a core value but noted the new language is a shift from a broader statement made during the 2020 Black Lives Matter protests.

Originally, the health district described “structural racism” as a public health crisis affecting Spokane at various levels. The previous commitment pledged to foster change through staff training focused on health equity and anti-racism.

However, changes in federal policy have influenced the district’s approach. Under President Trump’s administration, diversity, equity, and inclusion (DEI) initiatives faced scrutiny, leading to requirements that restrict federal funds from supporting DEI programs.

The revised message now emphasizes equal opportunities for achieving health potential, regardless of social or economic status. Training on health disparities will be voluntary, aiming to encourage participation without imposing requirements.

At a recent board meeting, Michelle Fossum, the district’s legal counsel, clarified that the update was guided by federal directives. Some members voiced concern about the effectiveness of voluntary training. Devyn Bell, the agency’s health equity manager, argued that consistent training is crucial for meaningful progress. She warned that optional participation could lead to misunderstandings about equity.

Board member Charlie Duranona suggested removing the word “voluntary,” but Fossum defended its inclusion, stating it was to avoid forcing any staff into potentially contentious training.

The revised statement was approved unanimously, with members expressing a desire to comply with federal requirements while respecting state laws.

Recent surveys show that many employees in similar organizations feel that mandatory training enhances understanding and leads to meaningful change. According to a study by the National Institutes of Health, organizations that implement structured training programs see a significant increase in staff’s awareness and commitment to health equity.

As discussions continue about how to promote health equity effectively, it’s clear that clear communication and consistent training are vital in addressing complex issues surrounding health disparities. Balancing federal regulations with the mission of advancing equity poses ongoing challenges for organizations nationwide.



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