Can you love authentically if you were raised to be toxic?

Can you love authentically if you were raised to be toxic?

It’s not easy to be hated by the person who is supposed to love you most, and unfortunately, being toxic has become normalized in our culture.

Many see misdirected aggravation, gaslighting, physical abuse, and more as “love tactics.” When a child only knows pain as a source of love, then they too love in that way and any other form of healthy love seems abnormal.

However, the question is, can a person ever love authentically if they were raised to be toxic?

The assumption is no. When someone is exposed to consistent, toxic stress, they are vulnerable to mental and physical illness that can sometimes develop into a genetic trait, according to Hey Sigmund; therefore this behavior is biologically passed on through generations.

However, despite the science behind the effects of toxic love, there is always hope for a better life.

Fighting for Love

“I just felt like I wasn’t loved by my mom, says Monique, a woman in her 40s who was often told she wasn’t good enough. “I felt growing up in my mom’s house I wasn’t allowed to be me, an individual.”

To suit her mother’s perfect image of a family, Monique, was to participate in certain activities without any consideration of her talents or desires. While at the same time, her brother was given free reign to participate in activities of his choice throughout their childhood.

And to make matters worse, Monique’s father suffered from Post Traumatic Stress Disorder (PTSD) and would often abuse her. She recalls him touching her to satisfy his physical desires and severely beating her when she reported it to her incredulous mother.

Fortunately, Monique found refuge in her grandmother’s home, where she found the kind of love her mother envied. Monique remembers her mother punishing and verbally abusing her as a result of the love she received from her grandmother.

Like many girls, Monique found herself looking for love in empty relationships during her teen years that lead to a forced, terminated pregnancy and physical and emotional abuse similar to the treatment she received from her own father.

Eventually, Monique met a gentle and caring man named Laz. However, Laz’s compassion and gentleness were unfamiliar to her, which ultimately lead to Monique returning to one of her previous, toxic relationships.

She went on to marry a former flame named Xavier and stayed in her abusive marriage for eight years.

Towards the end of my [3rd] pregnancy, I found out he was cheating and when I confronted him, he hit me,” says Monique who recalls her toxic relationship that mirrored her childhood. “He asked, ‘Who are you to question me?’…It felt like because of the way I grew up, if I wasn’t getting hit, then it wasn’t love,”

After her divorce, Monique fought against her toxic past. She made the decision to rise above her father’s mental illness, her mother’s jealousy and apathy, and their collective effort to make her their emotional punching bag for their marriage troubles.

Although the struggle did not end after her marriage when it came to love, her children, and health, she remains hopeful enough to fight for the love she deserves. She charges her will to carry on to God, because without Him, she would have taken the final blow to end her suffering.

Turning Off the Gaslight

Bella was born to a Catholic family that rejected her mother for having a baby with a man that she later learned was married. The rejection caused her mother to make multiple attempts to prove her worth to the family by making Bella seem exceptional, but in private her mother was spiteful and unloving as the list of accomplishments grew.

“[My mother] did everything for me to prove herself, but not for the love of me,” Bella explains. “She worked hard to put me through private school and extracurricular activities, but at home I was repeatedly told I was nothing; sometimes she even called me a waste of a human being. To this day, she has never told me she loves me.”

Whenever something would go wrong in Bella’s life, she would automatically blame herself as a result of her relationship with her mother. Even when her husband and father of their two children committed adultery, she took the blame.

As time went on, Bella lost the love of her life, her job, and believed that she would never be loved which drove her into a suicidal state .

Until one day, Bella decided that she had enough and began to fight for her life, beauty, and self-love through therapy. “Once I figured out that I wasn’t this awful, unlovable monster that I was made to believe as a reality by someone who was unloved, it turned my world upside down in a great way,” Bella says. “It never would have happened without me doing the work in therapy.”

As a result of her treatment, Bella was led to a love that she has been enveloped in for the last four years. Even though the pain of rejection transcended through two generations, love won in the end.

“In the middle of all of this, I met a man who just rained love on me,” Bella joyfully exclaims.

Is there hope after a toxic upbringing?

“But you have this in your favor: You hate the practices of [your abuser], which I also hate” (Revelations 2:6, NIV).

In the beginning of this article, the question was, can a person love authentically if they were raised to be toxic? The answer is yes, but you must fight for it.

It is easy to nurse the scars of someone that you love, because love is to be unconditional, right? But what good is unconditional love when a person’s pain has replaced the spirit that you desperately want to love?

That is spiritual warfare and it is best to back away and allow God to handle it if they are unwilling to get help. It is important to recognize the signs of someone who has been abused and trying to regain power, which can include verbally sharing memories of their toxic loved ones.

Fortunately, Bella and Monique worked past those painful memories found a way to defeat them so that the tradition of toxicity ended with them and a reign of love could begin.

“Black people don’t commit suicide. That’s a white thing!”

Video Courtesy of AJ+


“Black people don’t commit suicide. That’s a white thing.”

Who said that? That is a false statement. Blacks suffer from mental illness just like their white counterparts. In fact, when you think of everyday stressors, systematic-racism such as police brutality, education and health care gaps, and sexism that impacts black women, blacks are more likely to be at risk for developing a mental condition.

Although July is Minority Mental Health Awareness Month, this week, September 5-11 is National Suicide Prevention Week and it is a perfect time to shed light on what many deem a nonexistent problem. Schizophrenia, post-traumatic stress disorder, bipolar disorder, major depression, generalized anxiety disorder, dissociative identity disorder/multiple personality disorder, bulimia, ADHD, OCD and social anxiety are examples of mental illnesses that people battle daily. In the black community, many choose not to acknowledge mental illness as a sickness. Diseases such as diabetes and cancer are accepted as normal and natural, but what so many fail to realize is that blacks are no different than any other race when it comes to these illnesses. We are not exempt from mental illness.

While some experience mental illness only once in their life (depending on the illness, environment, life stressors, and genetics), others battle mental illness for the rest of their lives. Some of us think that we do not have a problem and truly believe that everyone else is the issue. Unfortunately, these myths and illusions force us to suffer in silence and not seek treatment. Mental illness affects “everyday functional” people and it is not limited to the homeless man talking to himself. It impacts a person’s emotions, perception, and behaviors.

As a person with major depression and generalized anxiety disorders, the comments said to me have been heartbreaking and mind-blowing because it prevented me from seeking help. I thought that I was making it up in my head even though I didn’t feel well for years. Finally diagnosed at 25, my doctor stated that the illness started around the age of 13. Can you imagine having cancer without being diagnosed for over 10 years? You would die. Well, I can tell you that I was dying on the inside and it led to multiple suicide attempts. My illness can get so debilitating. At one point, it stopped me from doing basic things such as going to work, talking, eating and showering.

Here are some of the myths that we must stop saying!

Myth #1: Only white people commit suicide.

Fact: According to by the Centers for Disease Control and Prevention, the suicide rate of black children in between the ages of 5 and 11 doubled between 1993 and 2013  and the rate among white children committing suicide declined. Suicides by hanging nearly tripled among black boys. While whites still have highest suicide rates in the country, suicide rates among black youth have significantly grown over the past decade. Unfortunately, black youth are killing themselves more frequently than their elders. Suicide has become the third leading cause of death among black people between the ages of 15 and 24 and a leading cause of death among school-aged children younger than 12 years in the United States.

Myth #2: Medication doesn’t work and/or they make you feel worse.

Fact: Medication is necessary for some individuals in their mental recovery. While they are NOT cures for mental illness, they are vital for treating the symptoms. Some may need medication for the rest of their lives (depending on the illness) and others only need it for a specific time. Nonetheless, medication is not a sign of weakness and it does not mean the person is crazy. It is no different from taking medication for high blood pressure or insulin for diabetes. Just like the body gets sick, the brain gets sick too, if you don’t take care of it. And no, this is not to say that everyone with a mental illness will need medication, but it is an invaluable help to many.

Myth #3: Black people don’t go to therapy.

Fact: Though there has been a deep-rooted stigma about seeking therapy, Blacks are increasingly seeking therapy for mental illness. Therapy is great whether you have a mental illness or not. Therapy helps you to work on yourself, dissect problems, face fears and overcome obstacles such as breakups, loss of a loved one, financial challenges, self-image issues, abuse, etc. As mentioned previously, blacks deal with oppression daily and therapy can help us work through it. Those who are still hesitant to try therapy can look into other ways of getting help. The support of a life coach has also been shown to be beneficial for many.

Myth #4: You can pray it away.

Fact: As a Christian, I have seen God perform miracles in my life. But when you say to a person “just pray,” you are assuming that they are not praying and dismissing how they feel, challenging the sincerity of their faith, and most likely preventing them from getting treatment. You would not say “just pray” to a person who broke a leg. You would tell them to go to the doctor for an x-ray and cast. We must treat mental illness the same. God also gives us resources to use on earth and sometimes that may be therapy and medication when a person is battling a mental illness.

Damian Waters is a marriage and family therapist in Upper Marlboro, MD, where he serves predominantly African American clients. On the issue of the stigma surrounding blacks seeking therapy, he says, “There’s some shame and embarrassment. You’ll tell someone that you went to the doctor, but you won’t tell that you went to the counselor or psychiatrist. Also, there is the idea that their faith should carry them through, though often their problems are larger than that.”

As a way to honor those with mental illness, please think before you speak, and encourage those who need help to seek treatment. Mental illness is just as serious as any other disease and those affected by it should not be judged or outcast. Mental illness is a flaw in brain chemistry, not a character flaw, or a white people problem.

 

Can you think of other myths surrounding Blacks and mental illness? Share them below along with your thoughts on putting the myths to rest once and for all.

How to Fight Racism: An Interview with Jemar Tisby

How to Fight Racism: An Interview with Jemar Tisby

Jemar Tisby generated a lot of necessary conversation about the intersection of race, social justice, and the global church in 2019 with his best-selling book, The Color of Compromise. With that book, he laid the historical foundation of racism in the church. In the last chapter of the book, Tisby shares practical tips for fighting racism. In his new book, How to Fight Racism, Tisby continues the conversation, but this time around he provides an actual framework that churches and Christian groups can use toward racial reconciliation.

“In a lot of ways, they [the books] pair together really well. Now, they can be read independently of each other. So, I don’t want folks to get scared if they didn’t read the first one. You can dive into the second. From my perspective, the second book is what I wanted to be the first book. I was really passionate about getting in there, getting involved in doing something about racism. But in conversations with publishers and advisors and things like that, it became apparent that we really needed to lay the groundwork for the problem of racism and white supremacy in this country. Especially as it relates to the church. And basically, diagnose the problem before we jumped to solutions,” said Tisby.

Tisby’s solution is built around a model he created called the ARC of Racial Justice. ARC is an acronym for awareness, relationships, and commitment. From Trayvon Martin through the Black Lives Matter Movement and even the tumultuous racial conflicts during the Trump presidency, many people have become more acutely aware of our country’s problems centered around race. But committing to developing relationships with people who may not have the same views as you do or are coming from a different cultural perspective and, in doing so, breaking down racist structures takes more of a plan for change.

“What I’m hoping for is that this sparks ideas for people to gather a group of folks around them and say, ‘Hey, let’s do something.’ And I am really looking forward to stories trickling in over the next year and two years or whatever, so that when we do the updated and revised version of How to Fight Racism, I can include stories from the field, so to speak,” Tisby said.

So, what about Critical Race Theory (CRT) as a way to combat racism? CRT argues that diversity training and changes in the laws are needed to combat structural obstacles created by white people that make for an unequal playing field in our society when it comes to people of color. Some people believe that CRT is a huge threat to the church. Tisby doesn’t see it that way. He says people who are dismissing it are using an old tactic — from tactics during the Civil War, when pro-slavery people used terms like “carpetbaggers” and “scallywags,” to the Jim Crow segregationists’ labels of “outside agitators,” to modern usages of Red Scare smears of “communists” and “Marxists.” Now, the label is “Critical Race Theory” proponents and is being used by people whom Tisby says want to defend a racist status quo.

“All of these things are about controlling the narrative. And what happens is, if I can use a label like Critical Race Theory, I can paint it as bad, slap you with it. Then I can put you in a box, put you on the shelf, and I don’t have to actually listen to what you’re saying about racism and white supremacy,” Tisby said. “What we have to do is not get distracted from the main issue, which is Christian nationalism. It has infected so many parts of the church in the U.S. and even beyond.”

Many white Christians don’t experience racism the same way as Black people and other people of color because the Christian nationalists are in their families, in their churches, and some cases, they’ve acclimated to that way of thinking. Tisby says it’s hard for them to see it as an urgent existential problem that the marginalized and oppressed people do. That said, he has noticed that the social justice marches and movements have had an impact. White women in particular, from a 30-something who teaches Bible study at a nursing home to 70-year-old women, have reached out to him via social media and seem catalyzed to start taking action.

“It might’ve had to do with the past year or two and what they saw, especially politically. White Christians are starting to realize, ‘Oh my, like these differences are real. They’re salient. They’re in my church. They’re in my family,’” Tisby said.

It’s no easy task to be as explicit as Tisby directs white Christians about calling out Christian nationalism and white supremacy in their ranks. We know how it’s infected historically and theologically what they do. He often praises Fannie Lou Hamer’s efforts, who became a nationally known civil rights activist after seeing a presentation about voting rights at her church. Tisby admires how she always connected her activism to her faith. With that in mind, what should Black Christian activists be doing now?

“We are going to have to protect our peace. We are living in perilous times right now. And I find myself even just scrolling through Twitter or social media and whatnot, that I’ve got to take breaks because the flood of negative news, the flood of anti-Blackness, all of that stuff is too much to handle all at once. So, we will have to cultivate communities that affirm our dignity, that affirm our being made in the image of God. You got to go out and seek it and find it.”

William Pannell wrote ‘The Coming Race Wars?’ nearly 30 years ago. It still resonates today

William Pannell wrote ‘The Coming Race Wars?’ nearly 30 years ago. It still resonates today

(RNS) — In his book, “The Coming Race Wars?,” theologian William Pannell foresees the poor and disenfranchised engaging in violent urban uprisings and revolts across the world similar to the 1992 Los Angeles riots. It will only be a matter of time, he writes, “before some cop blows it again in his or her treatment of a Black person, probably a Black man.”

Police brutality, racist and discriminatory lending practices, lack of well-paying jobs could push Black people and other marginalized communities to revolt, Pannell predicts. And the evangelical church — with all its influence, resources and its supply of missionaries across the world — is ill-equipped to address social issues at home, he argues.

Pannell, professor emeritus of preaching at Fuller Seminary, pushes back against the notion that Jesus is all people need to make it.

“I really do believe that people — all people — need Jesus,” Pannell writes. “But to make it in society, white Christians realize they need a lot more than salvation. They may expect Black people to be content with salvation in Christ. But that is not enough for the white Christians themselves.”

While the debate has been “between those committed to evangelism and those committed to justice,” Pannell writes that “what we should be striving for is a spirituality that will inform both evangelism and social transformation.”

Pannell wrote “The Coming Race Wars?” nearly 30 years ago.

“The interesting thing about this book is that it sounds so contemporary, even though it’s about 30 years old,” Pannell, 92, told Religion News Service. “Why is that? What is there about this book that makes it so painfully contemporary after so long a time?”

The book was first published in 1993, in the wake of the 1992 uprising that erupted in Los Angeles after a jury acquitted four LAPD officers in the beating of Rodney King. Now, in the wake of 2020’s racial justice uprisings after the killing of George Floyd, Pannell has released an updated version.

“The Coming Race Wars: A Cry for Justice, from Civil Rights to Black Lives Matter” was published in June, and features a new introduction by Jemar Tisby, author of the book “The Color of Compromise: The Truth About the American Church’s Complicity in Racism,” and an afterword that Pannell began writing before COVID-19 struck the nation and prior to the police killing of Floyd that sparked protests across the country against police brutality and in support for Black Lives Matter.

In the afterword, Pannell explains that he essentially began writing it nearly 30 years ago, when Rodney King called for an end to the riots, publicly asking on television: “Can we all get along?”

“The question of the Black man from Los Angeles loomed large thirty years ago and it still throbs with meaning,” Pannell writes.

Pannell, in the new epilogue, seeks to answer the Rev. Martin Luther King Jr.’s question, “Where do we go from here?” But the meaning of “here” is something Pannell grapples with.

He underscores the death of King and recalls the crowd leaving the March on Washington “wondering about the future.” He highlights Billy Graham’s 1970 “The Unfinished Dream” speech in front of a predominantly white crowd and how his “power and prestige legitimated the marriage of God and country.” Pannell documents Graham laying the foundation for evangelical support for conservative agendas. After his death and the “evangelical movement shattered along ideological lines,” he asks, “What’s next?”

Pannell brings readers back into the present, to the Black Lives Matter protests and to former President Donald Trump’s speech at Mount Rushmore where he “drove the dagger of division deeper into America’s heartland,” and asks again, “Where do we go from here?”

“The here, unfortunately, is pretty much what it was 30 years ago,” Pannell told RNS.

To Edward Gilbreath, vice president of strategic partnerships at Christianity Today, the expanded and new version of Pannell’s book serves as a historical reflection but “also as a statement on how far we haven’t come.”

“Dr. Pannell was not afraid to speak the truth to power in evangelical circles at that time. He was very much engaged and a part of the predominantly white evangelical community,” said Gilbreath, who in 2019 helped spearhead Pannell’s updated book when he was an executive editor at InterVarsity Press.

“This gave him a very intimate perspective in terms of being trusted and someone who is not just criticizing for criticism’s sake, but he really cared about the church and wanted to see real change because he loved the church,” Gilbreath added.

With this version of the book, Gilbreath said he hopes to introduce Pannell to a new generation, those who may know about evangelist Tom Skinner “but have not heard the name William Pannell.”

Anthea Butler, associate professor of religious studies and Africana studies at the University of Pennsylvania, said it’s crucial to contextualize how the original book was published at a time when L.A. was reckoning with the aftermath of what’s been described as one of the worst race riots in American history.

“It was important to talk about the ways in which evangelicals hadn’t paid attention to race,” said Butler, author of “White Evangelical Racism: The Politics of Morality in America.” “He was already working on that book when the L.A. riots happened.” Butler dedicated her book to Pannell.

Butler juxtaposes “The Coming Race Wars?” with Pannell’s 1968 book, “My Friend, the Enemy,” where he seeks to explain how white people, including those Pannell knew and loved, could “at once be both friend and foe.” In it, he centers his experience as an evangelical Black man among Christians who seldom challenged white supremacy.

“That book was trying to address back in 1968 the same kind of issues that he was addressing in 1993, and here we are in 2021 with the updated version, and evangelicals still haven’t gotten it yet,” Butler said.

Pannell recognizes that a majority of evangelicals supported Trump and his administration. “It has become clear that this segment of the church is deeply divided and segregated not only by theology but by political ideology,” he writes.

The race wars may still be coming, Pannell writes, but he also highlights how the “command of the risen Christ to his followers was that they go into all the world and make disciples of the nations. Not build churches; not make converts. Make disciples.”

“It seems fairly clear today that we have far more churches and Christians than we have disciples,” Pannell writes.

In his afterword, Pannell poses the question: “What, after all, does it mean to be the people of God today?

“Moving forward from here will require a greater investment in discipleship, a deeper commitment to beloved community, and a reliance on the power of the Holy Spirit,” Pannell writes. “In other words, we’ll need to be the church.”

 

Trying to Avoid Racist Health Care, Black Women Seek Out Black Obstetricians

Trying to Avoid Racist Health Care, Black Women Seek Out Black Obstetricians

In South Florida, when people want to find a Black physician, they often contact Adrienne Hibbert through her website, Black Doctors of South Florida.

“There are a lot of Black networks that are behind the scenes,” said Hibbert, who runs her own marketing firm. “I don’t want them to be behind the scenes, so I’m bringing it to the forefront.”

Hibbert said she got the idea for the website after she gave birth to her son 15 years ago.

Her obstetrician was white, and the suburban hospital outside Miami didn’t feel welcoming to Hibbert as a Black woman pregnant with her first child.

“They had no singular photos of a Black woman and her Black child,” Hibbert said. “I want someone who understands my background. I want someone who understands the foods that I eat. I want someone who understands my upbringing and things that my grandma used to tell me.”

In addition to shared culture and values, a Black physician can offer Black patients a sense of safety, validation and trust. Research has shown that racism, discrimination and unconscious bias continue to plague the U.S. health care system and can cause unequal treatment of racial and ethnic minorities.

Black patients have had their complaints and symptoms dismissed and their pain undertreated, and they are referred less frequently for specialty care. Older Black Americans can still remember when some areas of the country had segregated hospitals and clinics, not to mention profoundly unethical medical failures and abuses, such as the 40-year-long Tuskegee syphilis study.

But even today, Black patients say, too many clinicians can be dismissive, condescending or impatient — which does little to repair trust. Some Black patients would prefer to work with Black doctors for their care, if they could find any.

Hibbert is working on turning her website into a more comprehensive, searchable directory. She said the most sought-after specialist is the obstetrician-gynecologist: “Oh, my gosh, the No. 1 call that I get is [for] a Black OB-GYN.”

For Black women, the impact of systemic racism can show up starkly in childbirth. They are three times as likely to die after giving birth as white women in the United States.

Nelson Adams is a Black OB-GYN at Jackson North Medical Center in North Miami Beach, Florida. He said he understands some women’s preference for a Black OB-GYN but said that can’t be the only answer: “If every Black woman wanted to have a Black physician, it would be virtually impossible. The numbers are not there.”

And it’s also not simply a matter of recruiting more Black students to the fields of medicine and nursing, he said, though that would help. He wants systemic change, which means medical schools need to teach all students — no matter their race, culture or background — to treat patients with respect and dignity. In other words, as they themselves want to be treated.

“The golden rule says, ‘Do unto others as you would have them do unto you,’ so that the heart of a doctor needs to be that kind of heart where you are taking care of folks the way you would want to be treated or want your family treated,” he said.

George Floyd’s murder in Minneapolis in May 2020, and the subsequent wave of protests and activism, prompted corporations, universities, nonprofits and other American institutions to reassess their own history and policies regarding race. Medical schools were no exception. In September, the University of Miami Miller School of Medicine revamped its four-year curriculum to incorporate anti-racism training.

New training also became part of the curriculum at Florida Atlantic University’s Charles E. Schmidt College of Medicine in Boca Raton, where students are being taught to ask patients about their history and experiences in addition to their bodily health. The new questions might include: “Have you ever felt discriminated against?” or “Do you feel safe communicating your needs?”

“Different things that were questions that we maybe never historically asked, but we need to start asking,” said Dr. Sarah Wood, senior associate dean for medical education at Florida Atlantic.

The medical students start learning about racism in health care during their first year, and as they go, they also learn how to communicate with patients from various cultures and backgrounds, Wood added.

These changes come after decades of racist teaching in medical schools across the United States. Adams, the OB-GYN, completed his residency in Atlanta in the early 1980s. He recalls being taught that if a Black woman came to the doctor or hospital with pain in her pelvis, “the assumption was that it was likely to be a sexually transmitted disease, something we refer to as PID, pelvic inflammatory disease. The typical causes there are gonorrhea and/or chlamydia.”

This initial assumption was in line with a racist view about Black women’s sexual activity — a presumption that white women were spared. “If the same symptoms were presented by a Caucasian, a white young woman, the assumption would be not an STD, but endometriosis,” Adams said. Endometriosis is not sexually transmitted and is therefore less stigmatizing, less tied to the patient’s behavior.

That diagnostic rule of thumb is no longer taught, but doctors can still bring unconscious racial bias to their patient encounters, Adams said.

While they revamp their curricula, medical schools are also trying to increase diversity within their student ranks. Florida Atlantic’s Schmidt College of Medicine set up, in 2012, a partnership with Florida A&M University, the state’s historically Black university. Undergraduates who want to become doctors are mentored as they complete their pre-med studies, and those who hit certain benchmarks are admitted to Schmidt after they graduate.

Dr. Michelle Wilson took that route and graduated from Schmidt this spring. She’s headed to Phoebe Putney Memorial Hospital in Albany, Georgia, for a residency in family medicine. Wilson was drawn to that specialty because she can do primary care but also deliver babies. She wants to build a practice focused on the needs of Black families.

“We code-switch. Being able to be that comfortable with your patient, I think it’s important when building a long-term relationship with them,” Wilson said.

“Being able to relax and talk to my patient as if they are family — I think being able to do that really builds on the relationship, especially makes a patient want to come back another time and be like, ‘I really like that doctor.'”

She said she hopes her work will inspire the next generation of Black doctors.

“I didn’t have a Black doctor growing up,” Wilson said. “I’m kind of paving the way for other little Black girls that look like me, that want to be a doctor. I can let them know it’s possible.”

This story is part of a partnership that includes NPR, WLRN and KHN.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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