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02 KeyNote - Sonja Diaz
1. SONJA DIAZ, JD, MPP, FOUNDING DIRECTOR, UCLA LATINO POLICY & POLITICS INITIATIVE
STRENGTHENING THE MOVEMENT
FOR RESPONSIBLE PUBLIC POLICY
2. Latinos are 18% of the US
population, representing
nearly 58 million
Americans.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
3. The nation lacks an objective and
sustained voice on how Latinos
are and are not included in local
and state policy-making.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
4. SO GOES CALIFORNIA, SO GOES THE NATION
1994 PROP 187
2010 - PRESENT
AZ SB 1070
TX SB 4
GA HB 87
AL HB 56
NC HB 786
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
TRUMP
5. TRANSFORMATION IS POSSIBLE
CIVIL RIGHTS
PROP 209: Ban on Affirmative Action
PROP 54 (2003): Racial Data Ban—defeated
CRIMINAL JUSTICE
PROP 184: 3-Strikes Law
EDUCATION
PROP 227: English-Only
IMMIGRATION
PROP 187: Citizenship Screening & Prohibition on Access to Public
Services
LGBT RIGHTS
PROP 8: Elimination of same-sex marriage
CRIMINAL JUSTICE
PROP 36 (2012): 3-Strikes Modification
PROP 47 (2014): Safe Neighborhoods & Schools Act
PROP 57 (2016): Parole for Non-violent Criminals and Juvenile Court
Initiative
EDUCATION
PROP 58 (2016): Bilingual Education Reinstated
IMMIGRATION
AB 130 & 131 (2011): California DREAM Act
AB 60 (2015): Drivers Licenses
SB 54: Sanctuary State—in process
LGBT RIGHTS
SB 1306 & 1005 (2015-16): Marriage Recognition & Gender-Neutral
Terms
AB 1266 (2014): Gender Identity & Expression Protection in K-12
1998 - 2008 California Today
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
6. CALL TO ACTION
Champion innovative research and
objective analysis to promote policy
solutions that expand opportunity and
mobility for Latinos and the nation’s New
Majority.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
8. THE PATH FORWARD
21st century policy-making that factors in
equity and demography at the front-end, to
solve the toughest problems facing
California and beyond, today.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
10. POLICY IS PERSONAL
In the 1990's, ballot
initiatives and direct
democracy infringed on
the rights of people
based on protected
classes.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
11. Sought to make immigrants residing in
the country without legal permission
ineligible for public benefits such as
healthcare and public education.
PROPOSITION 187
November 08, 1994 - Passed by 58.93%
ANTI-IMMIGRANT
12. Sought to bar public institutions
from using affirmative action in
admissions and hiring decisions.
PROPOSITION 209:
November 05, 1996 - Passed by 54.6%
END OF AFFIRMATIVE ACTION
13. Required non-English speakers in
California public schools to be
taught in English only.
PROPOSITION 227
June 02, 1998 - Passed by 61.28%
ENGLISH ONLY
14. Under these conditions, how do we address
the Latino physician crisis?
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
15. LATINO PHYSICIAN CRISIS
While California’s Latino population has grown to
become the state’s plurality, Latinos comprise just
11.6 percent of all MD graduates across all
California medical schools, which include the six
medicals schools within the University of
California.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
17. California has a shortage
of 54,655 Latino physicians
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
18. At California’s current Latino graduation rate
of 110 Latino MD graduates a year, it will take
almost 500 years to close this gap.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
19. LATINO PHYSICIAN CRISIS
The state’s physician workforce is increasingly
unable to meet the needs of an estimated 7.3
million Californians with limited English
proficiency.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
20. There are 12.1 million people in California who speak
Spanish, Vietnamese, Filipino, and Thai/Lao at
home.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
21. Spanish speaking physicians are the most
underrepresented at 62.1 physicians per 100,000
Spanish-speaking population.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
22. With this data & the current landscape,
how do we address the Latino physician
crisis?
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
23. REMEBER THE BARRIERS
1. Prop 227- English Only
2. Prop 187-Ban on Affirmative
Action
3. Prop 209-Anti-Immigrant
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
24. 21ST CENTURY POLICY REQUIRES:
1. Data—policy should be based on facts.
2. Strategy—equity requires navigating
structural barriers and chaos.
3. Agility—policy needs to transform, both
incrementally and purposefully.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
26. STRATEGY
1. California has a shortage of doctors, especially primary care
doctors. This doesn't just matter to Latino patients, it impacts
everyone.
2. Integrate the Latino Physician Crisis into this statewide
narrative of the physician shortage.
3. Think about ROI & economic argument to supplement
diversity, morality, and necessity arguments to meaningfully
increase # of Latino doctors.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
27. AGILITY
Until, affirmative action is remedied, we need to think
of proxies—language proficiency, zip codes, and
socio-economic status are some.
Some examples include:
-Requesting a governmental study of a
proposed policy innovation;
-Starting with a pilot program; or
-Using private-public partnerships to finance it.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
28. POLICY SOLUTIONS: SHORT-TERM
1. Incentivize substantive representation now—international MD
graduates, recruiting Latino doctors to California, loan
repayment to serve in linguistically underserved communities.
2. Require MD admissions policies to attribute positive weighting
to language capable applicant
3. Require California MD programs to admit % of community
college and California State University graduates.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
29. POLICY SOLUTIONS: LONG-TERM
1. New Medical Schools & Medical Education Delivery
2. New Family MD Programs
3. Language Training & Development K-Graduate School
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
30. THE PATH FORWARD
21st century policy-making that
factors in equity and
demography at the front-end, to
solve the toughest problems
facing California and beyond,
today.
UCLA Latino Policy &
Politics Initiative
@UCLAlatino
DATA
STRATEGY
AGILITY
