Reclaiming Health: The Future of Sickle Cell Anemia Care in Afro-Indigenous Communities
- Create Society

- Jul 13
- 5 min read
Updated: Aug 20
🔍Who Gets to Decide What Healing Looks Like?

The UCSF-Oakland integration is more than just logistics or labor negotiations. It represents a pivotal moment in the sociopolitical history of healthcare equity in the Bay Area. This transformation requires close scrutiny from sociologists, public health professionals, and policymakers alike. The future of sickle cell anemia care does not rest solely on clinical innovation. It hinges on labor justice, community trust, and an honest reckoning with how race and power shape healthcare systems. To safeguard a model of justice-oriented medicine, any institutional consolidation must remain accountable to the communities it claims to serve.
Yet, in the Bay Area, a new chapter in healthcare is unfolding—not through inclusive collaboration with the most impacted populations, but through top-down restructuring driven by elite philanthropy and corporate interests. The ongoing consolidation between UCSF Health and its Oakland affiliate is framed as progress. However, beneath that narrative lies a troubling shift in control—from Afro-Indigenous communities to tech billionaires, institutional boards, and distant administrators.
Marc Benioff, a Jewish-American tech billionaire and CEO of Salesforce, has poured millions into the rebranding and redevelopment of the Oakland children’s hospital. His name now adorns facilities, and his influence reaches into research, infrastructure, and policy. But this kind of philanthropy—arriving alongside the rise of AI and CRISPR technologies—raises serious concerns. When private wealth dictates the future of healthcare, what happens to the community-rooted models that once sustained us?
This piece explores how the future of sickle cell anemia care—particularly in Afro-Indigenous communities—is being reshaped by institutional consolidation, labor displacement, and the creeping hand of tech capital. We ask: Who benefits from this transformation, and what must be done to reclaim health as a site of collective power?
📚 From Revolutionary Medicine to Institutional Control
Sickle cell anemia is not just a medical issue; it is a political one. The condition primarily impacts Afro-Indigenous populations and has long been neglected by government agencies, research institutions, and hospital systems. However, the earliest and most meaningful interventions did not come from those systems. They came from the streets—from the Panther Party.

The Panthers, a nationwide and international vanguard organization, were the first group to publicly identify and address the crisis of sickle cell anemia. Through their community-based Survival Programs, they offered free screenings, education, and holistic health services in neighborhoods left to fend for themselves. These programs emerged from a deep understanding that health is not a privilege; it’s a political right.
But that revolutionary work made them a target. The FBI’s COINTELPRO (Counterintelligence Program) classified the Panthers’ health initiatives as threats to national security. The state moved aggressively to dismantle their programs, destroy their infrastructure, and criminalize their leadership.
After the suppression of these grassroots models, the sickle cell agenda was hijacked—absorbed into federal agencies and handed over to academic institutions, research hospitals, and the so-called “ivory tower.” What began as a community defense mechanism became a state-sanctioned research project—disconnected from its original intention and often disconnected from the very communities it claims to serve.
Now, in the 21st century, we see the expansion of gene therapy trials, often under the oversight of billionaire-funded health systems. These interventions are promoted as cures, but they emerge from a pipeline of experimental technology built on Afro-Indigenous bodies. With the rise of AI, CRISPR, and surveillance-based medicine, one cannot help but question where this is headed—and who is writing the script.
🧬 The future of sickle cell care is not being shaped by those who live with it; it’s being engineered by those who fund it.
⚠️ Labor Rights, Institutional Control, and Community Detachment
While Afro-Indigenous communities are being pushed further from decision-making, the workers who have historically sustained this care are also under threat. The UCSF-Oakland consolidation has triggered layoffs, wage restructuring, and contract cancellations—especially among long-standing unionized workers. These are not just employment disputes. They are attacks on continuity, cultural fluency, and care-based trust.

For patients living with sickle cell anemia—a condition that is highly stigmatized and often dismissed by mainstream medicine—trusted caregivers are not optional. They are the difference between being believed and being sent home in pain. When those caregivers are displaced, a core part of the healing system collapses.
As healthcare systems move toward digital integration and institutional streamlining, what gets lost is the human infrastructure: the worker who knows your name, understands your symptoms, and has advocated for your care for years.
💰 Philanthropy, Tech Capital, and the Soft Privatization of Public Health
The rise of tech billionaire philanthropy in health institutions should not be misunderstood as benevolence. It is a quiet form of privatization—one that reorients public goods toward the priorities of the elite. Marc Benioff’s multi-million-dollar investments in hospital infrastructure come with influence, naming rights, and quiet power over policy. These donations often coincide with the expanding interests of Silicon Valley in biotech, genomics, and predictive health models.
At the same time, Afro-Indigenous communities are being re-positioned—not as decision-makers, but as data points, trial participants, or social impact stories in glossy fundraising campaigns.
This is not innovation. It is extraction. And it is happening at the precise moment that revolutionary models of community care—rooted in labor justice, cultural healing, and ancestral knowledge—are being dismantled, ignored, or rebranded.

🌾 Creation of Society’s Position: Health Must Be Community-Controlled and Culturally Rooted
At Creation of Society, we don’t wait for institutions to correct themselves. We build what they cannot. Our model of sickle cell care centers Afro-Indigenous sovereignty—from the genetic wisdom of Moringa to the social intelligence of doulas and community healers.
We promote:
Herbal sovereignty: Moringa wellness packs distributed to sickle cell warriors.
Cultural technology: AR-enabled storytelling, education, and wearable health activism.
Healing economies: Conscious consumerism that funds wellness and sustains caregivers.
Education through imagination: Teaching children that sickle cell is not a defect but a design—an ancestral shield.
We don’t need more studies. We need more structures—designed, governed, and protected by the people most impacted.
🗣️ Conclusion: Reclaiming the Future of Sickle Cell Anemia Care
What’s happening in Oakland is not an isolated event. It’s part of a larger trend—a consolidation of healthcare power under elite influence and the erosion of grassroots models that actually work.
This is not just about sickle cell anemia. It’s about how health is defined, by whom, and for whose benefit. If the current trajectory continues, we risk transforming care into a testing ground for experimental technologies financed by billionaires and approved by institutions that are out of touch with community realities.

💚 We believe the future of healing belongs to those who remember the past, organize in the present, and protect the wisdom of our people.
🔗 Join the Movement
🌿 Sponsor a Moringa Health Pack for someone living with sickle cell.
🧘🏽♀️ Fund a wellness session for a caregiver or family.
🧵 Wear and share our AR Survival Tee—storytelling through resistance.
📬 Subscribe to our newsletter: Health, Wealth, Wisdom, and Food Justice.
📩 Connect with us: info@creationofsociety.com
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