Author of 2025 Martin Luther King Day Speech: Dr. Charles Modlin-MD.,MBA is Vice President & Chief Health Equity Officer, Staff Urologist at Metro Hospital Cleveland, Ohio.  Newly elected Vice-President of Health Legacy of Cleveland Inc.

Ladies and gentlemen, esteemed colleagues, and honored guests,

Today, as we gather to commemorate Martin Luther King Jr. Day, we reflect not only on Dr. King’s profound legacy but also on the ongoing struggles for equality that persist in our society. Dr. King once said, “Of all the forms of inequality, injustice in health is the most shocking and inhuman.” These words resonate deeply when we confront the stark health disparities that continue to disproportionately affect African Americans compared to their white counterparts.

To start, let’s define health equity. Health equity means that everyone has a fair and just opportunity to be as healthy as possible, regardless of their race, ethnicity, or socioeconomic status. Yet, the reality is that we are far from achieving this ideal.

Statistics reveal a troubling narrative. African Americans face significantly higher rates of chronic diseases, including hypertension, diabetes, kidney disease, and heart disease. For instance, the prevalence of hypertension among African American adults is approximately 50%, compared to 28% among white adults. Diabetes affects 12.1% of African Americans compared to 7.4% of whites. When it comes to cancer, African American men have a 25% higher cancer mortality rate than white men.

The disparities extend to mental health as well, with African Americans facing higher rates of depression, yet they are less likely to receive adequate treatment. This disparity is evident even in our children. Black children are more likely to suffer from conditions such as asthma, obesity, and behavioral issues, often exacerbated by environmental factors and access to care.

The causes of these disparities are multifaceted. They stem from systemic racism, socioeconomic factors, and barriers to healthcare access. Limited access to quality healthcare, lack of health insurance, and the absence of culturally competent care all contribute to these inequities. Moreover, social determinants of health—like education, income, and neighborhood conditions—play a crucial role in shaping health outcomes.

The consequences are dire. Health disparities cost our nation over $480 billion annually and result in premature deaths and lost lives. African American men have a life expectancy of just 70.8 years, compared to 76.3 years for white men. African American women live an average of 78.5 years, while white women live to 81.2 years. Furthermore, the maternal mortality rate for Black women is nearly three times higher than that of white women, highlighting an alarming inequity in maternal and infant health.

The existence of these disparities is a stark reminder that we have not yet realized Dr. King’s dream of equality and justice for all. Health equity is not just a health issue; it is a civil rights issue that demands our urgent attention.

As we reflect on Dr. King’s vision, let us also look towards solutions. We must engage in community-driven efforts that address these disparities head-on. Innovative programs like the Cleveland Clinic and MetroHealth Minority Men’s Health Fairs and the Multicultural Health Equity Centers of Excellence are steps in the right direction. These initiatives focus on prevention, education, and providing access to culturally competent care.

We must advocate for policies that expand access to healthcare, enhance education on health issues, and improve the socio-economic conditions of underserved communities. Moreover, we need to raise awareness about the importance of diversity in our healthcare workforce, ensuring that all patients see themselves represented in the care they receive.

As America becomes increasingly diverse, the health inequities we face represent not just a societal failure, but a national crisis. Soon, minorities will comprise the majority of our population, and we must act now to ensure that all Americans can experience the justice and equity that Dr. King envisioned.

In the spirit of Dr. King, let us unite to alert our nation about this health equity crisis. Together, we can introduce best practices, engage all sectors of society, and enact solutions that dismantle these inequities.

As Dr. King said, “Injustice anywhere is a threat to justice everywhere.” Let us strive to create a healthier, more equitable future for all, so that ultimately, we can realize Dr. King’s dream. Thank you.