A TikTok video showing a Black pregnant woman in visible, active labor crying out in pain while a white nurse at Dallas Regional Medical Center in Mesquite, Texas, sits calmly and virtually ignores her distress reflects a disturbing pattern I wrote about in my best-selling memoir, “LEGACY: A Black Physician Reckons with Racism in Medicine.” Black patients, especially Black women, are too often disbelieved, dismissed or treated as less in need of compassion, dignity or urgency.
Y’all treat all your patients like this or just the Black ones?
Kash jones
In that video, which was recorded by the woman’s mother and, which had more than 36 million views by the weekend, Karrie Jones’ baby was born only 12 minutes after the video of her doubled over in pain in a wheelchair and the nurse ignoring her distress was recorded.
“Y’all treat all your patients like this or just the Black ones?” Kash Jones asks. Karrie Jones said in a later post that she called the hospital en route and informed them that she was in labor but that, upon arrival, hospital staff insisted that she fill out paperwork first.
Kash Jones says in her video that the people in labor and delivery didn’t show but “an ounce of care or sympathy” once her daughter made it that far and that “Before then, they could care less, (the nurses) did not care if she gave birth in that wheelchair.”
Kash Jones said her daughter and grandchild were undergoing tests after what she described as the “stress and trauma that occurred in the triage area.”
Dallas Regional Medical Center said in a statement that “the safety, dignity, and well-being of our patients are always our highest priorities” and that the hospital is “committed to providing compassionate, high-quality care to every person who comes through our doors.”
As for Karrie Jones’ birth experience, the hospital said patient privacy laws restrict what it can say but that it is “reviewing this situation to understand what occurred.” But the scene is one that many Black people immediately recognized. The video should be understood as more than a moment of public outrage. It is a real-time audit of our health care system. Millions of people witnessed what Black families have been naming for generations. A Black woman in distress asked for help. Her pain was ignored. That is not a glitch. It is a pattern.
The video is going viral during a widening political backlash against the very efforts designed to protect Black mothers. While maternal deaths rise, states are restricting reproductive health access and cutting public health budgets. Dozens of federal grants focused on reducing disparities have been canceled or delayed. Public health agencies tasked with studying maternal deaths report limited capacity. And the U.S. already has the worst maternal mortality crisis among high-income nations.
The U.S. has the worst maternal mortality crisis among high-income nations.
In 2022, the U.S. recorded about 22 maternal deaths per 100,000 live births, more than double or triple the rate in comparable nations, according to the Commonwealth Fund. Black women are three times more likely to die from a pregnancy-related cause than white women, according to the Centers for Disease Control and Prevention. Even Black women with college degrees have a pregnancy-related mortality rate that’s 1.6 times higher than white women with less than a high school education.
Some comments to the video argued that the nurse may have been experiencing burnout. I’m an emergency department doctor. I know from experience that health care workers across the country are under immense strain. Burnout in emergency departments and labor units has reached alarming levels, driven by staffing shortages, long shifts and inadequate support. But burnout cannot explain or excuse the racialized patterns of disbelief and delayed care that Black women experience again and again.
Instead, it reveals a second accountability gap. Clinicians deserve safe, well-resourced workplaces, and patients deserve care that is timely, compassionate and free of bias. Policymakers cannot address one crisis by ignoring the other.
We also know what improves outcomes. The Alliance for Innovation on Maternal Health, or AIM, has developed evidence-based safety bundles that standardize how teams respond to obstetric emergencies. When these bundles are fully implemented, hospitals see measurable reductions in complications and deaths. Yet adoption of these policies is inconsistent, and equity is rarely treated as a core quality metric. Black families also deserve full, transparent information about their birthing options: home births, midwifery-led birthing centers and hospital births. Midwifery models are safe for low-risk pregnancies and are widely used in other high-income countries with better outcomes. Research shows that doulas and midwives reduce unnecessary interventions, improve satisfaction and lower complication rates, especially for Black mothers. Yet access remains limited by insurance coverage, geography and political will. Expanding Medicaid reimbursement for doulas, midwives and community-based birthing centers should be a national priority. We should not need a viral TikTok to believe Black women. We are not starting from zero. Black-led reproductive-justice organizations have been providing the blueprint for decades. Organizations such as the Black Mamas Matter Alliance and SisterSong Women of Color Reproductive Justice Collective have trained providers, strengthened communities and produced clear, evidence-based policy recommendations. Their leadership should guide federal and state action. We should not need a viral TikTok to believe Black women. We should not require tens of millions of views to act on the information Black patients and their advocates have been sounding the alarm for years. Hospitals must adopt evidence-based safety bundles, track maternal outcomes by race and ethnicity, implement required anti-bias training and create transparent accountability structures when preventable harm occurs. All states must extend postpartum Medicaid coverage to 12 months and invest in community-based birth options. Congress must treat Black maternal mortality as the public-health emergency that it is. The question now is whether policymakers will continue to exacerbate the problem or finally embrace the policies that we know work. Maternal health is not a culture-war issue. It is a matter of life and death. The woman in that video deserved prompt, compassionate care. She deserved to be heard. Every Black woman does. Even though this moment involved only two individuals, it represents a broader systemic failure that continues to put Black women at risk.
Uché Blackstock, M.D., is the founder and CEO of Advancing Health Equity, best-selling author of "LEGACY: A Black Physician Reckons with Racism in Medicine" and a former MSNBC and NBC News medical contributor. 
