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From YouTube: Commission on Race and Access to Opportunity (9-22-21)
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A
A
A
We
currently
have.
We
currently
show
six
members
out
of
13
being
present
so
not
having
a
quorum.
We
will
pass
over
for
now
approval
of
the
minutes
from
the
prior
meeting.
Should
another
member
join
us.
We
would
then
certainly
have
the
quorum
to
be
able
to
act
on
approval
of
those
minutes.
We're
excited
today
to
have
two
presenters,
some
representatives
from
western
academy
and
then
a
great
conversation
with
the
alzheimer's
association
regarding
healthcare
disparities,
and
I
think
our
first
presenter
is
olga.
E
F
D
F
Okay,
well,
first
of
all,
I
want
to
thank
you,
representative,
hebron,
no
heveren,
thank
you
for
inviting
me.
I'm
glad
legislation
was
passed
to
start
this
commission
on
race
and
access
to
opportunity.
F
F
I
mean
this
this
information
or
this
this
poetic
sequel
sequelae,
that's
not
it,
but
when
she
said
we
are
striving
to
forge
our
union
with
purpose
to
compose
a
country
committed
to
all
cultures,
color,
characters
and
condition
of
man.
F
F
We
seek
harm
to
none
and
harmony
for
all,
let
the
globe.
If
nothing
else
says.
This
is
true
that
even
as
we
grieve,
we
grew
that
even
as
we
hurt,
we
hope
that
even
as
we
tired
we
tried,
then
we
will
forever
be
tied
together,
victoriously,
not
because
we
will
never
again
know
defeat,
but
because
we
will
never
again
so
division.
F
F
And
here
are
some
other
reasons
why
western
academy
is
in
place
because
we
are
losing
our
teenagers.
I
mean
it's,
it's
like
they're.
Turning
on
a
video
that
can't
be
reset
and
15
year
olds
are
dying
and
17
euros
are
being
charged
with
murder
and
15
year
olds
are
dying
and
16
year
olds
are
charged
with
felony
tampering
with
physical
evidence
and
connection
to
the
shooting.
F
F
He
used
to
be
he
used
to
participate
and
attend
the
community
center,
and
while
he
was
there,
everyone
said
he
was
a
good.
He
was
a
good
kid,
but
then,
once
he
transitioned
out,
he
transitioned
into
other
things,
and
I
feel
like
if
he
was
with
western
academy.
If
western
academy
was
in
place
that
he
would
still
be
alive
today,.
F
We're
starting
this
because
we
know
it's:
research
has
found
that
children
of
color
are
low
income
status
like
in
pre
in
pre
kindergarten.
They
they
know,
or
they
hear
30
million
fewer
words.
That's
amazing
to
me
kindergarten.
They
are
less
academic,
they
are
less.
They
demonstrate
less
academic
readiness,
low
test,
scores,
low
mass
scores,
low
reading
scores
less
likely
to
graduate
it
continues
to
go
on.
F
And
we
pull
the
the
information
from
our
orangeboro
public
schools
and
what
we
found
is
that,
starting
in
the
third
grade
that
77
of
our
african-american
boys
are
not
at
grade
level,
proficient
is
a
c,
so
they
are
novice
and
apprentice.
And
if
you
look
at
the
numbers,
it
continues
to
be
a
very
high
number.
F
Did
you
know
that,
starting
in
the
third
grade
that
investors,
who
are
wanting
to
get
a
return
on
their
investment,
are
investing
in
prisons
based
on
these
test
scores
and
what
they're
doing
is
waiting
for
these
boys
to
become
of
age
to
be
incarcerated?
Well,
we
just
want
you
to
know.
The
devil
is
a
lie,
and
we
want
to
change
that
narrative.
F
So
it's
been
done
so
we
know
it
works.
We.
What
we're
doing
at
western
academy,
we
use
the
blueprint
for
bmw
black
men
working
program
that
was
established
in
2005
in
lexington,
and
the
reason
that
it
was
that
that
was
established
was
because
roz
aikens,
a
retired
school
principal,
couldn't
understand
why
these
k
why
these
african-american
boys
were
having
these
behavior
problems.
F
They
were
having
having
to
be
in
the
office
at
a
higher
percentage
than
their
peers,
so
she
started
black
men
working
and
it
was
to
address
those
achievement,
gaps
that
existed
in
the
fayette
county
school
system.
Actually
it
was
lee
lee
town
heist
middle
school.
I
believe,
bear
with
me
just
a
minute
that
that
it
was
started
from.
F
F
But
the
thing
is
this
is
just
not
in
kentucky:
it
is
in
atlanta,
georgia,
where
academies
are
being
established
and
founded.
It's
in
jackson,
mississi,
mississippi.
F
That's
mississippi,
new
jerusalem,
christian
academy,
it's
in
joshua
academy
in
evansville
indiana,
and
let
me
let
me
kind
of
quote
some
things
that
some
founders
are
saying
in
regards
to
the
black
academies
that
have
been
established
across
the
country.
We
can
identify
with
ho
and
hold
accountable
and
understand
the
dynamics
of
education,
as
it
relates
to
our
students.
We
want
them
to
excel
and
achieve
in
a
cultural,
cultural,
adapted
environment
where
they
are
acknowledged
and
taught
based
on
their
own
personal
strengths,
that
is
from
memphis
heritage
christian
school.
F
F
That's
in
new
orleans
in
georgia.
We
must
take
responsibility
for
ensuring
that
our
children
are
educated
and
not
overlooked
or
labeled,
with
support
and
education
instructions
being
provided
to
our
children
by
strong
african
american
educators.
We
raise
the
bar
for
education
in
the
communities
in
which
we
exist.
F
F
So
carter
g
woodson
academy,
it
started
in
the
fayette
county
school
system
that
was
transitioned
off
of
bmw
academy
w.e.b
du
bois
academy
in
jefferson,
county
public
schools
was
was
established
in
two
2017,
starting
with
sixth
graders
of
african-american
boys,
and
we
started
western
academy
at
the
neblet
in
october
of
2019,
and
we
we
call
it
western
academy
because
the
black
high
school
in
1904
it
was
probably
called
the
colored
high
school
and
then
when
it,
you
know,
was
integrated
when
it
was
closed
in
1962
for
integration.
F
He
came
from
owensboro,
so
what
we
did
is
we
established
this
program
and,
like
we
like,
I
said
we
used
bmw
as
our
blueprint.
You
know
why
invent
the
will
when
the
will
is
already
there?
You
just
need
to
get
on
it
and
move
with
it.
So,
in
establishing
that
program,
we
reach
out
to
our
boys
with
a
different
teaching,
a
different
learning
style
with
an
afrocentric
lens
and
what
we
want
to
do
along
with
all
the
other
academies.
F
All
the
other
schools
that
have
been
established
across
this
nation
is
to
have
our
young
men,
participate,
eradicate,
berries
and
empower
them
and
and
our
what
we
say
to
our
boys
that
we
want
to
encourage.
We
want
to
empower,
and
we
want
to
educate
you.
We
want
to
pour
into
you
all
that
we
can
to
let
you
know
that
you
can
pour
out
success.
You
can
pour
out
excellence,
you
can
make
a
positive
footprint
in
this
in
the
city
of
orensboro,
in
the
state
of
kentucky
in
the
u.s
and
across
this
world.
F
So
our
mission
is
to
encourage
empower
educate,
like
I
said,
our
young
men
of
african
american
descent
to
excel
and
create
a
positive
footprint
in
the
world,
so
our
saturday
programming
they
they
attend
two
sessions
a
month.
They
have
to
recite
a
creed
that
must
be
memorized
and
recited.
We
want
them
to
have
that
in
their
in
their
tissue
in
their
in
their
being.
F
We
also
present
a
power
story
of
african-american
males
at
every
session.
A
project-based
curriculum
is
is
what
we
are
focused
on,
but
it's
not
just
academics,
it's
also
life
skills.
We
want
them
to
understand
the
proper
etiquette
of
dining
and
and
cooking.
Last
year
for
christmas,
we
we
did
video
sessions,
we
did
virtual
sessions
on
zoom
and
they
cooked
christmas
cookies.
We
had
our
af
academic
coaches,
they
were
like
they
were
on
the
cooking
channel.
You
know
measuring
for
the
math
and
reading
the
instructions
for
the
reading
and
it
it
went
over
very
well.
F
One
thing
they
have
to
do:
they
have
to
wear
uniforms
and
in
wearing
uniforms
those
uniforms
the
shirts
have
to
be
tucked
in
they
have
to
have
black
belts
and
black
shoes,
because
one
thing
that
we
piggybacked
on
from
being
in
from
bmw
is
that
they
have
to
be
the
whale
principles
and
there's
six
of
them.
You
have
to
be
well-read,
you
have
to
be
well-spoken,
you
have
to
be
well-dressed
and
well-traveled.
F
And
just
like
the
the
different
academies
across
this
country,
we
call
them
scholars
because
we
want
them
to
know
that
they
are
learned
individuals
and
they
do
have
to
stand
and
deliver
their
words.
They
have
to
stand
and
speak
loud
and
clear
and
keep
their
heads
up
and
focus
on
the
delivery
of
the
spoken
word.
F
F
E
F
F
E
F
No,
that's!
Okay!
Let
me
just
show
you
our
scholars,
the
questions
that
we
ask
and
I'll
just
move
it
forward.
F
Phase
one
was
owensboro
public
schools
phase,
two
davis
county
public
schools
became
a
part
of
it
and
phase
three
we're
trying
to
reach
the
counties
that
is
surrounding
the
orangeboro
area,
and
that
definitely
is
a
challenge,
because
there's
not
that
many
boys
of
color
in
the
surrounding
county.
So
they're,
not.
F
You
know
not
thinking
that
it's
important,
but
I
make
telephone
calls
and
I
send
emails-
and
you
know
I'll
be
talking
to
folks
in
regards
to-
let's
give
them
an
opportunity
to
come
in
and
be
taught
by
folks
that
look
like
them,
because
we
know
that
our
boys
seem
to
do
better
and
also
giving
them
information
in
regards
to
their
culture.
You
know
you
ask:
why
are
there.
F
Why
why
is
there
issues
sometimes
with
our
boys
of
color,
where
they
are
placed
in
a
in
a
box
that
you
know
this
is
how
we're
gonna
teach,
and
you
need
to
stay
right
here.
But
you
know,
like
some
of
our
founders
of
the
academy,
say
that
you
know
there's
a
certain
way,
there's
a
certain
way
that
that
we
need
to
address
our
boys
and
that
we
do
not
remain
race
neutral,
that
we
become
culturally,
culturally
responsive.
F
We
need
to
make
sure
that
we
are
not
using
racially
coded
language
with
our
our
students
of
colors.
That.
F
E
Okay,
would
you
mind
to
explain
the
neblet
center
and
kind
of
how
that
got
started?
I
think
that's
some
good
background
for
those
who
aren't
around
owensboro.
I
haven't
heard
of
it
before.
Okay.
F
The
nebulous
center
was
started
in
1936
by
dr
reginald
neblett
and
his
wife
hattie.
They
first
began
this
this
recreation,
I
guess
program
in
the
basement
of
their
home,
because
there
was
he
had
his
office.
He
had
his
home
office,
which
is
like
a
block
away
from
the
neblet
center,
where
the
nebula
center
is
located
now
and
a
teenager
came
in
and
had
a
gunshot
wound
and
he
died,
and
mrs
hat
mrs
hattie
neblett
felt
like
we
need
to
do
something
for
this
juvenile
delinquency.
That's
happening.
F
If
you
see
this,
building
that
he's
standing
in
front
of
is
a
is
the
the
existing
building
that
houses
a
full
service
daycare
six
weeks
to
12
years
old,
an
after-school
program,
a
rec
center
with
a
full-service
gym
and
a
game
room,
also
a
full
commercial
kitchen
where
our
children
are
fed.
Breakfast
lunch
dinner
and
snacks.
F
And
we
are
open
to
the
community
to
have
them
come
in
with
meetings
like
orangeball
black
expo
had
their
meeting
there.
Last
night
we
have
different
city
organizations
that
come
in
and
have
meetings
there,
so
we're
kind
of
like
a
beacon
in
the
community
where
there's
light
there-
and
you
know
my
grandmother
was
a
part
of
that
and
we
grew
up
there.
It
was
just
right
across
the
street
from
where
we
lived,
so
the
nebula
center
is
just
it's
going
to
be
around
for
a
long
time.
E
A
Great
presentation
well
done,
thank
you
for
your
passion,
it
it.
It
is
woven
in
every
word.
You
said
your
passion
for
this
work,
and
so
your
community
is
blessed
to
have
you
doing
this
and
thank
you
for
bringing
the
story
here
to
us
today
in
this.
In
the
conversation,
you
used
a
phrase
regarding
one
of
the
young
men
that
tragically
died
from
a
gunshot
wound.
A
F
Well,
yes,
when
you
reach
13,
then
you're
no
longer
under
our
child
care
division.
F
Now
he
could
have
come
to
the
rec
center.
Okay,
that's
available
to
eight
up
to
18
year
olds,
but
he
was
evidently
influenced
by
others
where
it
was
more
inviting
for
him
to.
You
know,
go
other
places.
A
E
A
F
Initially,
we
started
with
21,
and
you
know
you
know
how
it
it
kind
of
transitioned
down
a
little
bit
where
we
had
maybe
12
to
14.
That
was
consistently
coming
our
second
year
we
enrolled
30,
which
was
43
over
what
we
had
done
the
first
year,
but
because
of
covet
that
transitioned
down
again
to
where
we
had
maybe
14.
F
That
was
consistently
coming
right.
Now
we
are
in
enrollment
and
we
have
35
that
has
signed
up
and
when
I
get
back
in
the
office
tomorrow,
I'll
be
calling
parents
and
you
know
encouraging
them
to
to
sign
their
their
signs
up.
F
Because
the
commitment
is
just
not
with
the
students
it's
with
the
parents
also,
you
know
I
can't
have
more
skin
in
this
game
than
you
do.
I
can't
want
it
more
for
your
children
than
you
do.
You
have
to
be
a
part
of
this
this
you
know
I
don't
have
any
children,
I
don't
have
grandchildren
in
this.
F
You
know
I
was
retired
and
I'm
telling
you
it's
divine
intervention,
it's
a
divine
plan
that
I
said
yes
to
and
it's
worth
it.
You
know.
I
will
establish
this
with
help
from
academic
coaches
that
are
in
the
orangeboro
area,
with
the
support
of
the
neblet
center
and
support
of
the
faith-based
community,
plus
the
business
community
of
orangeboro
they're,
all
just
you
know,
standing
behind
us
and
and
helping
us
in
this
effort.
F
We
have
scholarship
money
and
that's
what
our
parents
don't
understand,
that
this
is
not
drop
your
kids
off
and
let
us
take
care
of
them
for
a
couple
hours
every
other
saturday.
This
is
a
commitment
that
you
would
have
to
be
a
part
of
because
and
it's
it's
long
term,
we
we
went
from
three
third
grade
to
six
and
then
last
year
it
was
third
grade
to
seven.
F
This
year
is
third
grade
to
eight,
and
we
will
continue
that
until
we
reach
them
being
seniors
and
in
being
seniors,
we
have
money
for
them
for
scholarships
and
it
will
be
based
on
their
academics,
and
you
know
the
challenge
that
we
have
sports.
F
That's
a
challenge,
because
games
are
every
saturday,
so
you
know
we're
trying
to
convince
them
to
you
know.
There's
sometimes
we
want
you
to
choose
us,
because
we
are
trying
to
develop
academics,
athletes,
student
athletes
because
you
want
them
to
stand
apart
from
all
the
other
ones
that
are
applying
for
college
or
trying
to
get.
You
know
athletic
scholarships.
F
Them
achieving
high
excellence
in
academics
will
set
them
apart.
So
just
trying
to
you
know
convince
the
the
parents
that
this
is
good
and
once
they're
in
I
just
had
a
parent
the
other
day
that
she
was
really
wanting
her.
She
said
I
love
western
academy,
you
know,
but
he
is
13
and
he
doesn't
want
to
commit
and,
like
I
told
her,
you
know
my
son
didn't
want
to
commit
to
black
achievers
that
in
louisville.
F
So
you
know
just
the
the
parents
have
to
be
involved
as
far
as
workshops,
their
mandatory
workshops
that
they
have
to
attend
and
it's
to
help
them
it's
to
help
them
financially,
because
we
will
do
financial
literacy
help
them
in
resume.
Writing
help
them
in
understanding
what
their
rights
are,
as
parents
in
the
public
school
system.
F
So
you
know
things
don't
happen
overnight:
it
it
takes
tenacity,
it
takes
focus
and
that's
why
stepping
down
from
executive
director
that
I
didn't
have
all
this
other
stuff
that
I
was
dealing
with.
As
far
as
you
know,
is
the
hvac
working
right?
How
much
mulch
do
we
have
in
the
playground?
F
You
know
you
know
who's
waxing
these
floors
now.
My
focus
is
strictly
on
western
academy
and
I
am
truly
blessed
to
be
able
to
do
that.
A
Last
quick
thought,
madam
chair,
a
profound
statement
that
you
made
and
I
wrote
it
down
because
it
is
so
profound
and
I
don't
I
don't
it
just
resonated
with
me
and
and
I'm
paraphrasing
a
bit
but
you're
talking
about
to
achieve
success
in
the
program
and
your
statement
was.
I
can't
want
it
more
for
your
children
than
you
do
and
you're
exactly
right.
If
we
don't
have
and
that's
not
just
this
program,
that
is.
F
A
Many
efforts
that
we
make
to
create
positive
change
in
people's
lives.
If
we
want
it
more
than
they
do
it
doesn't
matter
how
much
money
we
fund
toward
it.
It
doesn't
matter
how
many
resources
we
make
available
if
we
want
it
more
for
their
children
than
they
do.
If
we
want
it
more
for
the
population
of
east
kentucky
than
they
want
it
for
themselves,
it's
going
to
be
a
failed
effort,
very
profound
state.
F
It
would
only
be
a
failed
effort
if
you
don't
continue
to
plug
at
it,
that
you
don't
continue
to
push
coming
up
with
creative
ways
to
get
the
message
out
going
to
churches-
and
you
know
talking
after
bible
study
or
going
to
the
fall
festivals
at
school,
getting
the
support
from
from
the
school
districts,
and
I'm
telling
we
we
have
that
support
from
the
school
districts
where
they
recommend
students
recommend
boys
to
be
in
the
program,
and
they
are
doing
an
excellent
job.
E
B
Thank
you,
madam
chair,
and
thank
you
for
the
presentation.
It
was
incredible
to
hear
and
inspiring
for
the
work
that
you're
doing.
I've
got
two
questions.
First,
you
mentioned
obviously
that
you're
from
third
to
seventh
right
now
and
you
want
to
go
all
the
way
to
12th.
You
talked
about
the
du
bois
academy
and
also
the
car
g
woodson
academy,
and
forgive
me
if
I
missed
this
is
the
long-term
goal
to
be
a
stand-alone
school
in
owensboro.
F
Yes,
sir,
it
is
that
is
that's
part
of
the
five-year
plan
that
we
would
be
brick
and
mortar
and
stand
alone
and
fall
under
the
the
category
or
the.
F
B
B
F
F
E
B
Disparity
in
suspension
rates
with
black
boys,
particularly
compared
to
their
white
peers,
that
the
data
tell
us
that
black
boys
are
often
suspended
at
higher
rates,
despite
really
no
difference
in
behavior,
and
so
what
I'm
always
curious
about
when
you
have
a
population
of
black
boys
or
boys
of
color,
if,
basically,
what
the
behavior
management
systems
are.
F
That
is
such
a
good
question.
I
tell
you
our
first
year
we
had
a
young
man
that
we
met
with
how
he
was
over
the
he
was
the
commissioner
of
education.
What
was
his
name,
mr
lewis?
F
Okay,
so
he
came
to
ohs
orangeball
high
school
and
we
brought
our
boys
in,
and
you
know
they
were
all
in
uniform
and
and
he
talked
to
them
and
one
of
our
our
boys.
We
got
a
call
later
that
you
know
there
was
some
control,
some
sustenance.
F
F
F
We
had
to,
we
had
to
rethink
what
that
program
consisted
of.
I
mean
what
that
what
our
program
consisted
of,
but
you
know
we
know
that,
there's
a
disparity,
because
we
had
one
scholar
that
just
the
sweetest
little
boy
he
smiled
he
participated.
He
he
he
was
doing
very
well
in
our
sessions
and
found
out.
F
He
wasn't
doing
well
in
school,
they
he
was
in
seclusion
seven
times
and
that's
where
they
put
you
in
a
a
room,
and
you
know
some
schools
have
these
rooms,
they
put
them
in
the
room,
and
you
know
it's
like
you're
talking
about
the
same
kid.
Well,
what
did
he
do
so
we
have
to
help
our
parents
know
that
you
don't
have
to
accept
that
type
of
direction,
because
if
someone
told
me
up
front
that
this
is
how
this
young
boy
is
that
he
didn't
demonstrate
that
at
all.
F
So
what
we
try
to
do
is
to
just
make
sure
that
we
are
there
to
support.
We
talk
to
the
scholars
we
encourage
them.
F
We
also
incite
them,
give
them
incentives
in
reaching
goals
and
and
well
being
well
behaved.
F
But
the
the
problem
is
that
there
there
are.
There
are
four
truths
in
black
boys
in
in
the
education
system.
F
F
And,
of
course
she
said
no,
and
you
know
he
just
he
just
graduated
from
boot
camp
from
the
from
the
navy
from
the
navy.
So
you
know
and
he's
a
good
kid
there.
There
are
certain
ways
that
our
our
boys
have
to
be
approached
like
I
said
we
have
to
meet
them
where
they
are
just
because
you
know
they
have
different
type
of
names
or.
F
It's
let
me
say
that
boys,
our
black
boys,
are
more
likely
to
attend
school
without
adequate
resources
to
educate
them.
They
are
not
at
reading
level.
We
already
know
that,
based
on
the
statistics,
that
is
in
the
orangeball
area,
but
that
is
just
not
owensboro
that's
across
this
country
and
that
our
black
boys,
their
punishment,
is
harsher
than
the
other
demographics,
and
you
have
to
ask
your
you
have
to
ask
the
question
why
why?
Why
is
that?
F
And
I
think
it's
because
folks
want
we
have
our.
We
have
a
culture.
You
know
we
have
a
way
that
we
do
things
and
it's
not
necessarily
where
we
assimilate
to
the
white
culture.
We've
been
doing
that
all
our
lives,
that
you
know
someone
was
saying
that.
Well,
maybe,
if
we
blend,
I
don't
want
to
blend.
F
F
F
That's
that's
the
that's
the
expectations.
You
set
the
expectations
and
you
you
expect
them
to
reach
it
and
you
help
them
get
there,
and
I
think
that
you
know
in
our
school
system
sometimes
because
our
culture
is
not
truly
understood
that
we
are
labeled
as
such,
that
we
can't
achieve
that.
You
can't
do
math
that
you
know
the
reading
level
is
off
and
all
of
that,
but
there
is
a
there-
is
a.
F
There
is
a
way
to
reach
them
and
folks
ask
that
question.
They
ask
the
question
of
well.
Why
are
you
just
doing
this?
For
for
black
boys,
you
mean
white
boys
can't
can't
attend,
and
it's
like
you
know
what
there's
a
lot
of
problems
happening
happening
in
our
education
system
and
we
know
that
it's
a
lot
okay.
So
if
this
is
a
problem
that
we
feel
like
we
can
fix,
let
us
fix
that
problem
and
if
there's
anything
else,
you
know
fix
that
and
if
and
if
we
can
help
in
any
way
we
will.
E
I'm
very
encouraged
and
empowered
by
our
conversation
today
and
then
representative
timoney.
Do
you
have
a
question?
Yes,
ma'am?
Okay,.
B
Thank
you,
chairwoman.
I
applaud
you
as
you're
telling
the
story,
I'm
an
I'm
a
fayette
county
public
school
employee
and
my
first
office
mate
was
roz
akins,
so
I've
known
her
since
1998
and
I
watched
first
hand
as
she
built
the
carter
g
academy
and
now
we're
this
is
the
first
year
we
actually
opened
the
carter
g
preparatory
academy
for
kindergarten
up
through
our
we're,
starting
with
three
and.
B
My
question
was
going
to
be
around
the
the
parent
group,
the
the
the
realm
of
of
parent
involvement
in
your
school,
because
I
know
that
that
is
historically
one
of
the
most
powerful
and
impactful
groups
to
to
student
achievement
is,
is
how
involved
parents
are.
You
did
answer
some
questions
about
that
previously
I'd.
How
has
it
been
going
for
you?
I
know
you
described
some
of
the
things
that
you're
doing
with
you
know
the
parent
academy
and
those
type
things,
but
just
how
has
it
been
going?
F
No,
we
have
very
supportive
parents.
I
have
one
parent
that
that
just
asks.
Can
I
talk
to
you?
Maybe
you
can
get
one
of
the
academic
coaches
to
to
talk
to
my
son.
She
said
because
I
love
western
academy.
I
love
what
you're
doing
and
so
we're
and
we're
going
to
do
that.
We
have
reached
out
to
several
parents
to
say:
let
us
just
talk
to
them
and
let
them
help
them
to
understand
what
this
is
actually
doing.
The
support
that
you
that
they're
going
to
receive
so
yeah.
F
It's
it's
a
challenge,
but
you
know
you
just
keep
tweaking
and
you
keep
massaging
and
you
know
coming
up
with
different
type
of
strategies.
You
know
to
keep
to
get
people
to
buy
in
you
know
I
I'm
mark,
I'm
a
marketing
major
and
you
know
I
overcome
objections.
You
tell
you
can't
tell
me,
I
think
no
you're
gonna
have
to
give
me
a
yes
or
no
answer,
and
even
if
you
give
me
a
no
answer,
then
I'm
going
to
ask
some
questions
to
you
know
persuade
you
to
think
again.
B
Thank
you,
and
I
do
want
to
invite
you
the
next
time
you
come
to
lexington.
We
just
actually
added
an
app
harvest
greenhouse
to
our
cartagena
academy
and
if
you
all
haven't
seen
these
these
agriculture
programs
that
app
harvest
is
working,
it's
it's
like
a
spaceship,
there's
as
much
technology
in
that
greenhouse,
as
in
the
spaceship
it's
phenomenal,
so
we
just
actually
installed
it.
We
had
a
big
grand
opening
last
friday,
so
the
next
time
you're
in
lexington,
please
stop
by
thank.
F
F
We
had
a
luncheon
for
them,
and
I
mean
it
was
very
impactful,
but
then,
when
she
came
down
for
the
fundraiser
and
spoke
to
the
community
of
owensboro
as
a
whole
and
to
educators,
she
also
came
down
for
a
professional
development
day
and
it's
impactful
so
that
that
energy,
that
she
has
it's
very
contagious,
that
passion
that
she
has
is
very
contagious
contagious.
I
think
she
dropped
some
in
me,
but
she,
you
know
she
her
and
her
her
staff,
dr
roger
cleveland,
and
miss
vida,
stuart
and
miss
george.
F
I
can't
remember
her
name.
She
is.
F
Yes,
yes,
so
they
they
are
all
very
inspiring
and,
and
we
we
appreciate
them
very
much,
you
know
they
invented
they
invented
the
will
in
kentucky.
Let
me
say
that.
E
B
This
is
jamir
davis,
vice
president
of
northern
kentucky
community
action,
commission
and
general
counsel.
Here,
thank
you
for
the
presentation
it's
well
done.
I
did
have
a
couple
of
questions
just
about
the
funding
structure
of
the
program
now
and
how
it
is
structured.
Also,
as
an
organization
are
you
dependent
upon
grant
funding
or
donations?
Where
does
the
majority
of
your
funding
come
from.
F
F
We
have
grant,
I
write
grants
and
we
have
just
had
a
grant
approved
from
the
pnc
foundation.
That
also,
I
can't
not
say
this.
F
We
put
a
grant
in
for
impact
100
and
we
received
that
last
year
and
that
was
a
hundred
thousand
dollar
grant,
and
that
was
for
us
to
put
a
two
classroom
modular
unit
on
property
that
we
have
a
across
the
street
from
us.
We
have
our
campus
to
expand
our
footprint
in
the
community,
so
we
are
working
on
that
in
and
getting
that
property
built
out,
and
so
it's
donations
funding
from
davis
county.
They
they'd
give
us
in-kind
service
in
paying
teachers
to
be
academic
coaches.
F
So
we
we
have
truly
been
blessed
and
we
have
a
strategic
planning.
Team
actually
united
way
increased
our
funding
at
the
neblett
center
because
of
western
academy
and
we're
able
to
use
those
funds
in
our
in
our
budget.
So
we're
just
blessed
and
we
we
have
people
on
our
on
our
team
to
help
us
to
establish
what
needs
to
be
done
in
in
managing
and
budgeting
those
funds.
F
E
Okay,
we
will
get
this
wrapped
up.
Thank
you
so
much
olga
you're
you're
a
breath
of
fresh
air,
and
I
think
when
we
were
having
conversations
about
the
commission,
these
are
exactly
the
type
of
presentations
we
were
interested
in
hearing
about
different
programs
like
that
throughout
the
commonwealth.
So
thank
you
for
your
dedication
and
for
all
that
you
do
in
the
owensboro
community,
but
I'm
so
glad
you're
able
to
come
to
frankfort.
Today.
I
appreciate
you
accepting
the
invitation
and
sharing
what
you
do.
E
I
was
just
briefly
talking
to
co-chair
givens
and
I
said
it
would
be
a
really
neat
opportunity
if
we
could
invite
your
scholars
to
come
be
pages
during
session.
That.
E
Okay,
yes,
so
I
would
love
to
work
with
you
on
that,
getting
them
up
here
and
getting
them
partnered
with
senators
and
representatives
to
see
what
it's
like
being
up
here
as
we've
talked
about
earlier
representation
truly
does
matter,
and
we
would
love
for
them
to
come
up
and
just
see
and
picture
themselves
as
a
as
a
future
legislator,
but
also
realizing
that
they
have
a
voice
at
the
table
and
a
voice
in
government.
That
is
awesome.
B
E
A
C
C
My
name
is
mackenzie
longoria,
I'm
the
director
of
public
policy
for
the
alzheimer's
association,
greater
kentucky
and
southern
indiana
chapter
and
senator
givens
at
least
knows
this.
I'm
typically
one
to
talk
a
whole
lot
during
my
hearings,
but
today,
because
I
wanted
to
ensure
that
I
would
do
this
topic
justice.
C
I
was
able
to
have
a
member
of
our
home
office
team.
We
have
a
robust
diversity,
equity
and
inclusion
team
out
of
our
home
office,
and
I
was
able
to
get
edie
yao
to
join
us
today
from
our
chicago
office.
So
she
is
on
zoom
and
I'm
gonna
hope
that
I'm
doing
this
correctly.
D
D
D
Well,
as
mckenzie
is
setting
this
up
I'll
just
go
ahead
and
get
us
started
for
the
sake
of
time,
I'm
edwin
the
director
of
diversity,
equity
and
inclusion
engagement
with
the
alzheimer's
association.
You
can
go
on
the
next
slide.
You
know,
interestingly,
today,
we're
talking
about
alzheimer's
the
day
after
world
alzheimer's
day,
which
was
yesterday
september
21st,
and
so
in
the
time
I
have
with
you.
D
We
want
to
do
a
few
things,
just
to
kind
of
talk
a
little
bit
about
alzheimer's
and
dementia
and
then
more
about
diversity
and
the
disparities
opportunities
for
enhancing
inclusion
and
what
are
the
ways
to
move
us
forward
in
in
the
pursuit
of
equity?
D
And
so,
if
you
ever
see
our
logo
here-
and
you
wonder
what
is
that
about?
It
really
is
to
symbolize
people
in
science.
So
I
hope
you
appreciate
that
so
you
can
see
in
this
slide.
Alzheimer's
disease
was
actually
named
after
dr
alois
alzheimer,
who
is
credited
for
discovering
alzheimer's
disease
in
1906.
D
He
worked
alongside
dr
alzheimer's
he's
a
neurologist
and
he
was
the
first
african-american
psychiatrist
in
the
u.s
of
african
descent
and
he
actually
had
done
a
produced
or
did
a
lot
of
autopsies
to
look
at
some
of
these
symptoms
and
linking
them
to
the
microscopic
biology
of
the
disease
and
particularly
neurofibrillary
tangles,
also
known
as
tau,
and
actually
that
is
the
hallmark
of
alzheimer's
so
like
to
you
know,
just
kind
of
recognize
his
work
alongside
dr
alzheimer's
next
slide.
D
D
There
are
currently
more
than
six
million
individuals
in
the
united
states
living
with
alzheimer's,
and
for
that
we
have
over
11
million
caregivers,
unpaid,
caregivers
and
essentially
for
every
one
person
who
has
alzheimer's
it.
It
takes.
You
know
at
least
two
people
to
take
care
of
that
person,
and
these
are
unpaid,
caregivers
and
the
value
in
terms
of
how
much
they're
providing
care
is
valued
at
257
billion
dollars.
D
and
in
and
then
when
you
look
at
hospitalization
or
emergency
room
visits,
there
are
almost
3
000
people
in
hospice
with
a
primary
diagnosis
of
dementia
and
then
1700
number
of
emergency
department
visits
per
1000
people
with
dementia.
D
My
father-in-law
had
alzheimer's
for
roughly
eight
years,
and
I
can't
tell
you
how
many
hospital
visits
he
had,
particularly
the
emergency
department,
and
they
were
thing
for
things
that
may
not
seem
like
they
were
emergency
room
visits.
But
but
in
that
moment
my
mother-in-law
didn't
know
what
to
do
and
it
felt
like
an
emergency
and
they
would
take
him
there
just
countless
visits,
and
this
is
not
atypical
of
any
person
with
dementia
next
slide.
D
So
at
the
alzheimer's
association
I
talked
a
little
bit
our
ad
of
our
advocacy
work
and
one
of
the
things
that
we
do
do
is
advocate
for
increased
funding
at
the
national
institutes
of
health,
and
it
has
increased
six-fold
since
2011
when
the
national
alzheimer's
plan
act
was
created.
So
you
can
see
this
trajectory
and
to
give
you
some
context.
We
are
now
at
3.1
billion
dollars
and
there's
certainly
still
more
funding
needed
for
alzheimer's.
D
When
you
look
at
cancer
research
funded
at
the
nih,
it
is
at
six
billion
dollars
annually
for
decades
and
that's
not
to
make
a
comparison
of
one
disease
is
more
important
than
the
other,
but
we've
certainly
seen
great
strides
in
cancer.
Research
and
people
can
survive
from
cancer.
I
have
number
of
friends
and
family
who
are
in
remission
and
that's
a
good
thing,
and
we
want
to
see
that
for
alzheimer's
next
slide.
D
The
other
thing
it
does
to
advance
and
increase
the
num.
The
funding
at
a
federal
level
is
that
it
expands
what
are
called
adrcs,
which
are
alzheimer's
disease,
research
centers,
and
these
are
centers
that
really
help
cultivate.
You
know
that
research
locally
and
in
kentucky
at
the
university
of
kentucky,
there's
the
sanders
brown
aging
and
alzheimer's
disease
research
center,
which
was
in
fact
one
of
the
first
10
adrcs
funded,
and
I
believe
it
was
1985
when
they
started
funding
and
continues
to
receive
funding.
D
You
may
have
heard
about
adjukanymab,
which
is
the
the
most
recent
treatment
that
is
approved
by
the
fda
for
alzheimer's
disease.
This
is
while
it
may
not
be
the
perfect
treatment.
It
is
in
fact,
the
first
treatment
that
really
targets
the
amyloid
plaque
in
the
brain,
that
is,
the
hallmark
of
alzheimer's
disease,
and
so
again,
when
you
think
about
the
progression
we've
seen
you
know,
alzheimer's
disease
was
first
identified
in
1906.
D
D
These
barriers
are
both
fundamental,
for
example,
in
accessing
health
care
in
accessing
timely
diagnosis,
but
they
also
can
be
unique
in
terms
of
language
barriers
or
perhaps
cultural
issues
next
slide.
So
it's
worth
noting
that
lgbt
individuals
are
also
impacted
by
alzheimer's
age
is
in
fact
the
greatest
risk
factor
for
alzheimer's,
and
there
are
an
estimate
of
2.7
million
lgbt
people
over
the
age
of
50
and
7.4
percent
of
lesbian,
gay
and
bisexual
older
adult
population
living
with
dementia.
D
When
we
talk
about
some
of
those
unique
challenges,
this
is
a
population
that
certainly
does
have
some
unique
challenges,
especially
facing
accessing
support.
You
know
I'll.
Never,
I
think
one
of
the
things
that
I
think
is
so
challenging
for
families
who
are
caring
for
someone
with
alzheimer's
is
getting
them
to
a
place
of
accepting
professional
help
by
and
large,
80
percent
of
people
want
to
live
at
home
and
be
cared
for
at
home.
D
It's
really
only
when
it's
safety
and
health
issues
that
they
have
to
start
looking
at
other
options,
but
to
hire
someone
to
come
into
the
home
like
through
home
care,
it's
a
huge
hurdle
for
so
many
families
to
accept
outside
help,
but
in
particular
I
remember
talking
with
one
of
our
constituents
where
he
as
a
gay
man.
He
said
I
I
don't
know.
If
I
can
hire
someone
in
the
home,
I
don't
know
if
they
will
accept
me
for
who
I
am,
and
you
know,
value
my
life
and
my
husband's
life.
D
Wedding
photos
all
of
the
pictures
of
him
and
his
husband
in
the
house
just
to
avoid
any
confrontation,
any
issues
that
might
arise
he
didn't
want
to
create
any
conflict,
and
so
I
don't
know
what
he
told
that
home
caregiver.
If,
if
that
was
his
roommate
or
his
friend,
that
he
was
living
with,
but
that's
a
common
scenario
next
slide.
D
If
the
landsat
commission
in
2017
actually
looked
at
modified
modifiable
risk
factors,
are
there
ways
that
we
can
reduce
or
reduce
our
risk
or
even
prevent
alzheimer's
disease,
and
in
2017
the
landsat
commission
determined
that
there
are
nine
modifial
modifiable
risk
factors
that
we
can
look
at,
for
example,
less
education,
hearing
loss,
hypertension,
obesity,
smoking,
depression.
D
All
of
these
things
may
be
modifiable
and
in
2020
they
added
three
more,
in
particular
air
pollution,
traumatic,
brain
injury
as
well
as
excessive
alcohol
consumption,
and
so
when
we
put
the
total
of
12
12
modifiable
modifiable
risk
factors.
These
could
conceivably
be
things
that
we
can
change
or
help
reduce
the
number
of
people
who
are
diagnosed
or
impacted
by
alzheimer's.
D
We
further
drilled
down
and
half
of
black
americans,
and
at
least
one-third
of
native
asian
and
hispanic
americans
report
that
they
have
experienced
health
care
discrimination.
D
So
you
know,
in
order
to
understand,
are
there
in
fact
unique
pathways,
or
is
there
a
difference
in
in
the
the
impact
of
alzheimer's
and
dementia
among
different
populations?
D
We
really
need
to
bring
in
diverse
perspectives
in
how
we
uncover
how
this
is
manifested,
not
just
biological,
but
also
looking
at
environmental,
behavioral
and
socio-cultural
so
again,
looking
at
it
from
many
different
angles
to
get
at.
Why
are
why
is
it
that
some
populations
are
more
impacted
than
others
next
slide.
D
It
would
make
sense,
then,
that
we'd
have
diversity
in
the
subjects
the
people
who
participate
in
the
research
that's
being
done,
but
the
fact
is
less
than
five
percent
of
trial
participants
are
black
latino,
asian,
american
or
american
indian
alaskan
native,
and
so
then
it's
it's
important
to
understand.
Well,
why
is
that
those
that
actually
do
enroll?
D
D
So
these
are
important
things
to
study
if
we're
going
to
try
to
recruit
more
diversity
in
our
clinical
trials,
so
to
change
the
course
of,
if
we're
going
to
really
you
know,
our
vision
at
the
alzheimer's
association
is
a
world
without
alzheimer's
and
if
we're
going
to
really
make
a
difference
in
understanding
how
different
populations
are
impacted,
these
are
the
five
things
that
really
need
to
happen.
D
One
is
to
conduct,
promote
and
support,
multi-level
health
disparities,
research
and
the
second
one
is
to
increase
diversity
in
health
systems.
Health
related
institutions
again,
look
at
you
know
who
are
our
clinicians?
Who
are
the
staff
in
within
these
health
systems?
Do
they
represent
the
populations
that
we're
really
trying
to
reach?
D
D
D
The
second
piece
is
increasing
diversity
among
clinical
trials
staff.
So
again
thinking
about
the
people
who
are
actually
conducting
the
research
do
they
represent
the
populations
that
we're
trying
to
reach
to
build
that
trust
and
and
understanding,
and
then
the
third
one
is
to
reduce
the
participation
burden.
You
know:
are
there
ways
to
incentivize
the
sites
that
are
located
in
underrepresented
communities?
D
Are
there
ways
to
reduce
the
burden
for
the
participants
who
want
to
participate
in
the
studies?
I've
heard
many
people
say
they
will
not
participate
in
a
particular
study
because
one,
it's
too
far
to
drive
two
hours
away
for
a
study
and
drive
two
hours
back
and
to
have
to
shuttle
the
person
with
dementia
in
this
process.
And
how
do
you
explain
every
week
where
you're
going,
why
you're
doing
what
you're
doing
so?
Maybe
it's
also
looking
at
some
remote
technology,
like
you,
know,
remote
patient
monitoring
technology,
to
help
ease
that
burden
next
slide.
D
D
If
those
results
can
help
guide
doctors
in
diagnosing
and
treating
memory
conditions
better,
and
in
particular
this
particular
this
study
is
looking
at.
Can
we
focus
on
diverse
racial
and
ethnic
backgrounds
of
the
participants,
and
so
how
will
we
do
this?
We
would
look
at
a
specific
recruitment
of
black
and
hispanic
individuals
to
participate
in
this
study
next
slide.
D
Another
strategy
for
pursuing
equity
is,
in
particular,
the
alzheimer's
association,
we're
looking
at
partnerships
and
that's
very
much.
My
job
is
working
on
national
partnerships
with
local
activation,
so,
for
example,
the
african
methodist
episcopal
church,
a
national
organization,
but
has
local
presence,
local
footprint
and
working
with
other
organizations
like
that
to
raise
awareness
and
increase
the
education
in
the
communities
to
understand
that
there's
support.
D
D
Everyone
gets
what
they
need
to
survive
to
access
opportunity,
which
is
very
much
the
the
work
of
this
commission,
which
is
different
from
equality
where
everyone
has
the
same
access
and
the
same
number
of
resources
right
when
we
know
that
there's
a
reason
why
there's
some
underserved
and
underrepresented
populations
that
may
need
different
resources
or
a
different
solution
for
the
problem
next
slide.
D
So
health
equity
is
really
looking
at
making
sure
that
everyone
has
the
ability
to
attain
their
full
health
potential
and
the
way
we
measure
health,
equity
or
inequity
is
looking
at.
You
know
length
of
life,
quality
of
life,
the
rates
of
disease
and
that's
very
much
what
the
alzheimer's
association
has
seen
in
terms
of
the
impact
of
alzheimer's
and
among
different
populations
next
slide.
D
So
I've
been
with
the
alzheimer's
association
for
21
years
now
and
really
tackling
this
from
a
local
level
and
now
at
a
national
level,
and
when
I
started
at
the
alzheimer's
association,
I
didn't
have
a
personal
connection.
I
didn't
know
anyone
in
my
circle
in
my
sphere
of
influence,
directly
impacted,
but
I
can
tell
you
today
my
father-in-law
died
of
alzheimer's.
I
have
family
friends
who
are
caregivers
very
close
to
this
disease.
D
My
parents,
friends
have
alzheimer's.
So
if
we
do
nothing,
we
will
definitely
see
an
increase
of
cases
of
alzheimer's.
We
know
that
the
burden
is
higher
among
blacks
and
hispanics.
We
know
that
these
populations
experience
barriers
when
accessing
care,
and
also
these
populations,
blacks,
latinos
other
underserved
populations.
C
Thank
you
so
much
ed.
I
really
appreciate
it
and
thank
you
co-chairs,
as
well
as
the
legislative
and
citizen
members
of
this
commission.
I'll,
be
pretty
brief,
but,
as
edie
said,
I
just
wanted
to
highlight
a
few
local
statistics,
so
we
can
kind
of
go
from
a
larger
holistic
picture
about
the
impact
of
this
disease
on
hispanic
and
minority
communities
and
and
specifically,
look
here
at
the
impacts
on
a
local
level.
C
I
would
be
remiss,
though,
just
very
briefly.
I
again
want
to
commend
this
commission.
I
know
that
coming
off
the
heels
of
a
traumatic
summer,
certainly
very
close
to
home
in
this
state
with
brianna
taylor,
the
the
impacts
of
the
death
of
george
floyd
and
then
a
covet
19
pandemic.
That
really
then
also
laid
bare
a
lot
of
inequities
in
our
health
care
system
in
the
state
and
across
the
country,
and
I
really
appreciate
our
legislature
taking
bipartisan
action
to
address
this
issue.
C
C
As
edie
mentioned,
you
know
we're
looking
at
this
through
the
lens
of
minority
communities,
and
I
want
to
focus
on
also
the
cost
to
the
state
when
we're
talking
about
these
communities
as
well,
so
just
on
an
average
kentucky,
spends
about
803
million
in
medicaid
dollars
when
caring
for
individuals
living
with
alzheimer's,
so
you're,
looking
at
roughly
twenty
six
thousand
dollars
per
capita
spending,
and
then,
if
we
know
that
individuals,
you
know
black
americans,
hispanic
americans
are
less
likely
to
get
diagnosed
in
the
earlier
stages
of
the
disease
and,
I
would
even
say
less
likely
to
get
a
diagnosis
at
all.
C
C
What
are
the
financial
implications
for
the
state
as
far
as
that
goes
in
kentucky
a
semi-private
room
costs
about
seven
thousand
three
hundred
and
thirty
dollars
and
a
private
room
cost
almost
eight
thousand
dollars,
and
also
typically
medicaid
does
not
cover
private
rooms,
so
they're,
usually
only
some
semi-private
rooms.
So
that
means
that
kentucky
is
spending
roughly
eighty
eight
thousand
dollars
a
year
on
a
semi
semi-private
room
or
a
semi-private
medicaid
bed
and
almost
95
000
a
year
on
a
private
room.
So
you
know
keep
in
mind.
C
You
have
a
certain
amount
of
days
that
you
get
some
medicare
coverage
once
that
time
runs
out
then
you're,
looking
at
solely
private
pay
or
medicaid
only
coverage,
which
again
is
when
it's
coming
at
a
cost
to
the
state.
So
you
sort
of
have
a
confluence
of
these
two
populations
that
are
more
prone
to
develop
the
disease
and
then
develop
the
disease
later,
and
we
can
sort
of
see
the
snowball
effect
then
on
the
state's
economy.
C
They
did
a
really
robust
study
on
place
and
brain
health
equity
and
they
really
wanted
to
understand
some
county
level
and
congressional
level
data
from
across
the
country,
so
not
specific
to
kentucky
necessarily
but
really
across
the
united
states
and
something
that
is
interesting
that
I
discovered
and,
I
believe,
included
in
your
materials
today,
there's
an
article
about
this,
but
our
sixth
congressional
district.
So
pretty
much.
You
know
most
of
lexington
and
part
of
frankfurt
right
here.
C
They
are
13th
out
of
a
list
of
districts
across
the
united
states,
where
black
americans
are
most
impacted
by
alzheimer's,
with
a
prevalence
of
roughly
9.2
percent
and
then
our
second
district,
so
congressman
guthrie
over
in
that
part
of
the
state
they
rank
21st
with
an
average
of
8.1
percent
prevalence
of
individuals,
most
impacted
by
alzheimer's,
and
that's
coming
from
some
medicare
fee
for
service
data
from
2016
and
2017..
C
What
I
think
is
this
was
honestly
really
surprising
to
me,
and
I
imagine
it
will
be
to
some
of
you
as
well
franklin
county
and
if
anyone
knows
where
we
are
right
now
we
are
in
franklin
county.
We
rank
second
out
of
25
countries
across
the
entire
united
states
when
it
comes
to
the
highest
prevalence
of
alzheimer's
disease
among
blacks
and
african
americans.
C
So
that
is
right
here
in
our
very
own,
where
our
very
own
capital
sits
as
far
as
individuals
living
in
these
two
congressional
districts,
with
the
highest
prevalence
getting
close
to
about
8
400
people
living
in
the
sixth
district
and
almost
9
500
people
living
in
the
second
district.
And
so
again,
let's
look
at
cost.
What
does
that
mean?
C
So
the
sixth
district
has
spent
nearly
annually,
they
spend
about
190
million
and
again
this
is
medicare
fee
for
service
costs,
on
caring
for
individuals
with
alzheimer's
and
dementia,
and
the
second
congressional
district
is
spending
about
200
million
annually
in
those
costs
as
well,
so
very
expensive.
There's
a
reason:
it's
the
most
expensive
disease
in
america.
So
I
know
what
we
want
to
do
today
is
not
be
doom
and
gloom,
and
we
want
to
know
about
what
you
as
legislators,
as
members
as
civilian
members
of
this
group,
can
do
as
well.
C
What
can
the
state
do
the
administration-
and
I
have
some
good
ideas
that
I
think
we
could
do
and
one
of
them,
I
think
probably
the
most
important-
is
increase
public
awareness
on
early
detection
and
diagnosis.
Just
generally
speaking,
that's
a
major
principle
of
our
policy
work
that
we
do
at
the
association,
but
we
also
need
to
talk
about
awareness
that
is
culturally
competent
and
culturally
sensitive.
C
So
we
we
need
education
and
awareness
that
is
reflective
of
the
communities
that
we're
trying
to
benefit
the
most.
I
know
that
with
that
is
going
to
come
funding.
That's
always
the
million
dollar
question,
no
pun
intended,
but
you
know.
Sometimes
you
have
to
see
that
there's
an
upfront
investment,
but
the
cost
saving
measures
to
the
state
on
the
back
end
are
really
going
to
offset
some
of
those,
and
we
know
there's
still
a
lot
of
federal
dollars
coming
in
from
covid
relief
there's.
C
I
think,
along
that
same
line,
we
need
doctors,
health
care
providers
and
community
leaders,
so
whether
you
live
in
live
work
or
serve
in
a
minority
community,
you
are
the
ones
that
really
in
many
ways
hold
the
key
towards
providing
these
communities
with
the
awareness
and
access
that
is
needed.
C
Let's
be
frank,
I'm
white,
my
office
is
pretty
much
nothing
but
white
women,
so
it's
very
difficult
for
us
to
access
and
and
go
into
a
minority
community
in
louisville
or
lexington
or
various
parts
across
the
state
and
and
just
come
in
talking
about
brain
health
and
alzheimer's.
There's
a
lot
of
stigma
still
attached
to
this
there's,
not
a
lot
of
understanding
and
awareness,
and
so
partnerships
with
healthcare
providers
trusted
healthcare
providers.
C
I
I
think,
that's
it's
very
important
that
those
partnerships
you
know
have
not
been
able
to
grow
in
the
way.
I
think
that
our
chapter
especially,
would
like
to
see
them
happen,
and
you
know
that's
part
of
our
hope
in
presenting
here
today
and
then.
Finally,
I
think,
while
there's
obviously
a
lot
more,
that
could
be
done.
I'm
trying
to
give
some
some
very
tangible
items-
data
collection,
if
you
were
to
spend
five
minutes
just
perusing
and
I'm
not
calling
out
the
cabinet.
You
know
this
is
across
all
administrations,
republican
and
democrat.
C
But
if
you
were
to
do
a
search
on
some
of
our
websites
like
chfs
or
department
for
public
health
or
division
of
chronic
conditions,
you
will
not
find
a
mention
of
alzheimer's
disease,
cognitive
decline
or
dementia
anywhere.
It
is
not
included
in
our
most
recent
ship
again,
it's
not
on
the
department
of
public
health
website
and
it's
not
on
part
of
the
division
that
deals
with
chronic
conditions.
C
That's
especially
problematic
because
our
most
recent
data
that
we
do
have
in
the
state
indicates
to
us
that
of
the
13
of
kentuckians
that
have
said
that
they
are
experiencing
mild
cognitive
impairment.
94
of
them
have
another
chronic
condition
or
comorbidity,
so
heart
disease,
diabetes,
copd,
etc.
So
it's
problematic
that
it's
hard
to
find
data
about
this
disease
on
any
of
our
sort
of
public
health
or
health
and
welfare
related
resources
to
even
get
quality
data
to
help
us
get
these
facts
and
figures
that
are
on
this
infographic
every
year.
C
Our
best
bet
is
to
be
included.
We
have
a
cognitive
module
that
we
work
in
partnership
with
the
cdc.
Our
best
bet
is
that
I
present
to
the
department
for
public
health
and
their
briffis
coordinator,
behavioral
risk
factor,
surveillance
survey,
in
that
we
can
get
this
cognitive
model
included
as
an
optional,
optional
module,
which
is
great,
but
then
I
have
to
find
35
000
to
be
able
to
run
that
module
and
we're
a
non-profit.
C
It
is
not
easy
to
find
35
000
and
I
work
over
in
public
policy.
So
if
I
do
find
35
000,
my
colleagues
on
the
development
side
who
fund
the
research
they're
looking
for
that
thirty
five
thousand
dollars,
so
I
really
cannot
understand
enough
how
important
that
data
is.
It
collects
data
on
mild,
cognitive
impairment.
It
looks
at
race,
gender,
it
looks
at
socioeconomic
status,
it
looks
at
education
level
and
it
is
really
our
best
way
to
get
some
of
that
granular
state
level
data
that
is
so
important.
C
I
was
fortunate
enough
to
be
able
to
find
the
funding
and
run
the
cognitive
module
in
2020
and
our
caregiver
module
in
2021,
but
outside
of
that,
we
have
not
had
updated
briefs
data
since
2015.,
so
we're
very
out
of
date.
Now
in
terms
of
the
specifics
that
we
have
on
this
disease
in
this
state,
as
well
as
specifically
related
to
some
of
our
minority
communities,
so
I
think
not
only
do
we
need
to
make
sure
that
we
are
funding
the
collection
of
this
data
and
whether
it's
through
briffis
or
through
another
mechanism.
C
I
also
believe
that,
within
that
racial
data
needs
to
be
included
as
well,
so
we
need
to
look
at
mci,
mild,
cognitive
impairment,
alzheimer's
and
dementia
and
minority
communities,
along
with
some
of
the
things
that
ed
touched
on
socioeconomic
factors,
barriers
to
care,
environmental,
educational
and
workforce
factors.
We
need
to
understand
some
of
the
other
reasons
that
these
minority
communities
are
more
prevalent
and
more
prone
to
this
disease.
C
Yes,
sir,
absolutely
the
the
last
thing
is
just
to
let
you
all
know
what
at
least
the
chapter
is
working
on.
We
have
some
efforts
that
we're
working
on.
Most
importantly,
we
have
an
event
coming
up
in
october
with
the
kentucky
association
of
black
nurses.
It's
the
first
time,
we've
ever
engaged
with
that
group,
so
we're
very
excited
and
we
are
working
on
a
physician-led
symposium
in
the
spring,
in
conjunction
with
northern
healthcare.
That's
really
going
to
focus
on
race
and
health
disparities.
C
C
A
Director,
director,
longoria
and
director
yao,
correct,
correct,
yes,
well
done
very
well
done
check
a
couple
of
boxes
for
you
right
off
the
bat.
If
you
would-
and
I
appreciate
your
presentation
very
much-
the
data
collection
conversation
regarding
the
cabinet,
if
you
have
proposed
bill
language
or
something
you'd
like
for
us
to
consider
to
help
you
move
forward
on
that.
E
Just
a
comment
I
would
be
interested.
I
appreciate
both
of
you.
All's
presentations,
very
good
information.
The
one
thing
I
always
try
to
focus
on
is
when
we're
in
a
committee
or
a
commission
meeting
for
kentucky
really
focusing
on
kentucky,
because
of
course
we
appreciate
the
statistics
nationwide,
but
that
always
doesn't
affect
us.
You
know
we're
here
to
hear
about
kentucky,
and
so
I
would
really
appreciate,
I
think,
going
on
to
what
co-chair
given
said
was
with
the
you
know.
E
If
we're
going
to
be
cheerleaders
and
influencers,
if
you
can
provide
more
information
about
kentucky's
statistics,
you
know
the
only
information
really
kentucky
specific.
Is
that
very
last
slide
and
that's
you
know,
as
I
like
to
say,
there's
a
lot
of
ways.
Different
states
are
doing
things,
but
until
we
really
know
that
the
data
in
kentucky,
which
goes
to
the
next
point
of
collecting
data,
I
would
be
interested
if
you
could
provide
more
kentucky
specific
information
for
us
and
how
it
affects
kentuckians.
E
You
know,
I
know
that
you
all
had
the
the
national
bill
or
the
the
bill,
that's
in
congress
right
now,
but
usually
when
we
can
see
language
for
bills.
That's
helpful
on
our
end
with
that.
So
thank
you
for
your
time,
but
I
would
like
for
you
to
follow
up
of
providing
more
kentucky
specific
information
that
have
to
do
with
race.
C
Thank
you,
chairwoman,
and
I
think
that
should
be
a
much
easier
task
too,
with
the
creation
of
the
dementia
services
coordinator,
the
newly
established
position
within
the
department
for
aging
independent
living
that
we
were
able
to
get
through
last
legislative
session.
C
The
data
that
they'll
have
access
to,
and
I
think
more
importantly,
the
data
that
they'll
be
able
to
discern
that
they
need
more
of
to
figure
out
how
to
address.
Some
of
these
problems
is
something
that's
naturally
going
to
come
out
of
that
position,
so
that
position
getting
established
and
up
and
running,
I
think,
is
also
going
to
help,
because
in
a
lot
of
ways
we
don't
have
a
ton
of
state-specific
data
on
the
implications
of
race
and
alzheimer's.
C
We
just
know
that
it
impacts
these
minority
communities
at
a
higher
rate,
but
again
without
having
breakfast
data
more
recent
than
2015
it's
hard
for
us
to
even
know
where
we
are
right
now
with
some
of
those
statistics.
So
I
I
am
excited
to
have
inclusion
in
the
most
recent
survey
and
more
excited
to
see
the
dementia
services
coordinator
when
they
can
really
get
their
hands
on
that,
along
with
the
alzheimer's
disease
and
related
disorders
council
that
they'll
be
working
with,
and
I
think
they
can
really
think
about
some
more
kentucky
specific
solutions
for
that.
B
Thank
you,
mr
chair
I'll,
be
very
quick
here
just
to
echo
the
comments
really
of
both
chairs
this
slide
from
directory
owl's
presentation
about
alzheimer's
facts
and
figures
in
kentucky.
I
don't
know
if
it's
possible
to
get
the
percent.
Basically,
this
slide
broken
down
by
race
to
your
point,
that'd
be
very
difficult,
but
I
think
that'd
be
helpful,
as
you
make
the
case
of
the
general
assembly
in
the
spring
about
getting
more
data.
B
I
think
it's
very
strange
that
alzheimer's
is
the
sixth
leading
cause
of
death
and
our
cabinet
for
health
and
family
services
didn't
have
any
information
on
it
to
me,
that's
very
strange,
and
then.
Secondly,
with
regard
to
collecting
data,
you
made
this
point.
I
just
want
to
echo
it
for
our
fellow
commissioners
hearing
the
folks
that
are
listening
with
regard
to
the
importance
of
having
people
who
are
culturally
competent
people
may
not
be
familiar
with
the
tuskegee
experiments
from
the
mid
20th
century.
B
Just
to
see
what
would
happen
in
100,
black
men
died
as
a
result,
so
when
black
folks
talk
about,
they
don't
have
a
whole
lot
of
trust
in
the
medical
community,
particularly
the
medical
community
and
the
government.
This
is
why
that's
the
benefit
of
getting
people
who
understand
those
types
of
issues
to
get
the
increase
from
five
percent
participation
in
these
studies
to
higher.
So
we
can
get
more
data
to
understand
how
to
better
treat
these
concerns.
B
D
A
very
good
question
I
mean,
I
think
I
think
you
know
you
rightly
point
out:
we
want
some
more
data
and
some
more
specifics
related
to
kentucky,
and
I
share
national
statistics,
because
this
is
an
national
and
global
problem.
There
are
50
million
people
with
alzheimer's,
that's
one
of
the
things
from
world
alzheimer's
day.
So
even
when
we
look
at
who's
doing
this
well
across
the
country,
we're
also
looking
at
who's
doing
this
well
nation,
you
know
and
other
nations.
D
I
will
fess
up,
I'm
from
california,
and
so
I've
worked
a
lot
with
the
northern
california
chapter
in
northern
nevada,
and
I
know
that
they
have
certainly
invested
in
some
funding.
Recently,
the
governor
has
funded
some
notable
worthy
dollars
towards
a
brain
health
campaign
and
also
looking
at
statewide
equity
issues
and
weaving
this
in
so
some
examples
I
give
are
having
a
master
plan
for
aging
and
weaving
in
alzheimer's,
because
it
is
the
sixth
leading
cause
of
death
and
it
affects
older
adults
the
most.
D
So
those
might
be
some
examples,
but
I'm
sure
mckenzie
can
also
find
some
other
states
that
are
also
doing
things
well,
that
are
closer
to
kentucky
or
in
size
or
even
in
scope
and
and
looking
at
that.
C
Yes,
I
think
it's
a
great
question.
I
will
say
I
don't
know
that
many
of
similarly
situated
states,
I
suppose,
are
doing
a
great
job
with
this
right
now.
So
I
don't
think
that's
an
issue
unique
to
us.
I
think
it
is
pretty
common
amongst
again
some
similarly
situated
states
and
right
now,
some
of
the
most
innovative
things
I've
heard
of
from
my
colleagues
in
said
states
are
trying
to
get
some
dollars
for
public
awareness
campaigns.
That
seems
to
be
kind
of
the
default.
C
The
default
right
now,
certainly
not
the
end,
all
be
all,
but
what
I
have
seen
in
terms
of
success
have
been
dollars
around.
You
know
a
public
awareness
campaigns
in
spanish
and
you
know
again,
centered
on
different
groups
and
culturally
competent
and
culturally
sensitive
outside
of
that.
I
think
it's
a
lot
of
work
to
be
done
would
be
my
non-answer
to
that
question.
A
Seeing
hearing
nung,
thank
you
again.
We
appreciate
your
presentation
very
much
and
I
look
forward
to
continuing
members
be
advised.
Our
agenda
indicates
that
we
have
a
next
meeting
on
october,
the
20th
2021,
and
we
do
have
some
presenters
lined
up
for
that
co-chair
heaven.
Would
you
like
to
do
a
preview
for
anyone
regarding
our
presenters.
E
A
Plans
are
always
subject
to
change,
but
members
make
note
that
november
will
likely
be
our
last
meeting
and
our
goal
would
be
for
a
november
meeting
to
be
a
dialogue,
conversation
and
certainly
appreciate
all
members
attending
online
if
you
cannot
attend
in
person,
but
I
would
encourage
you,
as
you
see
and
hear
and
think
about
a
november
meeting.
If
you
can
attend
in
person,
it's
a
little
easier
to
engage
in
a
dialogue
in
person
and
and
we
look
forward
to
sort
of
a
wrap-up
dialogue
of
the
things.
A
We've
talked
about
the
things
that
lie
ahead
and
what
we
hope
to
accomplish
in
the
time
that's
left,
and
certainly
as
we
prepare
for
the
next
session
goals
of
the
commission.
With
that
chair
will
entertain
a
motion
to
adjourn
motion
motion.
Do
it
here
a
second
multiple
seconds,
all
those
in
favor?
Please
conclude
a
good
meeting.
Thank
you
very
much.