SIKESTON, Mo. — In the summer of 2021, Sikeston residents organized the biggest Juneteenth party in the city’s history. Sikeston police officers came too, both to provide security for the event and to try to build bridges with the community.

But after decades of mistrust, some residents questioned their motives. explores what it means to live with racism and violence, then charts the toll on health — from hives and high blood pressure to struggles with mental health. The deaths of two Black men killed nearly 80 years apart in the same Missouri community anchor a conversation about the public health consequences of systemic bias.

is the podcast about finding the words to say the things that go unsaid. A limited series led by host and KFF Health News Midwest correspondent Cara Anthony. Next, check out the companion documentary .

Do you have feedback about the “Silence in Sikeston” project that you’d like to share with KFF Health News? In the series finale of the podcast, a confident, outspoken Sikeston teenager shares her feelings in an uncommonly frank conversation with Chief James McMillen, head of Sikeston’s Department of Public Safety, which includes Sikeston police. Host Cara Anthony asks what kind of systemic change is possible to reduce the burden of racism on the health of Black Americans. Health equity expert Gail Christopher says it starts with institutional leaders who recognize the problem, measure it, and take concrete steps to change things.

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