Black leaders constantly remind Americans of our racism. Should not these same leaders protest the expansion of government control contained in the health-care reform bill currently working its way through Congress?

Here’s why. Notwithstanding their rhetoric of freedom and empowerment, many prominent black leaders appear content to send blacks back to the government plantation—where a small number of Washington elites make decisions for blacks who aren’t in the room. Why do minority leaders not favor alternatives that demonstrate faith in the intelligence and dignity of people to manage their own lives?

In a sermon at Howard University, the Rev. Jeremiah Wright reminded university students that, “Racism is alive and well. Racism is how this country was founded and how this country is still run.” During the presidential campaign, Wright explained to his parishioners that America is “a country and culture controlled by rich white people.” But if racists and “rich white people” control America, why do those sympathetic to Wright assume that those same people will look out for the health of blacks?

If Princeton religion professor Cornel West was right in his 2008 book, Hope on a Tight Rope, that “the very discovery that black people are human beings is a new one,” then shouldn’t blacks raise questions about centralizing health care decisions in a bureaucracy peopled by officials who are only recently cognizant of minorities’ humanity? “White brothers and sisters have been shaped by 244 years of white supremacist slavery, 87 years of white supremacist Jim and Jane Crow, and then another 40 years in which progress has been made” but “the stereotypes still cut deep,” West wrote. He admits “relative progress for a significant number of black people,” but warns that there has not been “some kind of fundamental transformation” in America. Dr. West asserts that “white supremacy is married to capitalism.” If that is true, then why would we want to set up a health-care system that strengthens the government sanction of health-care provision by businesses?

If Georgetown University sociology professor Michael Eric Dyson is correct about the current racial and structural injustice impeding poor blacks, then there is cause for concern. In response to Bill Cosby’s “conservative” reflections on black America in 2006, the Rev. Dr. Dyson wrote, “Cosby is hell bent on denying that race and structural forces play any role in the lives of the poor.” He continued by saying, “The plane of black progress lifts on the wings of personal responsibility and social justice.” If race and structural forces are at work against blacks, why not promote personal responsibility and justice by liberating them from dependence on those structures and putting them in a position to call their own shots?

If CNN analyst Roland Martin was right on February 18, 2009, when he said, “while everyone seems to be caught up in the delusion of a post-racial America, we cannot forget the reality of the racial America, where African-Americans were treated and portrayed as inferior and less than others,” then shouldn’t blacks be concerned about centralized health care, which will tether them ever more securely to a fundamentally corrupt political system? We cannot hope for change, after all: Martin insists that “the realities of race” are “being played out in munities each day,” and had earlier reminded us that when es to white racism blacks should “accept the fact that some people will not change” (September 10, 2008).

Many black leaders seem confused on this point. If America has a race problem, then it will manifest itself in both public and private sectors. Expanding Medicare and Medicaid only subjects poor blacks to more government control. Economic empowerment and returning health decisions to black people are the only way to eradicate concerns about structural injustice. When health-care pete for their patronage, blacks are empowered and control their own destinies. Economic freedom in health care is a moral and civil-rights issue because for too long blacks have suffered the indignity of having political structures make surrogate decisions about their bodies.

Black leaders should encourage policymakers to make health more affordable by giving individuals absolute control over their earnings with itant power to choose their own health plan. Instead, they are conspiring with Congress to lead us back to the plantation.