When black people see the med-school photo of Northam, this is what they know.
http://time.com/5494404/tressie-mcmillan-cottom-thick-pregnancy-competent/
Until I started bleeding. That day I sat in the waiting room for thirty minutes, after calling ahead and reporting my condition when I arrived. After I had bled through the nice chair in the waiting room, I told my husband to ask them again if perhaps I could be moved to a more private area. The nurse looked alarmed, about the chair, and eventually ushered me back. When the doctor arrived, he explained that I was probably just too fat and that spotting was normal and he sent me home. Later that night my ass started hurting. Just behind the butt muscle and off a bit to the side. I walked. I stretched. I took a hot bath. I called my mother, The Vivian. Finally, I called the nurse. She asked me if my back hurt. I said no. It was my butt that hurt. The nurse said it was probably constipation. I should try to go to the bathroom. I tried that for all the next day and part of another. By the end of three days, my butt still hurt and I had not slept more than fifteen minutes straight in almost seventy hours.
I went to the hospital. They asked again about my back, implied I had eaten something “bad” for me and begrudgingly, finally decided to do an ultrasound. The image showed three babies, only I was pregnant with one. The other two were tumors, larger than the baby. The doctor turned to me and said, “If you make it through the night without going into preterm labor, I’d be surprised.” With that, he walked out and I was checked into the maternity ward. Eventually a night nurse mentioned that I had been in labor for three days. “You should have said something,” she scolded me.
After several days of labor pains that no one ever diagnosed, because the pain was in my butt and not my back, I could not hold off labor anymore. I was wheeled into a delivery operating room, where I slipped in and out of consciousness. At one point I awoke and screamed, “Motherfucker.” The nurse told me to watch my language. I begged for an epidural. After three eternities an anesthesiologist arrived. He glared at me and said that if I wasn’t quiet he would leave and I would not get any pain relief. Just as a contraction crested, the needle pierced my spine and I tried desperately to be still and quiet so he would not leave me there that way. Thirty seconds after the injection, I passed out before my head hit the pillow.
When I awoke I was pushing and then my daughter was here. She died shortly after her first breath. The nurse wheeled me out of the operating room to take me back to recovery. I held my baby the whole way, because apparently that is what is done. After making plans for how we would handle her remains, the nurse turned to me and said, “Just so you know, there was nothing we could have done, because you did not tell us you were in labor.”
The healthcare system fails black people, and black women in particular and black mothers the most. Controlling for all factors still finds that the reason is racism. The yearbook photo is a part of that. Northam was a part of ensuring it stayed institutionalized within the system.