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Black Americans were denied access to doctors and hospitals for decades. From the shadows of this exclusion, they pushed to create the nation’s first federal health care programs. On today’s episode: Jeneen Interlandi, a member of The New York Times’s editorial board and a writer for The Times Magazine, and Yaa Gyasi, the author of “Homegoing.”“1619” is a New York Times audio series hosted by Nikole Hannah-Jones. You can find more information about it at nytimes.com/1619podcast. Soon, you’ll need a subscription to keep full access to this show, and to other New York Times podcasts, on Apple Podcasts and Spotify. Don’t miss out on exploring all of our shows, featuring everything from politics to pop culture. Subscribe today at nytimes.com/podcasts.