Billie Holiday and the Coronavirus Pandemic

EDITOR’S NOTE: Dr. H. Steven Moffic first reported this story during the most recent episode of Talk Ten Tuesdays.

April 20 was the 81st anniversary of the day when the famous African-American jazz singer Billie Holiday, recorded a searing version of the song “Strange Fruit.” What was the titular strange fruit? Black bodies hanging from poplar trees, lynched.

This year, April 20 was a leading day of concern for the belatedly recognized and disproportionate deaths of black Americans from the coronavirus. Billie Holiday, if she was still alive, surely would not be surprised. She’d seen progress in reducing racism, but not nearly enough.

You may recall that most people said in the early days of the pandemic that the virus doesn’t recognize race or skin color. A virus is not alive, and doesn’t have eyes. But it does recognize vulnerability. It can tell when lungs are already vulnerable due to a higher rate of cardio-respiratory disease, which is disproportionately prevalent in black people. It can tell that it is easier to infect people living in poor, crowded buildings, or incarcerated. It can tell that 80 percent of the black women who are obese are more at risk, as it takes longer to shed the virus after being infected when that is the case. It can tell that it can multiply exponentially when getting care is delayed due to practical obstacles and mistrust of the medical system.

In modern times, racism had been considered for a DSM classification, but it didn’t make it. Maybe this time calls for another try. At least in ICD-10, it is indirectly reflected in the Z code of Z60: Problems related to social environment.

If you live in the Baltimore area or ever go there, there is a statue of Billie Holiday. It has a renovated pedestal with two panels. One of them was inspired by the song “Strange Fruit,” and depicts a lynching. The other was inspired by the song “God Bless the Child (That Has Its Own),” and depicts a child with an umbilical cord still attached

No wonder that Billie Holiday’s favorite song was God Bless the Child. It starts with:

“Them that’s got shall get,

Them that’s not shall lose

So the bible says

And it still is news…”

It ends with:

“Every child’s got to have his own, yeah”

Today and toward the future, in the spirit of cognitive-behavioral psychotherapy, let’s positively reframe that ending to:

God bless the society that cares for all.

Facebook
Twitter
LinkedIn

H. Steven Moffic, MD

H. Steven Moffic, MD, is an award-winning author whose fifth book, “The Ethical Way: Challenges & Solutions for Managed Behavioral Health,” is considered a seminal study on healthcare ethics. Always in demand as a writer, Dr. Moffic has attracted a national audience with his three blogs— Psychiatry Times, Behavior Healthcare, and Over 65.H. Dr. Moffic, who is also a popular guest on Talk Ten Tuesdays, recently received the Administrative Psychiatry Award from the American Psychiatric Association (APA) and the American Association of Psychiatrist Administrators (AAPA).

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.

November 19, 2025
Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis: Bridging the Clinical Documentation and Coding Gap to Reduce Denials

Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.

September 24, 2025

Trending News

Featured Webcasts

Surviving Federal Audits for Inpatient Rehab Facility Services

Surviving Federal Audits for Inpatient Rehab Facility Services

Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.

November 13, 2025
E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

E/M Services Under Intensive Federal Scrutiny: Navigating Split/Shared, Incident-to & Critical Care Compliance in 2025-2026

During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.

August 26, 2025

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24