As Black Maternal Health Week begins, Dr. Stephanie Hack, MD, MPH sits down with public health leader Dr. Nina Ashford, PhD to confront the alarming state of Black maternal health in America. Together, they unpack how recent political shifts, federal data suppression, and DEI backlash are putting reproductive justice at risk. Dr. Ashford, Chief of Public Health Services for Montgomery County, brings decades of expertise in policy, practice, and advocacy to help us understand what's at stake—and what we can do to protect our health, our rights, and our communities. This is a conversation about truth, resilience, and the power of collective action in a time of uncertainty.