The plethora of quotes regarding foundations testify to their importance. Some of the foundation quotes are as follows:
- “The tallest towers begin with a single brick laid with care.”
- “Strength is not born overnight; it is forged in the foundations we lay daily.”
- “Secure foundations are silent victories that sustain us through life's loudest battles.”
- “Underneath every success story is a map of hard work and foundational resilience.”
- “A solid foundation is the compass that steers dreams to reality.”
- “Foundations are the ink in the pen writing your destiny.”
- “The foundational steps are the soul of every achievement.”
- “The purpose of a foundation is not seen, but its power is felt.”
(See, https://aigift.alibaba.com/quotes/strong-foundation-quotes)
When it comes to Black women becoming physicians, strong foundations constitute a sine que non because Black women continue to be significantly underrepresented among physicians. According to the Association of American Medical Colleges, they make up 2.8% of doctors in the U.S. This percentage is significantly lower than Black women’s representation within the total female population in society at 13%. (Forbes, May 19, 2025). Dr. Alexandria Echols-Simpson is not only among that 2.8% but she is also a Black woman who “is doing it all,” i.e., married, mother of 4 children, co-parent of a stepson during his early childhood years, successful medical practice, and public servant. She graduated from the University of Michigan in 1992 with a Bachelor of Science in Biology. In 1999, she graduated from Case Western Reserve University as a Doctor of Medicine.
Regarding her medical practice, Dr Echols-Simpson is a board-certified family physician and has been in practice since 1999. During the early years she did obstetrical care along with primary care. As her family grew, she moved away from obstetrics and continued to provide care ranging from newborns to geriatric patients, focusing on women’s care and primary prevention of chronic medical problems. She has practiced in an inner city, a suburb of a large metropolis, and, currently provides care in the rural Midwest.
During a recent visit with Dr. Echols-Simpson, I asked her what contributed to the tremendous academic, athletic, and professional success throughout her extended family. Without hesitating, she pointed to a picture of two women on the wall and said, “Those women right there. My maternal and paternal grandmothers provided a tremendous foundation for my parents which flowed down to my siblings and me.
My paternal grandmother gave birth to five boys and three girls. My father was the youngest. My paternal grandfather died when my father was 2 years old, leaving my grandmother to raise the 8 children on her own. She was big on education. She instilled respect, discipline, kindness and love for one another. She instilled a Christian foundation.
My maternal grandmother, who was a few inches shy of 5 feet, raised 3 girls and 1 boy. The boy grew to nearly 6’5”. She was small but mighty. She also was big on education and instilled the same Christian values as my paternal grandmother. She commanded respect from her children and expected them to extend that same respect to others. She also ingrained discipline, kindness and love for all.
The foregoing values grew in my parents, became second nature to them, and were passed down to my siblings and me. My parents also were involved and supportive, in everything, all the time, but not in a hovering way. We went to church as a family, attended Sunday School and Bible study. They talked to us, asked about our day, and how school was. They went to parent teacher conferences, and were involved in the PTA. They supported us by being active in the boys and girl scouts. They helped with coaching and cheered for us when we participated in various sports. When we were right, they advocated for us. When we were wrong, we were told we were wrong and we were appropriately corrected. Their discipline was effective, seldom did we repeat the wrong.
My parents knew who our friends were, they knew the parents of those friends. We had rules when we were out “socializing”. Don’t go into anybody’s house, don’t go across “such-and-such” street. Be in the house before the streetlights came on. If a rule was broken, we faced the consequences. And again, seldom did we repeat the wrong. This is just part of the foundation that got me to where I am now. I hope I am living up to the standards set forth by my parents and grandparents. I hope my husband and I are instilling these values, not only in our children but also being an example for our community.”
Dr. Echols-Simpson’s emphasis on foundational values and behavior led me to ask her, “When it comes to parenting during the 21st Century AI Universe, what advice would you give to parents of preschool children?” She responded as follows, “Regarding AI being incorporated into our families, homes and communities, especially those families with preschool children, parents should remember that they are “the parents”, not Alexa, Siri or Curio (an AI toy for tots).
Parents, humans, should be the main primary caregivers tending, teaching, guiding, hugging, playing, talking, tucking in, comforting, and giving advice to the children, not a computer. This is especially true for preschoolers who are very moldable. I believe children love and appreciate when their parents have “hands on” interactions, especially when the interactions are done in a loving manner.
AI can be helpful when needing an answer to something you typically would have to “look up” or “Google”. It also can be helpful for educational support when teaching colors, numbers, ABCs, etc. However, it cannot offer human-to-human contact, the parent to child interaction that builds trust, socialization skills, and the strong foundation that will help the child become successful in all aspects of their lives. It is recommended that children should not have more than 2 hours of screen time daily. It is likely that, soon, there will be recommendations regarding limits on AI interaction, too. AI should not be used as a baby-sitter or friend for children. Parents need to parent.” In sum, modifying one of this article’s initial quotes, ““Strength is not born overnight; it is forged in the foundations we lay daily, starting with parents being parents.”
Dr. Alexandria Echols-Simpson has demonstrated the value of phenomenal Black women doing so over decades.
Jack L. Daniel
Co-founder, Freed Panther Society
Contributor, Pittsburgh Urban Media
Author, Negotiating a Historically White University While Black
January 12, 2026