Louis, Missouri), Howard became the medical director of the Riverside Sanitarium, the main Adventist health care institution to serve blacks. Career Mason quickly took notice of Howard’s intelligence and was a supporter of his education and medical training. This led Howard to his position as the chief medical director and surgeon at an Adventist sanitarium in Nashville, Tennessee. Like countless other Black medical professionals of this time, he was met with extreme resentment and discrimination from his colleagues. The turmoil was so great that Howard transferred, in 1942, to the hospital of the International Order of Twelve Knights and Daughters of Tabor and took over as the first chief surgeon. The IOTKDT is a fraternal organization, in Mound Bayou, Mississippi, founded, occupied and governed by freedmen after the Civil War. Howard had already been an active participant in the civil rights movement, but it was here that his activist and medical philosophies began to intersect, especially in his considerations of medical inequity and social determinants of health. Howard is known for energizing the city’s agricultural economy by introducing jobs, livestock, and new farming equipment to his over 1,000 acres of farmland. He also founded an insurance company, restaurant, hospital, home construction firm, and a large farm where he raised cattle, quail, hunting dogs, and cotton. He also built a small zoo and a park, as well as the first swimming pool for Black people in Mississippi. "In addition to his duties at the hospital, Howard operated a thriving private practice, where his specialties soon included the discreet provision of illegal abortions (for both black and white patients), a practice he justified as a matter of both individual rights and family planning. (He also favored legalizing prostitution, arguing that man's sinful nature made it impossible to suppress the sex trade.)" In 1947, he broke with the Knights and Daughters after backlash from the IOTKDT over his popular status. This led to his creation of a competing organization, The United Order of Friendship America (UOFA). He created the “Friendship Medical Clinics” that provided medical services for the Black community that were otherwise very difficult to attain. His patients were from all backgrounds, however, and expanded on ideals of medical equality and national health that he saw were absent. His efforts also included initiatives for education, voting rights, and employment for the black community. He was also involved in several rallies that attracted