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Medical humanitarianism in the United States: Alternative healthcare, spirituality and political advocacy in the case of Our Lady Guadalupe Free Clinic

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  • Tiedje, Kristina
  • Plevak, David J.

Abstract

Exclusionary practices in dominant market-based systems are recognized as contributing to global health inequities. Undocumented immigrants are particularly vulnerable to unequal access to healthcare. Humanitarian NGOs strive to respond meaningfully to these health inequities among migrants and undocumented immigrants. Few studies describe the work of humanitarian NGOs that advocate for the right to health of undocumented immigrants in high-income countries. This paper discusses immigration, health, and human rights while examining solidarity, spirituality, and advocacy using a U.S.-based example of medical humanitarianism: the ‘Our Lady of Guadalupe Free Clinic.’ In 2011, the Free Clinic began in the basement of a Catholic parish in Minnesota in response to the lack of access to medical services for undocumented immigrants. Run by a local grassroots organization, it is held every six weeks and offers free primary healthcare to Latino immigrants and the uninsured. In this article, we examine the tricky relationship between humanitarianism and human rights in the U.S. Using ethnography, we draw on participant observation and interviews with 30 clinic volunteers, including health professionals, administrators, language interpreters, and spiritual leaders. The study was conducted September 2012–December 2013 in southern Minnesota. We examine how notions of solidarity, spirituality, and advocacy structure faith-based medical humanitarianism in the U.S. and explore the underlying tensions between the humanitarian mandate, spiritual teachings (social justice, solidarity), and political advocacy. Examining a moment of “crisis” in the Clinic, our study shows that volunteers experience the alliance between spirituality and advocacy with uneasiness. While a spiritual calling may initially motivate volunteers to serve, an embrace of human rights advocacy is important in a sustained effort to provide humanitarian medical care to individuals who fall outside of the political and moral community in the U.S.

Suggested Citation

  • Tiedje, Kristina & Plevak, David J., 2014. "Medical humanitarianism in the United States: Alternative healthcare, spirituality and political advocacy in the case of Our Lady Guadalupe Free Clinic," Social Science & Medicine, Elsevier, vol. 120(C), pages 360-367.
  • Handle: RePEc:eee:socmed:v:120:y:2014:i:c:p:360-367
    DOI: 10.1016/j.socscimed.2014.05.018
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    References listed on IDEAS

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    1. Wolff, Hans & Stalder, Hans & Epiney, Manuella & Walder, Angela & Irion, Olivier & Morabia, Alfredo, 2005. "Health care and illegality: a survey of undocumented pregnant immigrants in Geneva," Social Science & Medicine, Elsevier, vol. 60(9), pages 2149-2154, May.
    2. Fox, Renée C., 1995. "Medical humanitarianism and human rights: Reflections on Doctors Without Borders and Doctors of the World," Social Science & Medicine, Elsevier, vol. 41(12), pages 1607-1616, December.
    3. Gottlieb, Nora & Filc, Dani & Davidovitch, Nadav, 2012. "Medical humanitarianism, human rights and political advocacy: The case of the Israeli Open Clinic," Social Science & Medicine, Elsevier, vol. 74(6), pages 839-845.
    4. Chavez, Leo R., 2012. "Undocumented immigrants and their use of medical services in Orange County, California," Social Science & Medicine, Elsevier, vol. 74(6), pages 887-893.
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    Cited by:

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    2. Loubna Belaid & Magalie Benoit & Navdeep Kaur & Azari Lili & Valery Ridde, 2020. "Population Health Intervention Implementation Among Migrants With Precarious Status in Montreal: Underlying Theory and Key Challenges," SAGE Open, , vol. 10(2), pages 21582440209, May.

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