U.S. National Institutes of Health

Class 4: Access and Empowerment

Introduction:

This class looks at various types of health services in the 20th century that were created by immigrants themselves. Ethnic and religious hospitals, worker health centers, and community clinics have not only provided care to the underserved, but also have given immigrant communities more power to shape their own destinies. The class will also study how increasing the number of medical practitioners from immigrant backgrounds might help improve health care delivery in underserved communities.


Readings

  1. According to Alan and Deborah Kraut, why did Jewish communities establish their own hospitals in the 19th century? What lessons do the history of ethnic and religious hospitals offer for today’s immigration and health challenges?
  2. The websites introduce four health care institutions—ILGWU Health CenterMount SinaiCharles B. Wang Community Health Center, and Tiburcio Vasquez Health Center—that serve or have served immigrant communities. Based on their websites, briefly explain the history of each clinic or hospital. Who started them and why?
  3. The websites and photos describe and portray health services provided not only FOR immigrants, but BY immigrants. How do you think these differ from services created by people who are from outside the immigrant community being served, such as the Henry Street Visiting Nurse Service? Do these differences matter?
  4. According to Rumala and Cason, why does increasing the racial and ethnic diversity of medical school graduates improve health care access for underserved communities? What kinds of strategies have been successful in recruiting minorities to medical school? What could be done to increase the number of medical students from immigrant backgrounds?
  5. What is the relationship between health care access and immigrant empowerment, beyond simply improving health?
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