EP 365 Duvernay and WCF: Health and Class

Episode 365 of RevolutionZ presents an essay by film director Ava Duvernay about the difficulty of writing in unimaginably chaotic times. Her's is a sentiment I share but that she expresses more eloquently. Simply put, it’s hard to write to a conclusion when the world won’t stop shouting new horrors. Then Miguel Guevara interviews Barbara Bethune and Emiliano Farmer, taken from chapter twelve of The Wind Cries Freedom. A doctor and nurse, Barbara and Emiliano describe their experiences in health work revealing aims, motives, biases, and beliefs. They report and analyze the class forces that shape who gets heard, who gets paid, who gets healed and who doesn't as well as the emergence of struggle about the issues including explaining the contrasting the circumstances and mindsets of doctors and nurses as a particular instance of the contrasting circumstances and mindsets of coordinators and workers more generally.

Barbara Bethune is a doctor who loved the promise of medicine but who began early on to question the rituals that came with it. She describes how she came to realize the differences between training for obedience and training for excellence. She tested her impressions by comparing her experience of medical internship to her observation of military boot camp as surprisingly similar methods of imposing systemic deference. Beyond profit-seeking, Barbara reveals how doctors' and administrators' coordinator class culture manages care but resists democratizing its means and methods. She finds the roots in the hospital's division of labor and her takeaway is clear. Class divided health care burns out workers, inflates costs, and leaves prevention on the cutting-room floor. It heals as a means, yes, but the ends are profits and power.

Emiliano Farmer, a militant activist nurse who helped build Healthcare Workers United, speaks from the front lines of the pandemic and beyond, where applause never becomes protection or real power for workers. Emiliano challenges face to face the reflexive elitism that keeps nurses and techs out of key decisions, and he lays out reforms that move from grievance to governance, balanced pay scales, and participatory decision-making. He and Barbara explore their own negative and positive experiences, and actions, their politicization, their actions and commitments, and the conflicts that occurred within RPS over practical steps like single-payer momentum, Big Pharma accountability, antibiotic stewardship, food and housing as health policy, and especially job redefinition—all of which campaigns help make care safer, affordable, and patient-first. Guevara elicits from them personal experiences, views, and feelings to convey lessons about class division, rule, defense and resistance in health care and in broader social struggles.

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