Medicine and Migration in Minnesota

In this snowy city where once Norwegians and Swedes had their own hospitals, the 446-bed Hennepin County Medical Center (HCMC) currently spends $3 million on interpreters fluent in 50 languages to translate over 130,000 times a year. Minneapolis is home to the largest Somali community in the United States, some 35-40,000. The Twin Cities also have large Hmong and Latino communities, in addition to Liberian, Sudanese, Russian, and most recently Bhutanese immigrants. HCMC has adjusted its practice to better meet the needs of the diverse immigrant population it serves, a community that comprises 20% of its patient base. (Grady, Denise. “Foreign Ways and War Scars Test Hospital”)

Catering to its patient mix, HCMC’s obstetrics unit is now predominantly female, since Muslim women cannot have their children delivered by male doctors. Imams are often consulted prior to medical procedures, such as drawing blood during the month of Ramadan. No questions are asked about immigration status, and indigent patients are offered a sliding-scale fee, though not all can afford even this. Many of these immigrants are refugees from war-torn countries, and their medical care often includes the surgical removal of shrapnel and more difficult treatment of buried pain. Some 47% of women and 25% of men in the Somali community experienced torture (a number extremely high even for refugees), and their care necessarily includes counseling and holistic treatment. (Grady, Denise. “Foreign Ways and War Scars Test Hospital”)

HCMC’s dedication to its immigrant patient population is surely to be lauded. In an economic climate that has hospitals seriously worried about budgets, this Minneapolis hospital is noteworthy in its continued efforts to better serve its community. It is refreshing to see such a positive community response to the new challenges immigration brings; the impact of these efforts at integration and outreach can be seen in the faces of fellow passengers every time one steps on a bus or the Light Rail in this Silver City.

Barriers to Integration

Friendship Park in Imperial Beach, California, has long stood as a symbol of Amistad and brotherhood between the United States and Mexico. 160 years after the border was established at this point, people now speak and kiss and sing through the wire fence. At times it is eerily reminiscent of prison visitations, with legal immigrants like Manuel Meza sharing coffee through the fence with his wife who was deported several years ago (Archibold, Randal). If they concentrate on each other’s faces, the fence almost seems to disappear as it moves out of focus…

The Department of Homeland Security, however, is repartitioning this monument to international goodwill. New fencing will create a no-man’s land barrier, ending Meza’s routine coffee hour with his wife, interrupting the yoga sessions that occur on both sides of the border concurrently, solidifying a distance which doesn’t exist between the Mexicans and Americans of San Diego. Another part of this new DHS plan is to fill in Smuggler’s Gulch with tons of dirt, yet one more sacrifice of beauty in exchange for control. Years ago, Pat Nixon came to this place and said, “I hate to see a fence anywhere.” Representative Bob Filner is opposing DHS’s plans to destroy this park & the cooperation it represents, while chief patrol officer Michael Fisher says, “It’s a real shame…[b]ut unfortunately, any time you have an area that is open, the criminal organizations are going to exploit that.” One might say it is akin to permanently shutting down the airports to prevent another 9/11, opting for maximum security at the sake of freedom.

But for now, San Diego and Tijuana are still united, if only here at Friendship Park. Rev. John Fanestil, a United Methodist minister, still conducts communion through the fence to people like Juventino Martin Gonzalez who was deported last month after 20 years working and raising a family on the other side of that fence. It is easy to understand the real reason why a wire fence will no longer do – one look across that fence, north or south, can only remind the viewer that we are all united, all the same, all one. (http://www.nytimes.com/2008/10/22/us/22border.html?_r=1&emc=tnt&tntemail1=y&oref=slogin)

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Another barrier to immigration is the employers who would just as soon see extralegal immigrants remain illegal and undocumented. As long as our laws allow economy to trump dignity, this abuse of power will continue. This past week, though, Knickerbocker Avenue in Brooklyn saw a victory for immigrant workers. After years of hard work, Andrew Friedman and the Make the Road New York organization have successfully brought civil suits against employers who extorted and took advantage of immigrant workers. The courts ruled that a local fruit stand owed $28,000 in back pay, a dollar store owed $70,000, a sneaker chain $400,000. Yet for every one of these employers, hundreds more continue to profit from the inability of their workers to achieve full citizenship status. (Clines, Francis)

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If citizenship is the first step, education is the next on the path to integration. A Migration Policy Institute survey just found that 1/5 immigrants with college degrees are unemployed or working in unskilled labor fields. (Aizenman, N.C.) These 1.3 million legal and extralegal immigrants could be vital contributors to our economy, yet their lack of English fluency and nativist feelings keep them from using their valuable skills. More than half of Latin-American college graduates are working unskilled jobs, and that number only falls to 1/3 for those living here 10 years or more. African immigrants have the highest unemployed rates of all immigrant groups in the U.S.

Iraqi refugees are given three-month stipends when they come here. Pressed to find a job and integrate rapidly, many highly-skilled professionals are scrambling for a minimum-wage job. My friend and ESL conversation partner starts his job at a furniture factory tomorrow, despite the fact that he ran two such factories in Iraq. His friend, a nationally renowned sculptor, hopes to get a job laying bathroom tile.

Because few foreign credentials transfer to the United States and few immigrants are given the language education they need, we miss out on the contributions of so many. Surely we can do better.

(http://www.washingtonpost.com/wp-dyn/content/story/2008/10/23/ST2008102300319.html)

The Unilateral Contract for Immigrants

Nate was sitting in a bar a week after an innocent woman was killed by a repeat offender who had gone untracked for an indefinite amount of time. He was sitting in a bar across from a well-known member of the Justice Department of the State of Minnesota. As a Target Public Relations Executive, he says, the problem was piercingly clear. “Man, you’ve got an inventory-tracking problem.”

As a result of this casual evening encounter, the statewide “Suspense File” of criminals with aliases or uncertain whereabouts has dwindled from well over 30,000 to under a couple hundred. Bringing together township, local, and regional governments under the statute 299C.111, this information is finally being efficiently shared and these precincts are realizing their part in the larger community.  Nate brings up this anecdote as proof of the power of benevolent self-interest. “Self-interest is the only sustainable source of benevolence or volunteering. Your goal must be to broaden people’s sense of self-interest to include those around them, their community, their workplace.”

This idea of community is core to the idea of nonviolence. The philosophy of nonviolence only has credence if, as Dr. King said, “we are caught up in an inescapable network of mutuality, tied in a single garment of destiny.” As our communities grow and change, as immigration changes the face of Americans, and as globalization destroys the traditional view of bordered states or bounded communities, this expansive self-interest must cultivate a healthy respect and active work to improve the plight of those near and far.

Nate points out that while politics is the business of solving problems (and so protects itself by never eliminating those problems completely), public policy is the art of dilemma management. Dilemmas, or unsolvable problems, are the realities of life, but it is our duty and responsibility to mitigate the effects of those dilemmas. We will never end poverty, but we can continually work to mitigate the effects of poverty in our Beloved Community.

As Nate preaches an interdisciplinary mode of approaching problems, our nation’s immigration system and its needed reform ring in my mind. Essentially, immigrants have always come to the United States on implied unilateral contracts. Our media and our economy have always lured hard-workers hoping to better themselves and contribute to the American Dream. Since the Alien & Sedition Act of 1798 and the first nation-specific discrimination via the 1882 Chinese Exclusion Act, our nation has been unjustly enriched on the backs of immigrants. Notwithstanding remittances and return migration, immigrants have always contributed more to our economy than they have taken. Despite what popular bombastic talk-show rhetoric may repeat, immigrant populations traditionally work harder than native residents and will generally integrate as much as they are allowed by that nation’s institutions.

For the more than 12 million extralegal immigrants contributing to America right now, they labor without hope of compensation. Since the failed immigration reform bills in 2006, nothing has been forwarded to offer a path to citizenship for hard-working immigrants who are performing everything we expect of citizens. At what point does an extralegal resident earn the right to an American driver’s license or a Social Security Card? How long must someone work 80 hours a week to provide for their family before they are given the chance to naturalize?

If our great nation were to adopt immigration policies more akin to a unilateral contract, then so many immigrants’ good faith demonstrations of citizenship would finally be awarded with the meager promise of the bottom rung in American society. But at least it would be a starting point, an entry level to all the rights and protections of our Constitution and legal system, something more than 12 million people live without as Americans in all but documentation.

As civilization moves forward and borders get more confused, nationalities become more arbitrary, and human capital becomes even more mobile, the nonviolent concept of benevolent self-interest must begin to inform our policies, laws, and community standards. I hope I live to see the day when there are no undocumented and unprotected workers in the U.S., that everyone here would have some legal status and all would be somewhere on the continuum of achieving full citizenship.

The History of the World in America

Traveling Europe, one is enmeshed in a profound history reminiscent of Tolkien´s Middle Earth.  The oaks of Gernika which give the Basques shade also survived both world wars and a bloody civil war as well.  The cathedrals like St. Maria´s in Vitoria or the Cathedral in Burgos have endured the changing of styles, religions, plagues, and multiple conquests, and are still being updated and remodeled today.  Murallas, or city walls, have lasted far beyond their initial purpose of staving of the Moors, or the Romans, or the Crusaders, or the Vikings.  Storefronts and house facades have seen a seemingly infinite cycle of businesses, hopes, and dreams flow through their doors.  Traditional music harks back centuries, foods to times immemorable.  One is overwhelmed with the constant reminders of mankind´s propensity for benificence, penchant for creativity, susceptibility to power´s corrupting influence, and ability to endure, endure, endure.

 America makes up for its lack of profound history with its wide open spaces, its distances which both offer hope and anonymity.  This fledgling country has struggled and largely succeeded in creating a rich history in a matter of centuries.  Being young, it still views itself outside of the history of the rest of the world.  Being new, the United States has been able to escape some of the deep-rooted tribal wars, linguistic and cultural disparities, and woeful dictatorships which have shaped so much of the rest of the world.  Being still green, the United States has been able to be progressive and forward thinking at a rate much faster than more established nations in the rest of the world. 

However, in the past few decades, America has seemingly tried to catch up with the rest of the world´s bloody history by becoming the aggressor and instigator in several violent conflicts which have destroyed nations and families while bolstering our military power in a time when nations should be disarming.  Caught up in a global power struggle for economic dominance, we have been unable to ensure all citizens are ensured basic medical care which is standard throughout the E.U. and our neighbor Canada.  The American motto seems to be that if businesses succeed, then people will also succeed.  In Europe, I have lived with the opposite, this philosophy that if people benefit then surely businesses will also prosper by proxy.  And now our xenophobic and nativist sentiments have become so loud that we are already constructing portions of a 700-mile border wall on our nation´s southern border. 

Traveling Europe, it is impossible to ignore how every decision is steeped in history and every choice has far-reaching repercussions.  Haphazard borders have plagued Europe every bit as much as Asia and Africa.  Rigid borders ignore real problems and so also avoid real solutions.  Rather than focusing on renewed diplomacy and meaningful compromise, borders insist that neighboring countries can continue existing despite a gross disparity of wealth, rights, and standard of living just across an imaginary line. 

The permeability of the E.U.’s open borders should be a model of the rest of the world. Though not perfected as yet, the idea of flexible borders legitimizes the basic human propensity and right to migrate.  It has occurred for thousands and thousands of years, from Phoenicians to the Gaels, from Vikings to African tribes, from the Moors to the Hebrews, from the Greeks to the Romans, from the Gauls and the Polynesians to the Huns and the Mongolians, from the Persians and Babylonians to the Egyptians and Europeans.  Humans migrate.  To deny this basic fact by erecting impassable borders or sinister Secure Fences is to design a system which, by definition, must fall because it is contrary to natural law. 

As a teacher, it pains me to think of the billions which have been spent and the billions proposed to be spent on the completion of a border wall touted as a stalling tactic for immigration.  Working with eager ESL students and their families desiring assimiliation, I weep to think of how much those billions of dollars could mean for their integration into modern American society.  For in the end, the history of the world teaches us that it is not conquest but community that matters, integration not destruction, assimilation not annihilation, love and not fear, nonviolence and not violence.  Dr. King warned us that, “A nation that continues year after year to spend more money on military defense than on programs of social uplift is approaching spiritual death.”  I believe MLK would also have extended this apt warning to programs such as anti-immigration tactics like border walls.  Nations which spend more money on separation than integration are bound for disaster.  Countries which hold national security above international community are in a sad state indeed; as Benjamin Franklin wrote, “Anyone who trades liberty for security deserves neither liberty or security.” 

From the banks of the Rio Bravo in Texas to the shores of the Mediterranean Sea in Spain, the whole world is hoping America will learn from history as it continues to write history in this 21st century.  Our legacy is yet unfinished; we still have time to stop such medieval gestures as a border wall and to regain our place as a progressive nation embracing the global community.   

Unjust Laws Create Both Criminals and Victims

A just law is a man-made code that squares with the moral law or the law of God. An unjust law is a code that is out of harmony with the moral law. To put it in the words of St. Thomas Aquinas: An unjust law is a human law that is not rooted in eternal law and natural law. Any law that uplifts human personality is just. Any law that degrades human personality is unjust. All segregation statutes are unjust because segregation distorts the soul and damages the personality.” (Why We Can’t Wait 82)

    Martin Luther King’s differentiation of just and unjust laws was used in the civil rights movement to condone the breaking of Jim Crow laws which were perpetuating immoral segregation. Our nation’s current immigration laws, which themselves hinder real integration for at least 4% of our resident population. Just as in the civil rights movement and today’s unresponsive immigration laws, unjust legislation creates criminals out of moral men and women.

    Another important distinction, however, is that unjust laws create victims and victimizers. With more than 12 million people currently living on the other side of our nation’s immigration laws, more than half of whom have just overstayed visas, corruption and victimization are rampant. A New York Times article which ran yesterday detailed the sad story of several women who have been subjected to rape and sexual assault in hopes of procuring the ever-elusive Green Card. Nina Bernstein writes, “..it raises broader questions about the system’s vulnerability to corruption at a time when millions of noncitizens live in a kind of legal no-man’s land, increasingly fearful of seeking the law’s protection.” (Bernstein, Nina “An Agent, A Green Card, and a Demand for Sex” New York Times: Mar. 21, 2008. ) The chilling reality is that these sobering tales of corruption in low-level immigration positions belie the thousands and potentially millions of similar stories where people without rights, recourse, and protection of the law are taken advantage of by citizens, most of whom are legal through no merit beyond their birthplace.

    Gone unchecked, this long victimization of immigrants has been below the national radar. With nativists calling for massive deportation, which would run upwards of $94 billion and shock jocks emphasizing the few extralegal residents who break other laws, the American public has been unaware of the power game going on in immigration agencies, businesses which hire undocumented workers, and in the hearts of normal people who are tempted to profit from the precarious position of these extralegal residents. Bernstein notes that,

Money, not sex, is the more common currency of corruption in immigration, but according to Congressional testimony in 2006 by Michael Maxwell, former director of the agency’s internal investigations, more than 3,000 backlogged complaints of employee misconduct had gone uninvestigated for lack of staff, including 528 involving criminal allegations. (Bernstein, Nina “An Agent, A Green Card, and a Demand for Sex” New York Times: Mar. 21, 2008. )

Because unjust laws fly in the face of a higher law, they make a mockery of the Justice which laws are designed to approximate. As a result, the “criminals” created by unjust laws become helpless victims and law-abiding citizens are tempted to use the law to their advantage. Victimized and victim become dehumanized because, as Dr. King stated, unjust laws degrade human personality and make us tend toward the worst in human potential.

    At the risk of alienating some of my Christian brothers and sisters, the parallels between abortion legislation and immigration legislation are haunting and worthy of note. There are two reasons why many Christians, like the revered evangelical author Jim Wallis, are opposed to absolutely overturning Roe v. Wade: 1.) because when abortion becomes illegal, unsafe, makeshift clinics would instantly pop up and endanger the lives of thousands of women; 2.) to ban abortion while not simultaneously increasing welfare and child-care programs would be to sentence these children and their mothers to a bleak future. The main problem with overturning Roe v. Wade, then, would be the resulting victims and victimizers. Jim Wallis, along with many Christians, advocate a pro-life instead of pro-birth stance, by trying to rid the underlying causes of abortion. A simple scan of countries where abortion is illegal, such as Mexico, shows that instead of ending abortion these laws simply mar human rights by making the practice more dangerous and lethal.

    In much the same way, unjust immigration laws like a quota system based on national origin and a lottery system based on mere chance create victims and victimizers. Our country must strive for comprehensive immigration reform so that our laws uplift human personality by granting immigrants and their native neighbors every opportunity to realize their full potential.

America – The Story of Integration

    This past week, Obama gave a speech for the ages when he openly confronted the issue of race in a conciliatory fashion. Like him or not, the speech was noteworthy in that it spoke to the future of the United States.  The “more perfect union” he addresses is one in which every little boy and every little girl is afforded the same opportunity to participate in our country’s democracy.  To be successful, we must integrate.

    American history is a long story of integration. Our greatest successes have been ones of inclusion, from Emancipation Proclamation to the Women’s Suffrage Movement and the Civil Rights Movement. The most abysmal times in our nation’s history, similarly, have been those times when our nation was most segregated. The Chinese Exclusion Act of 1882, Japanese internment camps, Jim Crow Laws, and the long residue of the original sin of slavery are just some examples of the sad moments in our nation’s history when it has refused equal access or equal rights to all its people.

    Our story is one of integration, and it must continue to be so if we are to continue to live up to our moral and social potential. Currently, our country has some 12-20 million people residing and working within our borders who have been refused the rights, protections, and opportunities most basic to the American story. The same individuals decrying these workers’ rights smack of the same rhetoric segregationists employed with chilling effect in the 1950s and 1960s.

    When my great-great-grandparents immigrated from Ireland to these United States, they were greeted by Army recruiters like so many immigrants. The military has always been ready to bestow citizenship on those immigrants who would be willing to die for their newly adopted country. How much more impactful would it be if our nation were to tender the same means to earned citizenship for workers who have been contributing to, but not benefiting from, Social Security and taxes all these years? To truly call ourselves an “integrated” nation, we must move beyond the rhetoric of black and white and extend the discussion to human beings with and without rights.

    Harvard Professor Charles V. Willie once stated that school desegregation was worlds better than it was 50 years ago, but only nominally different than it was 30 years ago. This idea of an unacceptable plateau can be equally applied to the issue of immigration. Our nation’s immigration policies are more just than they were in the 1920s, when nation of origin and the idea of a racial ratio became the measuring device for who could and could not immigrate legally. However, our nation’s current immigration legislation is much more backward, prohibitive, and segregated than it was 150 years ago before nativistic policies began stemming the full integration of immigrants.

    The United States must decide that it has to abolish the class of illegal immigrants, not through massive and fiscally prohibitive deportations but rather through laws which would moralize the quota system, enhance family reunification policies, allow all students to pursue higher education, and extend a means to earned citizenship for our nation’s extralegal working class. Integration must advance from the limited fields of voter rights and school systems to the heart of civil rights, which is equality for all. Dr. King famously stated in his “Letter from a Birmingham Jail,” that “Anyone who lives within the United States can never be considered an outsider anywhere within its bounds.” The civil rights movement of this past century stemmed from the migration of peoples and sought to reconcile their rights. For the sake of American history and our country’s future, we must apply this same reconciliation and extend this same palm branch of redemption to those working families who have migrated or would wish to migrate here. Our future depends on the integration of everyone, the full participation of every resident in the American dream. As Joel Millman writes in his book The Other Americans, “Our future is being born today in a village somewhere far away. Our welfare depends on the quality of our welcome when that future arrives.”

Charro Days Without a Wall

    Charro Days makes me happy to live en la frontera. Teenagers too cool to read come to school dressed in native Mexican caporals and anguila boots. Their jangling galas harken back to the first Charro Days some 71 years ago. Charro Days celebrates Frito Pies and tostadas, the indiscernible difference between American tejano music and Mexican norteño songs, the wild festivity of a good grito, the seamlessness of real integration.

    Charro Days, Inc., is a sister-city celebration between Brownsville and Matamoros. With the three bridges and shared population between them, these two cities flow into each other like the lazy Rio Grande which separates them. Parades march through both cities, celebrating life and bi-cultural peace on the border. Sombrero Fest brings several of the best tejano bands to Brownsville, while tacquerias flout their best flautas, tacos, menudo, enchiladas, pozole, elotes, carne asada, barbacoa….

    This local festival flies in the face of the 2006 Secure Fence Act. This act, which calls for the construction of 700 miles of border wall, some of which will cleave Brownsville from Matamoros, cannot have been made by people who have celebrated Charro Days in Brownsville or Matamoros. No longer is Matamoros a potential haven for drug lords; no more is Brownsville the poorest city in the nation. For these few days, these cities are united in celebrating their history, their interconnectedness, their “inescapable network of mutuality.” The laughter, the bilingual children dancing in the streets, the cowboy hats and Mexican mariachi bands – what place does a wall have here? Even Democratic candidate Hillary Clinton weighed in on the wall’s effect on this tradition, saying, “”It is troubling to me that our country’s current border security plan threatens a South Texas tradition historically created to celebrate the sharing of cultures. As I discussed during the debate at the University of Texas at Austin last Thursday, I believe we need to re-evaluate the border wall as it is currently being implemented.” (Brownsville Herald)

 

    Coming from New York, I thought it strange at first that Brownsville schools do not celebrate Martin Luther King, Jr. Day. I longed for a special day to honor my personal hero, and I wanted the chance to talk to my students about this supremely important figure of nonviolence and social activism. I could not understand why a celebration called Charro Days was replacing the MLK Day of Service I had always known.

    While Brownsville could certainly use a day of service, I now feel Dr. King would revel in the Charro Days’ festivities. Charro Days celebrates his concept of the Beloved Community. For one day, Mexicans and Americans join together to make real the idea that, “Anyone who lives inside the United States can never be considered an outsider anywhere within its bounds” (Martin Luther King Autobiography 189). The single garment of destiny Dr. King envisioned looks like a charra outfit worn by Mexicans and Mexican-Americans alike. In Sombrero Fest’s jubilation or the tremendous optimism of the Children’s Parade, King’s dream is realized as little white girls and little white boys hold hands with little brown boys and little brown girls. Immigrant and resident, legal and extralegal – none of these terms matter as the sounds and tastes of Matamoros and Brownsville mix in the February air.