“But if you’re asking my opinion, I would argue that a social justice approach should be central to medicine and utilized to be central to public health. This could be very simple: the well should take care of the sick.” ~Paul Farmer
It was from Dr. Paul Farmer that I learned that living in the United States meant privilege, not freedom, or prosperity, or any other idealization that our government and ruling corporations tell us believe about living in the USA. We are privileged to live here because there is so much abundance of food, medicine, durable goods, and consumer goods– not to mention wealth. We have these things in the United States in abundance because many other nations have next to nothing, especially when compared to our excess.
This is the simple consequence of the utterly un-Christian and immoral system that is called Capitalism. Capitalism requires winner and losers: the United States has won big time since the end of World War II and a host of nations around the world have lost big time. That our (i.e. the USA) time for winning is coming a close should not be anything more than a prosaic observation at this point, but I will save that discussion for another time.
The fact of the matter is that living in the United States as an everyday, moderately financially stable US American citizen remains a privileged position in the world.
An Excerpt from Mountains Beyond Mountains by Tracy Kidder
“Paul’s face grew serious. ‘I think whenever a people has enormous resources, it is easy for them to call themselves democratic. I think of myself more as a physician than as an American. Ludamilla [a Haitian co-worker from the book] and I, we belong to the nation of those who care for the sick. Americans are lazy democrats [not the political party], and it is my belief, as someone who shares the same nation as Ludamilla, I think that the rich can always call themselves democratic, but the sick people are not among the rich.’ I thought he was done, but he was only pausing for interpreter to catch up. ‘Look, I’m very proud to be an American. I have many opportunities because I am an American. I can travel freely throughout the world, I can start projects, that that’s called privilege, not democracy.’”
Be thankful for this privilege on Thanksgiving, but don’t be thankful for democracy that we do not have, i.e. do not extend, to the poor of the world, or even, increasingly, to the poor of our own nation! Our contentment in the satisfaction of a stable American middle class lifestyle on the backs of millions of the world’s poor is, in my opinion, an affront to Thanksgiving and the teachings of Jesus Christ.
It was, after all, Jesus who said: 34″Then the King will say to those on his right, ‘Come, you who are blessed by my Father; take your inheritance, the kingdom prepared for you since the creation of the world. 35For I was hungry and you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, 36I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.’”
But, as a nation we steadfastly refuse to do it…
…And here is what Jesus has to say about that: 41″Then he will say to those on his left, ‘Depart from me, you who are cursed, into the eternal fire prepared for the devil and his angels. 42For I was hungry and you gave me nothing to eat, I was thirsty and you gave me nothing to drink, 43I was a stranger and you did not invite me in, I needed clothes and you did not clothe me, I was sick and in prison and you did not look after me.’
And this part, which is actually at the beginning of this passage, is how Jesus tells us nations will be separated :
31″When the Son of Man comes in his glory, and all the angels with him, he will sit on his throne in heavenly glory. 32All the nations will be gathered before him, and he will separate the people one from another as a shepherd separates the sheep from the goats. 33He will put the sheep on his right and the goats on his left.”
More and more I am coming to believe when and if there is a judgment such as is described in this passage attributed to Jesus, the United States of America will be among the goats on the left. I am, therefore, happy to count myself as an ex-patriot and naturalized citizen into the nation described by Dr. Paul Farmer.
If you have ears, hear what I am telling you friends.
Happy Thanksgiving.
Since I left the Christian religion I have done a lot of hanging out with the disenfranchised, the disillusioned, the unbeliever, the backslider, the irreligious, the spiritual, the agnostic, and especially, the “Atheist”– and of all the groups that I have been spending my time with these six years, the one that I most clearly have grown to despise is “the Atheist.”

