Social Science and Medicine
Volume 120, 2014, Pages 352-359

Performing deservingness. Humanitarian health care provision for migrants in Germany (Article)

Huschke S.*
  • a Institute for the Study of Conflict Transformation and Social Justice, Queen's University Belfast, 19 University Square, Belfast, BT7 1NN, United Kingdom

Abstract

In this paper, I critically investigate humanitarian aid for migrant populations in Germany. I aim to enhance the existing literature on migrant deservingness and humanitarian aid by focusing on the performative aspects of concrete face-to-face interactions between physicians/volunteers and patients. I argue that despite efforts of volunteers to provide non-discriminatory care, the encounters between patients as aid-receivers and volunteers/physicians as aid-providers are inevitably shaped by power inequalities. These immanent power inequalities may lead patients to perform their deservingness, that is, to present themselves as helpless sufferers rather than empowered subjects. Simultaneously, patient-solicitants are prevented from feeling and enacting a sense of entitlement. Those patients who do not heed to the social mechanisms of humanitarian aid, such as being thankful and humble, cause disenchantment on the side of some medical professionals who provide care as part of humanitarian networks and subsequently, they may be turned away.The research project focused on the migration trajectories and illness experiences of undocumented Latin American migrants and their access to healthcare. The analysis draws on my long-term ethnographic fieldwork with 35 Latin American migrants in Berlin (2008-2011), 22 interviews with healthcare providers, and my experience as an activist/volunteer for a Berlin-based humanitarian NGO (2008-2012). © 2014 Elsevier Ltd.

Author Keywords

Patient's performance Uninsured patients Deservingness Humanitarianism Undocumented migration Germany healthcare Migrant health

Index Keywords

doctor patient relation patient care Germany cooperation health care planning health care policy poverty health insurance medical fee human health service Professional-Patient Relations clinical practice qualitative research human relation interview altruism Humans migrant psychology Interviews as Topic power relations Latino people Article health care health care organization migration health care access patient attitude public health problem Transients and Migrants empowerment illegal immigrant Berlin health care disparity Health Services Accessibility health care delivery humanitarian aid

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84910090835&doi=10.1016%2fj.socscimed.2014.04.046&partnerID=40&md5=32f25de47e99d5cf95f588484e190363

DOI: 10.1016/j.socscimed.2014.04.046
ISSN: 02779536
Cited by: 17
Original Language: English