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UCSF UC San Francisco Electronic Theses and Dissertations Title Beyond the Free Clinics Origin Myth: Reconsidering free clinics in the context of 1960s and 1970s social movements and radical health activism Permalink https://escholarship.org/uc/item/5w98841g Author Nibbe, Niki Amandala Publication Date 2012 Peer reviewed|Thesis/dissertation eScholarship.org Powered by the California Digital Library University of California “Beyond The Free Clinics Origin Myth: Reconsidering free clinics in the context of 1960s and 1970s social movements and radical health activism” Copyright ©2012, Niki A. Nibbe ii ACKNOWLEDGEMENTS I would like to thank my friends, family and colleagues, without whose support and encouragement this project would not have been possible. I would also like to thank Scott Wilkinson for sharing his extensive knowledge of Berkeley Free Clinic history with me, and with all those who came before me. I dedicate this paper to keepers of the flame everywhere, and in particular to the two in my life, Linda Sue and Ronald Nibbe. iii ABSTRACT Beyond The Free Clinics Origin Myth: Reconsidering free clinics in the context of 1960s and 1970s social movements and radical health activism by Niki A. Nibbe A “free clinics movement” origin myth, uncontested for forty years, has come to assume the weight of historical fact: the opening of the Haight Ashbury Free Medical Clinic (HAFMC) in 1967 led to the opening of numerous “hippie free clinics” following the HAFMC model; this model was taken up by communities of color for their free clinics; and by 1970 a thriving free clinics movement was building momentum towards integration into the healthcare delivery system. This paper reveals the origin myth to be a product of the National Free Clinic Council’s efforts to assume leadership of this presumed “movement,” and wholly inadequate to describe the breadth of the clinics it attempted to lead. The history of the Berkeley Free Clinic demonstrates, moreover, that the myth obscures free clinics’ efforts to create new, empowering models of health care as part of radical social movements for change during the 1960s and 1970s. This paper identifies and critically interrogates the origin myth using National Free Clinic Council publications, including proceedings of its 1970 symposium and a national survey of free clinics; Health/PAC and other contemporary accounts of the 1972 symposium; and additional contemporary and scholarly descriptions of clinics started by medical activists associated with Student Health Organization (SHO) and Medical Committee for Human Rights (MCHR), and iv self-reliant clinics started by Third World power organizations such as the Black Panther Party, Young Lords. The founding of the HAFMC is described using collections of leaflets and other ephemera from the Haight Ashbury; a collection of leaflets and other writings generated by the Diggers organization; and participant accounts published by Dr. David Smith and Digger Emmett Grogan. The narrative of the Berkeley Free Clinic’s origins was derived from documents found in the archives of clinic organizers Dick York and the Berkeley Free Church, which include participant histories, correspondence, and institutional records; clinic documents and oral history from longtime BFC volunteer Scott Wilkinson. The description of the BFC’s evolution towards a collectivist approach to meeting health needs and the deprofessionalization of their services, including the inspiration they derived from Maoist China and its barefoot doctors, was derived from archival material, clinic documents, and participant oral history. v TABLE OF CONTENTS ABSTRACT ................................................................................................................................ iv 1. INTRODUCTION .................................................................................................................... 1 2. ATTEMPTS TO DEFINE AND LEAD A FREE CLINICS MOVEMENT : EMERGENCE OF AN ORIGIN MYTH ............................................................................................................ 6 I. National Free Clinics Council launches as a drug-related initiative ...........................7 Initial organizing ....................................................................................... 7 First NFCC Symposium .......................................................................... 10 II. 1970-1971, Discovering and defining a much larger phenomenon: The National Free Clinics Survey and the Introduction to The Free Clinic ............16 Survey Criteria ......................................................................................... 17 Survey Findings ....................................................................................... 19 Other types of clinics ............................................................................... 20 Survey Analysis: Four types of clinics .................................................... 25 Introduction to Symposium proceedings published in The Free Clinic .. 32 III. Contention over direction of the movement and role of the NFCC .......................35 Goals for the movement ........................................................................... 35 Second NFCC Meeting ............................................................................ 37 Decline and Disintegration ...................................................................... 43 IV. Aftermath and Legacy...............................................................................................44 Legitimation and absorption of free clinics into the healthcare safety net .................................................................................................. 44 Reification of the origin myth .................................................................. 47 vi 3. THE HAIGHT -ASHBURY FREE MEDICAL CLINIC ............................................................. 50 I. Setting: The Haight-Ashbury District, San Francisco, California ............................52 II. Meeting immediate needs and early clinic organizing .............................................53 The Diggers .............................................................................................. 53 Other community efforts .......................................................................... 59 Dr. David Smith ....................................................................................... 60 Early clinic organizing ............................................................................. 62 III. Establishing the clinic (April 1967 – June 1967)......................................................64 Clinic organizing ...................................................................................... 64 Clinic opening ......................................................................................... 68 IV. The Clinic in Operation ............................................................................................71 Struggles to keep the clinic open ............................................................. 71 Federal funding and the stabilization of the Haight Clinic ...................... 78 V. Discussion .................................................................................................................79 4. THE BERKELEY FREE CLINIC ........................................................................................... 83 I. Setting: Telegraph Avenue, Berkeley, California .....................................................86 II. Meeting Immediate Health Needs and Laying the Groundwork for a Clinic: South Campus Community Ministry, aka Berkeley Free Church ............................87 South Campus Community Ministry ....................................................... 88 Meeting immediate needs ........................................................................ 89 Free Church and protest “violence intervention”..................................... 96 Unmet health needs .................................................................................. 98 Clinic organizing .................................................................................... 100 vii III. Establishing the Clinic (1968 – 1970) ....................................................................105 Telegraph Avenue Concerns Committee and the Health Information & Referral Pilot Project ..................................................... 107 Clinic blueprint ...................................................................................... 110 Funding proposals .................................................................................. 112 Telegraph Avenue Summer Program..................................................... 113 People’s Park: First aid field hospital for protestor injuries .................. 115 Opening of the Berkeley Community Clinic ......................................... 117 IV. The Clinic in Operation ..........................................................................................118 A permanent home ................................................................................. 118 Funding .................................................................................................. 121 Clinic services ........................................................................................ 125 Institutional structure and administration .............................................. 132 Discussion .............................................................................................