Academic literature on the topic 'Haight-Ashbury Free Medical Clinic'

Discussions about healthcare policy frequently include the contention that, “Healthcare is a right not a privilege.” However, relatively few people know that phrase was made popular by the Free Clinic movement during the late 1960’s and early 1970’s. The Haight Ashbury Free Clinic (HAFC) in San Francisco was the flagship of the Free Clinic movement and has provided medical, addiction, and housing services to low income individuals for over 35 years. Rapidly after its inception in 1967, the clinic achieved notoriety for its innovative services to the community, particularly to those most in need. However, during the last decade the agency has suffered from severe financial problems, disorganization, and plummeting staff morale. News media reports during the past two years have described charges of embezzlement, lawsuits, counter lawsuits, and a flood of dedicated, skilled, and committed staff leaving in disgust. This paper presents an analysis of the decline of the HAFC, including key issues that were never adequately addressed and lost opportunities for promoting progressive healthcare. The paper closes with suggestions for other progressive non-profit organizations, which include increased efforts to garner public support for progressive healthcare and strategies for adapting to changing organizational and environmental circumstances.

abstract: Emerging in the late 1960s, the Free Clinic Movement represented an attempt to provide equitable, accessible, and free health care to all. Originally aimed at helping drug addicts, hippies, and runaways, free clinics were community-led organizations that ran solely on donations and volunteers, and were places where “free” meant more than just monetarily free - it meant free from judgment, moralizing, or bureaucratic red tape. This dissertation is an institutional history of the Los Angeles Free Clinic (LAFC), which, as a case study, serves to illustrate the challenges and cooperation inherent in the broader Free Clinic Movement. My project begins by investigating the links between the Free Clinic Movement and aspects of Progressive era reform, health care policy, and stigmatization of disease. By the 1960s, the community health centers formed under Lyndon Johnson, along with the growth of the New Left and Counterculture, set the stage for the emergence of the free clinics. In many ways, the LAFC was an anti-Establishment establishment, walking a fine line between appealing to members of the Counterculture, and forming a legitimate and structurally sound organization. The central question of this project is: how did the LAFC develop and then grow from a small anti-Establishment health care center to a respected part of the health care safety net system of Los Angeles County? Between 1967 and 1975, the LAFC evolved, developing strong ties to the Los Angeles County Department of Health, local politicians, and even the Los Angeles Police Department (LAPD). By 1975, as the LAFC moved into a new and larger building, it had become an accepted part of the community.
Dissertation/Thesis
Doctoral Dissertation History 2016