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Their fight is intimate, personal and profound in a way that a Global Health movement confined to the walls of academia, or halls of the Gates foundation, or board rooms of the World Bank can never be. Like the protagonist in Dallas Buyers Club, the DREAMers are fearless and have the most to gain or lose. But the most compelling immigrant rights advocates I have witnessed are the “ DREAMers” – the undocumented youth who came here when they were very young through no decision of their own.
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Think tanks, policy advocates, academic scholars, and NGOs are certainly shaping the conversation. Of course this is a simplified version of the story, but it illustrates to some degree what is happening in the immigration reform movement in the United States. When they gained access, they aligned themselves with other HIV patients around the planet. They had some political power because many were White or middle class. Populations most devastated raised their collective voice and pushed. Almost all versions detail how the afflicted pushed the establishment. The story of the HIV movement has been told so many times, in so many elegant ways. He is fearless, aggressive, and does not yield to the medical establishment. He goes on a personal mission to travel around the world and gain access to medications in the early 1980s. Matthew McConaughey plays Ron Woodroof, a cowboy who contracts AIDS in an era where the FDA had not yet approved any medication. I recently saw the film “ Dallas Buyers Club” about the early days of HIV. This leads to policies and programs that don’t really have the people we serve at the table. They are not the best constituency to organize themselves. In global health the people we are trying to serve are by definition poor and sick. We need human relationships, built over time to transform systems. It also cannot be done immediately at scale nor should it. International Solidarity: Nothing beautiful and lasting can be done alone. Sriram Shamasunder has a beautiful and moving short essay about his time working at the PIH supported hospital in St.