November
5, 2003
Dear friends,
Last week after we had finished pulling together the newsletter
you have just received, I was sitting in front of my computer,
catching up on news from Haiti online, and enjoying a sandwich
I’d picked up for lunch at a bakery down the street.
Most of the stories on the Haitian Press Agency web site
were about Haiti’s current political impasse. I skipped
over many of the stories, but one headline from October
24 caught my attention.
Pregnant
Woman Dies after Being Refused Admission to Hospital
Why,
I wondered, would a hospital refuse a pregnant woman treatment?
I read on and recognized the hospital, the Citimed clinic
in Pétion-Ville, a small private clinic that I had
taken a Haitian friend to for stitches back when I was still
living in Haiti. Although not a fancy hospital, it was better
equipped than most clinics in Haiti. They certainly could
have helped this woman who was experiencing eclampsia, a
common ailment of poor pregnant women in Haiti that strikes
before or during delivery and, if untreated, leads to convulsions
and the death of both the mother and her baby.
The article was only five sentences long and didn’t
even name the woman who died. Her death probably wouldn’t
have generated any news at all if the police hadn’t
been called in to break up the disturbance caused by the
dead woman’s extended family. They were upset because
the hospital had refused to admit her because she was short
100 gourdes for the admission fee.
I pull out my calculator. One hundred gourdes at the current
exchange rate comes to $2.32. I stop chewing. I had just
spent more than twice this amount for my sandwich. I think
of this woman and her baby. I imagine her family pounding
on the hospital gate, screaming, wailing, angry that their
daughter, their sister, their cousin, was dying in the street.
I think about this demented world that in its calculus values
the half sandwich I hold in my left hand more than the life
of this woman and her baby.
Our fall newsletter’s theme is “Transformation.”
This woman’s death is yet another shocking testimony
that our world is in desperate need of transformation. Her
death was not some freak accident or anomaly. According
to the United Nations, one in seventeen Haitian women dies
due to pregnancy or child birth (compared to only one in
4,085 women in the industrialized world). The only thing
remarkable about this woman’s death is that it got
reported at all. Every minute of every day a woman dies
of pregnancy or childbirth, and over 99 percent of these
deaths take place in the poor developing world.
Why are all these poor women dying in the basic act of giving
life? Lack of access to adequate medical care is the short
answer. But there are less direct and less obvious causes,
too. According
to UNICEF, “Women continue to die during pregnancy
and childbirth mainly because of low social status and powerlessness.
This limits their access to basic education and basic healthcare.
Without basic education, women may remain illiterate and
dependent on others for health information. Their ability
to pursue information that would empower them to make the
best decisions on childbearing, health and nutrition remains
compromised.”
Deep down, though, this problem, like so many others plaguing
our world, is rooted in inequality. God made the world with
enough for us all to have what we need, but not enough for
our greed. The disparity between the wealthiest and poorest
in our world has never been greater than today. The most
privileged 20% of the population controls 86% of the world’s
wealth, while the poorest 20% have to survive with access
to only about 1% of that wealth.
And behind all these cold numbers are real people, real
tragedies, few of which ever make the headlines. This woman
and her baby’s dying outside the gates of a hospital
is not some aberration. It is a snapshot of the status
quo, of the way our world really is.
It is also a snapshot of my heart. I can tell myself that
if I had been there, it would have been different. If I
had been the hospital administrator, I would have made an
exception to the rules for this woman. If I had been there
I would have gladly paid for this woman to be admitted.
But, it is no use. I know that in a very real way, I was
there. I was there to the extent that I have willingly accepted
the privileges and perks of a global economic order that
protects the excesses of a few but neglects the most basic
needs of the poor. I was there to the degree I’ve
allowed my heart to be unmoved by the suffering of those
excluded by the world.
Maybe I can’t transform the world on my own. But the
condition of the world reflects the condition of the human
heart, of my heart. By God’s grace, there is something
I can do about the hardness of my own heart.
Throughout the scriptures we are called to love our neighbors
as we love ourselves. I wasn’t there when this woman
died, but if my heart is transformed by love, I will join
her family in their grief, in their outrage, in the effort
to disturb the status quo that locks the poor out
and values the life of the destitute less than the half
sandwich I hold in my hand. The extent of my heart’s
transformation will be measured by my willingness to give
up the comforts and excesses my privilege affords me and
to stand outside the walls of this world with the excluded,
demanding that the gates be opened to every life.
As we prepare for Thanksgiving this year, let us show God
our gratitude for the blessings we have by sharing them
more freely. And as we face the Christmas marketing blitz,
let us celebrate the gift of Christ’s birth by showing
our solidarity with all mothers and babies who find no room
in our world.
Thanks so much for all you share!
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