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AJPH SPECIAL SECTION: BLACK PANTHER PARTY

Working With the Panthers to Transform Health Care


for Poor Black Communities
Theodore M. Brown, PhD

I n this excerpt from his autobiographical memoir Everybody


In, Nobody Out, Quentin Young, MD, describes his work in
the late 1960s and early 1970s with the “Spurgeon ‘Jake’ Win-
facilitate planning activities and worked closely with Chicago
BPP members. Charismatic Panther leader Fred Hampton,
before being killed in a police raid, became one of Young’s
ters Free People’s Medical Care Center” organized by the Black patients.
Panther Party (BPP) in Chicago, Illinois. It was no surprise that As the excerpt makes clear, both in Chicago and elsewhere,
when looking for allies to help with their free medical clinic for MCHR had already been committed to opening free medi-
impoverished and underserved Black people in Chicago (“so cal clinics before being approached by the Black Panthers.
poor that they never go to the doctor until they are practically Alondra Nelson in her book, Body and Soul:The Black Panther
dying”) the Panthers turned to Quentin Young.Young had Party and the Fight Against Medical Discrimination, explains
long been a local and national leader in the movement to end how and why the Panthers came to the idea of free medi-
discrimination in medicine and bring equity to health care.1 As cal clinics.2 First, it was a tactical maneuver and a survival
an undergraduate at the University of Chicago in the 1940s, strategy enabling the Panthers to build a strong political base
he had campaigned to end the ugly disparity in health care op- by providing essential services to Black communities instead
tions offered to students—White students received treatment at of remaining targets of police violence for efforts to defend
the University Hospital while Black students were shunted to those communities by direct physical means. Second, the
Provident Hospital, an underfunded, run-down, and segregated idea of free, community-controlled medical clinics for poor
facility. As a medical student, intern, and resident he had fought people was part of a wave of radical health experimentation
for national health reform and to end racial discrimination in that the Panthers identified with ideologically along with
medical care. In the 1950s he helped lead the Committee to other American followers of Che Guevara, Frantz Fanon, and
End Discrimination in Chicago’s Medical Institutions in its de- Mao Zedong. Third and perhaps most powerfully, promoting
mand that licensure and tax exemptions be denied to hospitals free medical clinics was a continuation of the long-standing
that “turn away patients solely because of their financial situa- tradition of Black health activism that exposed poor or non-
tion, race, creed, or color.” existent services for Black communities, segregated institu-
In the 1960s,Young played a major role in the Medical tions, and rampant discrimination and abuse in all aspects of
Committee for Human Rights (MCHR) and joined volun- health provision and within the health professions. Chicago
teers from across the country who traveled south to provide Panthers pursued Black health activism so effectively, in fact,
medical support for sick, injured, and jailed civil rights work- that the Director of the Illinois Department of Public Health
ers, and who sometimes—like H. Jack Geiger—returned to quoted their scathing critique of Cook County Hospital in an
organize new forms of care to impoverished Black residents of article published in the 1970 American Journal of Public Health.3
the southern states, as he tells us in this issue of AJPH (p1738). MCHR and BPP were thus natural allies in Chicago, where
Back in Chicago,Young worked with Martin Luther King in they could join forces in attacking a dysfunctional medical
his campaign to confront segregation and discrimination in system and in “delivering health care to the most disadvan-
northern cities and in 1966 King became Young’s patient. In taged among us.” Quentin Young was the widely admired,
1967 to 1968 and again in 1970,Young was elected MCHR deeply committed local physician who could most effectively
national chair and moved the Committee’s office to Chicago. bring it all together.
Young and many other MCHR members fully understood The alliance between the BPP and Quentin Young with his
the motives, and were deeply sympathetic with the social and extensive network of personal and institutional contacts allowed
service goals of the Panthers. They knew that the Panthers the Chicago BPP clinic to achieve real success and recognition.
“were skilled at engaging their constituency” and were Through Young and MCHR, the clinic readily recruited eager
impressed that “people were fashioning their own solutions professional volunteers and acquired in-kind contributions
to their own problems.” MCHR offered office space to help as well as occasionally “liberated” equipment, supplies, and

1756 Voices From the Past Brown Brown Voices From the Past
AJPH SPECIAL SECTION: BLACK PANTHER PARTY

medicines. John Dittmer in The Good Doctors, his history of [When] the short half-life of the clinics runs out, they will have
MCHR, adds these details: served useful purposes by making new groups of patients vis-
ible and acceptable and by creating new conditions of clinical
work.7(p605)
The Chicago MCHR . . . assessed each member five dollars to
support the center, and supervised the schedules of more than 150
nurses, technicians, physicians, and health science students who Their involvement with BPP clinics certainly left fond
volunteered to work in the evenings and Sundays.4(p227) memories and long-term positive associations in professional
“alumni,” as we can see clearly in Alondra Nelson’s interview
The clinic’s work was described very positively in a survey with Cleo Silvers (p1744) and Mary T. Bassett’s editorial
of Chicago free medical clinics published in the American (p1741) in this issue of AJPH. There are, in addition, indications
Journal of Public Health in 1972. According to that account, the of empathy and appreciation on the part of a younger genera-
Spurgeon Jake Winters Free People’s Medical Care Center pro- tion, as seen in Amy Garvey’s comments as a spokesperson for
vided services and patient advocacy in a remodeled storefront White Coats for Black Lives, also in this issue (p1749). Silvers,
facility in the North Lawndale neighborhood on the West Side Bassett, and Woode all point to the basic recognition, as H. Jack
of Chicago. Over a period of 14 months it saw 1400 patients Geiger puts it so clearly in this issue, that for the poor and
at least once, and during the sample week of April 1971 served powerless Black population the BPP worked so hard to serve,
the needs of 75 patients.5 Like other free clinics in Chicago, it
provided services according to the following principles: it is time . . . to return to those early initial models that saw health
care as an instrument of social change—partnering with commu-
nities to confront the social, economic, environmental, and politi-
1) Health care is a right and must be free at the point of delivery;
cal circumstances that so powerfully shape the population health
2) the community served must have the controlling interest in the
planning, organization and administration of the clinics; 3) hu- status of the disadvantaged and marginalized.
manity, dignity and concern for the patient must be the mode in
which health care is delivered; and 4) the present health care sys- ABOUT THE AUTHORS
tem is a failure and the free clinics offer a model for a new health Theodore M. Brown is with the Departments of History and Public Health Sciences,
care delivery system.5(p1348) University of Rochester, Rochester, NY.
Correspondence should be sent to Theodore M. Brown, History Department, Univer-
sity of Rochester, NY 14627 (e-mail:Theodore_Brown@urmc.rochester.edu). Reprints
It is not clear how long the clinic survived, but it was prob- can be ordered at http://www.ajph.org by clicking the “Reprints” link.
ably not very far into the 1970s. Like free clinics throughout This article was accepted July 16, 2016.
doi:10.2105/AJPH.2016.303402
the country, it lived a precarious existence and was beset with
frustrations and contradictions, not least of which was the risk
of cooptation by the very medical institutions that it criticized REFERENCES
and confronted.6,7 In addition, in 1972 Young accepted the 1. Brown TM, Fee E, Healey MN. Quentin Young (1923–2016): Advocate,
chairmanship of the Department of Medicine at Cook County activist, and “rebel without a pause.” Am J Public Health. 2016;106:
1025–1027.
Hospital and tried hard to reform the hospital from within and
2. Nelson A. Body and Soul: The Black Panther Party and the Fight Against Medi-
use some of its resources to help support community-based cal Discrimination. Minneapolis, MN: University of Minnesota Press; 2011.
clinics without taking them over. But his new administra- 3. Yoder FD, Reed S. Cook County health care facilities and the state health
tive obligations and the political constraints of his position department. Am J Public Health. 1970;60:1706–1711.
removed him from weekly volunteer stints at the Free Peoples 4. Dittmer J. The Good Doctors: The Medical Committee for Human Rights and
Medical Care Center and other forms of direct and indirect the Struggle for Social Justice in Health Care. New York, NY: Bloomsbury Press;
2009.
support. Adapting to changing realities, the BPP in Chicago
5. Turner IR. Free health centers: a new concept? Am J Public Health.
and elsewhere turned its attention in a concentrated way to 1972;62:1348–1353.
screening for sickle cell anemia and other genetically transmit-
6. Bloomfield C, Levy H. Underground medicine: ups and downs of the free
ted diseases, and downplayed the direct provision of clinical clinics. Ramparts. 1972;10:35–42.
interventions. 7. Stoeckle JD, Anderson WH, Page J, Brenner J. The free medical clinics.
But as John Stoeckle predicted in 1972, JAMA. 1972;219:603–605.

Voices From the Past Brown AJPH October 2016, Vol 106, No. 10 1757
This article has been cited by:

1. Alfredo Morabia. 2016. Unveiling the Black Panther Party Legacy to Public Health. American Journal of Public Health 106:10,
1732-1733. [Citation] [Full Text] [PDF] [PDF Plus]

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