Berkeley Free Clinic

Our Ethos

 

Philosophy

Since the Clinic opened, there has been an ever-present need for its services, albeit a dynamic need, as social conditions have undergone shifts and changes. It has become something of an icon in the area, and has served countless thousands in a variety of ways during its 50-year history. Its founding principles and structures survive to this day:

Health care is a basic human right and should not be linked to profit.

Fees have never been charged for any services, medications, or supplies provided at the Berkeley Free Clinic. The Clinic relies solely on individual or organizational donations and government support. We maintain that health care should be available at a level and quality sufficient to meet the basic needs of everyone regardless of race, gender, age, immigration status, income level, or any other characteristic. Our philosophy is that health care is a right, not a privilege. We are strongly opposed to health care delivery as a profit-making industry.

A great deal of health care knowledge can and should be available and accessible to individuals such that they can have the power to recognize and respond to their own health issues.

All services at the BFC emphasize education, self-knowledge, and increasing awareness and access to appropriate resources. Whenever possible, our goal is to demystify health care and other human services, both for the volunteer members of the Clinic and for clients. We believe that individuals and communities should be educated and empowered with regard to their health care. In practice, this means that we emphasize education and offer referrals to help meet any needs that are outside the scope of our services. We attempt to include our clients in their own care by inviting their input and observations, and by fully describing possible solutions to their concerns.

Health care should be broadly defined and considerate of the whole being and environment, not simply a response to isolated symptoms.

We view health as encompassing the total well-being of a person including physical, emotional, and environmental needs. In all our services, we strive to relate to clients as human beings, each with unique circumstances, resources and needs. Our health care providers involve clients as thoroughly as possible in the health care process in order to best educate and develop appropriate plans for each individual. One of our major issues of concern has been the balance of control in the provider-client interaction. Much of our struggle has been to develop alternatives to the tendency in the human-service industry to require that the client give control of the management of her physical and mental health into the hands of "experts" taken on faith. Confidentiality is another major sub-issue within that broader issue of control. Our volunteer-controlled collective has voted to sacrifice many hundreds of thousands of dollars in available government funding opportunities which would have required that our clients' identity and personal histories --including whatever labels have been slapped onto them by professionals-- be shared with government funding sources and other programs.

In keeping with the goals of individual empowerment and the building of healthy communities, locally-based organizations should enable worker participation and responsibility.

The BFC has operated as a worker’s collective since its inception. Every volunteer has membership in the collective, and has the right to a voice and a vote in all-decision making processes that affect both their specific service area as well as the entire Clinic. Many of these Clinic volunteers move on to further their knowledge and contribution in the area of health in a variety of capacities throughout the local area, the country, and the world.

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Principles of Unity

Apparently passed at a Community meeting on July 1, 1975.

    • We maintain that health care should be available at a level and quality sufficient to meet the basic needs of everyone regardless of race, sex, age, or income level.

    • We view health as encompassing the total well-being of a person including physical, emotional, and environmental needs.

    • We are strongly opposed to health care delivery as a profit-making industry.

    • The existing health care institutions monopolize the means of production of health care (knowledge, equipment, hospitals, personnel), and use them for profit of private doctors, the drug and hospital supply industry, and professional and corporate interests; they pursue profit-making at the expense and detriment of the people they claim to serve.

    • Community people (especially the medically under-served) must be encouraged to define their own needs and the services necessary to meet them.

    • Health workers, professionals, institutions, and government must be responsive and accountable to the community.

    • The Berkeley Community Health Project (Free Clinic) is a community based health care agency which was established by people who saw and experienced unmet needs in their own community.

    • We work out of concern for community health and welfare.

    • We maintain that health care should be provided in a supportive way by members of the community who identify with the clients and their needs.

    • Primary care services must be accessible to people in the community where they live and work.

    • Inherent in our services is our commitment to fight racism and sexism and to develop an awareness of class divisions in our society.

    • Within our agency we strive to develop a collective, nonhierarchical process which encourages each of us to recognize and use our own power and take responsibility and accountability for our own actions and the actions of the clinic.

    • For us, collectivity is a work process based on shared goals and perceptions—with power, responsibility, and accountability equally shared.

    • We realize that in order to work collectively we must break out of many patterns into which we've been socialized and that this is a difficult, on-going process.

  • These attitudes mystify knowledge about health, create an artificial shortage of people who can legally give services, and promote health care as a commodity. 

    • We oppose the present economic system and any other economic system that exploits people's abilities rather than encouraging their growth, that encourages alienation and competition rather than cooperation and community, that promotes and perpetuates racist and sexist roles in health care and society in general, and that discourages people from taking power over their lives and in their communities.

    • These include housing, employment, transportation—in short the quality of the entire community's surroundings.

    • We recognize the importance of the larger struggle—on the local, regional, national, and international levels—and affirm our commitment to supporting and participating in that struggle.

Health care for people, not profit!

⚕️

Health care for people, not profit! ⚕️

 

Standards of Client Care


  • Emotional Safety

  • Empowerment

  • Equality

  • Holism

  • Honesty

  • Incremental Change

  • Informed Consent

  • Meeting the Client “Where They’re At”

  • Non-Judgemental Care

  • Peer Relationship

  • Relativism

  • Respect for Choice

  • Responsible Helping

  • Self-Efficacy

  • Alternative Lifestyle Friendly

  • Anti-Elitism

  • Anti-Establishmentarianism

  • Anti-Professionalism

  • Anti-Stereotyping

  • Client Control

  • Client Centeredness

  • Collectivism

  • Community Basis

  • Confidentiality

  • Critical Awareness

  • Cultural Sensitivity

  • Demystification

  • Do No Harm