
420 Chapter 23
In 2007 MSF had two-thirds of its projects taking place in Africa, one-fifth
in Asia, and the rest in Latin America and Europe; the main group of causes
that triggered intervention were violent armed conflict making victims of
civilians (43 percent), epidemics (such as cholera) and endemic diseases
(such as tuberculosis, measles, and malaria), social violence and health-
care exclusion, and natural disasters (floods, droughts, and others).
29
Their
humanitarian work includes promoting and doing research on common
diseases in third world areas that major pharmaceutical companies may
neglect (Drugs for Neglected Diseases Initiative), moving disaster victims
to sites where they can receive medical assistance, distributing ready-to-use
foods in districts of acute malnutrition, administering post-traumatic treat-
ment at disaster sites, and promoting awareness of sexual violence against
women and children. In fact, it is hard to think of an aspect of medical as-
sistance, or an area of the world where it is needed, that is not covered by
MSF (Bortolotti 2006).
Médecins Sans Frontières/Doctors Without Borders, like Amnesty Inter-
national, actualizes well a “Model B” of globalization activism. It vigor-
ously pursues global altruism, stepping into the gates of nature-made or
man-made hell to provide a variety of medical assistance and humanitarian
relief, with or without state support. The near “post-modern” quality of an
organization that defies state borders and established channels to promote
human betterment has de facto made it an attractive Model B for newer
organizations. Thus, for the administration of health to populations lacking
health care, Remote Area Medical (RAM), started by Amazon explorer Stan
Brock in 1985, complements MSF in a number of ways. RAM also depends
on a volunteer corps, of doctors, ophthalmologists, dentists, and even
veterinarians, who undertake missions to remote areas where there are no
health care facilities. Perhaps surprising is that most of their missions (or
“expeditions”) are to remote places in the United States, the majority being
in Appalachia (Virginia, Kentucky, Tennessee), where a three-day clinic at
a yearly visit is the only occasion for thousands of rural Americans to get a
modicum of medical, dental, and ocular attention.
30
A further case in point outside the public health sector is “Sociologists
without Borders”/Sociólogos sin Fronteras (SSF), founded in 2001, which,
like “public sociology,” seeks to promote in its domestic and overseas chap-
ters human rights, participatory democracy, equitable economies, peace,
and sustainable ecosystems.
31
Like Amnesty International, MSF is a recipient of the Nobel Peace Prize,
won in 1999 for “pioneering humanitarian work on several continents.”
And like Amnesty International and the individual altruists we have previ-
ously discussed, MSF has also received criticism for many of its initiatives
which go outside borders and conventional pathways of humanitarian
aid—sometimes because these pathways do not or no longer exist in crisis
situations.