On our first full day in Buenos Aires we got to see both ends of the healthcare spectrum. First we visited a small, local volunteer organization which targeted their help towards mothers of a lower socioeconomic status, before doing a complete 180° and visiting Austral university, a larger, private organization specializing in research and tertiary care. Today was a super busy day, but filled with incredible opportunities for learning. We started off the day bright and early with a bus ride to Thomas Reggio Health Center and Santa Marta Children’s Home. This slightly more rural volunteer organization was run by nuns, and was geared towards primary care and prevention for local surrounding communities so they could access general orthodontics, gynecology, obstetrics, and a shockingly long list of specialized medical services. This clinic was shocking to me for many reasons, ultimately because it was extremely powerful to see how the community came together to bridge the gap in healthcare inequality. This center was funded by a combination of municipality, private, and government financing. The facility was clean and welcoming, and while the medical technology was pristine other aspects were more antiquated, like the all paper analog record system. The amount of services provided here is incredible, and with low cost and high flexibility in terms of mobility. However, the patient-practitioner ratio is 70:1. The children’s area was in the same area as the clinic, and the children were so sweet! Children receive free checkups and vaccinations at this clinic. This clinic was the pinnacle of equity- the community was working together to prevent hospitalizations in their neighborhoods despite the many challenges that come with this endeavor. In contrast, visiting Austral University Hospital was the pinnacle of higher education, research, and clinical expertise for tertiary conditions. Their facilities were modern and intensive, clearly meant for larger quantities of patients and technology. We saw the pediatric oncology rooms, and the bone marrow transplant rooms. These highly specialized tertiary procedures are funded by private insurance. The Austral Hospital Universitario is accredited by the international Joint Commission, specializing in several areas of hematology and oncology. This hospital is a teaching hospital as well, and participates in groundbreaking research. These two facilities are two ends of the spectrum but both operate under the same goal: to provide excellent patient care and support without furthering inequalities in the healthcare system. I think that both are accomplishing this goal, and I think it is extremely impressive and inspiring to see all of these people working towards this goal together, even from opposite economic and social poles.



