1. STRAWBERRIES AND SUFFERING Social Inequalities, Symbolic Violence, and Health in US-Mexico Migration Seth M. Holmes, M.D., Ph.D. Internal Medicine and Cultural Anthropology Robert Wood Johnson Health and Society Scholar, Columbia University

6. Skagit Valley: Tanaka Farm

10. Central Valley of California

11. Triqui Zone of Oaxaca, Mexico

13. U.S. / MEXICO BORDER

14. Presentation Structure Ethnicity-citizenship hierarchy in U.S. agriculture Hierarchy of suffering Naturalization of hierarchies

15. THE TANAKA FARM

25. THE ANTHROPOLOGIST

26. THE HIERARCHY OF SUFFERING or HEALTH DISPARITIES Immigrants in the U.S. Agricultural workers Migrant and seasonal farm workers

27. THE HIERARCHY OF SUFFERING or “The Doctors Don’t Know Anything”

30. Skagit County Farmland

31. COLLECTIVE BAD FAITH

34. THE CLINICAL GAZE IN MIGRANT HEALTH

35. NATURALIZATION and INTERNALIZATION

39. PRAGMATIC SOLIDARITY Micro to Macro Continuum –Local clinical encounter –Medical education –Local and regional prejudices –National policies –Global policies

40. Acknowledgements Triqui people Tanaka Farm Clinicians Area residents Family and friends Professors and classmates UCSF, UC Berkeley, UPenn, Columbia U, Harvard U NIH, NIGMS, MSTP, UCMexus, UCSF Dean’s Office