We will present on the health care models we are developing, including organizational funding, and billing structures. Clinics will discuss their own histories and processes, including successes and challenges, of incorporating social and health justice frameworks into their programs at all levels. We will particularly look at the intersections of health, disaster, migration, gender, and the environment.

To challenge the current profit- and social service-centered models of health care provision, insurance coverage, and pharmaceutical production, testing, and distribution, we must demand quality care for those of our communities most disenfranchised by these industries. These communities are those whose health is most impacted by oppressions based on race, class, gender, sexual orientation, immigration status, language, disability, geographic location, and employment sector, and by the institutions of imperialism, prisons, militarism, and war.

In moving from a critique of medical industries in the United States, to action in the form of providing health services and education (some of us in the context of the ongoing disaster of Katrina), we have been presented with unique struggles and dilemmas, and also opportunities for growth. We will explore the relationship of social justice to community health, and look for ways to integrate a social justice framework into all aspects of programs that aim to meet the immediate health needs of our communities. We will also speak of our vision of and struggles to work in the framework of community health and not only the (more mainstream model of) the health of the individual, as we know that when people walk out of the clinics' doors, their health is impacted by things beyond their control.

As participants are providers of health care around the country, we will discuss:
• the geographical and social context, and specific needs, of the communities we work with
• our strategies and policies around community accountability, fundraising, billing, hiring, outreach, care provision, and location
• the role of allies in our work, whether their privilege is based on race, class, gender or gender expression, medical certification, immigration status, or language.
• The for-profit and social service models of care, and their limitations
• Connecting movements for health justice to movements for social justice
• Building a sustainable program

This workshop will discuss many details of sustaining a health care program, making it a valuable workshop for anyone involved or interested in creating long-term resources for community health. Our discussion of health justice will be also be of interest for those working in other movements that are interested in learning about and incorporating health justice into their work. In addition, these in-depth, strategic conversations about moving from critique to action are crucial to move beyond the models in place. People across many movements working to develop alternatives to current systems face similar challenges to sustainability, and we hope to share with and learn from many others.