EP 365 Duvernay and WCF: Health and Class

RevolutionZ

RevolutionZ
EP 365 Duvernay and WCF: Health and Class
Dec 01, 2025 Season 1 Episode 365
Michael Albert

Episode 365 of RevolutionZ presents an essay by film director Ava Duvernay about the difficulty of writing in unimaginably chaotic times. Her's is a sentiment I share but that she expresses more eloquently. Simply put, it’s hard to write to a conclusion when the world won’t stop shouting new horrors. Then Miguel Guevara interviews Barbara Bethune and Emiliano Farmer, taken from chapter twelve of The Wind Cries Freedom. A doctor and nurse, Barbara and Emiliano describe their experiences in health work revealing aims, motives, biases, and beliefs. They report and analyze the class forces that shape who gets heard, who gets paid, who gets healed and who doesn't as well as the emergence of struggle about the issues including explaining the contrasting the circumstances and mindsets of doctors and nurses as a particular instance of the contrasting circumstances and mindsets of coordinators and workers more generally.

Barbara Bethune is a doctor who loved the promise of medicine but who began early on to question the rituals that came with it. She describes how she came to realize the differences between training for obedience and training for excellence. She tested her impressions by comparing her experience of medical internship to her observation of military boot camp as surprisingly similar methods of imposing systemic deference. Beyond profit-seeking, Barbara reveals how doctors' and administrators' coordinator class culture manages care but resists democratizing its means and methods. She finds the roots in the hospital's division of labor and her takeaway is clear. Class divided health care  burns out workers, inflates costs, and leaves prevention on the cutting-room floor. It heals as a means, yes, but the ends are profits and power.

Emiliano Farmer, a militant activist nurse who helped build Healthcare Workers United, speaks from the front lines of the pandemic and beyond, where applause never becomes protection or real power for workers. Emiliano challenges face to face the reflexive elitism that keeps nurses and techs out of key decisions, and he lays out reforms that move from grievance to governance, balanced pay scales, and participatory decision-making. He and Barbara explore their own negative and positive experiences, and actions, their politicization, their actions and commitments, and the conflicts that occurred within RPS over practical steps like single-payer momentum, Big Pharma accountability, antibiotic stewardship, food and housing as health policy, and especially job redefinition—all of which campaigns help make care safer, affordable, and patient-first. Guevara elicits from them personal experiences, views, and feelings to convey lessons about class division, rule, defense and resistance in health care and in broader social struggles. 


Support the show

Episode Artwork EP 365 Duvernay and WCF: Health and Class 36:21 Episode Artwork Ep 364 Epstein and WCF: Post Convention Vision 52:24 Episode Artwork Ep 363 WCF: Chapters Are Essential 42:40 Episode Artwork Ep 362 WCF: Convene and Transcend 51:17 Episode Artwork Ep 361 Hope Is Not Naive, Cynicism Is Counterproductive, Fight To Win 50:49 Episode Artwork Ep 360 Larry Cohen on No Kings and Beyond: Tactics, Strategy, and Goals 1:13:47 Episode Artwork Ep 359 Cynicism Or Informed Hope 32:44 Episode Artwork Ep 358 - Arash Kolahi and Alexandria Shaner from ZNet Keep Hope Real 41:06 Episode Artwork Ep 357 Cynicism Meets Activism Strategy Wins 41:45 Episode Artwork Ep 356 WCF: Arundhati Roy and From Academia to Activism 49:20 Episode Artwork Ep 355 Tom Gallagher DSA, Mamdani, and Us 1:00:37 Episode Artwork Ep 354 - WCF 3: From Sanctuary through Cops to Shared Program 46:35 Episode Artwork Ep 353 Genoa, Sex Trafficking, Self Censoring, Parecon Ignored, and AI Is No Joke 40:31 Episode Artwork Ep 352 WCF: Back to the Beginning and Ending the Orange Monster 1:08:29 Episode Artwork Ep 351 - The Wind Cries Freedom - A New Sequence of Episodes: Intro and Chapter 1 37:38 Episode Artwork Ep 350 - AI As Marxist & More Chomsky, Me, and AI 1:09:44 Episode Artwork Ep 349 AI, Chomsky, Me, and You 56:44 Episode Artwork Ep 348 AI Dilemmas with Hortense, Harry, and Holden 26:59 Episode Artwork Ep 347 Adam Aron Lessons of Climate Activism 57:05 Episode Artwork Ep 346 Epstein, Fascism, Clickbait, Deaf President...What's Next? 27:35 Episode Artwork Ep 345 An Apology, Gaza, and Revisiting Marxism with Specific Invitations 35:51 Episode Artwork Ep 344 Mamdani, Gaza, Rebel Lyrics, and Us 36:39 Episode Artwork Ep 343 Gene Bruskin on Labor, Resistance, and Musicals 55:40 Episode Artwork Ep 342 The Measurement Problem and June 14th, July 7th, and Beyond 33:20 Episode Artwork Ep 341 Marxism and Us--or Not 1:23:11