I argued with Maureen
earnestly. I was leaning on the door frame to my room, she was sitting on the
floor of Soni’s room and they were both looking at me –quizzically, maybe. I’m
not sure what the expression was exactly. But they were not in agreement with
what I was saying. They didn't think I should stop the international work.
A few months away from my
departure from Uganda, my plan was to leave international development work
altogether.
Conflicted didn’t begin to
describe it. Doesn’t describe it now.
I’ve been thinking
a lot about my career trajectory in one breath and cultivating joy in another.
Sometimes the notion that the two can come careening together in an epic and
entangled way makes me smile with enchanted wonder.
What if someone paid me to
travel and eat and write (or any one or combination of those things)? I could
pay my bills doing something I do anyway! But as I’ve been unable to cobble
together a feasible business plan for that dream I instead focus on other
passions. Travel still floats to the top but so does making a difference in the
world.
My brain has been ticking.
What does my future look like? What is my next step?
Friends urge me to take
stock of my skills and consider their application in a wider arena but
ultimately I find myself crafting an imaginary position that is neither
imaginary nor new. International public health emerges again and again. And I
find myself circling back to that conversation with Maureen and Soni. I left
that work for a reason.
I spent an
evening talking to a new friend about my disillusionment with development. I
talked about the macro: money inspired power dynamics, cultural ignorance,
unintended consequences, differential pay scales, Sisyphean feats
(because we really aren’t clear on the problems let alone the solutions). The list
goes on. I rattle them off periodically when the call of some place far off
tickles my feet and makes me wonder if just maybe I could manage it.
He takes more of a starfish
approach.
“If you could help 100
people in the next 10 years doing this work that you are frustrated is not
being done, isn’t that worth it?”
I remember having this conversation
with a friend while we working in South Africa. She was frustrated then. Feeling useless then. Wanting
the development system to be as dedicated to meaningful change as the people on
the ground – host country nationals and foreigners – who stretch the money,
work the programs, celebrate each new well and properly erected mosquito net
and grieve each mother and infant that die in childbirth and each outbreak of a
preventable disease. And then, I urged her to think about each starfish tossed
back into an expansive ocean. “It matters to that one.”
It still matters to that
one. To those many that manage to find their way back to the water.
I can’t measure the worth
of a person. Not in the line item of a budget, or the salary of a community
worker, or the time in transit to a village. I can’t measure that worth to say
interventions shouldn’t continue to happen as they are.
I can’t measure the worth
of a person and so I struggle with continuing to throw people back into an
ocean one by one when I know that the tide will wash them back on shore once the
temporary safeguards (programming without infrastructure or sustainability)
are gone.
There is no perfect
solution; perfect is the enemy of the good. Waiting for a perfect system would
mean countless deaths. Countless more than we see now.
So what then?
When cholera
swept through London in 1854 John Snow figured out that drinking water had
something to do with it and then the work of protecting the water source became
the priority. Energy is wasted if attention is only paid to the effects of something
and not the cause.
My fear, both when I’m
working in a country and when I’m sitting comfortably in my bedroom as I am
now, is that everyone is so busy bailing water from a damaged boat that no one
has time (inclination) to fix the hole in the boat…or even the hole in the
bucket (the development system).
There are a lot of people doing
amazing work helping to save lives, partnering with people to improve
quality of life…hell, years of life. But
Teju Cole wasn’t wrong when he wrote about the White Savior Industrial Complex.
The problems of any region, or country, are complex. Piecemeal answers aren’t
the only answers, the ways things are currently done aren’t the only ways they
could be done, and good works don’t erase the other inextricable issues tied to
poverty, illness, and politics.
My new friend is right that
sitting here in the US doing other things isn’t helping. But I am still
cautious. I still see the danger that doing something can do whether from unanticipated
consequences or feeding a system that needs a lot more than tweaking.
It is easy to sit by the
wayside and “tut tut” the work being done, but that isn’t my intent. I want to
repair the bucket, patch the boat. Hell, I want a new boat altogether. To my
friend’s point, I need to think harder how to make that happen.