3 Counter Summits Called on Public to Stand Against Biden Administration’s ‘Failed’ Summit of the Americas

Prajakta Khade walked into a public health center daily for three months in early 2021, without ever receiving medical care. The healthcare worker’s 26 notebooks—containing more than 3,000 pages of community health records—point to why she couldn’t seek treatment for her ailments. She was simply too busy.

In March 2020, India’s health ministry tasked 1 million Accredited Social Health Activists (ASHAs) like Khade with COVID-19 duty in rural areas. This, in a country where 65 percent of its 1.38 billion people live outside cities. Suddenly, ASHAs’ workload increased exponentially. Yet, they remain underpaid and now suffer stress-related chronic ailments.

“If a positive case was found in the area, we had to visit the patient, contact trace, arrange medical facilities, measure their oxygen and temperature levels daily, and ensure they complete quarantine,” Khade explained about the added duties to treat the infectious respiratory disease. But all Khade was given to do her job in the assigned area in India’s Maharashtra state was a single N95 mask and 200 milliliters of sanitizer.

ASHAs, an all-women healthcare cadre, remain the foot soldiers of India’s rural healthcare. One worker is appointed for every 1,000 citizens under India’s 2005 National Rural Health Mission. ASHAs are responsible for more than 70 tasks, including providing first-contact healthcare, counsel regarding birth preparedness, and pre- and post-natal care. Plus, they help the population access public healthcare and ensure universal immunization, among other things.

The World Health Organization announced a pandemic in March 2020. But in many countries, lack of adequate healthcare and no social safety nets amid lockdowns wrecked the lives of ordinary people. In India, for example, an additional 150 million to 199 million people are expected to enter poverty in 2021 and 2022.

Chronic Illnesses Spike

One day about a year ago, while surveying people in her village of Vhannur in India’s Maharashtra state, 40-year-old Khade felt dizzy. But she couldn’t take a break. “At one point, my face was swollen, and I could barely see anything.” It turned out her blood pressure level had surged to 252/180 mmHg (millimeter of Mercury), much higher than the standard limit of 120/80. That is how she got diagnosed with hypertension.

However, a month’s worth of medications didn’t help because she continued to experience stress as her workload increased. Senior officials at the health center had early on issued an order to submit patient records daily by noon.

ASHAs, who aren’t considered full-time workers, receive performance-based incentives paid on the number of tasks completed. “For COVID duty, the government decided our worth as merely 33 Indian Rupees per day (43 U.S. cents),” she said. “We received this amount only for three months in the past two years.”

Moreover, during the peak of COVID-19 cases in 2021, salaries for Maharashtra’s ASHAs were delayed by five months, according to Khade. Netradipa Patil, an ASHA from Maharashtra’s Kolhapur district and leader of a union that represents more than 3,000 ASHAs, confirmed this.

One day last year, Khade’s supervisor asked for a list of hypertension and diabetes patients from her village of about 1,200 people—at 10 o’clock at night.

“How could I survey the entire community in the night?” she asked.

Often, such orders meant skipping lunch and staying hungry for 11 hours at a stretch. ASHAs worked four hours prior to the pandemic. Now, 12-hour days are normal.

When medications didn’t help, Khade consulted two private doctors. “After six months of hassle, the doctor doubled my dose to 50 milligrams.” Khade lost over 10 kilograms (22 pounds) of weight and was placed on medications to address anxiety. Even today, she suffers from fatigue.

“I was never this weak,” she asserted.

Chronic diseases among ASHAs are rising rapidly because of the workload, says Patil. “We protect the entire community, but there’s no one to look after our health.” ASHAs in Maharashtra, she says, average a monthly income of Rs 3,500 to 5,000 ($45 to $66 USD).

This reporter spoke to ASHAs’ senior officials from Maharashtra’s Kagal block. (In India, a cluster of villages form a block and several blocks form a district. Vhannur village is in the Kagal block of Maharashtra’s Kolhapur district.) Senior officials said they are not responsible for ASHAs’ deteriorating mental and physical health, and pointed to the Indian government’s order to submit data. The officials didn’t want to be named. Instead, they relayed that they also are overworked.

“ASHAs do the majority of the health department’s work, and they are massively underpaid for their duty,” said Dr. Jessica Andrews, a medical officer at Kolhapur’s Shiroli Primary Health Center. She has been handling mental health cases. “Without them, the health system will collapse.”

‘Not Treated As Humans’

Several ASHAs across India have worked for over a year without a break. One of them is Pushpavati Sutar, 46, diagnosed with hypotension (low blood pressure) and diabetes within seven months of COVID-19 duty in November 2020. Like Khade, she experienced constant spells of dizziness.

“Often, there was fake news of community COVID transmission in my area,” she said.

Every day, senior officials at the health center hounded her to find more details about such instances.

An ASHA for 13 years, she’s never made an error in her surveys and was sure of no community transmission. “After investigating, I found that the accused was COVID negative. Instead, two of his relatives were positive.”

She had to clear such misconceptions almost every day, answer senior officials’ questions, collect records and perform her regular duty. “For several days, I couldn’t sleep,” she remembered.

Further, fearing COVID-19 guidelines and quarantine rules, community members began demanding ASHAs hide COVID-19 cases. “People even accused us of spreading COVID as we would survey the entire village,” Sutar recounted. Moreover, she said senior officials asked ASHAs to visit the families of COVID-19 patients—instead of allowing data collection over the phone—putting them at risk of infection.

“At several places, there have been instances of community violence, where ASHAs were beaten up,” said Patil, who has filed legal complaints on behalf of the assaulted workers and is helping them mentally recover.

Kolhapur’s ASHA union has written to several government authorities, including Maharashtra’s chief minister and Indian Prime Minister Narendra Modi, highlighting the mental toll of COVID-19 duty. Still, none of their letters have garnered a helpful response.

“Forget adequate pay,” said Khade, as she continued surveying, juggling between completing her task and trying to keep her mind at ease. “We are not even treated as humans.”

 

Sanket Jain is an independent journalist based in the Kolhapur district of the western Indian state of Maharashtra. He was a 2019 People’s Archive of Rural India fellow, for which he documented vanishing art forms in the Indian countryside. He has written for Baffler, Progressive Magazine, Counterpunch, Byline Times, The National, Popula, Media Co-op, Indian Express and several other publications.

Editor’s Note: This lightly edited article was originally published by The Real News.

Unless you’re buck naked as you read this, chances are that you’re wearing at least one garment manufactured in the Haitian apparel factories of Port-au-Prince, Caracol and Ouanaminthe. Those Hanes or Fruit-of-the-Loom briefs in your dresser drawer; the classic Levi’s denim jacket hanging in your closet; or that cheapo, trendy, puff-sleeved H&M frock you hope to add to your spring wardrobe—all of them were likely made by men and women in Haiti earning the barest of minimum wages.

 

Since 2019—until the government announced a modest, unsatisfactory hike just two weeks ago to quell the workers’ fighting spirit—the Haitian minimum wage for garment workers making clothing for export has been 500 gourdes a day (or $4.82 USD). The math is even crueler than expected: In exchange for an eight-hour work day, around 57,000 Haitian garment workers have been earning almost three cents less per hour than the average incarcerated worker in the United States makes, which is only 63 cents per hour.

With their products sold at major outlets like Walmart, Target, Zara and The Gap, 62 U.S. brands have profited handsomely for years by paying miserly, unlivable wages to Haitian workers. But on February 9 and 10, too poor even for strike accoutrement like matching tee-shirts or printed placards, workers marched out of the factories en masse in the first of several strategic strikes. Pouring into the streets, they raised their voices in protest of the daily exploitation and destitution they endure. Their only protest swag consisted of common leafy twigs held high in affirmation of their right to a portion of this earth’s abundance in their lifetimes. Poetry in motion; they do not stand alone.

 

On behalf of its 50 million members worldwide, the secrétaire général of the IndustriALL global union in Geneva, Atle Høie, wrote to Haiti’s Acting Prime Minister and President, Ariel Henry, urging wage relief for workers whose earning power is being crushed by inflation. Since then, the tidal wave of support for the Haitian strikers has continued to swell. Workers United, the successor union in North America to the International Ladies and Garment Workers Union, issued a statement of solidarity. Secretary Treasurer Edgar Romero admonished U.S. companies for their silence as their workers were being assaulted by state police, and reminded them that their actions are not invisible:

The world is watching, and will call to task the companies that are profiting manyfold on the backs of our Haitian brothers and sisters. It’s time for corporations, especially our American companies who import garments manufactured in Haiti to step up, and pay workers what they deserve.

Your brand is at stake.

Exploitation of Workers Is Stitched In

According to Ose Pierre, a representative of the Solidarity Center, the largest U.S.-based international worker rights organization, who is working to support the labor movement in Haiti, a typical Haitian garment worker starts their workday at 6:30 a.m. Too early to cook and eat before they leave home, many workers buy breakfast from vendors, a meal referred to in Haiti as “lunch before work.” With food and drink, “lunch before work” costs about 100 gourdes, Pierre told The Real News. They also buy their “manje midi,” or noon meal (a plate of rice, beans and meat), for about 200 gourdes. Transportation, depending on where they live, could cost 100 gourdes. With four-fifths of their day’s earnings wiped out by necessities, the only way to get marginally ahead is to volunteer for “the wages of production.”

Though the phrase might sound innocuous, wages of production is a discretionary bonus system based on over-and-above production, wherein a line of 10 or so workers make side deals with their bosses. “An importer decides, ‘Well, you were going to make 5,000 of these, but if you do 7,000 you can have some extra money,’” Pierre explained. “The workers have to work extra hard and fast.”

Almost every economic hardship in modern Haiti can be traced back to the unprecedented reparations debt that Haiti, the victor over France in its revolutionary war, was saddled with in 1825 in exchange for recognition of its independence and sovereignty—the equivalent of $21 billion, which has been paid over 122 years, and was resolved only in 1947. As a consequence, Haiti’s development has been strangled and mauled at every turn, a structural power inequality that has led to a neocolonial dependency on foreign investment that has proven impossible for any Haitian government to overcome. All of former Prime Minister Jean-Bertrand Aristide’s efforts to significantly increase wages—in 1991, 1994 and 2004—were answered with coups, sanctions, smears or all of the above.

Similarly, many of the political hardships Haiti faces today, like the ongoing instability and insecurity in the aftermath of the July assassination of Haitian President Jovenel Moïse, can be traced back to the Core Group. Imposed upon Haiti by the United Nations in 2004 after the U.S.-backed coup that ousted Aristide, the Core Group is a multi-national supervisory body with the nebulous mission of “steering the electoral process.” Its creation was originally proposed as a six-month interim transition support measure, yet it endures to this day.

Proponents of the Montana Accord, a civil society proposal put forward by a coalition of 70 political organizations and social groups, want to plan for a transition of power to stabilize the country and move toward free and fair elections by 2023 without outside interference. By contrast, acting President and Prime Minister Ariel Henry, who is answerable to the Core Group, has been pushing for elections later in 2022, which will again presumably be “steered” in service of the interests of the oligarchic forces within Haiti and the forces of international capital at the expense of another generation of Haitian workers.

Garment Workers Forced to Strike, Face Tear Gas and Live Rounds

In tension with these systemic constraints, the Haitian constitution (Section 35: Freedom to Work) explicitly guarantees workers certain rights and duties: Among them the right to a fair wage, rest, vacation and bonus, and to unionize and strike. But legal ideals aside, for decades, garment workers have been denied anything approaching the standard of fairness.

In theory, the Superior Council of Wages (SCW) is responsible for analyzing socioeconomic factors and ensuring that the minimum wage reflects changes in the cost of living at scheduled reporting intervals. Additionally, any rise in inflation over 10 percent triggers a requirement for action under Article 137 of the Haitian Labor Code. But the SCW hasn’t fulfilled its charge; thus, on January 17, noting a current inflation rate of 22.8 percent, a coalition of nine trade unions representing or affiliated with garment workers in Haiti sent an open letter to Henry seeking a wage increase from 500 gourdes ($4.82) per day to 1,500 gourdes ($14.62). With that, the unions fired their opening salvo in what Mamyrah Prosper, international coordinator of the Pan-African Solidarity Network, called in her March 2 piece for Black Agenda Report, a “Different Fight for 15.”

In February, having been ignored by Henry, the unions joined the workers in the execution of a number of strategic, multi-day strikes to force the issue. Interested onlookers could follow events as they unfolded on the “Madame Boukman—Justice 4 Haiti” Twitter account, after she began posting about ValDor Apparel, a Florida-based company that shuttered its factory in Haiti on December 31, absconding with its workers’ wages. Madame Boukman told The Real News that, building on the positive international responses to her tweets, she’s seeing growing support for the workers’ movement in and outside of Haiti.

“It’s a movement that can transfer immense power from the small, but powerful, economic elite to the poor masses,” she observed. “Haiti’s minimum wage is the lowest in the region due to years of violent suppression by external and internal forces. With a near non-existent parliament, a de facto prime minister and no president, the masses are taking it into their own hands to set a path to a living wage.”

Their actions have started to move the needle. Talks between the government, foreign factory owners, and the unions have resulted in several incremental advances and concessions on wages and proposed supports, like transportation to work. But so far the negotiations have fallen short of the strikers’ primary demand: On February 21, the SCW acted to raise the minimum wage across sectors, and the highest wage, applicable to garment workers who are part of the import/export tranche, is now 770 gourdes, which amounts to roughly half of what garment workers are demanding.

Strikers returned to the streets again on February 23, but this time they were met with lethal state violence meant to terrorize them back to their sewing machines at any price. Pierre suspects this police violence has had the opposite effect and has stiffened strikers’ resolve, though videos of the police assault against peacefully demonstrating strikers are certainly shocking.

“The workers were protesting: They have their mobiles with music, and Haitian music is playing, and they’re dancing, and they have their flyers saying what they want—their demands,” he explained. “Then the Haitian National Police came. They used tear gas.”

Besides choking on the gas, some of the workers were burned by canisters that hit their bodies and feet. Amid the mayhem, another unknown police force reportedly came and shot into the crowd.

“Masked police without any identification badges came in white cars with generic plates… and they shot the peaceful workers, and three journalists,” Pierre said. Photojournalist Maxihen Lazarre was killed, and two other journalists were injured. Another worker was shot in the foot, three people were hospitalize and many others were injured, according to local reporting. The factories were then closed—ostensibly, the closures were for Carnival celebrations, but more likely they were intended to allow worker outrage, like the toxic gas fired by police, to dissipate.

“People ask me if I am safe in Haiti, and I say, ‘I am not safe, but I am quiet,’” Pierre said.

A History of Unaccountability Pervades the International Community’s “Investments” in Haiti

Sandra Wisner, senior staff attorney for the Institute for Justice and Democracy in Haiti, thinks it’s time the international community acknowledged its role in creating these conditions on the ground. “It needs to take a look at itself,” she told The Real News, “and focus on providing a long-term, rights-based approach to development in the country instead of prioritizing foreign interests.”

The Caracol Industrial Park, where the recent spate of garment worker actions started, is a good case study.

In 2010, after the devastating earthquake, it was decided by foreign actors—the United States and the Inter-America Development Bank—to locate a new garment center in the northeast district, distant from the epicenter. But in the process of building the garment center where they did, Wisner explained, Haitians were dispossessed of valuable fertile land, replacing subsistence farming with a textile industry that exploits cheap labor. A dozen years later, hundreds of farmers and their families are still waiting to get paid for the seizure of their land and the loss of their livelihoods.

“It was slated to provide 65,000 new jobs to the country,” Wisner said of the original plan for the garment center. “But as of two years ago, it had only provided around 14,000 jobs. When the international community comes into the country and decides what development is going to look like, no matter the repercussions for Haitians, there needs to be accountability for that.”

“Where is the accountability for that?” she asks.

Frances Madeson writes about liberation struggles and the arts that inspire them. She is the author of the comic political novel, Cooperative Village. Follow her on Twitter at @FrancesMadeson.

Correction: The event in Ciudad Juan Bosch took place in May.

SANTO DOMINGO, Dominican Republic—Manuel Dandré recounted a case of the injustice suffered by Haitians and Dominicans of Haitian descent.

Haitian parents of two girls had permanent residency in the Dominican Republic. Both children were Dominicans because they met the constitutional criteria that their parents be in regular migratory status at the moment of their birth in Dominican territory.

“In spite of this, the girls were detained,” Dandré, a lawyer, told this reporter. “The father had to go on a motorcycle to catch up with the bus that was transporting them.” With the intervention of United Nations International Children’s Emergency Fund (UNICEF) and UN-affiliated International Organization For Migration (IOM), the deportation was prevented at the border.

Unfortunately, that is but one case where a family was not broken apart. From January to November 2022, UNICEF had counted more than 1,800 unaccompanied children expelled to Haiti from the Dominican Republic, often without documents to prove that they were Haitians. In the midst of this situation, Dandré provides legal assistance through two organizations that assist Haitians and Dominicans of Haitian descent, the Sociocultural Movement of Haitian Workers (MOSCTHA) and the Jacques Viau Network.

A record-breaking 154,333 Haitian immigrants were expelled in 2022. That’s more than triple the yearly average of the period between 2017 and 2021. The Dominican government’s campaign of mass deportations is the latest episode in what human-rights advocates, and social and political activists, describe as a strategy to deepen racial discrimination.

Deportations Continue Unabated

United Nations officials had called in November for an end to the mass expulsions of Haitian citizens. However, Dominican President Luis Abinader responded the deportations would not only continue, but would be accelerated. Abinader also issued decree 688-22, which creates a special police unit to target immigrants and orders the immediate expulsion of immigrants living on state or privately owned lands. This definition coincides with the reality of the Bateyes, communities established in sugarcane regions for migrant Haitian workers and their families.

On Nov. 19, the U.S. embassy issued a travel alert according to which travelers to the Dominican Republic “reported being delayed, detained, or subject to heightened questioning at ports of entry and in other encounters with immigration officials based on their skin color.” U.S. Customs and Border Protection (CBP) stopped the entry of raw sugar and sugar products produced by Central Romana Corporation, which operates in the eastern part of the country, stating it had found indicators of forced labor.

The Dominican Ministry of Foreign Affairs’ response stressed that the “humanitarian, social and political” crisis in Haiti “seriously affects the national security of the Dominican Republic.”

“The Dominican government would never have imagined such serious insinuations about our country, whose population evidences in its skin color a wide melting pot of races,” added the official note.

Central Romana, owned by the Cuban-American Fanjul family, replied that CBP’s remarks “do not reflect the policies and practices of Central Romana.”

Extorting Relatives of Detainees

Dandré, born in 1960, is himself one of the more than 200,000 Dominicans of Haitian descent affected by a denationalization policy initiated in 2004, when the migration law defined immigrants without visas as persons “in transit,” to exclude their children from acquiring Dominican nationality at birth. This policy culminated in 2013 with Constitutional Court ruling 168-13, which retroactively applied the criteria of the 2004 General Law of Migration to all born after 1929. Widespread international condemnation ensued. After litigation, Dandré regained documents certifying his Dominican citizenship.

Dandré told this reporter about a 16-year-old girl who was detained by the police and taken to the immigration detention center in the town of Haina, on the outskirts of Santo Domingo, where she was held for nine days. The law prohibits the detention of minors, pregnant women and elderly people in immigration proceedings, but such violations of the law are frequent, he said.

“The Haina detention center is overcrowded and in terribly unsanitary conditions,” Dandré explained. “If a detained person has relatives who bring food, the officers demand payments to deliver it—they extort them.”

When it was imminent that the court would order the release of the girl, she was handed over to another institution, the National Council for Adolescence and Childhood, which carried out her expulsion to Haiti.

“She should never have been taken to Haina, where most of the detainees are men,” Dandré pointed out.

‘Dehumanization’ of Haitian People

Ana Belique is one of the young leaders of the Movimiento Reconocido, which fights for the restitution of Dominican nationality to the people affected by ruling 168-13.

“In 2004, the new Migration Law was made and, in 2010, the Constitution was changed. Both changes are strategically designed to limit the rights of Haitian immigrants in the Dominican Republic,” Belique pointed out.

A statement signed by Movimiento Reconocido and dozens of Dominican and Haitian organizations describes this strategy as the imposition of systematic racial discrimination, warning about the risks of ethnic cleansing and apartheid.

Belique has first-hand knowledge of cases of foreigners who have suffered discrimination because they “look Haitian.” She mentions Caribbean and African exchange students, as well as the case of two Black U.S. citizens besieged in May by neo-Nazis and National Police officers in Ciudad Juan Bosch, a suburb in the eastern part of Santo Domingo.

“What worries me most about the current campaign of mass deportations is the dehumanization against Haitian people,” Belique added.

On Dec. 2, representatives of social organizations met with Dominican Attorney General Miriam German.

Among the complaints they presented regarding human rights violations against the immigrant community were the murders of Joel Lolo and Delouise Estimable. Lolo, a 18-year-old construction worker, was shot in the head by an immigration agent during a warrantless raid on his home in Las Matas de Farfan in March, while Delouise was beaten to death in a truck in the northern province of Valverde in July.

Little more than a week later, an illegal raid took place of the offices of the Dominico-Haitian Women’s Movement (MUDHA), one of the organizations represented in the meeting with the Attorney General. In a joint statement, social organizations denounced that raiding agents wore military intelligence uniforms.

‘To This Day, I Am Without a Pension’

Meanwhile, thousands of Haitian sugarcane workers who arrived in the country between the 1960s and 1970s, like Belique and Dandré’s parents, have organized in the Union of Sugarcane Workers (UTC) to demand the payment of their pensions. Around 15,000 sugarcane workers have been waiting, many of them taking to the streets for years. Some have passed away without the state recognizing their claim. On Dec. 7, they rallied again in front of the Ministry of Labor in Santo Domingo, to demand an end to forced labor in Central Romana.

“I joined in 1972, I worked in Altagracia, in the State Sugar Council,” recounted retired sugarcane worker Yega Fabián. “When I went to the sugar mill they gave me a machete, a sack and sent me to cut cane. I applied for the pension in 2012. To this day, I am without a pension. I have six children and 13 grandchildren. All of them have an identification card, but not me.”

The protest, to the traditional cry of “No sugarcane workers, no sugar,” was marked by news that another retired Haitian sugarcane worker, Lico Alerté, had died early that morning.

Alerté never received his pension.

Vladimir Fuentes is the pen name of a freelance journalist based in the Dominican Republic.