I just got back from translating for a traveling eye clinic in San Miguel and although I had a fantastic time and ultimately didn´t want to leave, it made me question the nature of this type of aid work. This is how it works. The aid agency in El Salvador goes out into rural communities and screens potential eye clinic patients. Those who look like they should be seen by the doctors are given a time and date to come into the San Miguel clinic and are asked to pay $6.00 to cover the cost of the ¨free¨consult and potential glasses. They then come into the clinic and either receive a pair of glasses, are given an appointment to see a Salvadoran eye specialist in San Miguel, or are rushed to a clinic in Santa Ana for emergency surgery. Those who receive an appointment need to come back to San Miguel a second time to evaluate their financial standing and ability to pay for any potential treatments or surguries, and then a third time for the actual treatment. I was translating for a doctor who saw the worst cases and although I found the work incredibly rewarding and humbling, it was not easy. I had to tell several people that they had permanently lost their sight and there was nothing we could do for them. Also, there were several people who had cataracts but were too old to operate on and well as a handful with diabetes in the eyes. Perhaps the worst case I witnessed was a 16 year old boy who had a rock kicked into his eye while milking a cow. The rock casued his iris to leave his eye and made quite a mess in the socket. The doctors had him rushed to the hospital to remove the eye as there was nothing else they could do. There were good stories too. There was a 3 year old with extremely crossed eyes and the doctors were able to straighten them out. There was also a family of 3 albino children who are near blind and all of them received perscription lenses and sun glasses.
My main concern is that although the clinic is meant to treat the poor, is it really reaching them? How many poor people can afford $6.00, plus the cost of transport to and from the clinic, plus the time and money lost when they are away from their farms and home industries? And although many people´s vision is improved with glasses, I can´t help but feel miserable for all those people who we couldn´t treat. I suppose the hope that something could be done to improve their vision is worth the $6.00 but still, does this type of work reach and help the people who need it most?