65 pages 2-hour read

Fresh Fruit, Broken Bodies: Migrant Farmworkers in the United States

Nonfiction | Book | Adult | Published in 2013

A modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.

Themes

Embodied Ethnography, Structural Inequalities, and Social Action

Holmes’s embodied ethnography of Triqui migrants uncovers the structures that negatively impact Indigenous farm laborers from San Miguel. His bodily experiences not only inform his analysis but also convey, in a visceral way, the challenges facing undocumented farmworkers in the US. Holmes transcribes excerpts from his field notes, which describe, in the first-person, what it was like to travel, live, and work alongside Triqui migrants. In addition to lending immediacy to the plight of migrants, these notes present their suffering in an engaging and accessible manner. In the Introduction, for example, Holmes recounts the frightening experience of waiting to cross the US-Mexico border with a group Triqui migrants: “This town scares me. It’s impossible to know which person dressed in dark clothing is an assailant wanting money from easy targets […] I push an empty soda bottle in my pocket above my money, and I feel a bit safer” (12). Later in the Introduction, he writes about his desperation after being detained by US Border Control agents: “I begin to cry, exhausted, imagining life in prison as I wait for the legal system to process my case” (24). Holmes’s experiences while crossing the border, including the journey’s physical impact on his body, mirror those of his Triqui friends, one of whose comments he shares: “He tells me that he suffered a lot crossing the second time. He briefly speaks of blisters and more rattlesnakes […] He shows me the large, popped blisters on his feet and the holes in his socks” (27).


Holmes discusses various social structures that fuel migration and exacerbate the suffering of migrants on US farms. Central among these is the corporatization of US agriculture, a byproduct of capitalism. Global economic structures pressure small farms to reduce costs and increase efficiency, which directly impacts migrant farmworkers. For example, pickers who are paid by the hour at the Tanaka Brothers Farm are regularly underpaid because checkers record the wrong check-in and check-out times on their work cards. The checkers do so not out of spite but because their supervisors instruct them to. Holmes points to NAFTA—a trade agreement that eliminated tariffs on agricultural products but didn’t ban subsidies—as an important cause of labor migration. Corn is the primary crop of Indigenous Mexican farmers. In the US, corn is highly subsidized by the federal government, which allows American farmers and corporations to undercut Indigenous growers: “During my fieldwork in San Miguel, I watched genetically engineered, corporately grown corn from the U.S. Midwest underselling local, family-grown corn in the same village” (25).


In addition to global structures, local hierarchies contribute to the suffering of Triqui people. The Triqui are at the bottom of the social hierarchy in Oaxaca. Ethnic violence has pushed them onto lands that are inhospitable to farming. Holmes’s Triqui friends unanimously cite poverty as their primary reason for migrating to the US. Once on US farms, ethnicity and citizenship hierarchies relegate them to the most difficult and worst-paid jobs, bar them from promotion, and prevent them from taking farm-run English classes. These hierarchies also impact healthcare workers’ perceptions of Triqui migrants and the quality of care they receive.


The problems of the Triqui seem insurmountable, but Holmes ends his book with concrete advice for those who want to enact change. His recommendations are two-pronged: 1) Campaign for policy change. 2) Change hearts and minds. The first approach includes lobbying elected officials for immigration reform. This might entail offering migrant workers a path toward legal residency or citizenship, or allowing agricultural workers to enter the US legally and to remain in the country for the duration of the harvest season. The second approach is particularly well-suited to scholars and their readers. Holmes recommends changing societal attitudes through actions that counteract symbolic violence. Scholarly publications and conferences, newspaper articles, and community events can disrupt the social hierarchies that normalize, naturalize, and internalize the mistreatment of migrants. Holmes urges social scientists and their readers to join organizations that lobby on behalf of the oppressed. Anthropologists have traditionally seen themselves as detached observers who objectively gather facts to understand humans across the globe, past and present. Holmes argues that this traditional approach falls short. Studying suffering without also trying to alleviate it is both undesirable and unethical. For him, the only responsible course of action is advocacy at the local, national, and international levels.

Health, Violence, and the Clinical Gaze

Holmes approaches migrant health from the perspective of an anthropologist and physician. He profiles three Triqui migrants—Abelino, Crescencio, and Bernardo—to uncover how economic forces, class, and ethnicity/citizenship hierarchies undermine migrant health and healthcare. Although Abelino, Crescencio, and Bernardo suffer from different ailments (knee pain, headaches, and stomach pain, respectively), their pain has a common root: structural violence. Abelino sustained his knee injury while picking strawberries, a physically demanding, low-paying job he was forced to take after migrating to the US to escape poverty; Crescencio experienced excruciating headaches every time a farm supervisor insulted him with ethnic slurs; and Bernardo’s stomach pains began when he was kidnapped and beaten by Mexican soldiers who believed he belonged to an Indigenous rights group. Social inequities, then, caused the men’s physical suffering.


Structural violence hurts clinicians as well as patients. Time pressures are such that overburdened doctors and nurses never receive all the information they need to provide their patients with quality care. In most settings, clinicians have only 15 minutes to examine and assess patients and formulate a treatment plan. In addition, those who treat migrants must spend more time filling out forms than clinicians who practice in other contexts. In short, pressures from the capitalist healthcare system hinder doctors from providing quality care.


While Abelino, Crescencio, and Bernardo’s suffering is rooted in structural violence, symbolic violence perpetuates their suffering in healthcare settings. Structural violence harms those at the bottom of the social hierarchy, while symbolic violence results in the normalization, naturalization, and internalization of this harm. Holmes found that perceptions and hierarchies led medical professionals in the US and Mexico to blame migrants for their own ailments, without recognizing the social factors that caused them. A doctor at the clinic in Washington State’s Skagit Valley told Abelino that he caused his knee pain by bending and picking incorrectly; Crescencio was told that alcoholism was the source of his headaches; and Bernardo’s doctor in San Miguel blamed his abdominal pain on consumption of spicy, fatty foods. Clinicians in the US and Mexico also blamed migrants for forgoing preventative care, missing appointments, and waiting until they were seriously ill before seeking medical attention. Although these observations are sometimes accurate, they fail to take contextual factors into account, such as conflicting clinic hours and work schedules.


Holmes argues that a lack of contextual consideration leads clinicians to provide subpar care to patients from marginalized groups. He refers to Western medicine’s lack of context as the clinical gaze, an approach that focuses on the biotechnical aspects of healthcare at the expense of sociocultural factors that cause illness. The medical gaze displaced an older approach to medicine, which took the whole person into account. This shift in paradigm, which French philosopher Michel Foucault located between the 18th and 19th centuries, led to the prioritization of objective criteria, such as biotechnical tests, over subjective criteria, such as patients’ descriptions of their ailments. Abelino’s experiences with medical professionals illustrate the shortcomings of the clinical gaze in the field of migrant health. After ignoring his words and examining an MRI, a radiologist concluded that the swelling in Abelino’s knee hadn’t worsened in the year since the injury occurred and speculated that he had degenerative arthritis. These conclusions led the Department of Labor and Industries (L&I) to deny Abelino’s application for worker’s compensation. Years after the fact, Abelino still suffered from the knee injury he sustained on the Tanaka farm. Given his interactions with healthcare institutions, his statement that “‘doctors don’t know anything’” seems entirely justified. The cases of Abelino, Crescencio, and Bernardo demonstrate the urgency of reforming healthcare in the US. Unless clinicians build awareness, patients from marginalized backgrounds will likely continue to receive ineffective care. By paying more attention to context, clinicians can help alleviate the suffering that structural violence causes. In addition, social scientists can combat symbolic violence by exposing hierarchies as the social constructs they are.

Immigration Policy, Farming, and Migration

Immigration is a contentious topic in US politics, especially during election years. On one side are those who advocate for protectionist policies and militarizing the southern border. On the other are people who seek to reform the immigration system to allow more foreigners into the country legally. Many Americans distinguish between “legal” and “illegal” (or undocumented) immigrants. The former consist of foreigners who applied for and received permission to enter the country to live and work, while the latter comprise foreigners who entered without permission, usually from the US-Mexico border. Those who support protectionism do so for a range of reasons. Xenophobia, racism, and bias fuel anti-immigration sentiments, as does misinformation. For example, many conservatives believe that undocumented migrants don’t pay taxes, strain social services, steal jobs from Americans, and commit crimes. Holmes’s interview with the division chief of Border Patrol in Washington State, however, counters these claims. The division chief even remarked that Social Security would be bankrupt were it not for undocumented workers paying into the system without collecting from it.


Holmes argues that undocumented immigrants play a crucial role in the US economy, notably in agriculture, which relies heavily on their low-paid labor. Studies show that 95% of farmworkers in the US are impoverished Mexican migrants, most of whom are undocumented. Migrant workers don’t take jobs away from Americans. Rather, they do the work most Americans refuse to do. A Tanaka farm manager, for example, reveals that he sometimes struggles to find enough laborers and wishes the federal government would ease entry requirements for migrant workers. However, he also recognizes that undocumented workers would demand better pay and conditions if they had legal protections. The farming industry depends on cheap labor and exploitative practices. Farms must keep wages low to remain competitive in local and global markets. Increasing wages and improving living conditions would require raising prices, which would force farms into bankruptcy.


Holmes found that Triqui migrants don’t want to leave San Miguel but are forced to do so to survive. They leave their families, cross a dangerous border, and accept low wages and mistreatment from their superiors. Denying migrants the protections and benefits of legal residency or citizenship only exploits already vulnerable populations. Migrants offer their labor to the US but use Mexican social services, allowing the US to benefit doubly from the system. Border walls and armed agents don’t prevent migrants from entering the country but only exacerbate suffering. Hundreds die every year during the increasingly expensive desert crossing. Migrants have responded to rising costs and dangers by spending more time in the US. Increased border security, then, has had inverse consequences. As Holmes points out, alleviating the suffering of migrants demands new immigration policies. Without structural changes to address economic inequality on a global scale, however, the suffering of migrants is likely to continue unabated.

blurred text
blurred text
blurred text

Unlock every key theme and why it matters

Get in-depth breakdowns of the book’s main ideas and how they connect and evolve.

  • Explore how themes develop throughout the text
  • Connect themes to characters, events, and symbols
  • Support essays and discussions with thematic evidence