Abstract
Physicians are ethically bound to respond to undocumented, underinsured, and uninsured patients' health needs, even those demanding complex, expensive interventions, such as organ transplantation. A social medicine skill set of structural competency, allyship, accompaniment, and activism is required to best serve patients and communities and should be widely regarded as core competencies for all health professionals. This commentary on a case considers the nature and scope of the skill of activism, specifically.
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