[Perspectives] Structural intercompetency: an asylum seeker with abdominal pain in Tijuana, Mexico

Daniel, a 45-year-old asylum seeker from Ghana, presented with severe abdominal pain to a medical clinic in Tijuana, Mexico, which provides free primary care services for migrants requesting asylum in the USA. Daniel tells Dr V, an emergency medicine physician from Los Angeles, CA, USA, who volunteers at the clinic, that he experienced persecution for becoming romantically involved with another man. Although he tried to keep the relationship a secret, a group of young men violently attacked Daniel for being gay.