Ideas

Why hospitals stopped being hospitable

Nov 26, 2025
Guests Rachel Kowalski, a pediatric emergency physician and fiction writer, and Joshna Maharaj, a food activist, explore the disconnection between hospitality and modern hospitals. They discuss how lack of comfort impacts patient dignity, while Carol Rawcliffe and Kevin Siena reveal medieval hospitals’ roots in care and community. Maureen Lux highlights the troubling history of segregated healthcare for Indigenous peoples. The conversation culminates in envisioning culturally safe spaces and healing food practices for all patients.
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INSIGHT

Hospitality Is The Root Of Hospitals

  • The words hospital and hospitality share a root meaning refuge and caring for strangers.
  • Medieval hospitals prioritized shelter, soul care, and nourishment as integral to healing.
ANECDOTE

Medieval Hospitals Cooked Their Own Medicine

  • Carole Rawcliffe describes 14th-century Norwich hospitals serving warm meals, bread, ale, eggs and garden herbs.
  • Food was considered medicine and grown or raised on hospital grounds.
INSIGHT

Plague Hardened Hospitality Into Control

  • Epidemics shifted hospitality into suspicion and control, narrowing who deserved care.
  • Institutions moved from open refuge to selective, often punitive, support tied to social order.
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