In parallel fashion, it’s possible to research the slippage between institutionalized objectives and rules of the U.S. health system and precise coping practices as it faces a rising tide of immigration. In the course of our study, we found hospitals and clinics that adhered firmly to the principle of health as a commodity and practiced what they preached by resolutely avoiding nonpaying patients in general and uninsured immigrants specifically. At the opposite end, free clinics and a few religiously imbued hospitals vigorously endorsed the assumption of health as a universal proper and sought, so far as their means permitted, to put that perception into apply.