
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.
AI Snips
Chapters
Books
Transcript
Episode notes
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.
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.
Healing Paired With Public Punishment
- Kevin Siena recounts syphilis patients being segregated and publicly flogged at St. Thomas's.
- Hospitals both healed bodies and punished perceived moral failings in the same institutions.





