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Mitigare: San Miguel’s New Hospice Organization

By Lee Carter

Dra. Guadalupe Tejeda is the medical director and Martha Hamill is president and resident expert in treating psychosocial issues surrounding death at Mitigare Cuidados Paliativos, A. C., a legally established Mexican nonprofit organization providing hospice care in San Miguel.

Mitigare has been able to keep all of the good that came out of Hospice San Miguel. It has developed an operating plan that promises to be self-sustaining. Incredibly, every person on the Mitigare staff—doctors, nurses, and social workers—has taken post-degree courses and is certified in hospice care.

Mitigare represents the cream of the cream of hospice experts in San Miguel. Its service is of a world-class standard. Mitigare has carefully constructed its operating plan so that all persons can receive care, regardless of financial capabilities. All patients are evaluated upon intake by the Mitigare social worker to determine where they fit on a sliding scale determination of capability to pay. Be it 1,000 pesos or 20 pesos, everyone has the dignity of paying for the services received. Mitigare has obtained a grant from the Rotary Club of San Miguel-Midday and the Noon Rotary Club of Walla Walla, Washington, to obtain all of the medical equipment necessary to provide home hospice care.

Mitigare is in the process of raising additional startup funds for a few more capital purchases, and it is establishing a patient assistance fund to help support services to economically challenged patients. Help Mitigare establish itself, if you can, by helping to establish the assistance fund.

Mitigare, like the mythological phoenix, has been reborn from the ashes of Hospice San Miguel to be stronger and better. To the many people in San Miguel who were staunch supporters of Hospice San Miguel, know that your investment has paid great dividends.

Watch for the next article in this series, “Angels Among Us.” For more information, contact President Martha Hamill at 415 138 6145, or e-mail and/or


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