Karma Clinic – A New Model of Economics and Health
Posted in Interviews on May 12th, 2011 by Vlad – 1 Comment
A conversation with Karma Clinic founder Dr. Aumatma Binal Shah conducted by Vlad Moskovski
Dr. Aumatma is one of a several Karma Clinic practitioners offering her knowledge as a Naturopath based on the gift economy model. At its core, gift economy is a shift from consumption to contribution, transaction to trust, scarcity to abundance and isolation to community.
Karma Clinic is a grassroots non-profit, under the umbrella organization CharityFocus, that believes in the goodness and generosity of all beings – practitioners are fully sustained by the gifts of gratitude from the community which they serve.
Vlad Moskovski: How is the gift economy model different than a free clinic?
When something is free it’s often not valued. Although in a gift economy there is no requirement that someone pay something, still the changing of the word takes it out of the free context. It does not have a cost attached to it because someone else has already paid for it. Because somebody else was generous and they are offering it to you and you can pay it forward to keep that chain going.
V: What services do you offer?
Naturopathy, is an umbrella term – we use things that are natural for therapy. Our training allows us to be at forefront at integrative medicine – so we learn conventional medicine and the alternative medicine. My foundations are homeopathy, herbal medicine, and nutrition. I also do some functional medicine, using nutrients in high doses to cure imbalances. I do a fair amount of testing to see what’s needed.
V: How do you get people to follow through?
I still haven’t figured that one out. In the beginning people would check it out, but not come back. Now, when people call to come in I’ll say – look its really imperative that you follow up. Regardless of your financial situation, you just need to come back. What’s most important is for people to have their healing process. More and more people are following through, it’s very rare for a person not to come back – unless they have gotten better. And then I hear it from their friends whom they refer to me.
V: Has Karma Clinic grown?
I see new patients all the time, yes its constantly growing. Mostly people get better and they move on which makes space for new people to come in. And it has grown in the sense that its spreading. There is one in Portland, and one in Ashland Oregon. Another one possibly starting in Sebastopol.
V: What inspired you to start Karma Clinic?
I had a vision when I was 18 in meditation that I was going to be running a free clinic. I assumed it meant being a doctor because I had a white coat on. At the time I did not want anything to do with medicine or free. I ended up studying pre-med in college and in my last semester found out about naturopathic medicine, and it hit me that’s what I was supposed to do and the vision suddenly made sense. All the pieces fell into place and I went to naturopathy school after graduating.
As part of the training in naturopathic school, I worked in lots of free clinics, and got frustrated because people were not getting better, they were not making any of the lifestyle changes we were asking them to do, and we only had 15-20 minutes to spend with each individual.
Next, I went to work with my mentor charging enormous amounts of money. I would have these beautiful interaction but would walk out of the office and have to tell people they now owe me 500 dollars and my heart would drop every time. I realized that was not something I wanted to do either.
Then one day I got an email from a friend about a conversation about gift economy healthcare. And I thought this is perfect – the meeting point between free and totally not free. So I moved to California, and began Karma Clinic in November 2008.
V: Does the philosophy of gift economy have anything to do with the healing that happens?
On a deep level our economic system has wounded a lot of people, it is so deep that most people are not even aware. People say, “I’ve been to so many doctors, I’ve paid so much money and I’m not gotten better.” There is great mistrust towards doctors. There is a wounding by our system in general, a feeling of being screwed over – not necessarily related to doctors. On the third level, the transaction model creates a different type relationship than the gift economy relationship.
When the practitioner does not expect anything from the client, it removes the whole aspect of transaction economy. They are not coming in with this mentality of “now I owe you something” – instead they are saying, ” thank you for this amazing gift.” Such interactions heal relationships between doctors and patients. The immediate trust that comes out of that contributes to healing process. If the patient has trust, whatever I give them it will have more power.
V: That makes so much sense. And it ties into the idea of treating the root of the problem rather than the symptoms.
I’ve had a lot of people say, “this is so healing to the way I view the world.” Because our world is so much based on money the people that have been hurt are unconsciously walk around promoting that mentality. A lot of people have been transformed to the point of wanting to contribute and give back the generosity. They may not give up their jobs necessarily, but they are bringing that generosity into everything that they are doing.
V: You mentioned trust, is it a big part of Karma Clinic?
There is trust that if you are offering that is need, then it will be sustained. The flip side is if the people that are receiving it, really pay it forward then the cycle continues.
On a personal level, that has been the biggest growth arena for me – to trust in the universe. Trust that you will receive what you need and this person will give what they need to give. All without much analysis or judgment on what is happening. If you give your gifts they will be received.
V: Inherent in that philosophy is that everyone has something to offer?
Absolutely, everyone does have something to offer, we all have gifts and passions. It does not really matter what it is. If we all freely offer gifts as gifts we would all have plenty to go around.
V: It sounds like there is an element of not just giving, but also not expecting anything in return. If you are told that you need to give – the classic example of giving gifts on Christmas and all the obligation that come with it, is that still gift economy?
No, I don’t think so. I guess on some level, it promotes the economy with gifts.
I think inherent in the gift economy the trust that this gift is being given to you and it has a really high value. Do with it what you will, but let it move through you and don’t let it sit for too long. It does not have to go back to you, it could go to someone else. It could go to holding a door for someone else, or a smile. Move from that place of generosity, and the bubbling feeling of wanting to sharing it with others.
V: Where do you see karma clinic in 5 years?
I have no idea, it might stop tomorrow, it could continue. My intention has always been to run it as if it’s an experiment. This removes the hesitation to change it around if it’s not working.
V: And my last question, how have you grown through this work?
More trust in the universe and life’s generosity. A deepening of my understanding of what it means to serve and be in leadership in each moment. Karma Clinic has deepened my ability to listen to people, spirit, and nature when appropriate – when I am working with people.
To find out more about Karma Clinic visit their website: http://www.karmaclinic.org/












