Mobilizing Resistance to Privatization: Communication Strategies of Salvadoran Health-Care Activists

In September 2002, unions representing public health-care employees in El Salvador – doctors, nurses, blue-collar workers, and clerical staff – began a strike that would last for over 9 months, in protest of government plans to privatize medical services in the Salvadoran Social Security Institute. This paper focuses on the methods that the unions and their allies used to communicate their policy arguments and the motivations for the strike to the Salvadoran public. Specifically, I examine the endogenous factors that shaped their communication strategy and the movement traits that enabled them to carry this out successfully. Coverage of the lengthy conflict by the country's two leading newspapers is examined in order to sketch a synopsis of counter-movement framing that the activists confronted. Interviews with movement leaders reveal that they relied primarily on direct, nonmediated communication channels to counteract the media's framing, and that the organizational diversity of the movement was an enormous advantage for these methods.