For decades, Doctors Without Borders has been admired for bringing desperately needed medical care to crises around the globe and pioneering modern-day humanitarian aid. It’s an organization with radical roots, promising to do whatever it takes to deliver life-saving care to people in need. But now, it’s struggling to address institutional racism.

The organization, also known by its French acronym MSF, has about 63,000 people working in 88 countries. But a majority of that work is done by “national staff” within a tiered system that separates them from advantages reserved for expat doctors. In summer 2020, over 1,000 current and former staffers wrote a letter calling out institutional racism at MSF.

On the eve of MSF’s 50th anniversary, reporters Mara Kardas-Nelson, Ngozi Cole and Sean Campbell talked to about 100 current and former MSF workers to investigate how deep these issues run. We meet Dr. Indira Govender, a South African doctor who in 2011 accepted what she thought was her dream job with MSF in South Africa, only to get a front-row seat to the organization’s institutional racism. Even though she’s officially the second-in-command of her project, she says it feels like a select group of European expats and White South Africans are running the show.  

Then, Kardas-Nelson and Cole take us inside the inequities MSF staffers experienced during the 2014 Ebola outbreak in Sierra Leone. While expat doctors had their meals together and socialized, local health workers were left out. But inequities ran deeper. If expat doctors got sick, they would be evacuated out of the country, while local workers didn’t get that care – they were treated at the same center where they worked. 

Finally, we talk about what can change in humanitarian aid. Govender is part of a group of current and former MSF workers called Decolonize MSF. While she and others are pushing the organization to commit to changes that address racial inequities, some are skeptical about what will actually change. 

We chat with chef David Chang about golf, the brutal first months of Momofuku and why he loves really good cheap food. Plus, we dive into the bizarre history of drinking around the world; Grant Barrett and Martha Barnette of “A Way With Words” give us a lesson on food names that double as cooking instructions; and we share a recipe for the best stewed beans you’ll ever make. (Originally aired September 18, 2020. Available for rerun from September 23-30, 2021.)