Nursing Research and Practice increasingly scarce resources. Thus, the eﬀect of perpetuating migrant farmworkers in a stateless category, as “the Citizen’s Other” [18, page 76] addresses its economic need in the con- temporary global structure. Nevertheless, the political desire to create boundaries between foreigners and full citizens, especially with respect to limited resources, such that health care is uneasily juxtaposed to the economic need for the productive migrant labor that non-citizens provide [19]. In addition to a legal obligation to ensure human rights within their borders, states have an economic interest in healthy workers who are physically and mentally able to work. Recognition (or its absence) is a key concept in contem- porary critical social theory. Recognition has its origin in the phenomenology of consciousness, in Hegelian philosophy, which constitutes social reality as a relationship between sub- jects, in which each sees the other as an equal, but also sepa- rate. In order to become an individual subject, one must rec- ognize, and be recognized by, another subject [20, page 10]. “All social integration depends on reliable forms of mutu- al recognition. . .which can be regarded as the engine of social change” [20, page 245]. Since 1993, a partnership between health professional students and faculty members from several academic insti- tutions in the state of Georgia and a farmworker health clinic in south Georgia has provided health care to migrant and seasonal farmworkers. This project, The Farmworker Family Health Program (FWFHP), brings students and faculty to the schools migrant children attend, as well as to the ﬁelds and barracks where farmworkers live and work to provide basic health care and screening services [21]. This partnership has made it possible to develop a deeper understanding of the experience of migrant farmworkers in this setting, which led to the current study. 2. Materials and Methods Studying transient populations presents numerous method- ological obstacles. Frequent relocation challenges researchers to gain access to this population. In addition, there is understandable fear among undocumented farmworkers that exposure may result in ﬁnes, incarceration, and depor- tation. Farmers may have incentive to keep farmworker bar- racks hidden and inaccessible, as their business could be pen- alized for employing undocumented workers. In 2010, the director of the farmworker health facility in the FWFHP and one of the co-authors attended a work- shop together to develop a proposal for community-based participatory research with farmworkers, sponsored by the United States National Institutes of Health (NIH). The farm- worker health facility director, a middle aged Caucasian woman whom we refer to with the pseudonym Jackie, pre- sented 5 critical health issues facing the migrant farmworker population (lack of prenatal care, alcoholism, domestic violence, poor dental care, and diabetes). The NIH faculty quickly identiﬁed Jackie to be a key informant, a source of enormous knowledge about the lives of farmworkers, because she has lived amongst and worked with farmworkers in the same site for more than twenty years. The same faculty encouraged the FWFHP partnership to tap into Jackie’s 3 knowledge about the experience of migrant farmworkers in her setting. Such knowledge might usefully inform policy makers and others about this little understood population. As a result of the workshop, the authors (six of whom are faculty in the FWFHP) conducted in-depth interviews with Jackie over three months in 2010, to elicit a deeper description of the lives of farmworkers related to the critical health issues she had identiﬁed. Additionally, all the authors have been participant observers (ranging from a few days to eighteen years) at the site, as nurses who provide health clinics, health education, and referral. Through years of advocacy and membership in the Mexican community, Jackie has earned the trust of the mig- rant farmworker community of southern Georgia. Jackie was married to a Mexican and has raised children in the Mexican community. She has personal and professional relationships with farmworkers and is clearly devoted to their well-being. Jackie was on the advisory council for the migrant health clinic for 8 years before she was oﬀered the clinic director position. She is well-known and trusted within the migrant community in which she lives by both farmworkers, and farmers alike, and is an invaluable resource for migrant health. The data analyzed here consist of 5 in-depth, in-person interviews conducted with Jackie over several weeks in the summer of 2010. Interviews were conducted either at Jackie’s house or in her car, while driving around the area, visit- ing farm ﬁelds and packing areas, as well as farmworker housing. The project was submitted to the Institutional Review Board (IRB) of the main university partner; they ruled that the project didn’t require IRB review. The resulting interviews were transcribed by a professional transcription service. Analysis of the transcripts of these interviews was done utilizing open coding and making memos, techniques possible with MAXQDA software. Memos were used to generate ideas and engage with the narratives. From these memos, codes were created, and ultimately several of the cod- es that were interrelated and most engaged with the themes developed in memos were selected for analysis. 3. Findings and Discussion 3.1. Invisibility and Isolation. While farmworkers provide the manual labor required to produce the fruits and vegetables Americans see every day in the supermarket, they are largely both ﬁguratively and literally invisible. Driving along a rural route in Southern Georgia, a passerby cannot see the hundreds of men and women, stooped among the pepper plants, from the road. In the following passage from an interview conducted while driving through the ﬁelds, Jackie explains “. . .there is one church that we [Farmworker Fam- ily Migrant Health Project volunteers] go to for lunch and when we ﬁrst started going there, the minister at that church. . . told the group of nurses that the ﬁrst time we went to lunch there that he didn’t know there were migrant farm workers here, and see, they are oblivious to them. They ride right