The City Wanted the Hippies to Go Away — A Doctor and Janis Joplin Kept Them Alive Instead D
In early 1967, a young doctor in San Francisco went to the city’s public health department with an idea. Thousands of young people were about to flood into the Haight-Ashbury neighborhood, and many of them were going to need medical care for bad drug reactions, for malnutrition, for the specific dangers of being young and far from home in a city that didn’t want them there.
He proposed opening what he called, plainly, a hippie clinic. The city’s response has survived word for word in his own retelling for decades afterward. “We don’t want to take care of them. We want them to go away.” Pause. So, he opened the clinic himself, and Janis Joplin helped keep it alive. Who takes care of the people that everyone else has decided aren’t worth taking care of? This is that story, and it’s still going on in one form or another more than half a century later.
His name was Dr. David E. Smith. He had just finished his internship at San Francisco General Hospital, living in the Haight himself, watching the neighborhood begin its transformation from ordinary residential streets into the epicenter of an entire cultural movement. By his own account, he had a moment of clarity.
He later described it happening during his own experience with LSD about what healthcare should actually mean. Not something you had to earn, or qualify for, or navigate through paperwork to access. Something available to anyone who needed it, no questions asked. He took that idea to the city’s public health department. They said no.
So, in June 1967, right as what the world would soon call the Summer of Love was exploding around him, David Smith opened the doors of the Haight-Ashbury Free Clinic anyway at an abandoned dental office at 558 Clayton Street funded by nothing more than the proceeds from a single lecture and a matching donation from a local church.
He built the entire foundation of the place around one sentence, one he’d keep repeating for the rest of his career. Healthcare is a right, not a privilege. It opened its doors on June 7th, 1967. On its very first day, it saw over 250 patients. Think about the scale of what was actually happening in San Francisco that summer.
Tens of thousands of young people, many of them teenagers, arriving with no local support system, no money, and often no understanding of what they were about to encounter. Bad LSD trips, malnutrition, sexually transmitted infections, the ordinary and extraordinary medical needs of thousands of displaced young people all landing in one small neighborhood at once.
Mainstream hospitals, by widespread account, were not sympathetic. If a hippie showed up sick or overdosed, plenty of doctors at the time believed, quite openly, that they had brought it on themselves. Some hospitals turned them away outright. Others treated them with open contempt. The free clinic offered something different.
A place where nobody was shamed, restrained, or judged before they were treated. Here’s where the story connects directly to Janis Joplin. The clinic was chronically short on money. Donations from a lecture and a church only go so far. And the person who stepped in to solve that problem was Bill Graham, the powerful San Francisco concert promoter who was, at that exact moment, also building Janis Joplin’s career at the Fillmore.
Graham began organizing benefit concerts specifically to keep the clinic financially alive. And among the artists who performed for those benefits, according to multiple accounts of the clinic’s history, Big Brother and the Holding Company with Janis Joplin as their lead singer. Not a paid gig, a benefit.
Music given specifically to keep a free medical clinic’s doors open for people who had nowhere else to go. If you’ve ever given your time or your skills to something specifically because nobody else would help, I’d genuinely love to hear that story in the comments. That’s exactly the spirit this clinic was built on. Dr.
Smith himself has talked in interviews decades later about remembering those days directly. The music that fueled the entire movement and the specific role Bill Graham’s benefit concerts played in keeping the clinic’s doors open when money ran short. He named Janis Joplin specifically alongside the Grateful Dead and Jefferson Airplane as part of that support system.
The clinic’s own archival photographs displayed on its walls for decades afterward tell the same story visually. Pictures of Jerry Garcia, George Harrison, and Janis Joplin documenting the musicians who had shown up at one point or another to visit the clinic or play a show that kept it running. This is a completely different picture of the counterculture than the one usually sold in retrospect.
Not just flowers and music and rebellion for its own sake. An actual functioning safety net built by a doctor the city didn’t want, funded partly by musicians giving away free performances, treating thousands of young people that the official medical establishment had decided weren’t worth the trouble. Janis Joplin, whatever else her legacy contains, was part of building that safety net.
The Haight-Ashbury Free Clinic didn’t stay small. It became the model for the entire free clinic movement across America. Over 600 similar clinics eventually opened nationwide, directly inspired by what Dr. Smith had built out of a single lecture fee and a church donation in 1967. It kept operating continuously for 52 years.
It finally closed its doors in July 2019, having merged years earlier with a larger addiction treatment organization. The specific intimate character of the original storefront clinic eventually absorbed into something bigger, but for over half a century, it did exactly what David Smith set out to do.
Treat people nobody else wanted to treat, funded in part by musicians who believed the mission was worth their time. The world remembers Janis Joplin for the feathers, the voice, the tragedy. It rarely remembers this. That she was also part of one of the most quietly important pieces of infrastructure the counterculture ever built.
A place that said healthcare is a right, not a privilege, and meant it enough to keep the doors open for 52 years. If this story gave you a new way to think about the real substance underneath the hippie image, that’s exactly what this channel exists to find. And subscribing means you won’t miss the next one.
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