ENGELINA, now barely a month old, is a miracle. Her birth, from the womb of Abigail Siging, 18, illustrates not only how the poor find themselves in a tight spot, but also the discriminatory health services that fail to side with the poor.

On Thursday afternoon 15 August 2002, Abigail Siging and her mother, Adriana Busilo, were attending a service at the Gospel Evangelical Church in Likupang Dua village, Minahasa regency. Abigail, in the a