Daniel, a 45-year-old asylum seeker from Ghana, arrived at a medical clinic in Tijuana, Mexico with severe abdominal pain. The clinic provides free primary care to migrants seeking asylum in the US. Daniel told Doctor V., a volunteer from Los Angeles, about the persecution he experienced because of his romantic relationship with another man. Despite trying to hide this relationship, a group of young men violently attacked him because of his sexual orientation. The case illustrates the need for structural inter-competence, i.e. the ability of healthcare workers to recognize and address social and structural factors affecting the health status of patients, especially vulnerable groups such as migrants and asylum seekers. This approach enables a better understanding of the patient's complex needs and coordinated care in an international context. The article does not present statistics or study results, but emphasizes the importance of interdisciplinary cooperation in migrant health care.