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In fact, it seems to me that making strategic alliances across national borders in order to treat HIV among the world's poor is one of the last great hopes of solidarity across a widening divide.

Paul Farmer

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Paul Farmer
Age: 65
Born: 1959
Born: October 26
Anthropologist
Human Rights Activist
Medical Anthropologist
Physician
North Adams
Massachusetts
Fact
Treat
Hiv
Making
Treats
Alliances
Facts
Across
Divide
Order
National
Strategic
Seems
Among
Solidarity
Great
Poor
Divides
World
Lasts
Hopes
Last
Borders
Widening

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We have to design a health delivery system by actually talking to people and asking, 'What would make this service better for you?' As soon as you start asking, you get a flood of answers.
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I've been impressed, over the last 15 years, with how often the somewhat conspiratorial comments of Haitian villagers have been proven to be correct when the historical record is probed carefully.
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At the same time, it is obvious that clinicians in Haiti are faced with different, and, in fact, greater, challenges when attempting to treat complications of HIV disease.
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If I am hungry, that is a material problem if someone else is hungry, that is a spiritual problem.
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Everybody should be interested in access to primary and secondary education for everybody.
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I've been asked a lot for my view on American health care. Well, 'it would be a good idea,' to quote Gandhi.
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You can't have public health without a public health system. We just don't want to be part of a mindless competition for resources. We want to build back capacity in the system.
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Anywhere you have extreme poverty and no national health insurance, no promise of health care regardless of social standing, that's where you see the sharp limitations of market-based health care.
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The idea that because you're born in Haiti you could die having a child. The idea that because you're born in you know Malawi your children may go to bed hungry. We want to take some of the chance out of that.
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lean water and health care and school and food and tin roofs and cement floor, all of these things should constitute a set of basics that people must have as birthrights.
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Equity is the only acceptable goal
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You can't have public health without working with the public sector. You can't have public education without working with the public sector in education.
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The world is full of miserable places. One way of living comfortably is not to think about them or, when you do, to send money
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I would say that, intellectually, Catholicism had no more impact on me than did social theory.
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I think, sometimes, that I'm going nuts, and that perhaps there is something good about blocking clean water for those who have none, making sure that illiterate children remain so, and preventing the resuscitation of the public health sector in the country most in need of it. Lunacy is what it is.
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The poorest parts of the world are by and large the places in which one can best view the worst of medicine and not because doctors in these countries have different ideas about what constitutes modern medicine. It's the system and its limitations that are to blame.
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Ebola has not yet come into contact with modern medicine in West Africa. But when protocols for the provision of high quality supportive care are followed, the case fatality rate for Ebola may be lower than 20 percent.
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Civil and political rights are critical, but not often the real problem for the destitute sick. My patients in Haiti can now vote but they can't get medical care or clean water.
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The essence of global health equity is the idea that something so precious as health might be viewed as a right.
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The thing about rights is that in the end you can't prove what should be considered a right.
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