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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.
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
Ideas
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Good
Health
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American
Idea
Care
Gandhi
More quotes by Paul Farmer
The idea that some lives matter less is the root of all that is wrong with the world.
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Again, conventional Catholicism does not much appeal to me.
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I would say that, intellectually, Catholicism had no more impact on me than did social theory.
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The biggest public health challenge is rebuilding health systems. In other words, if you look at cholera or maternal mortality or tuberculosis in Haiti, they're major problems in Haiti, but the biggest problem is rebuilding systems.
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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 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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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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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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It is very expensive to give bad medical care to poor people in a rich country.
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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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I'm one of six kids, and the eight of us lived for over a decade in either a bus or a boat.
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Equity is the only acceptable goal
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What I can argue is that no one should have to die of a disease that is treatable.
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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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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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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.
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For me, an area of moral clarity is: you're in front of someone who's suffering and you have the tools at your disposal to alleviate that suffering or even eradicate it, and you act.
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I think that looking forward it's easy to imagine more constructive help for Haiti.
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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.
Paul Farmer
