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The idea that some lives matter less is the root of all that is wrong with the world.
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
Wrong
Less
Idea
Lives
Nature
Ideas
Vegan
Matter
Root
World
Roots
More quotes by Paul Farmer
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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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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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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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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Again, conventional Catholicism does not much appeal to me.
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It is clear that the pharmaceutical industry is not, by any stretch of the imagination, doing enough to ensure that the poor have access to adequate medical 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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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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Some people talk about Haiti as being the graveyard of development projects.
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I would say that, intellectually, Catholicism had no more impact on me than did social theory.
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Everybody should be interested in access to primary and secondary education for everybody.
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People call me a saint and I think, I have to work harder. Because a saint would be a great thing to be.
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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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That's when I feel most alive, when I'm helping people.
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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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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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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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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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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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The thing about rights is that in the end you can't prove what should be considered a right.
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