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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

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Paul Farmer
Age: 65
Born: 1959
Born: October 26
Anthropologist
Human Rights Activist
Medical Anthropologist
Physician
North Adams
Massachusetts
Greater
Haiti
Fact
Attempting
Facts
Faced
Different
Treat
Time
Treats
Clinicians
Obvious
Complications
Disease
Complication
Challenges
Hiv

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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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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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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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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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I would say that, intellectually, Catholicism had no more impact on me than did social theory.
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It is very expensive to give bad medical care to poor people in a rich country.
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Everybody should be interested in access to primary and secondary education for everybody.
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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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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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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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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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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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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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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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Again, conventional Catholicism does not much appeal to me.
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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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God gives us humans everything we need to flourish, but he's not the one who's supposed to divvy up the loot. You want to see where Christ crucified abides today? Go to where the poor are suffering and fighting back, and that's where He is.
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