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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.
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
Historical
Haitian
Record
Comments
Records
Somewhat
Lasts
Proven
Last
Impressed
Often
Carefully
Conspiratorial
Years
Comment
Probed
Correct
Villagers
More quotes by Paul Farmer
The thing about rights is that in the end you can't prove what should be considered a right.
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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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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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The idea that some lives matter less is the root of all that is wrong with the world.
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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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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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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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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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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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That's when I feel most alive, when I'm helping people.
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