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Some people talk about Haiti as being the graveyard of development projects.

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
Graveyard
Haiti
Projects
Development
Talk
People

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Equity is the only acceptable goal
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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 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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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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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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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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That's when I feel most alive, when I'm helping people.
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I think that looking forward it's easy to imagine more constructive help for Haiti.
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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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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 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 idea that some lives matter less is the root of all that is wrong with the world.
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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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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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It is very expensive to give bad medical care to poor people in a rich country.
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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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Again, conventional Catholicism does not much appeal to me.
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