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.
Interpretation
A functioning public health system is essential for overall public health.
This quote emphasizes the importance of a robust public health system as a fundamental requirement for ensuring public health. Paul Farmer advocates for collaboration and capacity building rather than competing for finite resources, highlighting that true health improvements come from well-structured systems that can serve the community effectively.
In practice
At a public health conference, this quote could illustrate the need for systemic improvements in health care.
If any country was a mine-shaft canary for the reintroduction of cholera, it was Haiti - and we knew it. And in retrospect, more should have been done to prepare for cholera... which can spread like wildfire in Haiti... This was a big rebuke to all of us working in public health and health care in Haiti.
I recommend the same therapies for all humans with HIV. There is no reason to believe that physiologic responses to therapy will vary across lines of class, culture, race or nationality.
With rare exceptions, all of your most important achievements on this planet will come from working with others- or, in a word, partnership.
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.
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.
There is nothing wrong with underlining personal agency, but there is something unfair about using personal responsibility as a basis for assigning blame while simultaneously denying those who are being blamed the opportunity to exert agency in their lives
When I gave birth to my fourth child, I suffered from post partum hemorrhaging. I almost lost my life. I was lucky to be under the care of trained health care personnel. I started wondering then what was happening to women in rural villages.
Everything you do in a patient's room, after he is 'put up' for the night, increases tenfold the risk of his having a bad night. But, if you rouse him up after he has fallen asleep, you do not risk - you secure him a bad night.
Music can lift us out of depression or move us to tears - it is a remedy, a tonic, orange juice for the ear. But for many of my neurological patients, music is even more - it can provide access, even when no medication can, to movement, to speech, to life. For them, music is not a luxury, but a necessity.
Cancer is still a word that strikes fear into people's hearts, producing a deep sense of powerlessness. But today it is possible to find out through a blood test whether you are highly susceptible to breast and ovarian cancer, and then take action.
When my body feels good, I feel more energized and alive, and that's sexy. I'm taking care of this body God gave me.
Health is the soul that animates all the enjoyments of life, which fade and are tasteless without it.
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