Haiti is always talking about decentralization and nothing has been so obvious, perhaps a weakness, as the centralized nature of Haitian society as being revealed by the earthquake. I mean, they lost all these medical training programs because they didn't have them anywhere else.
There are other dimensions of biotechnology. If you think of biotechnology like the Internet, it's not a category - it's an infrastructure that can be deployed to sustain or disrupt. In health care, the most complex problems at the high end have to be dealt with in a problem-solving mode by the best, most experienced physicians you can find.
The alarming thing in China is the almost total absence of primary care. Even in cities, there are no independent doctors' offices or neighborhood clinics, so people have to go to the hospital for every health care need.
There’s something about hospital walls; though only made of bricks and plaster, when you’re inside them the noise, the reality of the teeming city beyond, disappears; it’s just outside the door, but it might as well be a magical land far, far away.
I feel very passionate that we need CAT scanners in every country in the world. There's not a CAT scanner in all of eastern Congo. People don't use the word "cancer" because they don't get diagnosed. They just die.
The medical system in the United States is among the best in the world, if not the best. What if we were to make the United States a medical destination? That would bring a lot of people here because there are a lot of sick people around the world. If they can get U.S. treatment, they will take it, but now think about what that will do.
The advantage that hospitals have over other institutions is that hospitals are community-based. You can't outsource your work; you can't move your emergency department to Pakistan.
I got a taste when I was in Kenya a while ago of what medical care was in rural Africa. I was in a town of about 10,000 people, and a shipping container with a rusty microscope was their medical clinic.
