Sunday, December 21, 2008

Health Is A Human Right

An editorial on NPR from one of my heroes, Paul Farmer...

I believe in health care as a human right. I've worked as a doctor in many places, and I've seen where to be poor means to be bereft of rights.

I saw early on, still just a medical student, the panicky dead-end faced by so many of the destitute sick: a young woman dying in childbirth; a child writhing in the spasms of a terrible disease for which a vaccine has existed — for more than a century; a friend whose guts were irreparably shredded by bacteria from impure water; an 8 year old caught in cross-fire. Li mouri bet — what a stupid death, goes one Haitian response.

Fighting such "stupid deaths" is never the work of one, or even of a small group. I've had the privilege of joining many others providing medical care to people who would otherwise not be able to get it. The number of those eager to serve is impressive, and so is the amount that can be accomplished. I believe that stupid deaths can be averted; we've done it again and again. But this hard and painful work has never yet been an urgent global priority.

The fight for health as a human right, a fight with real promise, has so far been plagued by failures. Failure because we are chronically short of resources. Failure because we are too often at the mercy of those with the power and money to decide the fates of hundreds of millions. Failure because ill health, as we have learned again and again, is more often than not a symptom of poverty and violence and inequality — and we do little to fight those when we provide just vaccines, or only treatment for one disease or another. Every premature death, and there are millions of these each year, should be considered a rebuke.

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