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.

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.

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.

Paul Farmer Quotes