The doctors and nurses who are delivering mediocre medical care are not doing it ’cause they want to. They’re doing it because they don’t have the tools of the trade, the system behind them that they would need to provide good medical care. You know, in all the years that I’ve spent working in Haiti and Africa — which is now 25 years, and Latin America — versus, say Harvard, I tell you, I don’t think that these young professionals in Africa are any less committed, even though I would have said that 15 or 20 years ago. They’re not less committed to medicine and to people’s health. They just don’t have the systems and tools that they need. One of the biggest epiphanies for me in working in these different places is, if you can set it up so that young African professionals, nurses and doctors and social workers and people in Haiti, et cetera — if they can actually do their work, they’re happy to do it. People talk about the brain drain. One of the best ways to respond to brain drain is actually give these young professionals the tools that they need to serve the poor, ’cause they’re surrounded by the poor. I think that’s a big part of what we need to do in global health, is to make sure that we don’t make the mistake, say as young Americans — I’m not young anymore, but — of saying, “Oh, it’s all about us going in and saving the day.” It was never about that. It’s always about building systems, and building teams, and building partnerships that will last.