[originaltext]W: Hi, Paul. Thanks very much for joining us today. You’ve spent

W: Hi, Paul. Thanks very much for joining us today. You’ve spent the past twenty years as a physician working in some of the poorest places on earth, and, over that time, you’ve written a lot about inequality and health care. How has that connection affected your work?
M: I think in a way starting in difficult places like a squatter settlement in central Haiti has been very helpful to our work because there’s an extremity there in terms of the health status of people and what’s available to them that you just have to confront early on. There isn’t health infrastructure. There aren’t people there to deliver health services whether prevention or care. And, yet, that’s precisely where the sickest people are. I think looking back to 20-something years ago, it was because we started in that setting that we had to develop models that would work in places with very scant health infrastructure and knowing that we would build it over time. But that there was a lot that you could do—immediately. Train local people to be community health workers. Erect modest facilities and try to provide high quality care. That’s how it started for us in Haiti. And really, that’s the model we’ve taken to the other nine countries in which we work.
W: It sounds as though you needed to deal with issues that many people might not consider medical like housing and water and things like that.
M: That is true. There’re two ways to look at this I think as a physician or a provider of services. If I’m in a Harvard training hospital and I’m a surgeon, then no one’s going to expect me to diagnose and treat the disease, but also build the operating room and find electricity and supplies. But, that’s very much what we have to do. So, there is that side of the model. And that leads, as you’ve said, to listening hard to what patients say about their other problems. If you have someone who has typhoid, they got that because they don’t have clean drinking water. So, you could keep spending your whole life treating typhoid, which can be a fatal disease as you probably know. Or you can treat typhoid and try to put in clean water.
Question No. 11 What’s the man’s job most probably?
Question No. 12 For how many years has the man working in Haiti?
Question No. 13 Why does the man think starting work in Haiti has been very helpful to his work?
Question No. 14 They did several things to build a model in Haiti. Which of the following is NOT one of these things?
Question No. 15 Apart from diagnosing and treating the disease, what should a doctor do when he works in Haiti?