Dr. Farmer's Remedy For World Health

Byron Pitts Meets A Man Who Dedicates His Life To Bringing Healthcare To The Poor

(CBS)  "I look at you, 31 years old, medical degree from Harvard, could make a gazillion dollars back in the States, and you're in Haiti. What do you get out of it?" Pitts asks Walton.

"There's nothing I'd rather be doing with my life," the young doctor says. "Absolutely nothing.

And it's a hard life: seven-day work weeks, including house calls. And a house call in Haiti can mean a hike up the side of a mountain.

"You walk for 30 minutes, walk for an hour, walk for four hours. The patients do it every day, why shouldn't I do it?" Walton explains.

On the day 60 Minutes was there, Walton was visiting 10-year-old Cledene, who is suffering from a damaged heart valve. Her family and neighbors showed up with their list of ailments. There are no short lines in Haiti. Some of Cledene's siblings were also sick from sleeping on a muddy floor. Including the parents, 12 people sleep in one room.

"In the scheme of poverty in rural Haiti, this is pretty bad around the lower end of the spectrum, 10 kids living in a place like this, no material possessions and a very, very sick child," Walton remarks.

Even for the well-trained this is difficult. "I can't imagine, sorry, turning my back on something like this," Walton says. "Maybe some people can, but I can't and I won't. This is my life's work."

There was no happy ending for this story. Cledene died not long after Dr. Walton's house call.

"There are always whispers about programs like this that they can't outlive the people that founded the place. That when the Paul Farmers move on, Partners In Health will be done," Pitts says.

"Paul, part of his genius is that he has set up a system that doesn't depend on his presence or absence. Haiti is run by Haitians physicians. In Rwanda the Rwandan hospitals should be run by Rwandan physicians," Walton says. "And so when the Paul Farmers of the world aren't around anymore, this place will still be here providing great care."

Asked if he knows that or just hopes that, Walton says, "I know it."

But there's no question that Farmer has been a driving force. Take AIDS, for example: in the late 1990s the disease was ravaging the people of Haiti. Conventional medical wisdom was there is no point in giving AIDS drugs to the poor in Third World countries. But Farmer wouldn't give up on his patients. He raised money and gave them drugs anyway.

Patients, like a man named Joseph, went from being very ill to feeling better. The same kind of transformation happened in patient after patient.

"When Paul started treating people in 1998 in Haiti, everyone said he was absolutely nuts. 'Impossible. Can't be done. Forget about it,'" says Dr. Jim Kim, a professor at Harvard Medical School and one of the co-founders of Partners In Health.

"And here we are, you know, not even a decade later, where the goal is to treat every single human on the planet who needs HIV treatment with the right drugs," Dr. Kim says.

[abena1]

wjwarrenca: In many third-world countries, people don''t realize the importance of seat belts and cars often do not have them because previous owners have taken them out or they just don''t work.

ladyharley05 and feya1: Dr. Farmer actually does some work in some of Boston''s poorest neighborhoods. Read "Mountains Beyond Mountains." Please do your research before you malign the man for providing invaluable service to some of those that the world has chosen to forget (both here in the US and abroad).

rockman107: I agree somewhat with your comment about birth control, but it is such a controversial issue in most of the countries that value children as social capital and "insurance" for old age. As I''m sure you probably know, children are a form of wealth in many cultures. I would imagine that PIH offers some birth control to those who want it, but pushing the issue would be detrimental in the long run: the organization would risk losing the trust of the people they work for. And having many kids is not necessarily the reason people die in childbirth: It''s most often the lack of adequate medical care.

Dr. Farmer spoke at my college graduation and he is the most humble, unassuming man. He''s one of my personal heroes and I can only hope to achieve half of the things he has accomplished in my own future career.

[louise1945]

I WAS SO TROUBLED BY THE POOR WOMAN WHO NEARLY DIED HAVING HER 11TH CHILD. IT SEEMS THAT THE NUMBER ONE ISSUE FOR WOMEN''S HEALTH ( AS WELL AS THE HEALTH AND HAPPINESS OF HER FAMILY) IS GOOD ACCESS TO BIRTH CONTROL.

[hahnse]

While I am impressed with Dr. Farmers altruism I find it amazing that with all of those sick and starving people the words "birth control" never came up. Without birth control how can he ever hope to get ahead, obviously he can''t. As he is one of eight children himself is it possible his religion is clouding his judgement, he is a phony saint.

[werners4]

Byron Pitts: your great coverage brought tears to my eyes....redemptive journalism....60 minutes at its very best!....a lone flickering light in the interminable darkness that is 2008 TV.

[cronopi0]

"Family planning is an integral part of the model of comprehensive women%u2019s health care that was developed at Zanmi Lasante in Haiti and emphasized as one of the ''four pillars'' of PIH''s HIV Equity Initiative. Each of ZL%u2019s clinical sites has a full-time nurse trained in *** education and reproductive health counseling. ZL has been offering free condoms and other contraceptive methods for over 15 years. In 2003, Zanmi Lasante began training and mobilizing community health workers who specifically promote family planning and women%u2019s health. These ajans fanm (women''s health agents) travel throughout the countryside, teaching women and men about sexually transmitted infections (including HIV) and contraceptive methods, distributing condoms and oral contraceptives, and referring pregnant women and others to the clinics. This successful model is being replicated at PIH sites in Rwanda and Lesotho."

--- from http://www.pih.org/issues/maternal.html

It''s important to understand -- as PIH clearly does -- that availability of family planning is not the only barrier to its use; others include severe inequality of rights between men and women and the interplay of crushing economic conditions with the *** trade. By pursuing a broad-based approach including education, empowerment of women, and economic justice, PIH will accomplish far more than "abstinence" models or even simple contraceptive distribution could ever hope to do.

[larsz-2009]

there is still hope for this world with people like dr farmer.

[ringading3]

Howard Dean, who could not win on his run, has now decided that your votes don''''t count! He and his hand picked "SUPERDELEGATES" will decide what is best for you. Now shut up and be good little DumboCraps! Florida and Michigan have been "Bad", so now they get to sit in the corner! YeeeeHaaaaa

[hoffju02]

there is actually a book written about him called Mountains Beyond Mountains by the Pulitzer Prize-winning author Tracy Kidder. It goes into Pual Farmers life story with great detail.

[eznzo]

I take issue with each person who criticizes another for doing good work out the US. I don''t understand why being born inside these borders is thought to entitle anyone to better resources than anyone else anywhere in the world. There are people in this coutry who are sick and struggling. But conditions are so much worse in other places. Compassion should be global.

That this man''s work would elicit so many criticisms is appalling. First, a twelve minute story on TV can''t possibly explore the scope of the work of PIH. Secondly, Dr. Farmer has done more good for the world than most of us can imagine. From Mountains Beyond Mountains, I learned of some of his beliefs, and have adopted them. Poverty is violence, an abuse of human rights, and needs to be addressed as such. People who want to help a community need to respond to what that community wants, not what the helpers think they should have. People born in the US who have relative privilege have an obligation to use that privilege to help others. Just because something is hopeless is no reason not to try. This last one accounts for why the PIH model of community healthcare is now an international model for aid. At first they were laughed at. Now they''re emulated.

Finally, I personally know of several people who have been inspired by Dr. Farmer and are now doing or planning international humanitarian work. They may have done so anyway, or maybe not.

[nonayabiness]

Nice story. How selfless this man and his staff are.

[fanfan1mass]

Dr. Farmer is a prime example of a great man. He could have stayed in the states practicing Medicine and living in a mansion. Instead, he chose to help those that the rest of world forgets about. Let us follow Dr. Farmer''s footsteps, by making a small donation that could save a life of a new born.

[fuzzybear9]

Hello Viewers

wouldn`t it be wonderful if the Elietist Barrack Obama
could learn from a fellow Hawvard graduate, the meaning of helping the poor Black People of the World,
I am suggesting that before Obama try`s running for President of the United States,
That he spend sometime in Haiti with his World Experience and help pass out drugs to the Underpriviledged.

sincerely Fuzzy Bear

Paul Farmer is showing us the way to better universal health with one serious omission %u2014 Birth control! Not one question about women''s health when multiple births are reducing a woman''s chance of survival and nurturing a healthy family.

[js11411]

The negative comments on this story for the most part have no basis. Birth control and family planning ARE part of PIH program. As another viewer indicated, the factors are much more complex than "tying tubes." As far as helping people here in the US, there IS a program that does just that. IT''s called PACT and it is in Boston. The point, however, is that HEALTH CARE IS A HUMAN RIGHT. And "health" is sooooo much more than medicine, surgery and birth control. Basic human rights: food, shelter, healthcare, education, jobs...all of these are inextricably linked. You cannot "fix" one without considering all...this is the genius of PIH. Treating people as PEOPLE...isn''t it interesting that this is considered a revolutionary idea? PIH shows that this can be done, in places with few to no resources...so with all of our "stuff" we could certainly do it here. What we lack is the will to change the system. It will take all of us working to get this done, just as in Haiti, Rwanda, Peru, Russia, Malawi, Boston, and everywhere else PIH works. PIH is not "doing everything" for the Haitian people. They help them to change their own systems and put Haitians are in charge so that the programs are self-sufficient. Again, bottom line...treat people as PEOPLE. Tout moun se moun.

[wmmccall-2009]

Uplifting story of this great humanitarian. I''d like to see more of this type of program and fewer or none of the propaganda piece aired last week about the Israeli air force.

[jerr11]

Saw this story!

What a man!

A true American hero!

[celestialbdy]

Truly Dr. Farmer is storing his treasure in heaven as Jesus Christ commands...Well done, good and faithful servant. All the best to Dr. Farmer and those who support his organization...Thank you CBS!!!!!!!

[crugebre]

some of the comments reflect a lack of understanding of the difficulties faced in developing countries. Easy to say "get tubes tied" but who will take care of them when they are old if they don''t have living children? No social security or welfare in Haiti and many children die early. And Dr. Farmer is helping Americans as well, in Boston. And the person who made some disparaging remark about how patients look at Paul Farmer shows such a lack of understanding anything, it''s not even possible to educate someone like that! Paul Farmer and all the people who work for him have an amazing sense of social justice, that''s where they are coming from. PIH is an organization made up of idealistic "can do" people who are truly dedicated to making the world a better place, and we are all better off because of people like them.

[sliberman1]

I Loved your story about Dr. Farmer; his comment about "everyone should have health care" brought me to tears. I am a 64-year-old hard-working citizen, and have been priced out of health insurance. Maybe I should move to Haiti.

[feya1]

I find it quite unnerving whenever I come across any article praising someone for giving away (free) medical care to any outside the USA when so much help is needed here...especially when that same physician was educated here.
Just now offering "help" in the way of knowledge rather than personal assistance to Americans is insulting. What about the millions here that are in need of medical care? Why aren''t physicians willing to do for those who helped them acquire that knowledge that they so freely give away to third world countries now? Was it any of them who gave this man his scholarships? No!
Where''s his compassion for those less fortunate - where he spent his youth? Praise should be given to those who deserve it and charity begins at home...or should!