We have to design a health delivery system by actually talking to people and asking, 'What would make this service better for you?' As soon as you start asking, you get a flood of answers.

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.

But if you're asking my opinion, I would argue that a social justice approach should be central to medicine and utilized to be central to public health. This could be very simple: the well should take care of the sick.

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.

Anywhere you have extreme poverty and no national health insurance, no promise of health care regardless of social standing, that's where you see the sharp limitations of market-based health care.

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