A Reply to Harriet A. Washington By James Kirchick

Washington says that her “point” is to show how a handful of “Western medical miscreants” practicing in Africa are responsible for the skepticism of “poor patients who desperately need and rarely receive quality medical care.” Yet, the lack of “quality medical care” in South Africa, for instance, is largely a feature of the government’s total ineptitude. To choose just the latest example, that country’s courageous deputy health minister was sacked this week for daring to criticize the appallingly high infant mortality rate at a government hospital.

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