Half of the people on the planet cannot get the health care they need. Over more than a decade, our patients have been teaching us why. Our patients show us that the path to care remains precarious: for the child whose family has to make the decision between dinner on the table and a few dollars’ worth of malaria drugs, for a disabled elder who cannot walk to the clinic and can’t afford a car, for a mother who hopes to receive family planning services, but doesn’t have someone to watch her children while she makes the two-hour journey to the clinic by foot— they cannot make it to the walls of a clinic or a hospital. Our
patients taught us that we fail them when when we wait behind the walls of our health care facilities: we have to reach beyond the walls.