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(Soundbite of This I Believe theme)

Unidentified Man #1: I believe in adaptation.

Unidentified Woman: I believe in a silver lining.

Unidentified Man #2: I believe that being flexible keeps me going.

Unidentified Man #3: I believe every single person deserves to be acknowledged.

Unidentified Man #4: This I Believe.

ALISON STEWART, host:

Our This I Believe essay today comes from medical anthropologist and physician Paul Farmer. He's the founding director of Partners in Health, an International Charity that directly tackles the health issues of the poor in three ways, caring for the sick, rebuilding public health infrastructure like hospitals and clinics, and training local people to do the work. Dr. Farmer was the subject of the Pulitzer Prize Winning book, "Mountains Beyond Mountains." Here is our series curator, independent producer Jay Alison.

JAY ALLISON: Paul Farmer lives his belief. In fact, he lives it so relentlessly, it took us three years to catch up with him to record his essay. Last week, he arrived here from Rwanda, where he's living these days. We recorded him in a classroom at Harvard, he's on the faculty there, just minutes before he delivered a lecture to 350 students and then headed off to Haiti. Here's Dr. Paul Farmer with his essay for This I Believe.

Dr. PAUL FARMER (Founding Director, Partners in Health): I believe in health care as a human right. I've worked as a doctor in many places, and I've seen where to be poor means to be bereft of rights. I saw early on, still just a medical student, the panicky dead end faced by so many of the destitute sick - a young woman dying in childbirth, a child writhing in the spasms of a terrible disease for which a vaccine has existed for more than a century, a friend whose guts were irreparably shredded by bacteria from impure water, an 8-year-old caught in cross-fire.

Li mouri bet - what a stupid death, goes one Haitian response. Fighting such stupid deaths is never the work of one or even of a small group. I've had the privilege of joining many others providing medical care to people who would otherwise not be able to get it. The number of those eager to serve is impressive, and so is the amount that can be accomplished.

I believe that stupid deaths can be averted. We've done it again and again. But this hard and painful work has never yet been an urgent global priority. The fight for health as a human right, a fight with real promise, has so far been plagued by failures - failure because we are chronically short of resources, failure because we are too often at the mercy of those with the power and money to decide the fates of hundreds of millions, failure because ill health, as we have learned again and again, is more often than not a symptom of poverty and violence and inequality, and we do little to fight those when we provide just vaccines or only treatment for one disease or another.

Every premature death, and there are millions of these each year, should be considered a rebuke. I know it's not enough to attend only to the immediate needs of the patient in front of me. We must also call attention to the failures and inadequacy of our own best efforts.

The goal of preventing human suffering must be linked to the task of bringing others, many others, into a movement for basic rights. The most vulnerable, those whose rights are trampled, those rarely invited to summarize their convictions for a radio audience, still believe in human rights, in spite of- or perhaps because of their own troubles. Seeing this in Haiti and elsewhere has moved me deeply and taught me a great deal.

I move uneasily between the obligation to intervene and the troubling knowledge that much of the work we do, praised as humanitarian or charitable, does not always lead us closer to our goal. That goal is nothing less than the refashioning of our world into one in which no one starves, drinks impure water, lives in fear of the powerful and violent, or dies ill and unattended. Of course such a world is a utopia, and most of us know that we live in a dystopia. But all of us carry somewhere within us the belief that moving away from dystopia moves us towards something better and more humane. I still believe this.

ALLISON: Paul Farmer with his essay for This I Believe. While he knows his message can sound dire, Dr. Farmer notes that progress is being made, and he's proud to say that his projects now employ over 6,000 local health-care workers in 10 countries. Our invitation to write a statement of belief goes out to everyone at npr.org/thisibelieve. You'll find the information about submitting an essay of your own to our series. For This I Believe, I'm Jay Allison.

STEWART: Jay Allison is coeditor with Dan Gateman, John Gregary, Vicky Marry of the new book "This I Believe Volume Two: More Personal Philosophies of Remarkable Men and Women."

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