Gail Reed: Where to train the world's doctors? Cuba.

Prevodilac: Ljiljana Ikodinovic Lektor: Mile Živković

I want to tell you

Želim da vam ispričam

how 20,000 remarkable young people

kako je 20.000 izuzetnih mladih ljudi,

from over 100 countries

iz više od 100 zemalja

ended up in Cuba

završilo na Kubi.

and are transforming health in their communities.

I kako menjaju zdravstvo u svojim zajednicama.

Ninety percent of them would never

Devedest procenata od njih ne bi nikada

have left home at all

ni otišlo od kuće,

if it weren't for a scholarship to study medicine in Cuba

da nije bilo školarina za studije medicine na Kubi

and a commitment to go back

i obavezanosti da se vrate u mesta

to places like the ones they'd come from —

poput onih iz kojih su došli:

remote farmlands, mountains, ghettos —

udaljenih poljoprivrednih područja, planina, getoa.

to become doctors for people like themselves,

Kako bi postali lekari ljudima poput sebe,

to walk the walk.

kako bi prešli sa reči na delo.

Havana's Latin American Medical School:

Latinoamerički medicinski fakultet u Havani

It's the largest medical school in the world,

je najveći medicinski fakultet na svetu,

graduating 23,000 young doctors

na kome je diplomiralo 23.000 mladih doktora

since its first class of 2005,

od njegovog osnivanja 2005. godine,

with nearly 10,000 more in the pipeline.

sa još gotovo 10.000 studenata u sistemu.

Its mission, to train physicians for the people

Njegova misija, da obrazuje lekare

who need them the most:

za one kojima su najpotrebniji:

the over one billion

za preko milijardu ljudi

who have never seen a doctor,

koji nikada nisu videli lekara.

the people who live and die

Za ljude koji žive i umiru

under every poverty line ever invented.

u najgorem mogućem siromaštvu.

Its students defy all norms.

Njegovi studenti poriču sve norme.

They're the school's biggest risk

Oni su najveći rizik ove škole

and also its best bet.

ali i najbolje rešenje.

They're recruited from the poorest,

Njih je iz najsiromašnijih,

most broken places on our planet

najuništenijih delova sveta

by a school that believes they can become

regrutovala škola koja veruje

not just the good

da oni mogu postati

but the excellent physicians

ne samo dobri, već odlični lekari

their communities desperately need,

koji su očajnički potrebni svojim zajednicama.

that they will practice where most doctors don't,

Da će oni lečiti tamo gde većina lekara ne leči,

in places not only poor

u mestima koja su ne samo siromašna

but oftentimes dangerous,

već često i opasna.

carrying venom antidotes in their backpacks

Da će nositi protivotrove u rancima

or navigating neighborhoods

ili se kretati u kvartovima

riddled by drugs, gangs and bullets,

razrivenim drogom, bandama i mecima,

their home ground.

njihovom domaćem terenu.

The hope is that they will help

Postoji nada da će oni pomoći

transform access to care,

da se promeni dostupnost lečenju,

the health picture in impoverished areas,

zdravstvena situacija u osiromašenih krajevima,

and even the way medicine itself

pa čak i način na koji se sama medicina

is learned and practiced,

uči i praktikuje,

and that they will become pioneers in our global reach

i da će oni postati pioniri našeg globalnog dosega

for universal health coverage,

ka univerzalnoj zdravstvenoj pokrivenosti,

surely a tall order.

sigurno težak zadatak.

Two big storms and this notion of "walk the walk"

Dve velike oluje i ova ideja "sa reči na delo"

prompted creation of ELAM back in 1998.

podstakla je osnivanje ELAM-a 1998. godine.

The Hurricanes Georges and Mitch

Uragani Džordž i Mič

had ripped through the Caribbean

besneli su kroz Karibe

and Central America,

i Centralnu Ameriku,

leaving 30,000 dead

ostavivši iza sebe 30.000 mrtvih

and two and a half million homeless.

i dva i po miliona ljudi bez doma.

Hundreds of Cuban doctors volunteered for disaster response,

Stotine kubanskih lekara se dobrovoljno uključilo u odgovor na katastrofu,

but when they got there,

ali kada su tamo stigli,

they found a bigger disaster:

zatekli su još veću katastrofu:

whole communities with no healthcare,

čitave zajednice bez zdravstvene nege,

doors bolted shut on rural hospitals

katance na vratima seoskih bolnica

for lack of staff,

zbog nedostatka medicinskog osoblja,

and just too many babies dying

i jako puno beba koje umiru

before their first birthday.

pre svog prvog rođendana.

What would happen when these Cuban doctors left?

Šta će se dogoditi kada ovi kubanski lekari odu?

New doctors were needed to make care sustainable,

Bili su potrebni novi lekari koji će održavati medicinsku negu,

but where would they come from?

ali odakle bi oni mogli da dođu?

Where would they train?

Gde bi se obučavali?

In Havana, the campus of a former naval academy

U Havani, kampus bivše mornaričke akademije

was turned over to the Cuban Health Ministry

bio je predat kubanskom Ministarstvu zdravlja

to become the Latin American Medical School,

kako bi postao Latinoamerički medicinski fakultet,

ELAM.

ELAM.

Tuition, room and board, and a small stipend

Školovanje, smeštaj, ishrana i mala stipendija

were offered to hundreds of students

bile su ponuđene stotinama studenata

from the countries hardest hit by the storms.

iz zemalja najgore pogođenih olujama.

As a journalist in Havana,

Kao novinar u Havani,

I watched the first 97 Nicaraguans arrive

gledala sam kako je stiglo prvih 97 Nikaragvanaca

in March 1999,

u martu 1999,

settling into dorms barely refurbished

kako su se uselili u jedva obnovljene spavaonice

and helping their professors not only sweep out the classrooms

i kako su pomagali svojim profesorima ne samo da počiste učionice

but move in the desks and the chairs and the microscopes.

već i da unesu stolove, stolice i mikroskope.

Over the next few years,

Tokom nekoliko narednih godina,

governments throughout the Americas

vlade širom Amerike

requested scholarships for their own students,

zahtevale su stipendije za svoje studente,

and the Congressional Black Caucus

i Kongresni odbor Crnaca

asked for and received hundreds of scholarships

je tražio i dobio stotine stipendija

for young people from the USA.

za mlade ljude iz SAD-a.

Today, among the 23,000

Danas se među 23.000

are graduates from 83 countries

nalaze diplomci iz 83 zemlje

in the Americas, Africa and Asia,

iz Amerike, Afrike i Azije,

and enrollment has grown to 123 nations.

a upis se proširio na 123 nacije.

More than half the students are young women.

Više od polovine studenata su mlade žene.

They come from 100 ethnic groups,

One dolaze iz 100 etničkih grupa,

speak 50 different languages.

govore 50 različitih jezika.

Direktorka Svetske zdravstvene organizacije Margaret Čen je rekla:

WHO Director Margaret Chan said,

"For once, if you are poor, female,

"Po prvi put, ukoliko ste siromašni, žensko,

or from an indigenous population,

ili iz urođeničke populacije,

you have a distinct advantage,

imate jasnu prednost,

an ethic that makes this medical school unique."

princip koji ovaj medicinski fakultet čini jedinstvenim."

Luther Castillo comes from San Pedro de Tocamacho

Luter Kastiljo je iz San Pedro de Tokamačo,

on the Atlantic coast of Honduras.

sa atlantske obale Hondurasa.

There's no running water,

Tamo nema tekuće vode,

no electricity there,

niti struje,

and to reach the village, you have to walk for hours

a da bi se došlo do sela, neophodno je hodati satima

or take your chances in a pickup truck like I did

ili iskušavati sreću u kamionu kao ja

skirting the waves of the Atlantic.

izbegavajući talase Atlantika.

Luther was one of 40 Tocamacho children

Luter je bio jedno od 40 Tokamačo dece

who started grammar school,

koja su krenula u školu,

the sons and daughters of a black indigenous people

sinova i kćeri crnih urođenika

known as the Garífuna,

poznatih kao Garifuna,

20 percent of the Honduran population.

koji čine 20 procenata populacije Hondurasa.

The nearest healthcare was fatal miles away.

Najbliža zdravsotvena nega je bila udaljena smrtonosnim kilometrima.

Luther had to walk three hours every day

Luter je svakodnevno morao da pešači tri sata

to middle school.

kako bi išao u više razrede osnovne škole,

Only 17 made that trip.

Samo njih 17 se prihvatilo tog puta.

Only five went on to high school,

Samo petoro je išlo u srednju školu,

and only one to university:

i samo jedan na univerzitet:

Luther, to ELAM,

Luter, na ELAM,

among the first crop of Garífuna graduates.

i bio je među prvim Garifuna diplomcima.

Just two Garífuna doctors had preceded them

Njemu su prethodila samo dva Garifuna lekara

in all of Honduran history.

u čitavoj istoriji Hondurasa.

Now there are 69, thanks to ELAM.

Sada ih je 69, zahvaljujući ELAM-u.

Big problems need big solutions,

Veliki problemi traže velika rešenja,

sparked by big ideas, imagination and audacity,

iznedrena velikim idejama, maštom i odvažnošću,

but also solutions that work.

ali i rešenja koja daju rezultate.

ELAM's faculty had no handy evidence base

ELAM-ovi profesori nisu imali pogodnu bazu činjenica

to guide them, so they learned the hard way,

kojom bi se vodili, tako da su učili na teži način,

by doing and correcting course as they went.

predavajući i usput ispravljajući tečajeve.

Even the brightest students

Čak i najsjajniji studenti

from these poor communities

iz ovih siromašnih krajeva

weren't academically prepared

nisu bili akademski pripremljeni

for six years of medical training,

za šest godina učenja medicine,

so a bridging course was set up in sciences.

tako da je ustanovljen prelazni kurs iz nauke.

Then came language:

Onda su na red došli jezici:

these were Mapuche, Quechuas, Guaraní, Garífuna,

to su bili Mapuča, Kečua, Guarani, Garifuna,

indigenous peoples

urođenički narodi

who learned Spanish as a second language,

koji su španski učili kao drugi jezik,

or Haitians who spoke Creole.

ili Haićani koji su govorili kreolski.

So Spanish became part

Tako da je španski postao deo

of the pre-pre-med curriculum.

pred-pripreme za studije medicine.

Even so, in Cuba,

Pa čak i tako, na Kubi,

the music, the food, the smells,

muzika, hrana, mirisi,

just about everything was different,

gotovo sve je bilo drugačije,

so faculty became family, ELAM home.

tako da je fakultetski kadar postao porodica, ELAM kuća.

Religions ranged from indigenous beliefs

Religije su se kretale od urođeničkih verovanja

to Yoruba, Muslim and Christian evangelical.

do jorube, muslimana i hrišćanskih evangelista.

Embracing diversity became a way of life.

Prihvatanje različitosti je postao način života.

Why have so many countries

Zašto je tako mnogo zemalja

asked for these scholarships?

zatražilo ove školarine?

First, they just don't have enough doctors,

Kao prvo, oni prosto nemaju dovoljno lekara,

and where they do, their distribution

a tamo gde ih imaju, raspoređeni su

is skewed against the poor,

neravnomerno, na štetu siromašnih,

because our global health crisis

jer je naša globalna zdravstvena kriza

is fed by a crisis in human resources.

posledica krize u ljudskim resursima.

We are short four to seven million health workers

Nedostaje nam između četiri i sedam miliona zdravstvenih radnika

just to meet basic needs,

samo da bi se zadovoljile osnovne potrebe,

and the problem is everywhere.

a problemi su svuda.

Doctors are concentrated in the cities,

Doktori su grupisani u gradovima,

where only half the world's people live,

u kojima živi samo polovina svetske populacije,

and within cities,

a unutar gradova,

not in the shantytowns or South L.A.

ne u divljim naseljima ili južnom Los Anđelesu.

Here in the United States,

Ovde u SAD-u,

where we have healthcare reform,

gde imamo reformu zdravstva,

we don't have the professionals we need.

nemamo onoliko profesionalaca koliko nam je potrebno.

By 2020, we will be short

Do 2020, nedostajaće nam

45,000 primary care physicians.

45.000 lekara primarne zdravstvene zaštite.

And we're also part of the problem.

A mi smo i deo problema.

The United States is the number one importer

SAD je najveći uvoznik

of doctors from developing countries.

lekara iz zemalja u razvoju.

The second reasons students flock to Cuba

Drugi razlog iz kojeg se studenti skupljaju na Kubi

is the island's own health report card,

je stanje zdravstvene nege u ovoj zemlji,

relying on strong primary care.

koja se zasniva na snažnoj primarnoj zaštiti.

A commission from The Lancet

Komisija iz Lanseta

rates Cuba among the best performing

rangira Kubu među one sa najboljim rezultatima

middle-income countries in health.

u zdravstvu od zemalja sa srednjim dohotkom.

Save the Children ranks Cuba

"Spasimo decu" navodi Kubu

the best country in Latin America to become a mother.

kao najbolju zemlju u Južnoj Americi za majke.

Cuba has similar life expectancy

Kuba ima sličan očekivan životni vek

and lower infant mortality than the United States,

i nižu stopu mortaliteta odojčadi od Sjedinjenih Država,

with fewer disparities,

sa malo razlika,

while spending per person

a trošeći po osobi

one 20th of what we do on health

jednu dvadesetinu onoga što mi trošimo na zdravstvo

here in the USA.

ovde u SAD-u.

Academically, ELAM is tough,

Akademski, ELAM je zahtevan,

but 80 percent of its students graduate.

ali 80% njegovih studenata diplomira.

The subjects are familiar —

Predmeti su poznati:

basic and clinical sciences —

osnovne i kliničke nauke,

but there are major differences.

ali postoje velike razlike.

First, training has moved out of the ivory tower

Kao prvo, obuka je preseljena iz izolovanosti fakultetskih učionica

and into clinic classrooms and neighborhoods,

na klinike i u susedstvo,

the kinds of places most of these grads will practice.

na mesta slična onima u kojima će ovi dimplomci raditi.

Sure, they have lectures and hospital rotations too,

Oni naravno slušaju predavanja i stažiraju u bolnicama,

but community-based learning starts on day one.

ali učenje u okviru zajednice počinje prvog dana.

Second, students treat the whole patient,

Kao drugo, studenti posmatraju celokupnog pacijenta,

mind and body,

duh i telo,

in the context of their families, their communities

u kontekstu njihovih porodica, zajednica

and their culture.

i kulture.

Third, they learn public health:

Treće, oni uče zdravstvenu zaštitu:

to assess their patients' drinking water, housing,

da procene kvalitet pijaće vode, smeštaj,

social and economic conditions.

socijalne i ekonomske uslove.

Fourth, they are taught

Četvrto, uče ih da

that a good patient interview

dobar razgovor sa pacijentom

and a thorough clinical exam

i detaljan klinički pregled

provide most of the clues for diagnosis,

daju dovoljno osnova za postavljanje dijagnoze,

saving costly technology for confirmation.

i tako štede na skupim tehnologijama za njeno potvrđivanje.

And finally, they're taught over and over again

I konačno, uče ih iznova i iznova

the importance of prevention,

značaju prevencije,

especially as chronic diseases

naročito s obzirom da hronične bolesti

cripple health systems worldwide.

parališu zdravstvene sisteme širom sveta.

Such an in-service learning

Takvo učenje u službi zajednice

also comes with a team approach,

je praćeno i timskim radom,

as much how to work in teams

u podjednakoj meri uče kako raditi u timovima i

as how to lead them,

kako ih voditi,

with a dose of humility.

sa dozom poniznosti.

Upon graduation, these doctors share

Nakon što diplomiraju, ovi lekari dele

their knowledge with nurse's aids, midwives,

svoje znanje sa pomoćnicima medicinskih sestara, babicama,

community health workers,

zdravstvenim radnicima u zajednici,

to help them become better at what they do,

kako bi im pomogli da postanu bolji u svom poslu,

not to replace them,

a ne da ih zamene,

to work with shamans and traditional healers.

da rade sa šamanima i narodnim isceliteljima.

ELAM's graduates:

ELAM-ovi diplomci.

Are they proving this audacious experiment right?

Da li oni opravdavaju ovaj odvažni eksperiment?

Dozens of projects give us an inkling

Desetine projekata nagoveštavaju

of what they're capable of doing.

šta su oni sposobni da urade.

Take the Garífuna grads.

Uzmimo Garifuna diplomce.

They not only went to work back home,

Oni ne samo da su se vratili kući da rade,

but they organized their communities to build

već su organizovali svoje zajednice da izgrade

Honduras' first indigenous hospital.

prvu urođeničku bolnicu u Hondurasu.

With an architect's help,

Uz pomoć arhitekte,

residents literally raised it from the ground up.

stanovnici su je doslovno podigli od temelja do krova.

The first patients walked through the doors

Prvi pacijenti su se u njoj lečili

in December 2007,

u decembru 2007,

and since then, the hospital has received

a od tada je bolnica primila

nearly one million patient visits.

skoro milion poseta pacijenata.

And government is paying attention,

Vlada o njoj vodi računa,

upholding the hospital as a model

i podržava bolnicu kao model

of rural public health for Honduras.

ruralnog zdravstva za Honduras.

ELAM's graduates are smart,

ELAM-ovi diplomci su pametni,

strong and also dedicated.

jaki i takođe posvećeni.

Haiti, January 2010.

Haiti, januar 2010.

The pain.

Bol.

People buried under 30 million tons of rubble.

Ljudi zatrpani ispod 30 miliona tona krhotina.

Overwhelming.

Poražavajuće.

Three hundred forty Cuban doctors

340 kubanskih lekara

were already on the ground long term.

su već bili na terenu na duže vreme.

More were on their way. Many more were needed.

Još ih je stizalo. Mnogo ih je više bilo potrebno.

At ELAM, students worked round the clock

Na ELAM-u, studenti su radili neprekidno

to contact 2,000 graduates.

kako bi kontaktirali 2000 diplomaca.

As a result, hundreds arrived in Haiti,

Kao rezultat ovih napora, stotine ih je stiglo na Haiti,

27 countries' worth, from Mali in the Sahara

iz 27 zemalja, od Malija u Sahari

to St. Lucia, Bolivia, Chile and the USA.

do Sv. Lucije, Bolivije, Čilea i SAD-a.

They spoke easily to each other in Spanish

Oni su međusobno lako komunicirali na španskom

and listened to their patients in Creole

i slušali pacijente na kreolskom

thanks to Haitian medical students

zahvaljujući studentima medicine sa Haitija

flown in from ELAM in Cuba.

koji su doleteli iz ELAM-a iz Kube.

Many stayed for months,

Mnogi su ostali mesecima,

even through the cholera epidemic.

čak i tokom epidemije kolere.

Hundreds of Haitian graduates

Stotine diplomaca sa Haitija

had to pick up the pieces,

je moralo da ponovo dovede stvari u red,

overcome their own heartbreak,

prevaziđu sopstvenu tugu,

and then pick up the burden

a onda preuzmu teret

of building a new public health system for Haiti.

izgradnje novog zdravstvenog sistema Haitija.

Today, with aid of organizations and governments

Danas, uz pomoć organizacija i vlada

from Norway to Cuba to Brazil,

od Norveške do Kube i Brazila,

dozens of new health centers have been built,

grade se desetine novih zdravstvenih centara,

staffed, and in 35 cases, headed

u kojima rade, a u 35 slučajeva kojima i upravljaju

by ELAM graduates.

diplomci sa ELAM-a.

Yet the Haitian story

Ipak, priča sa Haitija

also illustrates some of the bigger problems

takođe ilustruje neke od većih problema

faced in many countries.

sa kojima se suočavaju mnoge zemlje.

Take a look:

Pogledajte:

748 Haitian graduates by 2012, when cholera struck,

748 diplomaca sa Haitija do 2012, kada je izbila kolera,

nearly half working in the public health sector

gotovo polovina je radila u javnom zdravstvenom sistemu

but one quarter unemployed,

ali jedna četvrtina je bila nezaposlena,

and 110 had left Haiti altogether.

a 110 ih je potpuno napustilo Haiti.

So in the best case scenarios,

Tako da u najboljem slučaju,

these graduates are staffing

ovi diplomci rade

and thus strengthening public health systems,

i tako jačaju javne zdravstvene sisteme,

where often they're the only doctors around.

tamo gde su često jedini lekari.

In the worst cases, there are simply not enough jobs

U najgorim slučajevima, prosto nema dovoljno radnih mesta

in the public health sector,

u javnom zdravstvenom sistemu,

where most poor people are treated,

u kojem se leči većina siromašnog stanovništva,

not enough political will, not enough resources,

nema dovoljno političke spremnosti, ni dovoljno sredstava,

not enough anything —

ničega nema dovoljno -

just too many patients with no care.

samo previše pacijenata bez nege.

The grads face pressure from their families too,

Diplomci se suočavaju i sa pritiskom od strane svojih porodica,

desperate to make ends meet,

očajnih da sastave kraj sa krajem,

so when there are no public sector jobs,

tako da kada nema posla u javnom sektoru,

these new MDs decamp into private practice,

ovi novi lekari prelaze u privatnu praksu,

or go abroad to send money home.

ili se sele u inostranstvo kako bi mogli da kući šalju novac.

Worst of all, in some countries,

A što je najgore, u nekim zemljama,

medical societies influence accreditation bodies

medicinska udruženja utiču na organe koji izdaju dozvole

not to honor the ELAM degree,

da ne priznaju diplome sa ELAM-a,

fearful these grads will take their jobs

u strahu da će ovi diplomci da im preuzmu posao

or reduce their patient loads and income.

ili im smanje broj pacijenata i prihod.

It's not a question of competencies.

To nije pitanje kompetentnosti.

Here in the USA, the California Medical Board

Ovde, u SAD-u, Medicinski odbor Kalifornije

accredited the school after rigorous inspection,

je nakon rigorozne inspekcije akreditovao ovu školu

and the new physicians are making good

i novi lekari su uspešni

on Cuba's big bet,

zahvaljujući velikom riziku Kube,

passing their boards and accepted

prolaze odbore i prihvataju ih

into highly respected residencies

na visoko cenjene specijalizacije

from New York to Chicago to New Mexico.

od Njujorka do Čikaga i Novog Meksika.

Two hundred strong, they're coming

Njih više od dve stotine se vraća

back to the United States energized,

u SAD puni entuzijazma,

and also dissatisfied.

ali i nezadovoljni.

As one grad put it,

Kao što je rekao jedan od diplomaca:

in Cuba, "We are trained to provide quality care

"Na Kubi nas uče da pružimo kvalitetnu negu

with minimal resources,

uz minimalna sredstva,

so when I see all the resources we have here,

tako da kada vidim sredstva kojima ovde raspolažemo,

and you tell me that's not possible,

i kada mi se kaže da to nije moguće,

I know it's not true.

znam da to nije tačno.

Not only have I seen it work, I've done the work."

Ne samo da sam video da je moguće, sam sam to radio".

ELAM's graduates,

ELAM-ovi diplomci,

some from right here in D.C. and Baltimore,

neki baš odavde, iz Vašingtona i Baltimora,

have come from the poorest of the poor

potiču iz daleko najsiromašnijih krajeva

to offer health, education

kako bi pružili zdravlje, obrazovanje

and a voice to their communities.

i glas svojim zajednicama.

They've done the heavy lifting.

Oni su obavili težak deo posla.

Now we need to do our part

Sada mi moramo da uradimo naš deo

to support the 23,000 and counting,

i podržimo tih 23.000 i više.

All of us —

Svi mi:

foundations, residency directors, press,

fondacije, odgovorni za dodelu specijalizacija, štampa,

entrepreneurs, policymakers, people —

preduzetnici, zakonodavci, narod,

need to step up.

moramo da istupimo.

We need to do much more globally

Moramo da globalno učinimo mnogo više

to give these new doctors the opportunity

kako bismo ovim novim lekarima pružili mogućnost

to prove their mettle.

da dokažu svoje sposobnosti.

They need to be able

Mora im biti omogućeno

to take their countries' licensing exams.

da polažu ispite za licencu u svojim zemljama.

They need jobs in the public health sector

Potrebni su im poslovi u javnom zdravstvenom sektoru

or in nonprofit health centers

ili u neprofitnim zdravstvenim centrima

to put their training and commitment to work.

kako bi uposlili svoje obrazovanje i predanost.

They need the chance to be

Potrebna im je šansa da budu

the doctors their patients need.

lekari koji su potrebni njihovim pacijentima.

To move forward,

Kako bismo išli napred,

we may have to find our way back

možda treba da nađemo put nazad

to that pediatrician who would

do onog pedijatra koji bi

knock on my family's door

pokucao na naša vrata

on the South Side of Chicago when I was a kid,

na južnoj strani Čikaga, kada sam bila dete,

who made house calls,

koji bi dolazio u kućne posete,

who was a public servant.

koji je bio javni službenik.

These aren't such new ideas

Ovo nisu tako nove ideje

of what medicine should be.

o tome kakva bi trebalo da bude medicina.

What's new is the scaling up

Ono što je novo je povećanje razmere

and the faces of the doctors themselves:

i lica samih lekara:

an ELAM graduate is more likely to be a she

verovatnije je da će ELAM-ov diplomac biti ženskog

than a he;

nego muškog roda;

In the Amazon, Peru or Guatemala,

U Amazoniji, Peruu ili Gvatemali,

an indigenous doctor;

urođenički lekar,

in the USA, a doctor of color

u SAD, obojeni lekar

who speaks fluent Spanish.

koji tečno govori španski.

She is well trained, can be counted on,

Ona je dobro obrazovana, pouzdana,

and shares the face and culture of her patients,

i deli uverenja i kulturu svojih pacijenata,

and she deserves our support surely,

i ona zasigurno zaslužuje našu podršku,

because whether by subway, mule, or canoe,

jer da li metroom, na mazgi ili u kanuu,

she is teaching us to walk the walk.

ona nas uči da pređemo sa reči na delo.

Thank you. (Applause)

Hvala vam. (Aplauz)