This chapter explores the optimism of Jim Kim. His meeting had produced a committee to study the feasibility of DOTS-Plus programs, but the arguments about MDR are far from over. Jim is fighting with his 21st century optimism the basically 19th century utilitarian philosophy of the greatest good for the greatest number. He knows that any proposals he makes must pass the cost-effectiveness analysis. This philosophy, however, is flawed when Jim and Farmer think about how international health care councils often use it to rationalize an irrational status quo: MDR treatment is cost-effective in a place like New York, but not in a place like Peru.
What the two men, especially Jim, come to realize is that what makes MDR treatment inordinately expensive is the high-priced drugs used to treat it. They need to drive down prices and that's where Jim finds his calling. He doesn't exactly know how to do it, but he's willing to make the assertion and then figure out the means.
Jim is a South-Korean who grew up in Muscatine, Iowa where his father was a periodontist. His father was very proud of his practice, and his mother was a small elegant woman who spent her years as a wife and mother teaching her children about exploring their world.
Jim was the quarterback on the Muscatine High School football team, a starting guard in basketball, and the valedictorian of his class. They were the only Asian family in town and Jim spent much of his youth embarrassed by his parents' Koreanness. He went to.......
This chapter is a wonderful showcase for the talents of Jim Kim.
He is an enthusiastic member of PIH and always seeks to go.......
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