Reverse Innovation

CHAPTER TWELVE

Partners In Health’s Radical Model for Care

Developing world medicine can improve rich world health.

WHEN MIGUEL LEARNED that he had been infected with HIV, he did not see it as a crisis. He didn’t even show up for his next doctor’s appointment. Miguel had more pressing concerns. He had grown up in a one-room shack made from bits of trash collected from the streets. His father had been an abusive alcoholic. When his mother fled, Miguel had dropped out of primary school. In desperation, he had begun trading sex with men and women for money.

After his father died, Miguel had started his own family in the same shack. He worked ...