In the 1960s to 1980s, a heated controversy arose as to how best medical care could be delivered to individuals living in rural ‘third-world’ communities. This became polarised: should the national health budget be directed to primary health-care with the exclusion of tertiary care (including hospitals)? This became confused with the training of medical personnel, including doctors. Of course, a balanced approach is what is required.
Now that the NHS under the present government is rapidly becoming oriented towards primary health care, this third-world controversy of nearly half a century ago might well be worthy of consideration. After a decade, and more, working in Nigeria, Uganda, Zambia and Saudi Arabia, as well as in Papua New Guinea, the author became increasingly convinced that a balanced viewpoint, i.e. between curative and preventive medicine was both essential and the only way forward in both developing and developed countries. That is a simple ‘message’ and the underlying theme in this book.