What do YOU believe are the greatest issues impacting global health? This question may seem overly academic, but viewed through the lenses of Haiti’s recent catastrophe makes the inquiry much more relevant. I find that people – especially medical people – often respond with statements like HIV or malaria or malnutrition. Myself, I prefer to see these diseases are outcomes rather than as causes. Economic and educational deprivation are usually the antecedents. Once economic growth is addressed, health status improves markedly. Why? Consider malaria. Economic growth brings better housing. less access for mosquitos, less standing water where mosquitos breed, and more ready availability to medical care. Thailand has many mosquitos. But not Singapore!