This is the title of WHO's World Health Report 2008. The Report asks why the principles of Primary Health Care, put forward thirty years ago, are falling short even in the most developed countries. "Globalization is putting the social cohesion of many countries under stress, and health systems are clearly not performing as well as they could and should. People are increasingly impatient with the inability of health services to deliver. Few would disagree that health systems need to respond better – and faster – to the challenges of a changing world."
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