The Problem Lack of affordable health care. Traditional models of health care often ignore the world’s neediest people. The poorest of the poor do not have the financial resources to afford private health care services, and philanthropy often fails to produce the scale required to meet the health care needs of the global poor. Nepal’s neediest people require well-managed services able to provide high-quality health care without charge. Equally important, hospitals, clinics, and community health workers often lack the vital resources to provide treatment and follow-up care to rural communities. The devastating earthquake of April 2015 exacerbated all of these problems; the disaster damaged or destroyed roughly 1,100 health care facilities in Nepal. Following a bitter ten-year civil war, Nepal’s new constitution guaranteed universal health care for the rural poor. However in practice, the country’s health care system has struggled to cope: poor rural populations have particular difficulty accessing local health services or making the long journey to the capital for treatment.