skills in Haiti at the time. Unfortunately, the chair of surgery balked. “How do I know they’ll go back to Haiti?” he asked. Medishare had created its first disappointment. Frustrated, Marlon and Jerry found a fellowship on their own, in France. Shortly thereafter, they left Haiti for what ended up being three years.

A few months after our meeting, Bernie retired. The university conducted a search and appointed a new dean, an ophthalmologist by training who rapidly became absorbed in the problems of managing the medical school and the second-largest health center in the nation. Medishare fell off the school’s radar screen for a while.