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b'Contemporary criticism by global health experts of much of short term medical missions activity (Dead Aid, When Helping Hurts) is valid. We have a tendency to justify use of US diagnostic and treatment guidelines in low income countries as equitable while demonstrably unreasonable and harmful. Careful consideration of the whole care process from care access to care follow-up including all costs including harms and benefits coupled with compassion leads to cost-effective, patient-centric care'