Reed G

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After leaving Chile during the Pinochet era, Dr Morales studied economics, health administration and international health at the University of Montreal. But his baptism in the fi eld came in Haiti, where he was fi rst PAHO advisor to the health ministry, and then for fi ve years was responsible for human resources and health economics in the PAHO offi ces in the capital of Port-au-Prince. He was at his post during the fl ooding in Gonaïves, fi ve hurricanes, the 2010 earthquake and the ensuing cholera epidemic—doubtless the most dramatic and complex times for the country’s health in recent history. Before becoming the PAHO/WHO Representative in Cuba in 2015, he was Regional Advisor in Financing and Health Economics based in Washington, DC. In that role, he plunged into the often thorny debates about just how far governments of the Americas were willing to go towards achieving universal health—universal coverage plus universal access. The result was a historic resolution passed in late 2014 by PAHO’s Directing Council (CD53.R14 Strategy for Universal Access to Health and Universal Health Coverage). Dr Morales talks about the process, the outcomes… and the road ahead.