Opening an email from a colleague in Haiti seeking a neurologic opinion, I marvel at my instant connection to a hospital 1500 miles鈥攁nd about 150 countries on the GDP per capita rankings鈥攁way. A hospital housing the first public computed tomographic scanner and intensive care unit in rural Haiti and running the country鈥檚 first rural residency programs. A hospital outside of which cattle and wild turkey graze, and mules loaded for market share the adjacent road with brightly painted pickup trucks so overflowing with people that their chassis sag to the street. By the numbers, the large majority of those people live below the poverty line.