People feel uncomfortable talking about racial issues out of fear that if they express things they will be characterized in a way that's not fair. I think that there is still a need for a dialogue about things racial that we've not engaged in.
Paul Farmer has helped to build amazing health care system in one of the poorest areas of Haiti. He founded Partners in Health which serves the destitute and the sick in many parts of the world from Haiti to Boston and from Russia to Peru.