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Education, cultural sensitivity, etc. are health issues.
https://www.theguardian.com/world/2026/may/29/friday-briefin...
Decentralized systems also help local entities develop and grow into their own. Necessity is the mother of invention and centralized systems largely remove the necessity of local expertise which cripples efforts to advance it. This is the 17th declared major outbreak of ebola in the DRC. One would think that by the time you've had a few major ebola outbreaks, let alone 16, you'd be building up a rich body of expertise, knowledge, and competence, but that does not really seem to be the case.