Here's some exerpts from your article, Keith. Seems them thar missionaries are part of the problem, not part of the solution.

... When I write about medical issues, I usually spend hours scouring PubMed, a research publications database from the National Institutes of Health, for data to support my story. You can't do that with missionary work, because few organizations produce the kind of rigorous, peer-reviewed data that is required in the age of evidence-based medicine...

There are serious questions about the quality of care provided by religious organizations in Africa. A 2008 report by the African Religious Heath Assets Programme concluded that faith-based facilities were "often severely understaffed and many health workers were under-qualified." Drug shortages and the inability to transport patients who needed more intensive care also hampered the system.

There is also a troubling lack of oversight. Large religious health care facilities tend to be consistent in their care, but the hundreds, if not thousands, of smaller clinics in Africa are a mystery. We don't know whether missionary doctors are following international standards of care. (I've heard murmurs among career international health specialists that missionaries may be less likely to wear appropriate protective equipment, which is especially troubling in the context of the Ebola outbreak.)

There are extremely weak medical malpractice laws (and even weaker court systems to enforce them) in much of sub-Saharan Africa, so we have no sense whatsoever of how many mistakes missionary doctors are making. We don't know how many missionaries are helping to train new doctors and nurses in the countries where they work—the current emphasis of international health delivery.

In his Lancet article, Lowenberg quotes a missionary who insists he does not proselytize, even though he tells his patients, "I'm treating you because of what God has given me and his love for me." That statement—which strikes me as obvious proselytizing— suggests that some missionaries are incapable of separating their religious work from their medical work. Whether implicitly or explicitly, some missionaries pressure their patients, at moments of maximum vulnerability and desperation, to convert.
... When I write about medical issues, I usually spend hours scouring PubMed, a research publications database from the National Institutes of Health, for data to support my story. You can't do that with missionary work, because few organizations produce the kind of rigorous, peer-reviewed data that is required in the age of evidence-based medicine...

There are serious questions about the quality of care provided by religious organizations in Africa. A 2008 report by the African Religious Heath Assets Programme concluded that faith-based facilities were "often severely understaffed and many health workers were under-qualified." Drug shortages and the inability to transport patients who needed more intensive care also hampered the system.

There is also a troubling lack of oversight. Large religious health care facilities tend to be consistent in their care, but the hundreds, if not thousands, of smaller clinics in Africa are a mystery. We don't know whether missionary doctors are following international standards of care. (I've heard murmurs among career international health specialists that missionaries may be less likely to wear appropriate protective equipment, which is especially troubling in the context of the Ebola outbreak.)

There are extremely weak medical malpractice laws (and even weaker court systems to enforce them) in much of sub-Saharan Africa, so we have no sense whatsoever of how many mistakes missionary doctors are making. We don't know how many missionaries are helping to train new doctors and nurses in the countries where they work—the current emphasis of international health delivery.

In his Lancet article, Lowenberg quotes a missionary who insists he does not proselytize, even though he tells his patients, "I'm treating you because of what God has given me and his love for me." That statement—which strikes me as obvious proselytizing— suggests that some missionaries are incapable of separating their religious work from their medical work. Whether implicitly or explicitly, some missionaries pressure their patients, at moments of maximum vulnerability and desperation, to convert.
... When I write about medical issues, I usually spend hours scouring PubMed, a research publications database from the National Institutes of Health, for data to support my story. You can't do that with missionary work, because few organizations produce the kind of rigorous, peer-reviewed data that is required in the age of evidence-based medicine...

There are serious questions about the quality of care provided by religious organizations in Africa. A 2008 report by the African Religious Heath Assets Programme concluded that faith-based facilities were "often severely understaffed and many health workers were under-qualified." Drug shortages and the inability to transport patients who needed more intensive care also hampered the system.

There is also a troubling lack of oversight. Large religious health care facilities tend to be consistent in their care, but the hundreds, if not thousands, of smaller clinics in Africa are a mystery. We don't know whether missionary doctors are following international standards of care. (I've heard murmurs among career international health specialists that missionaries may be less likely to wear appropriate protective equipment, which is especially troubling in the context of the Ebola outbreak.)

There are extremely weak medical malpractice laws (and even weaker court systems to enforce them) in much of sub-Saharan Africa, so we have no sense whatsoever of how many mistakes missionary doctors are making. We don't know how many missionaries are helping to train new doctors and nurses in the countries where they work—the current emphasis of international health delivery.

In his Lancet article, Lowenberg quotes a missionary who insists he does not proselytize, even though he tells his patients, "I'm treating you because of what God has given me and his love for me." That statement—which strikes me as obvious proselytizing— suggests that some missionaries are incapable of separating their religious work from their medical work. Whether implicitly or explicitly, some missionaries pressure their patients, at moments of maximum vulnerability and desperation, to convert.