Journal Highlights: Roads I Have Traveled ... Excerpt #3 October, 1997

Mostly, if you want to go someplace in Nepal, you walk. If we had walked to Tumlingtar village from Kathmandu, it would have taken us four days of trekking and three nights of tenting. 

Once we landed, we walked from the grass runway to the village restaurant and bar. As we drank Cokes, the village people unloaded our luggage and the medical supplies to be used in the clinic for the next two weeks. They had hired Sherpas, who are seasoned pack men, to carry the luggage and medical goods up the long trail to Khandibari village. The Sherpas had baskets they had woven out of young bamboo shoots. They were oblong at the top opening, measuring about two feet by one foot. They tapered down in a wedge fashion so they rested right below the tailbone of a Sherpa. Two homemade straps went over a Sherpa’s shoulders, and one strap went around his forehead for balance. It is my understanding that the loads they can carry are legendary. That is all they do their entire lifetime—carry heavy loads up and down the terribly steep mountain trails. 

I winced as I saw them take my soft-side luggage and jam it down into one of their baskets. In that suitcase is my best black-striped wool suit; my white-and-blue, starched dress shirts; my expensive blue wool blazer with brass buttons; my dress slacks; and everything else I am going to need to meet the heads of state once I arrive in Bucharest, Romania. I winced again as I saw them jam additional items into the Sherpa’s toting basket. Oh well, I thought, we play this game one move at a time. Maybe I’ll start a new Project C.U.R.E. trend and go naked in Romania.

We left the village and made our way to the mountain. The trail led us through the villagers’ fields of maize and millet. It led us within a few feet of the farmhouses and barns. Outside the village we began to gain altitude. Then the rocky road went almost vertical. Steps had been cut into the rocky mountain over the years to aid in the climb. 

About one hour into the trek, the wind began to blow. The sky had turned increasingly dark. I was walking just behind Narayan. He pointed to a high mountain ridge in the far distance. “When it gets dark on that point, we are guaranteed to get rain here. It’s just a matter of a little time.” 

The wind was now kicking up dust from the trail and bending the bamboo and maize stalks. As we rounded a bend in the trail, we came upon a rural farmhouse. It was two stories in height with a thatched roof and wooden shutters and doors. On the front porch area, a crowd of people had gathered. By now the wind was howling, and pieces of thatch from the barn and a neighbor’s house flew like kites. We hurried onto the porch, and at the center of the crowd a man was lying on a canvas stretcher, covered by a handwoven blanket. He was moaning with pain. His friends were on their way to try to take him to the hospital in Kathmandu—four days away. 

Three of the registered nurses were walking close behind us. They moved in and began surveying the situation. At first they were afraid it might be an appendicitis attack. Then the nurses got the moaning man to turn over on his back and point to the area of most pain. The man’s friends told the nurses that the fellow had just vomited several times. Quite quickly the nurses ruled out the appendix theory and eventually settled on an acute urinary tract infection that had moved into his bladder and kidneys. Lucky for the man the nurses just happened to be able to stop the Sherpa who had some pain medicine and some real stout antibiotic pills in his basket. 

Everyone was so concerned about the patient that the impending storm had been completely ignored. But the storm had not gone away just because we had ignored it. By that time it was thundering and the lightning was cracking and the wind was howling even louder. The rain clouds had begun to douse us with bucketfuls of water. The water didn’t really come down on us, but rather because of the unchecked wind, the torrents of rain came at us. In true Nepalese hospitality, the farm family on whose porch we had all suddenly congregated, opened the doors to their house and invited the whole mob to come in out of the storm. The rogue storm lasted for another thirty minutes. Then, in a fashion that reminded me of mountain storms in my valley of Colorado, everything stopped, a calm settled in, and the sun came out. 

As we opened the doors of the little farmhouse, we discovered that it had not just rained, but the ground in front of the farmhouse and as far up the mountain pass as you could see was covered with a blanket of hailstones. The thrill and excitement of the storm passed quickly when everyone realized that just across the mountain trail, the fields of millet, maize, and rice lay in ruins. Trees in the yard had been blown over, and stands of bamboo were now flat. We extended our sympathy to the farmers, bade farewell to the moaning urinary patient, and headed back up the mountain range toward Narayan’s ancestral village. 

Water was by that time coming down the trail as if it were a riverbed. The red dirt of the mountain had turned into a gooey-slimy-slick mess. The trail was slippery and treacherous, but darkness was coming soon, and we had to make it to Khandibari village. I glanced down at Bob Jackson’s walking boots. They were covered with the red mud, and I had red mud nearly up to the knees of my pants. I was happy that I was not wearing my “city shoes” as Bob had called them, but I felt guilty that his boots were taking such a beating. Then the thought hit me, The Sherpas carrying the luggage didn’t make it to the farmhouse by the time the fury of the storm landed. They were caught out in the mountain downpour. My poor canvas soft-side luggage is by now soaked with rain and hail. Oh! My wool suit and blazer! 

Some hours later we made it to the outskirts of Khandibari village. On several occasions the residents of the houses came out to the road and insisted we stop and receive the seasonal blessing. They were all part of Narayan’s family. So we would stand in line as they draped us with mala necklaces of flowers and placed red dried rice on our foreheads. Eventually we made it though the village and up on top of a mountain where it was relatively flat. As we came over the top of the mountain, the arrangement of two rows of green canvas tents burst into sight. There were about twelve tents in all, and at the end of the tent line was a round eating area constructed with a metal roof. 

It was almost completely dark, and as the Sherpas began to unload their baskets, we were dished up a hot meal of goat meat, rice, potatoes, and mountain vegetables. The dinner was topped off with good hot tea with milk—I presume goat milk. 

It was not a figment of my imagination … I am going to be sleeping on the ground under a green canvas tent. Somehow they had managed to throw a sleeping bag for me into one of the Sherpa’s baskets, but—you guessed it—it was wet. I found my luggage, opened it, and took out my sweater and leather jacket, which had been folded into the inside layer of the packed things. The night was very chilly, and the sweater and leather jacket felt very good. I pulled my belongings into my assigned tent and unrolled my sleeping bag. 

What in the wide world am I doing here? I wondered. 
I’m not a fan of camping out, and I really do have a nice, comfortable king-size bed back home in Evergreen. If I were there, I would have someone to snuggle to boot! But right now, in the heart of the Himalayan Mountains in Nepal, there is no one to complain to, and survival is the name of the game. 

I took Bob’s boots off outside the tent and climbed into the wet sleeping bag with all the rest of my clothes on, including my sweater and my leather jacket. I was exhausted from the four-hour trek, and my stomach was full of hot meal and tea. I created a warm spot and quickly drifted off to sleep.

Next Week: Nepal five years later 

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #2 October 1997

I am delighted to be sharing with you the origins of our friendship with the people of Nepal in these Travel Journal excerpts. Since these 1997 and 2002 excerpts Project C.U.R.E. has delivered nearly $12 million dollars worth of donated medical goods to Nepal. Here is a wonderful miracle that took place regarding the recent devastating earthquake: Just the day before the quake hit Nepal Project C.U.R.E. had a 40' ocean going cargo container jam-packed full of desperately needed medical goods arrive in Kathmandu, Nepal and clear customs. One of the UNICEF disaster tents was dismantled at the epicenter of the quake so that Project C.U.R.E.'s container could be strategically placed and medical personnel started using the supplies and pieces of equipment from the container immediately saving many lives on the spot.
Additionally, hundreds of thousands of dollars worth of supplies were carried into the quake area in "Project C.U.R.E. Kits." Right now another 40' cargo container with nearly $400,000 worth of medical goods is on the water from our Tempe, Arizona facility and will be arriving soon. These early seeds planted nearly 20 years ago are now producing a wonderful and fruitful harvest in Nepal and the other 130 countries around the world.

NEPAL October 1997 (cont) Narayan arranged for me to meet at 7:00 a.m. with J. N. Khanal, the former prime minister of Nepal. His coalition government has just been restructured, which restructured him right out of his job as prime minister. However, Mr. Khanal is still perhaps the most influential politician in Kathmandu. Democracy and the parliamentary system of government are still very new in Nepal, and my guess is that Mr. Khanal will remain a vital part of Nepalese politics for a long time to come. 

As soon as Narayan introduced me to the prime minister, he was called out for some emergency situation, which left the prime minister and me alone to discuss many things. He was very intrigued with Project C.U.R.E. and asked if we would be willing to work with him in the future as well. I assured him we would. He asked if we only deal in medical equipment, or if we could partnership in other areas. He told me that the country is very desperate for additional hydroelectric facilities. “We have lots of water in the rivers, but not enough hydro plants to generate electricity for our people.”

We went on to talk about the agricultural industry. He explained that there is a good opportunity for increasing the production of tea and improving on the packaging process and distribution. “We grow excellent tea here in Nepal, but no one can afford to plant the crop and wait for the first five years to harvest it.” 

I explained our intentions to come alongside Ethiopia and help them become a net exporter of foodstuffs in the next ten years. The prime minister went on to tell me they also grow good apples and other fruit, but as is the case with nearly all the crops, they have to use water buffalo and oxen to plow the fields. 

I asked him about the educational needs of Nepal, and he told me they really need everything. I shared with him how Project C.U.R.E. has been involved in Kenya, Russia, and the Ukraine sending reference books to the schools. I pledged that we will not try to export any of our culture by sending novels, US history books, or social materials, but rather if we send books, they will be limited to encyclopedias, dictionaries, medical books, science and math books, and other reference books. He really appreciated my sensitivity regarding the cultural issues. 

I guess I have tried quite hard to respect and value the dignity and background culture of the people I have met in the countries I visit. I’m not sure how to explain it, but I have found inside of me not just a fascination or curiosity with the people and their traditions but feelings of deep love and admiration for them as well. I am a little surprised at myself when I take inventory and find that some of the people I really care about and have considered some of my dearest friends are people I have met outside my traditional sphere of influence. I think of Vilmar Thrombeta and Drs. Paulo and Lorena Velho and their entire family in Brazil. I think of Ambassador Kim Jong Su and many others from North Korea. I think of Don Osman and his family in Nairobi, and many others, and I realize that somewhere along the line God did some radical changing of the motherboard of my computer—at the very citadel of my being. 

I am learning quickly about some of the customs of the Nepalese people. When they want to honor someone, they place a necklace of flowers over their heads called a mala. The most common greeting is “Namaste.” It is passed on as the Nepalese people place their palms together with their fingers up to their faces and dip their heads slightly with respect. Only westernized folks reach out to shake hands.

There are no locks on the doors of Nepalese homes outside the busy city, and I was invited to come in for tea continuously. Of course, as is the tradition throughout Asia, you always take off your shoes before entering a home. Chopsticks are not used in Nepal, but more like Mongolia, you lay your left hand beside your leg or on your lap and use your fingers on your right hand to mix and stir together everything on your plate and then serve it into your mouth. The left hand is never used even to present a business card to someone. That’s because the left hand is utilized in the excrement process and is therefore considered defiled. 

In Nepal it is rude to put your hand on someone’s head or shoulder, and as is the custom in Eastern Europe and all of Asia, men and women never touch or show affection to each other in public. However, those same cultures approve of members of the same sex walking down the street arm in arm or holding hands. It is strictly taboo to ever point the bottom of one’s foot toward another person. You shouldn’t touch another person or even a cow with your foot. If you want to motion for someone to come to you, you don’t curl your index finger at the person or motion with a circular movement of your hand pointing up. Rather, you motion to the person with your hand extended and your fingers pointing down. Well, so much for cultural hints when you travel to Kathmandu.

Next Week: Trekking in Nepal

© Dr. James W. Jackson

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Journal Highlights: Roads I Have Traveled ... Excerpt #1 from October 1997

NEPAL: Project C.U.R.E. received previous requests to become involved in Nepal, but the present circumstances and timing seem just right for this new venture. 

I have always been intrigued by the country of Nepal, hearing the reports of climbers who use the country as base camp for their climbing assault of Mount Everest. The whole country of Nepal is predominantly mountainous and is about the same size as the state of Wisconsin. The Himalayas, in the northern third of the oblong country, contain some of the world’s highest mountain peaks. Six of those peaks are higher than twenty-six thousand feet, including Mount Everest at nearly thirty thousand feet. 

I have been used to hearing the accolades and applause for the fourteen-thousand-foot peaks of the Colorado Rockies, so I am curious to view mountains nearly twice as high as those in my backyard in Evergreen. Kathmandu, the capital of Nepal, is located in the middle hills, which are more comparable to our Rockies and are historically known for the exploits of the famous Gurkha foot soldiers. To the south lies the Terai, where you can find everything from cultivated fields to the subtropical jungles at the northern rim of the Gangetic Plain. Obviously, with that much diversity in elevation, there are radical changes of weather within short distances of travel. The cool summers and frigid winters of the north become the subtropical climates of the southern regions. To add spice to the weather variations, the effects of monsoons on the middle and southern regions between June and September are thrown into the mix, compliments of the nearby Indian Ocean.

Nepal is situated on the border between China to the north and India to the south. Historically, it has always been an important buffer state and a negotiation referee between the two giant countries. In fact, the size of Nepal has varied greatly over the years due to border squabbles. In 1990, King Birendra canceled the ban on political parties, which led to an interesting experiment in Nepal’s endeavor to embrace democracy. The struggle has not been entirely successful. Today there are now three major parties, and no one party has been able to achieve a majority hold on the parliament, which consists of the upper chamber known as the National Council and the lower chamber called the House of Representatives. So far, each government election has necessitated a coalition government. The system lies somewhere on a governmental organizational chart between a multiparty democracy and a constitutional monarchy, because although the prime minister runs the governing chambers, the king is still chief of state.

In Nepal, agriculture still employs 93 percent of the labor force. Most of the country is, therefore, a no-cash-income economy. More than four million Nepalese work in India and send their pay home to their families in Nepal. So Nepal is one of the poorest countries in the world, with an annual gross national product per capita of only US$165.

Health conditions have somewhat improved in the recent past. Even so, a very high infant-mortality rate of ninety deaths per one thousand babies born still exists, and the life expectancy is right at fifty years. There is no organized plan to purify the water supply, so diseases such as meningitis, typhoid, and hepatitis are widespread. I have been warned to never drink any water except bottled water and to be sure to keep my mouth and eyes shut whenever taking a shower. Nepal has needed Project C.U.R.E. for a long time.

Nepal also needs some help with their educational system. Only 13 percent of the females are literate due to farm work and prearranged marriages, and the total literacy rate throughout the country is between 25 and 26 percent. About 88 percent of the population adheres to the Hindu religion, and Nepal, I think, is the only nation in the world that has declared itself a Hindu state. There are very few Christians in Nepal, and proselytizing is officially and strictly forbidden.

Nepal’s population is somewhere around twenty-five million, about the same size as North Korea. It is growing at quite a rapid rate now, which has a lot of the world health groups flocking in to shame them into a position of imposing a lesser burden on dear Mother Earth.

Narayan Shrestha suggested I accompany one of his volunteer medical teams heading into Nepal. They are to leave Denver on October 8, and they are all staying for at least one month, with some volunteers staying as long as six months or more. I told him I have plans to be in Romania by October 16, but there is a possibility I could squeeze in the Nepal trip on the front end of the schedule and then go from Nepal directly to Bucharest, Romania. Agreements were made and plans confirmed.

Next Week: Nepalese Protocol and Customs 

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #2 from November 1996

Some have said, “You will grow too fast, and you will never have enough money to keep Project C.U.R.E. afloat.” 

I’ve thought about that a lot … even on this trip while sitting in the hotel room cooling my jet engines.It appears that we will need money for phones, computers, insurance, trucks, fuel, repairs on donated equipment, travel, training, utilities, office supplies, printing, postage, forklifts, pallet jacks, program software, maintenance and upkeep, container shipments … for … for … for … And that’s for each satellite location as well as the home office in Denver. 

It would only take half a brain and one eye to conclude that this is an impossible thing to accomplish. I can’t do it; I know that. I don’t suffer under any false illusions … but I do have a very wealthy personal friend, and I have had the occasion to keep him fully apprised of the entire project. In fact, most of the successful ideas we are now implementing came at his suggestion. When I tell him what’s happening and the fact that we will have shipped, just this year alone, over fifty containers to forty different countries, and the worth of those loads over the past two years equals nearly $20,000,000 (that’s twenty million for those who keep track of zeros), and it was done with almost no money, I get this picture in my mind that I will see a twinkle in his eye and a slight grin at the left corner of his mouth.

And he will quietly whisper under his breath, “Oh yes, and don’t forget the healing that took place in the bodies of many of my children, and the hope that was ignited in the hearts of thousands of my hurting pilgrims who had just about stumbled over to the side of the road to sit down and quit the trek because it seemed there was just no use in going on to the next oasis.”

This wealthy friend of mine just may be showing me another lesson about money. I had to learn once before a very traumatic lesson in his school of eternal economics. He kindly tutored me in the fact that I was, indeed, addicted to the money. It was kind of painful, as I recall, going through the process of breaking that addiction. And, little by little, his curriculum has brought me to the conclusion that he owns and is presently actively involved in managing absolutely everything that exists in this present time-space continuum called life and earth and wealth and stuff.

So I guess I have come to the unorthodox conclusion that I am not going to harp on him about money to meet the needs of Project C.U.R.E. That would tarnish the picture of his true creativity and perhaps even insult him—and I have learned that proper conduct definitely does not include insulting the wealthy.

However, with great importunity, I have decided to bug the daylights out of him to appropriate adequate resources to carry out what he has already started in us as a good work. For that request I feel perfectly at ease bursting into his secret place and blurting out, “Abba, Daddy, please help me. We’re trying to be your feet and legs and hands and arms to take healing to those who need healing and hope to those who need hope. If I am not the one to be leading this charge, please get to the replacement plan as quickly as possible and get me out of the way so that another who is more perceptive in such things as obedience can carry on the work to completion.”

Wouldn’t it just be something if we finally broke past that barrier of thinking I can’t do it because I don’t have the money? He would absolutely surprise us all and get the job done without money—or an even greater surprise—once we let loose of our old patterns and expectations of how he “ought” to answer and become comfortable with the idea that he has the freedom of creativity of doing it just any jolly old way he wants to. And then he would come back around after our addiction is healed and really, really surprise us by doing it with money as his select resource.

At any rate, I am going to quit spending my energy trying to coach my wealthy friend. I just want to stay focused on getting and keeping in the game as a player, not a coach. And I believe that one day soon that twinkle in his eye and the grin at the left corner of his mouth will break into a full-fledged grin and maybe even into a robust laugh of exuberance as he says, “Well, you finally did it. Well done, well done, my friend.”

Next Week: Early days in Nepal

© Dr. James W. Jackson

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Journal Highlights: Roads I Have Traveled ... Excerpt #1 from November 1996

(In the early days of Project C.U.R.E. we had to develop our business strategy while we were in motion. We did not have someone else’s book to follow. Would we grow past Denver? Where would we get the supplies and pieces of medical equipment? What about warehouses, forklifts, volunteers? We had jumped off the top of the mountain and now we had to assemble the airplane in mid air before we hit the ground! Here is an example of one of those lonely thinking sessions.) 

ETHIOPIA, Nov.20, ’96: For most of the remaining time in London, I was able to catch up on my reading and some writing. I had time to think about just what Project C.U.R.E. might look like five years and ten years down the road. It is starting to take shape as an absolute twentieth-century miracle. 

We had all grunted and groaned together to push the big rock up the hill. Now that we are picking up a little momentum, we need to be even more diligent and even more sensitive to God’s direction. It seems like it would be wise and prudent to start planning on perhaps twenty to twenty-five Project C.U.R.E. warehouses in cities around the US, and possibly Canada. It just seems to make logical sense not to try to ship everything to Denver to warehouse and containerize. To truck medical goods from hospitals in Houston, Texas, to Denver; put those goods into a container; and then ship the container all the way back to Houston to put on a boat just doesn’t add up. It seems wiser to collect and containerize the materials right at or as close to the point of donation as possible. That would do several things to expedite matters: 

1. Over time we would save millions of overland shipping miles. 
2. It would keep Denver’s facilities from having to become too big. 
3. By spreading out the operation, we could utilize smaller warehouse facilities and also tap into additional volunteer pools as the project spreads around the country. 
4. Local medical-supply donors would be able to link local faces with Project C.U.R.E., as they keep in touch with volunteers who come around to visit them, rather than just seeing some disinterested overland truck driver pull up and then drive away. 
5. It would give perhaps thousands more people the opportunity to get involved in a hands‑on missions mobilization project. 
6. Local people developing relationships with hundreds of doctors, hospitals, and clinics would be able to ferret out millions more dollars’ worth of medical supplies than would one Denver‑based operation.

Those are just some of the factors on the positive side of the ledger. Of course, on the negative side … 

1. We would create an absolute logistical and managerial nightmare. 
2. We would immediately have to have people from our office ready to go to the new locations and train the warehouse manager, those who pick up the donated materials, those who pack the container, and so on. We would have to send our people out to make the initial introductions to suppliers like Baxter International, Owens and Minor, McGaw, Bristol, Johnson and Johnson, General Electric, Picker, etc., at all those new locations. 
3. We would have to have available trucks with lift gates, at least one pallet jack per warehouse, perhaps one forklift per warehouse, wooden pallets, donated warehouse space with loading docks that would match the height of the cargo containers, etc.

I believe the scheduling of container shipping and the decision for the final destination of the loads will always be handled through the Denver office, as well as all the receipting of donations and the tracking of the materials. That will give the operation stability and continuity and will always allow us to maintain our integrity with our donors, our recipients, and the Internal Revenue Service. The on‑location warehouse managers could fax or e‑mail the inventory of items picked up on a given day and the donor’s name. Denver could put that information into the computer and issue written receipt letters the next day. That would let us know exactly what we have in inventory in each location at any given time. From that inventory we could determine what and when to ship to a recipient country.

 Next Week: Who will pay for all this?

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #4 September 1998

DOMINICAN REPUBLIC (cont.): The clinics I visited this afternoon were embarrassingly short of any medications or supplies. When I inquired about the lack of pharmaceuticals and basic supplies, the attendant at the Barranca clinic wrinkled his forehead and sort of looked at me in a puzzled way.


“We are pleased we have these supplies. We just received them yesterday. Before these supplies, we had not received any others since last April” was his reply. He then proudly showed me a small wooden box with an ill-fitting wooden lid. Inside the box was inoculation medicine for children. The medicine, which must be refrigerated, was packed in ice cubes that were rapidly melting in the hot climate. None of the clinics I visited had any kind of refrigeration. 

This evening I was invited to join the executive committee of the Rotary Club for dinner. There I had the opportunity to tell them about the work of Project C.U.R.E. around the world. The genuine kindness of the people and the dedication to making their city of one hundred thousand people a better place to live really encouraged me. They were almost overwhelmed that Project C.U.R.E. would come to their city with the possibility of helping them. No other organization has ever come to help them. 

At dinner Dr. Miguel de Pena told me that their main hospital has been without an X-ray machine for months. Some people in Miami said they would try to help them get another X-ray machine, but Dr. Miguel never heard from them again. The committee told me that Project C.U.R.E. coming to La Vega is an answer to their prayers. We talked about the fact that I had not even counted on getting La Vega into my schedule until sometime in 1999. But rearranging the schedule for the Vietnam trip left just these few days available, and I felt strongly that I should contact Cesar Abreu regarding my trip to the Dominican Republic. It almost seemed, they said, like it was divine providence. 

They have been totally without access to even one X-ray unit for almost six months. The old, broken General Electric unit had been dismantled and was lying on a piece of concrete slab between two buildings. I asked what they do for X-rays for diagnosis. They simply replied, “We do without.”

I got into quite a discussion with all of the medical people in the room regarding the philosophy that the government could promise and deliver adequate health care to the total population without charging each patient some amount for the service. When I brought up the subject, I knew immediately that I had hit a raw nerve.

“Everywhere I go today around the world,” I observed, “those with health-care responsibilities for the general public are coming to the conclusion that their government cannot continue to expect to cover all costs of health care. What makes you think the Dominican Republic can cover everything for everybody? Obviously you are not doing it now, are you?”

Their answer to me was typical. “The politicians here depend on the vote of the people to gain office. Any candidate running for an elected office who would even mention the possibility of not giving free health care to the constituents would be a fool. He would never get elected.”

We had to move on with the assessment study, but my final thought on the subject was to challenge them that no one is receiving health care for free now in the Dominican Republic, and in my opinion, it will only get worse in quality, not better, until they figure out a way for the individual patients receiving the service to directly contribute something toward the services they receive.

The fact that the main hospital is trying to function without an X-ray machine, without monitors of any kind, with only one small autoclave, and with no lab analysis equipment certainly underscores the conclusion that the hospital simply needs everything.

Next Week: Designing a Plan

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #3 from September 1998

DOMINICAN REPUBLIC (cont.): Following lunch, Dr. Miguel agreed to go with us to four of the outlying rural clinics to let me evaluate them. Cesar had arranged for his wife to go with us as our interpreter. I had viewed many similar clinics in the backcountry areas of Brazil, Colombia, El Salvador, Cuba, and Haiti. As soon as I approached the clinic, I said to myself, Oh, my goodness. If I were to ever get sick or be in an accident, I wouldn’t want to come to this place!    

The first clinic was Maria Auxihadora, which, I was told, means “Mary, the helper.” The clinic serves an extremely poor area, much like a favela or squatter’s area in Brazil. There is really nothing available for the people there even though I was informed that the facility is crowded with thirty to forty people every morning needing medical help. 

The second clinic we visited was of special interest to me. In the heart of the old city of La Vega is an old, historic fortress complete with double sets of iron gates and battlement walls. On the back of the fortress lot is where the ancient prison is located. In fact, on the walls of the fortress prison are the remaining hooks where the prisoners were suspended when they became incorrigible or unruly. 

Now, however, the old fortress has been given over to the fire department of La Vega. No budget money is allocated to the department, so of necessity it operates as a volunteer effort. Housed also within the facility is the bombero (fire brigade) paramedic clinic. In addition to all the fire calls, ambulance runs, and automobile accidents that the paramedic firemen handle, over five thousand people from the neighborhoods come to the fire station for medical assistance. 

I shuddered as I thought of my fire-chief son, Jay, and all his buddies having to put up with the unbelievably atrocious conditions of the bombero fortress. The old, beat-up fire trucks are now parked in the old prison building. Two big trucks are totally inoperable. Two small “scat” trucks, used for quick dispatch on smaller fires or accidents, were sort of homemade, with plastic tanks strapped down in the back of two pickup trucks. The bunker gear the firemen are expected to wear to fight fires are ragtag uniforms from heaven only knows where. The clinic consists of two rooms containing almost nothing. The only flash of hope within the walls of the fortress is the thirty-one-year-old son of Cesar and Josephina Abreu, who has personally taken on the fire and paramedic project with a passion. He saved his own money and traveled to Texas A&M University to learn more about firefighting. He has qualified as a paramedic and is cramming in additional courses from the medical school. In many ways, he reminds me of my son Jay. I suggested to Cesar Jr. the possibility of getting acquainted with Jay, and he jumped at the chance. Perhaps something can be done to get them together in the future. What might happen if there was a Project C.U.R.E. for fire brigades? 

Ambulance and Fire Gear sent to the Bomberos Brigade

Ambulance and Fire Gear sent to the Bomberos Brigade

Next Week: Dominican Republic Health Care

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #2 from September 1998

DOMINICAN REPUBLIC (cont.): The people of La Vega, Dominican Republic, are a very noble and proud lot. And at the top of their “Proud of” list is the fact that they reside in the beautiful valley Christopher Columbus discovered in 1492. Back in Mrs. Zinks’s second-grade class, I had memorized the ditty “In 1492, Columbus sailed the ocean blue.” But in the interim it has taken years of meandering around the earth, which has indeed been proven to be round in shape, to finally observe for myself where Columbus landed. Almost from the minute I arrived in Santiago, my hosts began talking about their heritage and how privileged they are to live in the finest city in America. 

Being somewhat of a history buff myself, I responded by asking lots of questions about Columbus, Spain, and early life in the original and real America. So following our visit to the geriatric center, Cesar Abreu and Dr. Miguel asked if I would like to visit the original city Columbus founded. How could I refuse? 

While riding down the road, I received a post-graduate degree in Spanish American history. The large island of Hispaniola wasn’t always divided in two, with Haiti possessing about one-third and the Dominican Republic possessing the other two-thirds. First the Arawak and Taino natives had free run of the entire paradise. In 1492, Columbus landed somewhat confused. He believed he had discovered a new trade route to India. Seeing later that he had, in fact, landed on an island, his navigators pretty much convinced him that he had landed in what we know now as Japan. 

Columbus left the island to deliver his report to the queen of Spain. His charge had been to discover gold and find a way to mine it and return it to Spain. His report included the fact that he had located gold and that his Indians would be able to mine the treasure. So he was given permission to return again in 1496. While in Spain, though, he spoke of his new Americana as being the most beautiful spot in the whole world. 

On his second trip to the island, Columbus brought horses, implements, and eventually one thousand Spaniards and started building the town of Santo Domingo. Spain had dreams that from that stronghold they would be able to set out and conquer all of the Americas. 

Cesar showed me the original site of the city and remaining structures. I was able to photograph the brick fortress, with round vaults or turrets designed for defense. I learned that the ships coming from Spain often carried Spanish-made bricks in the ship’s hold to be used as ballast for the voyage. Once at their destination, they used the bricks to construct the main buildings.

Eventually an earthquake leveled the entire city, which had grown to a population of twenty thousand. The Spanish inhabitants felt that the earthquake had been directly sent by God because of the cruel way the Spaniards had been treating the Indians by working them in the mines. So they moved the city, totally abandoning the old structures and building once again farther out into the flat valley. 

Additionally, because of their assumed guilt regarding their treatment of the Indians, the Spaniards went back to the queen and convinced her that they should begin importing black workers from West Africa to do the work in the mines and sugarcane fields and on the cattle farms. Thus, the introduction of black slaves into the Americas. 
 

By 1801, the black slaves revolted and established Haiti as the first independent country in Latin America. But the graft, corruption, and heavy-handed cruelty of the black Haitians drove the Dominicans to declare independence in 1844. Today there is still a high degree of strained relations and mistrust between the Haitians and the Dominicans. Spain occasionally stepped back into the history of the Dominican Republic, and after the US Marines occupied the island from 1918 to 1924, a constitutional democratic government was established in the Dominican Republic.

It really sounds funny to hear the Dominicans talk about a constitutional democracy, since from 1930 to 1961, a virtual dictator, Rafael Leónidas Trujillo, ruled the Dominican Republic. But the people’s hatred for the dictator grew during this time, and he was assassinated in 1961. Then, once again, in 1965 the US Marines stepped in and restored a degree of civility to the region until the democratic system could again have a fighting chance.

While visiting the Santo Cerro location high up on a mountain overlooking the original city developed by Columbus, we were able to sit in on Mass at a beautiful and picturesque Catholic church. Just outside the church was a small memorial garden with a tree growing, which is supposed to be a direct descendant of the tree Christopher Columbus planted there. Inside the church was a metal grate that covered a “sacred hole,” also dating back to Columbus’s time. 

I was told a story about how Columbus and his men retreated to the mountain for safety and to defend against the Indians, who were determined to kill all the intruding Spaniards. As the Indians were fighting their way uphill and were just about to close in on Columbus and his friends, Columbus had some of his men dig a hole. He constructed a crude cross and dropped the cross base into the hole. As the lower end of the cross dropped with a thud into the hole, Columbus gazed upon his thousand men about to be killed by over ten thousand Indian warriors.

Immediately, a blinding light flashed, and the Virgin Mary herself appeared and delivered the Spaniards from certain death. Traditionally the grated hole inside the church is exactly the same hole into which Columbus placed the cross. When confronted with the seeming unfairness of the whole episode to the Indian natives, the pat answer was that obviously the Virgin Mother was decidedly on the side of the Spaniards because they had come to bring the gospel of Christ and the Catholic church to the island. The subjects of old- and new-world domination seem to take somewhat of a secondary or clandestine position during such lofty discussions.

Next Week: Bombero (fire brigade) 

© Dr. James W. Jackson   

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Journal Highlights: Roads I Have Traveled ... Excerpt #1 from September 1998

DOMINICAN REPUBLIC: Requests for Project C.U.R.E. to come and bring medical assistance arrive at our office from a wild variety of intentions as well as locations. As I write this journal entry, we are presently shipping donated medical goods to sixty-four different countries. We often ship to several different regions and multiple hospitals within each country. Many times we begin our work in a country as a request from some church or missions group. At other times, the government of the country makes the initial contact. Still other times, a friend or a family member of an indigenous doctor might report to us a need and request our help. 

Our involvement in the Dominican Republic has had a different little twist. A couple of years ago, I was invited to speak about our Project C.U.R.E. work at a Rotary Club meeting in Littleton, Colorado. Subsequent to that, Dr. Doug Jackson, the president and CEO of Project C.U.R.E., had been invited to join the prestigious downtown Denver Rotary Club, the seventh largest such club in the world. Word began getting out about Project C.U.R.E.’s international work through Rotary members. 

A couple of years prior, a small boy from the Dominican Republic named Raul had been brought to Denver for specialized surgery. The arrangements had all been made through the Rotary Club. The entire surgery was donated, but during the operation complications set in, and the doctors admitted the boy would die if he did not have a kidney and liver transplant. Warren Zeller, another Rotarian in Littleton, heard about the situation. Right at the time Raul’s operation was taking place, Warren Zeller’s grandson was tragically killed in an accident. The Zeller family donated the needed organs for the transplant, and Raul lived. He later returned to La Vega, Dominican Republic, where he now lives as a happy and active boy. Warren Zeller stayed in touch with Raul and told the La Vega Rotary about Project C.U.R.E. Warren was in attendance at the club meeting at which I spoke in Littleton. 

About eight months ago, I received an official Request for Assistance form from the La Vega, Dominican Republic. 

Next Week: An education in Dominican Republic

© Dr. James W. Jackson   

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Introducing: The Roads I Have Traveled, A Journey to Deliver Health and Hope

Project C.U.R.E. actually started before 1987. But, since that was the year they sent their first ocean-going cargo containers into Brazil, that is the year they use as their official starting date. Project C.U.R.E. quickly began maturing into a viable and recognized humanitarian organization, shipping multi-millions of dollars’ worth of donated medical supplies and pieces of equipment each year to needy developing countries around the world. 

Project C.U.R.E. (Commission on Urgent Relief and Equipment) was created to “identify, solicit, collect, sort, and distribute medical supplies and services according to the imperative needs of the world.” Project C.U.R.E. operated on the economic premise that a developing country could not build a successful economy on sick people. The idea was if you help the people get healthy, you will also achieve a healthier economy. It gave opportunity for everyone involved to end up better off. 

Project C.U.R.E. had to prove itself that it could be trusted to receive and handle highly risk-laden commodities. The medical donors knew that if Project C.U.R.E. were to mess up in the receiving and distributing of their medical goods, the community would not just hold Project C.U.R.E. responsible, but would reach through and past Project C.U.R.E. to any deeper pockets available. That would involve risk to the medical institution or manufacturer that had made the donation. In the past it had apparently been easier and less risky for the medical industry to simply bury their overstock and second generation items in either warehouses or local landfills. 

Early on, a policy was implemented by Project C.U.R.E. that no medical goods would be distributed to any place in the world unless some representative from Project C.U.R.E. had first gone there to personally perform an extensive needs assessment report on that particular hospital or clinic. That was part of the due diligence and accountability that was accepted by them to maintain the integrity of the endeavor. 

In the beginning, that seemed like a simple task. But as Project C.U.R.E. began to grow, word got out that they were donating millions of dollars in medical equipment each year to recipients around the world. If the organization helped one hospital in South America or Africa, ten more institutions would hear about the donation. The requests for assistance multiplied exponentially. 

Gradually, the medical community and industry began to feel confident working with Project C.U.R.E. In fact, many of the organizations were discovering that it was just good business to include a partnership with Project C.U.R.E. into their corporate strategy. It was good public relations to be identified with supporting an effective international humanitarian endeavor. 

Other corporations were finding that it made a lot of sense, financially, to be generous with Project C.U.R.E. by emptying their warehouses of overstocked goods and last week’s “great sellers.” Each week brought new and improved items that had come on line because of a company’s aggressive and successful research and development departments. Project C.U.R.E. could take those donated life-saving items, distribute them, and also work with the donors on receiving any accounting advantages available. 

Dr. James W. Jackson, founder of Project C.U.R.E., began carefully documenting everything in his official Travel Journals regarding the philosophy, design, implementation, and distribution of the operation of Project C.U.R.E. The Journalsare based on his personal travels to more than 150 countries around the world. Reading the narrative journals and viewing the volumes of photos will allow a person to travel with Dr. Jackson to thousands of locations worldwide and be a part of the growth and effectiveness of Project C.U.R.E. 

Dr. Jackson claims that, “Specifically, I felt it necessary (1) to validate the need around the world for donating medical supplies to developing countries, (2) to validate the fact that there were ample sources of overstock medical supplies and pieces of medical equipment sufficient to sustain a humanitarian donation business, and (3) to document all the episodes and miracles of such an endeavor.” The individual Travel Journals have become one-of-a-kind research articles covering important facts about thousands of international venues and institutions. Such information had never before been compiled. 

The World Health Organization (WHO) has applauded Dr. Jackson and told him that no one has accomplished what he has achieved in compiling such information. Even the ministers of health of the countries have not gone where you have gone and compiled the information. Additionally, the U.S. Department of State awarded Dr. Jackson with the coveted Florence Nightingale Award for his outstanding service. 

Winston–Crown Publishing House is proud to announce an agreement with Dr. Jackson to publish his entire collection of travel journals under the title The Roads I Have Traveled: A Journey to deliver Health and Hope. 

While the collection is being processed for publication, brief excerpts from the journals will be featured each week here on Dr. Jackson’s blog site. That will give his readers a glimpse into the exciting material, and introduce them to the vast array of content through snippets and examples of people, places, events, and miracles chronicled in the journals. 

Get your inspirational passports and visas in order so that you can be a part of the exciting adventure of delivering health and hope around the world. 
Bon Voyage.

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