 I'm George Paul Williams from Liberia. I am the Secretary-General of the National Health Workers Union of Liberia, which is an affiliate of Public Services International. The National Health Workers Union of Liberia is a trade union institution that protects the interests of the health workers of the Republic of Liberia. Trade unions play a key role in the achievement of the Health for All policies because you have to realize that it is the health workers who are providing the services to the population. And so if we are going to realize what we call Health for All, health workers may be brought on board. They are a stakeholder. They must be given the necessary training. They must be part and parcel of decision-making. And they must be given the right for incentives to make them to do their jobs, providing them all of the required materials they need, supplies they need to carry on their duties. And being the foot runners of people on the white floor, they need to be part and parcel of the planning process. They need to be part and parcel of decision-making. Their voices must be heard so that the right things are on the workflow for people to be able to get or achieve Health for All. The policy of this universal healthcare came in and we see a vast difference in how the health system was being operated before. In the time past when comprehensive primary healthcare was being implemented in Liberia, we saw that people were getting to the facilities for services. The services were readily provided. There were medications and supplies in adequate quantity. Unfortunately after the war season in Liberia and we came back to ourselves, we came to realize a new setup of, you know, operative. Now government is going towards the policies of the war bank and donors and these donor-targeted policies are leaving out some aspect of healthcare because, for example, they take the issue of HIV and AIDS as just a particular thing that they must work on. Healthcare must be holistic. It has to be involving and not selective and that selective aspect is what we as a trade union institution are against because we feel our services must be provided to all people without border and not just certain things are available for certain people who have certain conditions that are of interest to certain donors whilst other people come to the same facility, they come to you for care and they cannot get the care because those things are not available, okay? So this is one thing we have been trying to fight against and then the next thing that happens is because they have these things in a selective sponsorship so the rest of the other programs are left on sponsor. For example, right now in Liberia, I work in the clinic, a facility where MSF is running a portion of the facility for mental health care and I am in the emergency room but my emergency room activities are not so linked to the MSF program which is mental health care. If I have a patient that is showing signs of mental health problem I refer them there. When they go there, they get very good care. In fact, the building is divided. They have electricity on the side of the MSF caring portion and we in the emergency room, there is no electricity in our place. Everything the patient needs is not even available. We do not even have gloves, disposable gloves and so we have to ask students who are coming to practice to bring in gloves but we are in the same building because in fact MSF, that is a very big organization is in the building with us and we do not have gloves but their side have gloves. This is how you see the selective care is going and that is how it has an impact on the services we provide. So in the same building where MSF is operating we are from the government side. We write prescription for patients to carry home and go to buy medications and sometimes they carry the prescription because they cannot afford to buy them. After two, three days they come right back to the clinic and you will identify the medicine but you were here two, three days ago and you say yes I have the people but I cannot buy the medicine so I come back to see if government have brought medications and we think this is not right. We definitely believe that in fact as health is a human right we should solely and wholly be on the shoulders of the government and government should design all of the means by which it can take this responsibility head on. Of course partners can come and help but we feel it is the government's responsibility. Unfortunately that is not the case. You will realize that in Africa, West Africa for that matter the regional leaders have agreed to spend 15% of their annual budget on the health sector. Unfortunately they are not even spending 50% of their budget on the health sector and that is even if they could even spend 50% it would still be in manude to the needs, the health services needs of the people but they are not even doing that and heavily depending on donors and this is how come these donor-driven policies have some problems because they don't meet the needs as they should be met. Yes we can all work together but we must plan it together and it should not be tied to special programs it should be health for all. Everybody who comes to the facility must be able to get redressed for the problem they come for because we all know there are different types of diseases and not only few or selected ones everybody who comes must be able to have their grievances addressed. In Liberia and across the globe we call for total inclusion of stakeholders to include the communities, to include the health workers and decision makers and other donors to be able to plan and formulate policies in the health sector. We want the world to return to the primary healthcare system of delivery healthcare because that calls for total inclusion of everybody and we think that is the best way we can move forward in the total care of the world.