Pussy Footing or Public Policy? Rethinking Health-System Reform in Botswana

A Note to Readers

This commentary is not about a word. It is not about personalities. Nor is it intended to criticise any individual, profession or institution. Public attention often settles on the language leaders use, while more important questions remain unexplored.

The purpose of this article is to look beyond the headlines. It uses a recent expression that entered Botswana’s public conversation as a point of departure for a broader discussion about health policy, governance and the difficult choices governments face when reforming a health system under pressure.

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