Noting the global health community is “moving beyond vertical programming, seeing more integrated services and a focus on strengthening health systems and the health workforce,” Pape Amadou Gaye, president and CEO of IntraHealth International, writes in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, “Though this isn’t happening systematically — or fast enough — it’s exactly what we will need to achieve universal health coverage. Communities around the globe cannot have access to any type of health service without health workers and the health systems that support them.” He states, “I believe we need a paradigm shift in partnership, collaboration, and cooperation, and that we must encourage the development of skills in three key areas: adaptation, innovation, and integration” (12/5).