For more than 35 years, I have assisted in providing medical services at the Albert Schweitzer Hospital, a 120-bed facility in the Artibonite Valley 90 miles from the Haitian capital of Port-au-Prince. It provides some of the most sophisticated medical care by Haitian standards. The facility was created by Larry Mellon, MD, and Gwen Mellon in 1956. Dr Mellon, from the Pittsburgh banking family, was a rancher in Arizona when he learned of the work of Albert Schweitzer, MD, at Lambarene in Africa. The Mellons visited Schweitzer and were so influenced by what they saw that they decided to sell their ranch and pursue a similar hospital in this hemisphere where the need was greatest. Dr Mellon began medical school at Tulane University, New Orleans, La, at age 37 years and Mrs Mellon enrolled in a laboratory technician's program. The Haitian government allowed the Mellons to use the former Standard Fruit Company site to build their hospital and their home. The facility initially provided acute care but gradually expanded to include public health and community development. The latter programs created the greatest benefit for the population in the district through immunizations, improved water supply, and education to eradicate common diseases such as tetanus, typhoid fever, and diphtheria. They were also successful in decreasing the incidence of malnutrition among the very young. For many years, the Harvard School of Public Health, Boston, Mass, had full-time physicians and fellows providing the organizational structure for these programs.