In ninth grade, I came up with a new form of rebellion. I hadn’t been getting good grades, but I decided to get all A’s without taking a book home. I didn’t go to math class, because I knew enough and had read ahead, and I placed within the top 10 people in the nation on an aptitude exam.
In poor countries, we still need better ways to measure the effectiveness of the many government workers providing health services. They are the crucial link bringing tools such as vaccines and education to the people who need them most. How well trained are they? Are they showing up to work?