In Puerto Rico, racism was subtle. There wasn't the kind of separatist racism like in the US. I wasn't used to this. - Helen Rodríguez Trías

We still have a system that excludes, underserves, and even misserves all too many people. The latest census tells us that there are over 44 million Americans without health insurance. That is inexcusable. The failed social policies of the past few decades have widened the gaps between rich and poor, well and poorly educated, medically indigent and consumers of elective high-tech surgery, owners of multi-mansions and the homeless. We need health, but above all we need to create a grounding for healthy public policy that redresses and salvages the growing inequities. We cannot achieve a healthier us without achieving a healthier, more equitable health care system, and ultimately, a more equitable society.

Women brought a feminist perspective to health issues affecting women. They examined power relationships among individuals and between individuals and systems. The very early drafts of Our Bodies, Ourselves, by the Boston Women's Health Collective, which was seminal in all this, said we need to know our bodies, we need to know what makes us healthy and what threatens our health, and we need to negotiate or confront the health care system to get the best possible health from it.

The only way to effect change was for more women to go into the professions and instill a different perspective—a more human touch and a more respectful relationship with patients.