Practically all we know is that thousands of native Haitians have been killed by American Marines, and that many of our own gallant men have sacrificed their lives at the behest of an Executive department in order to establish laws drafted by the Assistant Secretary of the Navy. ... I will not empower an Assistant Secretary of the Navy to draft a constitution for helpless neighbors in the West Indies and jam it down their throats at the point of bayonets borne by US Marines.
Haitians weren't screwed-up, but everything political, intellectual, and material around them is.
I suspect the Haitian Ministry of Health's principal contribution to health in Haiti is providing nice, healthy jobs to those Haitians with the connection to get them.