Georgianne Nienaber: Health care in Haiti before the earthquake was inadequate. Now many health care workers have been killed, others have left the country and those that remain are overwhelmed not only with delivering care, but also with putting their own lives back together and dealing with friends and family who lost everything in the quake. So what happens? Predictably, the international NGOs roll in and force the closure of part of the established infrastructure. Why? One would suspect so that they can garner a part of the billions in funding promised by the UN donor conference.