The credibility of any government is determined in large part by its capacity and willingness to provide basic services. Health care can bring people together when there is equal access, or divide people when there is not. Before and after the earthquake, quality health care in Haiti was/is primarily provided by non-governmental and international organizations (NGOs/IOs). The NGOs and IOs have been instrumental in keeping disease outbreaks at bay and access to health care for many residents in Port au Prince, at least for now, is better than it was before the earthquake. While significant accomplishments, much more remains to be done before we can say that the health care system is truly being reconstructed.