Take the first step in faith. You don't have to see the whole staircase, just take the first step.
Paul Farmer has helped to build amazing health care system in one of the poorest areas of Haiti. He founded Partners in Health, which serves the destitute and the sick in many parts of the world from Haiti to Boston and from Russia to Peru.
I would rather propose a bureau somewhat similar to that which we have in the Universal Postal Union.

