The local staff is critical as they are the ones, who before the doctor arrives, go to the villages and seek out the patients. The staff also organizes the place where the cataract surgery occurs. Often these places are primitive in nature.
What's been clear for years is that the press clings to its preferred storyline: When Republicans obstruct Obama's agenda, the president's to blame for not changing the GOP's unprecedented behavior. In other words, "both sides" are to blame.