1 Council on Health Research for Development (COHRED), Geneva, Switzerland; School of Applied Human Sciences, University of KwaZulu-Natal, South Africa. carel@cohred.org.
Letter by IJsselmuiden on 'From the Editor' article by Farham (Farham B. Fix the system. S Afr Med J 2022;112(5):299. https://doi.org/10.7196/SAMJ.2022.v112i5.16571); and response by Farham.