In my view the fundamental issue here is less about lack of material (else how does one explain the non-use of expensive newly-acquired modern medical equipment) and more about a culture of people who are ill-suited to the care of others.We have countless personnel in the medical profession who would have been better elsewhere (and whose absence from the field would improve it immeasurably). Our educational system really needs to be complemented with professional vocational counselors able to help direct students into careers best suited to their capacities and dispositions.To be a good health-care professional (doctor, nurse, paramedic, lab technician, etc.) is not only about professional qualifications, it is also about attitude; an interest in being a healer. It is clear some in the medical profession are not suited to this vocation and would do better elsewhere.Mwene Kalinda, Kigali, RwandaReaction to the story, "Butare Hospital staff tipped on hygiene”, (The New Times, June 8)