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A foreword by former U.S. President (and University Distinguished Professor) Jimmy Carter notes a shared interest between himself and President Wagner in international health, leading to Emory's formation of the Institute for Developing Nations and the Emory Global Health Institute. Carter adds that Wagner 'committed himself to building an academic community that met and resolved the most challenging issues. I especially appreciated his support of what he calls 'impossible conversations' conversations that people typically avoid because of the discomfort they bring. I agree that a great university must be engaged in fostering and, indeed, requiring such conversations. With these and other insights, Jim provides us much to consider.'
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