Post-genocide Rwanda has managed to implement a good universal health insurance scheme that covers a large proportion of the population. This came about because of the severity of the country's problems and the resulting high proportion of women in the parliament and among professional caregivers, which had a positive effect on policy.

There is a democratic deficit. In Latin America in particular there is real concern that democratic governments are not delivering and that is leading to experimenting with different models that are much less democratic. But even in Western Europe the deficit is a problem.

Membership in the European Community, now the European Union, has enabled Ireland to re-find its sense of participation - cultural, political, social - at the European level. I think that also opens up possibilities for Ireland as a European country to look outward - to look particularly, for example, at countries to which a lot of Irish people emigrated, to our links - our human links - with the United States, with Canada, with Australia, with New Zealand. And to look also, because of our history, at our links to the developing countries.

I'm not interested in scoring points or being over-critical of the US administration. I want to find the entry points to try and get it back on track so that the United States can get out of the present disastrous situation it's in, and back into being a constructive force for human rights in the world.

In human rights theory it is very important that governments still have the primary responsibility for the standards and provision of such services even if they no longer deliver them. They must insist that the private sector delivers without discrimination. So governments still have responsibility, including the need to influence business.

The UN may not be very effective but I am a fan of the idea of the United Nations. I have been there, I know the problems. To parody Winston Churchill: It is the worst system, except we don't have any other.

We need to understand that we need to get the work-life balance better for both men and women - by men taking on more of those roles of homemaking and child rearing - it's an important area that we still haven't got right. I do worry; it's not just in the United States, it's also in parts of Latin America.