It is an indictment of the global health community that frontline health professionals like Dr Massimo Serventi should have difficulty to identify appropriate referral mechanisms for patients (such as the child with inhaled foreign body). Ideally, such referral mechanisms should be widely known across the health system of the country, so that it is clear where (for example) a child might be referred for a specialist procedure such as bronchoscopy. I realise this is easier said than done, particularly in countries such as Central African Republic, and this is why it is also vital that health professionals like Massimo have virtual access to advice from expert health professionals (including in neighbouring high-level facilities) through networks specifically designed for this purpose... The aim must be progressively to realise a world where every health professional should have access to the information they need to provide appropriate care to patients, including expert virtual consultation, and including relevant information for decisions on physical referral to higher-level healthcare facilities. This should be readily achievable and should be specifically included as an essential part of the concept of Universal Health Coverage whereby every citizen worldwide should have access to the health services they need without suffering financial hardship.