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The last place on earth she would look for help is Iran, a country widely regarded in America as the enemy. The US and Iran have not had diplomatic relations for 30 years and the two governments trade daily insults over Iran’s nuclear programme. Last week Tehran charged three American hikers with espionage after they apparently strayed across the border.

But with Congress acrimoniously debating the reform of healthcare, it is to Iran that one of America’s poorest communities is turning to try to resolve its own health crisis.

A US doctor and a development consultant visited Iran in May to study a primary healthcare system that has cut infant mortality by more than two-thirds since the Islamic revolution in 1979.

Then, in October, five top Iranian doctors, including a senior official at the health ministry in Tehran, were quietly brought to Mississippi to advise on how the system could be implemented there