Free Essay

Compare and Contrast: Mountains Beyond Mountains

In:

Submitted By maddiemay8
Words 984
Pages 4
In Mountains Beyond Mountains, Tracy Kidder describes a new sister organization that joined Partners in Health (PIH), Socios en Salud operating in Peru. PIH’s contrasting methods of maintaining Zanmi Lasante in Haiti and Socios made their expansion difficult, but greatly helped the new populations they served. Haiti and Peru have different political struggles which affect the potential of healthcare PIH can offer. Haiti’s government was overthrown by the Haitian army, resulting in a lot of violent political protest. Many were severely injured, which caused Zanmi Lasante’s focus to shift. Instead of working to cure those with tuberculosis, Zanmi Lasante had to nurse those victimized by the Haitian army. Not only did injuries delay Zanmi Lasante’s work , the Haitian army blacklisted PIH founder Paul Farmer for a few months. Likewise, a civil war in Peru caused the new government to place strict regulations regarding when Socios en Salud could care for people. Patients had to complete Peru’s custodial care before being surrendered to Socios. After the government let Socios care for their treatment failures, they laid heavy taxes on them. Each Socios patient costed PIH $15,000-$20,000 in contrast to Zanmi Lasante’s $150-$200. Socios could not help as many patients with tuberculosis because of the added cost, and focus shift to those injured. These problems demonstrate how crucial Paul Farmer’s leadership is to PIH.
The most valuable qualities a leader can demonstrate is humility, skill, and passion. Farmer has all three, explaining why Partners in Health would crumble without him. Both Kim and Farmer have skill, they both attended renowned universities for their medical degrees. It’s arguable that Dr. Farmer has more skill because of his degree in anthropology partnered with his medical degree. Farmer also demonstrates humility, which Jim Kim lacks. Kim aspired to be given as much esteem Farmer was as the leader of Partners in Health, so he established Socios en Salud. After Socios was established, KIm was overwhelmed, and Famer began giving him daily advice, saying “remember, serving the poor in Carabayllo is more important than soothing your own ego” (Kidder, 131). Farmer stayed humble and calmed Kim’s ego while being considered a saint by his Haitian patients. However, Farmer could not overcome his passion for his work, even when the stress and commitment caused health issues for him. Once Socios en Salud opened, Farmer was even more consumed with work. He was constantly traveling to and from Zanmi Lasante and Socios en Salud. In his spare time between flights his guilty conscience reminded him of those less fortunate than him, and sick people haunted him. “Everyone told me something like this was going to happen” (Kidder, 151) Farmer recalled once he was diagnosed with Hepatitis A. Hepatitis A is rarely fatal as long as it is treated quickly. However, Dr. Farmer could not pull himself away from his work and fell very ill. He spent two weeks in Brigham Hospital. Doctors worried he was going to need a liver transplant. Even when he was in the hospital, he had to call Socios en Salud and Zanmi Lasante to give drug procurements. PIH would not survive without Farmer’s skill and humility; his passion is demonstrated with his illness and interactions with patients. Dr. Farmer’s extensive humanitarian work brings him lots of joy. His career in medicine and anthropology is more than a job for him, it is his life. His love for his work with PIH is shown by how he interacts with patients. When an older woman comes to the Zanmi Lasante clinic, “Farmer stands when sheenters, greeting her as mami mwen ‘my mother.’ He bends down, practically kneeling, and she kisses him on one cheek, then the other” (Kidder, 26). Mami mwen is sick with Pott’s disease, but she went too long without treatment and can never be cured. She comes to see Farmer for company. A sick patient going to the doctor for company is unheard of. Farmer’s patients are his friends and family. He doesn’t sleep with a good conscience knowing there are people sick and sleeping on dirt floors while he is healthy and in a bed. Haiti’s Zanmi Lasante treated patients of all ages; Peru’s Socios en Salud had a children’s hospital which caused a sway of doctor patient relationships. Prior to Jim Kim establishing Socios en Salud, the World Health Organization (WHO) instilled care in Peru for those with tuberculosis. Once Socios opened people flocked there, they knew it had the best care. The government responded by requiring all patients to go through WHO’s DOTS program; each patient had to complete tuberculosis care twice, if they were still sick after they were released to Socios en Salud’s care. This affected Socios’s relationships with patients because they had limited time with them. After completing WHO’s DOTS program, patients that were still ill were in critical condition. Socios had to act fast to cure patients, and in a lot of cases, their care came too late. As a result, Peru had a much higher patient mortality rate than Haiti. Of the patients that did benefit from Socios en Salud’s late care, they were limited on time. They had less time receiving care from the Socios doctors than those receiving care with the Zanmi Lasante doctors; so there was less time to cultivate relationships. The doctors were as nice and compassionate as in Haiti. When patients’ parents thanked Dr. Farmer for his compassionate care he responded “for me, it is a privelage” (Kidder, 158). PIH’s expansion in the 1990’s allowed the organization to help more people, but stretched personnel and strained resources. Socios en Salud and Zanmi Lasante work to provide healthcare to those in need, specifically those suffering from tuberculosis. The heavy taxes Peru placed on Socios limited the amount of patients they could help and resources they could attain for each patient; but those in need of some healthcare got it.

Similar Documents

Premium Essay

Love Poems

...life? How important are feelings? These are questions with endless answers and many writers have found their own way of responding them. Having said that, I will proceed to describe, compare and contrast three poems written by three different authors which share the same theme: Love. These are “Since Feeling is First”, by E.E. Cummings; “When you are old”, by William Butler Yeats; and “Sometimes with One I Love”, by Walt Whitman. “Since Feeling is First” is a poem that deals with the importance of love and feelings over any other value in life. The narrator is concerned with placing the heart over the mind and states that feelings are more significant than wisdom. He claims that people should rely on their emotions to conduct their life instead of following the logic and order of things in a rational fashion. This idea is developed in the following lines: “Since feeling is first who pays any attention to the syntax of things will never wholly kiss you” “My blood approves, and kisses are a better fate than wisdom” Clearly, the narrator considers that no matter the intellect or wisdom a person has, a simple sign of love or romance is far more valuable. For him, it is better to be a “fool for love” than practical and intelligent. In addition, it gives the idea that love occupies a place beyond life...

Words: 1169 - Pages: 5

Free Essay

Physical Geo

...variations in weather and climate, the shifting of continents, and and the sculpting of coastlines by wave action. By recognizing the Earth system is dynamic, geographers take time into consideration when looking at the spatial patterns of Earth phenomena. Therefore, geographers are playing important roles in understanding the effects of climate change on earth systems. The role of geographers in assessing patterns of environmental change is a theme that reoccurs throughout this book. Figure 1.1 Folded Appalachian Mountains Linear folds of the Appalachian Mountains can be easily seen in this satellite image. (Source: NASA/GSFC/JPL, MISR Team) Geographers study both the form and processes acting at the surface of the earth, the principal domain of geographic study. Examine the landscape of the Appalachian mountain range in North America in the satellite image illustrated in Figure 1.1 and compare them to Mt. Saint. Helens found in the Cascade Mountain Range. The Appalachian mountains appear as a series of...

Words: 8683 - Pages: 35

Free Essay

The Last Dog Pamphlet

...The last dog Plot stages: Exposition * The story happens inside and outside the dome in the future. * Characters: * Brock – pod fellows – scientists – Brog * Background: * The story is about a boy called Brog who lived in a dome and is isolated from the external world. He got information about the outside world from novels and ancient fictions. Rising Action * Conflict becomes more complicated when Brock went out of the dome and explored what’s outside in the external world. He was surprised to find a young do next to its dead mother. He decides to take the dog to the dome and named it Brog. Climax: * Back in the dome, scientists perform several tests and experiments on Brog. They decided that Brog is the last dog on Earth and they planned to clone it. Brock overhears them and refuses to let that happen. Falling Action: * To save Brog from being cloned, Brock pretended to have a disease. He has to convince them that he is very ill. He decided to provoke Brog that she will bite him and transmit the disease. It works as scientists decided that Brock and Brog are very dangerous. The released them to the outside world. Resolution: * Overjoyed to be free, Brock and Brog left the dome. They decided to run away with a great hope to find other humans and dogs. He discovered that the outside world isn’t dangerous at all as the scientists claim. Questions and answers: 1-What is meant by science fiction? It means a mix between scientific information...

Words: 952 - Pages: 4

Premium Essay

Pepsi

...« Previous Post   -   Next Post » Coke vs. Pepsi The Dilemma: You’re at a restaurant. You’ve specifically asked for a Coke when you get handed a Pepsi, or vice versa. You tell the waiter what you requested, and he gives you the “What’s the difference?” shrug. Perhaps it’s time you laid it on him. People You Can Impress: “Impressed” probably doesn’t accurately reflect the aforementioned waiter’s likely response. The Quick Trick: If you drink them side by side, Pepsi is the sweeter of the two (which is why people tend to prefer Pepsi in the Pepsi Challenge). The Explanation:  Although the fantastic ad campaigns run by both companies would have you think otherwise, the soft drinks’ similarities are pretty striking. For starters, Pepsi and Coke were both the brainchildren of Southern pharmacists. Coca-Cola was invented by Atlantan Dr. John Pemberton in 1886. And yes, there was originally a concentration of cocaine in the soda, but it was reduced to a tiny amount (1/400th of a grain per ounce) by 1902 and removed altogether by 1930. Th e Coca-Cola Company changed hands a few times, and after Prohibition Coca-Cola was sold to the Woodruff family for $25 million. Pepsi, on the other hand, was born a few years after Coke. In 1893, pharmacist Caleb Bradham began experimenting withvarious drink mixtures in New Bern, N.C. His 1898 concoction, then known by the creative name “Brad’s Drink,” became an overnight success, and “Doc” Bradham began selling his “Exhilarating, Invigorating...

Words: 4500 - Pages: 18

Premium Essay

Roman Warrior Vs China

...For this assignment, I have chosen to compare and contrast the Roman warrior class with those of the ancient Chinese. The Romans warriors were a part of the most dominant and influential army in history. They were paid professional soldiers. They were a well-trained army, practicing daily in the use of weapons and strategies that made the empire so successful. Salaries and retirement benefits such as gifts of land to farm were standard for these men. In China, by contrast, the armies that were raised to bring power to the ruling class were typically peasants and farmers that were forced into service, with no regard for wages or even freedom. These soldiers were given only basic training with their weapons and battles were typically won...

Words: 1473 - Pages: 6

Free Essay

Ffffffffffff

...map. You will notice that small streams flowing from different directions come together to form the main river, which ultimately drains into a large water body such as a lake or a sea or an ocean. The area drained by a single river system is called a drainage basin. A closer observation on a map will indicate that any elevated area, such as a mountain or an upland, separates two drainage basins. Such an upland is known as a water divide (Figure 3.1). Sr ea m B 3 T Sr ea m A W at er Di vi de subcontinent. Accordingly, the Indian rivers are divided into two major groups: • the Himalayan rivers; and • the Peninsular rivers. Apart from originating from the two major physiographic regions of India, the Himalayan and the Peninsular rivers are different from each other in many ways. Most of the Himalayan rivers are perennial. It means that they have water throughout the year. These rivers receive water from rain as well as from melted snow from the lofty mountains. The two major Himalayan rivers, the Indus and the Brahmaputra originate from the north of the mountain ranges. They have cut through the mountains making gorges. The Himalayan rivers have long courses from their source to the sea. They perform intensive erosional activity in their upper courses and carry huge loads of silt and sand. In the middle and the lower courses, these rivers form meanders, oxbow lakes, and many other depositional features in their Figure 3.1 : Water Divide The...

Words: 3526 - Pages: 15

Premium Essay

Paul Bloom's Essay 'The Baby In The Well'

...ones. Throughout, Bloom compares historical accounts to make his case against empathy. One historical account he recalls is “Baby Jessica -the eighteen- month old who fell into a narrow well in Texas” (par. 10). Bloom explains that this incident acquired nationwide publicity to a point where President Reagan remarked, “Everybody in America became godmothers and godfathers of Jessica while this was going on” (par. 10). However, he contrasts this with a concurrent tragedy that nobody cared about: “the starvation of children in Africa” (par. 13). By doing this, he implies that empathy causes people to care more about one situation than the other. Similarly, he compares the attention generated for tragedies like Hurricane Katrina of 2005, the Sandy Hook school shooting, and the story of Natalee Holloway to the ignored “Genocide in Darfur” (par. 12). By comparing the Baby Jessica incident to children starving in Africa, Bloom strengthens his claim that empathy can mislead us. The comparisons he makes between real life examples helps his use of logic. It creates an appeal to logos because the fact that the starvation of children and a genocide were ignored by most is mind-blowing. The comparison also helps him create a serious tone, and convince readers to take this matter very seriously because it affects the welfare of others. Additionally, it creates an appeal to emotion because children and genocide will make readers feel more sympathetic. The contrast of examples works well for...

Words: 1587 - Pages: 7

Premium Essay

Mission and Vision

...“Compare and Contrast Vision and Mission Statement” INTRODUCTION: “If you fail to plan you plan to fail” this magnificence statement reflects how is important to have a plan whether for your life or your entrepreneurship. Also, if you do not know what you want to get is, you won’t achieve any things; simply in other meaning, properly you will not achieve success by coincidence. Therefore, you have to determine what you want before creating your plan, which will lead us to talk about the mission and vision in order to achieve our goals. Vision Statements and Mission Statements are the inspiring words chosen by successful leaders to clearly and concisely convey the direction of the organization. By crafting a clear mission statement and vision statement, you can powerfully communicate your intentions and motivate your team or organization to realize an attractive and inspiring common vision of the future. Over the last few years, there has been a substantial body of business research leading to the inescapable conclusion that those companies that specifically state where they are going and why do remarkably better than those who do not. Accordingly, organizations that do not take the time to develop missions are often ineffective. This paper describes the nature and importance of organizational vision and mission statements. Guidelines are presented for preparing vision statement and mission statements, with comparing and contrasting between vision and mission statements...

Words: 2488 - Pages: 10

Free Essay

Transitions

...* second, secondly, etc. Time * while * immediately * never * after * later, earlier * always * when * soon * whenever * meanwhile * sometimes * in the meantime * during * afterwards * now, until now * next * following * once * then * at length * simultaneously * so far * this time * subsequently Place * here * there * nearby * beyond * wherever * opposite to * adjacent to * neighboring on * above, below Exemplification or Illustration * to illustrate * to demonstrate * specifically * for instance * as an illustration * e.g., (for example) * for example Comparison * in the same way * by the same token * similarly * in like manner * likewise * in similar fashion Contrast * yet * and yet * nevertheless * nonetheless * after all * but * however * though * otherwise * on the contrary * in contrast * notwithstanding * on the other hand * at the same time Clarification * that is to say * in other words * to explain * i.e., (that is) * to clarify * to rephrase it * to put it another way Cause * because * since * on account of * for that reason Effect * therefore * consequently * accordingly * thus * hence * as a result Purpose * in order...

Words: 1597 - Pages: 7

Free Essay

Cja/210

...United States and/or other countries. Microsoft©, Windows©, and Windows NT© are registered trademarks of Microsoft Corporation in the United States and/or other countries. All other company and product names are trademarks or registered trademarks of their respective companies. Use of these marks is not intended to imply endorsement, sponsorship, or affiliation. Edited in accordance with University of Phoenix© editorial standards and practices. Facilitator Information                                                                                                       Michael Gutierrez gofiguretravel@email.phoenix.edu (University of Phoenix) gofiguretravel@q.com (Personal) 602-301-2633 (mountain) Facilitator Availability I am available from 10 a.m.-10 p.m. Mountain Time on most days, but I attempt to reserve Saturday for my family. On Sundays, I tend to be online in the late evening only. If these times are not convenient for you, please let me know. I will be happy to accommodate your schedule, if possible. I provide you with these times to make it easier to communicate with me, and not to limit our contact. I want you to know that, should you need to contact me outside these time frames, you should not hesitate to do so. For emergencies, when you are not able to gain access to messages on the Online Learning System...

Words: 3395 - Pages: 14

Free Essay

Religion

...Chapter 8,9,& 10 1. Are Taoism and Confucianism truly religions argue both sides. Taoism and Confucianism are two very different religious traditions of ancient China. Both Taoism and Confucianism cannot clearly be explained as a religion with certain doctrines and rituals as other well –known religions. As religious and social forces, they have coexisted for centuries in China and have spread to other Asian regions. The name Taoism is taken from the title of the book called “Tao Te Ching, which translates to “the way of nature. Taoism is based on the ancient Chinese understanding of the universe. Historically, the origin of Taoist philosophy is unclear, but it is said that the founder of Taoism is Lao-tzu, who lived in the sixth century B.C.E. Taoism can be described in terms of its history and its effects on Chinese people, nut it cannot be clearly delineated as a religion with a certain body of doctrine and rituals of Chinese antiquity. Philosophically, for Taoism, the ideal life is one that is lived in harmony with the way of this shifting nature. By the early centuries of the Common Era, Taoism had been converted into a religion complete with gods, priests, temples and sacrifices. In the modern days, Taoism is mainly associated with charms, exorcisms and magical attempts to prolong life, in which there is a self-generating force called chi (rather than there being a Creator Deity). This force manifests two interplaying aspects: yin and yang. Yin is the dark...

Words: 3642 - Pages: 15

Free Essay

Ancient Greek Heroes vs. Modern Heroes

...ancient and modern societies. As times have changed, the definition of heroes has also changed, in keeping with the changes in the modern society. However, ancient and modern heroes do share some similarities, which act as the basis of heroism regardless of one’s perspective. In view of this, a hero can be described as a courageous person, who deliberately sets out to conquer obstacles for the benefit others or one who performs extra ordinary feats. The aim of this paper is to compare and contrast ancient Greek heroes with modern heroes, for the purpose of understanding both concepts of heroism. Differences There a few differences between modern and ancient Greek heroes, one of them being the religious background of the ancient Greek heroes. In Greek mythology, heroes were usually religious figures, specifically demigods. They were usually born from liaisons between mortal and immortal parents. These heroes were favored by the gods, hence were able to accomplish supernatural tasks, which were beyond the abilities of normal men. Hercules’ mother for instance was a mortal, while his father Zeus was a Greek god, who disguised himself as her husband. As a result, Hercules was a demigod, and was able to accomplish extraordinary feats. Modern heroes on the other hand are ordinary people, who are able to accomplish extraordinary tasks. At the same time, they are not restricted to religious cults, thus modern heroes originate from various backgrounds. Firemen for instance are ordinary...

Words: 1860 - Pages: 8

Premium Essay

Japanese Philosophy

...working of reality itself (JPS 8). As for Dogen, such an engagement between human and nature generates meaning of things and is valid depending on whether it is appropriate to the context as it presents itself on a given occasion (JPS 151). When we have not yet fully engaged phenomena with the body-mind, we think that is all there is to the phenomena. While if we sufficiently engage them with the body-mind, however, we sense there is something more left out (Lecture Oct 28). Therefore, once freed from viewing the meaning of natural things in one and only one way, we can realize that the natural things around us are not necessarily only the things reach into your eyes at that moment. Beyond their being visible as circularity or angularity, there is no limit to the other things the ocean or the mountains can be. We should bear in mind that there are many worlds everywhere (Lecture 28). Therefore, according to dogen, the practice and verification, the pursuit and the Way, must also be not merely of one or two kinds, and the ultimate realm must also have a thousand types and ten thousand kinds (JPS 154). Moreover, Dogen also points out that there is a world within...

Words: 1361 - Pages: 6

Premium Essay

Ethics

...ECOCENTRISM AND ANTHROPOCENTRISM: MORAL REASONING ABOUT ECOLOGICAL COMMONS DILEMMAS KATHERINE V. KORTENKAMP AND COLLEEN F. MOORE University of WisconsinMadison Abstract When do humans extend their ethical scope to include nature? Anthropocentrism and ecocentrism are two ways of understanding an extension of ethics to nature. In an anthropocentric ethic nature deserves moral consideration because how nature is treated a¡ects humans. In an ecocentric ethic nature deserves moral consideration because nature has intrinsic value. In two experiments participants (n=91 and 84) generated moral reasoning responses to ecological moral dilemmas. The reasoning was coded as ecocentric, anthropocentric, or nonenvironmental (i.e., social contracts, truthfulness). Individual di¡erences and situational variables were examined in relation to moral reasoning about ecological dilemmas. Pro-environmental attitudes were related to more ecocentrica nd anthropocentrica nd less nonenvironmental reasoning. The presence of information about the impact of ecological damage on the environment, especially a more ‘‘wild’’ environment, elicited more ecocentric reasoning, while the presence of a social commitment elicited more nonenvironmental moral reasoning. The implications of the research for con£icts over environmental commons dilemmas are discussed. # 2001 Academic Press Ecocentrism and Anthropocentrism: Moral Reasoning about Ecological Dilemmas There is as yet no ethicd ealing with...

Words: 8444 - Pages: 34

Premium Essay

Not Really My Paper

...I DO NOT OWN THIS FOREWORD ______________________________________________________________________________iii Of the Beginning of Days ____________________________________________________________________ 12 Of Aulë and Yavanna _______________________________________________________________________ 17 Of the Coming of the Elves and the Captivity of Melkor____________________________________________ 19 Of Thingol and Melian ______________________________________________________________________ 24 Of Eldamar and the Princes of the Eldalië _______________________________________________________ 25 Of Fëanor and the Unchaining of Melkor________________________________________________________ 28 Of the Silmarils and the Unrest of the Noldor ____________________________________________________ 30 Of the Darkening of Valinor__________________________________________________________________ 33 Of the Flight of the Noldor ___________________________________________________________________ 35 Of the Sindar______________________________________________________________________________ 42 Of the Sun and Moon and the Hiding of Valinor __________________________________________________ 45 Of Men __________________________________________________________________________________ 49 Of the Return of the Noldor __________________________________________________________________ 50 Of Beleriand and Its Realms__________________________________________________________________ 56 Of the Noldor in...

Words: 156005 - Pages: 625