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Mountains Beyond Mountains

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Submitted By nyantre05
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“Beyond Mountains; There Are Mountains”. Meaning of the Tittle: it refers to the main character’s determination to being health and happiness to the poor and it comes from the Haitian proverb. The book that I decided to read is called Mountains Beyond Mountains by Tracy Kiddler, Kiddler graduated from Harvard, he studied at the University of Iowa he also served as an army officer in Vietnam. I selected this book because I heard nice reviews from people who have read it. The main idea about the book is about Paul Farmer who found his life’s calling: to treat infectious diseases and also to bring the tools to save modern medicine to those people who need them the most. And he believes that everybody deserves health care and living in a decent condition. In the book Kidder’s spectacular account views how a person can make a huge difference in saving global health problems through distinctly understanding of the interaction of politics, social systems, wealth and diseases. This book takes us from Harvard to Haiti, Peru, Cuba, and Russia. And Farmer changes people’s perspectives through his dedication to the philosophy that “the only real nation is humanity.” The main characters are Paul Famer, Tracy Kidder, Ophelia Dahl, and Jim Yong Kim. I will discuss their roles later on. Additionally, social determinants of health, diseases, and health systems are the topics that we’ve covered in class that relates to this book.

Paul Famer has important aspects to his character. First, He believes he can do anything even if it seemed impossible he can overcome odds to save the poor of the world. Second, he believes he can sacrifice his family time to help the poor. “I can’t sleep. There’s always somebody not getting treatment. I can’t stand that.” (pg.24; Famer.)Third, his purpose is to do the work that he does. Lastly, he has no time to be angry with the world for not doing their job by helping the poor and the ill. Tracy Kidder who is the author of the book and also one of the main characters, he works with Famer so he documents what he sees.

Furthermore, Ophelia Dahl, worked in Haiti helping Paul Farmer. She did not like it there, but she continued to stay and help accomplish his goals. They later on become lovers, but she knew that it would be hard for her to become of wife, because of how bush he was. And lastly, Jim Young Kim, who is a Korean American doctor he is consider a good athlete, and a valedictorian of his class. He loves the work that Farmer does in Haiti because they had something in common working among and caring for the poor as well. He eventually sees how Partners in Health could set up the same model as Cange in Carabayllo in Peru. He figures out that he has a gift for the bureaucratic side of medical care. He gets $45 million dollars to help eradicate TB in Peru. He became the senior assistant to the Director of WHO, by 2002, with that positon it allowed him to help steer money to those who need it most. “Giving people medicine for TB and not giving them food is like washing your hands and drying them in the dirt.” (Haitian proverb, 34). Haitian professionals, the doctors, nurses, and technicians offered explanations that put the blame in the minds of the patients, the explanations were often found in scholarly journals. Patients stopped taking their medications once they feel better, but not long before they were cured, and they did this because they did not believe that TB came from microbes but they believed that it was sent to them by their enemies, also known as sorcery. Intellectually, Famer felt torn. The health workers theory come to be to a description of what kind of socioeconomic order that he called “Structural violence”. It refers to a form of violence, an institution may harm people by preventing them from meeting their basic needs. “Only in Haiti would a child cry out that’s she’s hungry during a spinal tap” (pg.32; this comment emphasizes the sod plight of the poor in Haiti). Additionally, an old women makes a comment to Farmer to emphasize that the problems of the poor are not written in black and white. “Are you incapable of complexity?” (pg.35) According to Farmer to understand Russia, Cuba, the Dominican Republic, or
Boston, you just have to be on the top of that hill in Haiti. (44; this comment makes the reader understand that all poverty can be understood if only you would stand on a hill in Haiti.)

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