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"[A] masterpiece . . . an astonishing book that will leave you questioning your own life and political views . . . Kidder opens a window into Farmer's soul, letting the reader peek in and see what truly makes the good doctor tick."--Nicholas Thomas, USA Today In medical school, Paul Farmer found his life's calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. Tracy Kidder's magnificent account shows how one person can make a difference in solving global health problems through a clear-eyed understanding of the interaction of politics, wealth, social systems, and disease. Profound and powerful, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes people's minds through his dedication to the philosophy that "the only real nation is humanity." Praise for Mountains Beyond Mountains "A true-to-life fairy tale, one that inspires you to believe in happy endings . . . Its stark sense of reality comes as much from the grit between the pages as from the pure gold those pages spin."--Laura Claridge, Boston Sunday Globe "Stunning . . . Mountains Beyond Mountains will move you, restore your faith in the ability of one person to make a difference in these increasingly maddening, dispiriting times."--John Wilkens, The San Diego Union-Tribune "Easily the most fascinating, most entertaining and, yes, most inspiring work of nonfiction I've read this year."--Charles Matthews, San Jose Mercury News "It'll fill you equally with wonder and hope."--Cathy Burke, People "In this excellent work, Pulitzer Prize-winner Kidder immerses himself in and beautifully explores the rich drama that exists in the life of Dr. Paul Farmer. . . . Throughout, Kidder captures the almost saintly effect Farmer has on those whom he treats."--Publisher's Weekly (starred review) "[A] skilled and graceful exploration of the soul of an astonishing human being."--Kirkus Reviews (starred review)… (more)
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As his mission in Haiti gained more and more momentum, Farmer's expertise on tuberculosis (especially antibiotic-resistant strains) became world-renowned. He was asked to help set up clinics in Peru. He worked with the health systems of prisons in Russia, where antibiotic-resistant tuberculosis was rampant. And he loved each and every patient, regardless of who they were.
While describing the incredible non-stop work of Farmer, Kidder managed to make the doctor more human. I could imagine Farmer, cheerful despite sleep-deprivation shadows under his eyes, flying from one country to another in a worn-down suit that he would never have time to replace. From the book, it seemed that Farmer might pause for hours to have a heart-felt conversation with a patient, even while a room-full of self-important Harvard doctors awaited his arrival. I could empathize with Olivia, Farmer's old flame, who once felt a twinge of satisfaction to realize that Farmer was only human - she could annoy him. Being around someone like that must be exhausting. Kidder painted a brilliant man with limitless energy, unimpeachable morals, and the charisma to make his dreams a reality. I felt overwhelmed just listening to the book. I can't imagine what it must be like to work for him (or date/marry him). And yet, it's impossible for me to not admire him.
I found this book fascinating not only because it was a description of an amazing man with a daring love for humanity, but also because I enjoyed learning more about the social/economic conditions of Haiti. The narrative flowed smoothly between Kidder's personal impressions of Farmer and Haiti to well-researched narratives of Farmer's life outside his work.
I enjoyed Paul Micheal's narration of the book - though I have little to comment on his style of reading. It was one of those audiobooks that I was so absorbed in the story that I forget to be distracted by the narrator - which means Micheal must have done a good job.
--Haitian proverb
This epigraph is a metaphor for life but it also perfectly describes the awe-inspiring life of Dr. Paul Farmer. A Harvard trained MD, who has dedicated his life, to helping the poor, no matter how difficult the path is or how high these
He spends his early career in Haiti, one of the poorest countries on the planet, riddled with corruption and deep poverty. Through hard work and complete dedication he builds clinics, contains epidemics and tends to the down-trodden, giving them the attention, medical and moral, that they have always been denied.
The author spent several years, off and on with Farmer and witnessed first-hand, how this incredible man, creates a safety net for the under-privileged, not only in Haiti, but also in Peru, Cuba, Russia and other locations.
This is riveting narrative non-fiction and it will inform, inspire and prove that these devastating issues can be dealt with in an effective and humane way. Highly recommended.
I find my reaction to the book is one of ambivalence or, more accurately, I find that I enjoyed the book unquestionably but my reaction to the contents is ambivalent.
Looking at this story simply from a perspective of "Is this worth reading?" my answer is a definite "Yes!" Kidder's writing flows along smoothly, never getting bogged down in medical details, bringing a very clear picture of this man and his work. The first-person perspective he uses draws you right into the story, giving it immediacy and intimacy. I'm sure that there are accusations that Kidder seems to have fallen under the spell of Dr. Farmer and doesn't provide a balanced picture. However, I don't think that's fair. There is no intent to deceive or slant and Kidder does raise the counter-arguments; the reader who is not, himself, under Farmer's spell will see them and can follow them as he chooses.
Looking at this story from the perspective of the word I've heard applied most often..."inspirational"...I find that I'm less in accordance. As someone else implied, Dr. Farmer is so extreme that I almost have to read this book as a type of fiction, populated with a superhero whose exploits I admire but have no thoughts of attempting myself. The sign in his facility seems to show that even his own staff has that reaction: "If Paul is the model, we're f*****."
I cannot help but compare this to another book I read this year, Greg Mortenson's Three Cups of Tea. While Mountains Beyond Mountains is unquestionably better written, easier to read and more entertaining, the other retained a sense of human proportion that inspired me to think about what I, personally, might do. Mountains Beyond Mountains, lacking that scale, did not personally inspire, rather it moved me to compassion and awareness.
Part of the Olympian remoteness I feel about Dr. Farmer is that he inhabits a land of moral absolutes, whereas I cannot so easily walk away from the real world. To take a stance that the rich of the world have an absolute moral obligation to do whatever they can to help the poor is a moral high ground...and to do everything you can to bring that about is admirable and wonderful. However, to conduct your actions as if you have already succeeded lets you occupy that moral high ground at a cost to those you want to help. We can thrill to the heroics that spent more resources than the organization had to rush a boy from Haiti to Boston for an operation that might cure his advanced cancer. However, we can also acknowledge that the child's chances were not good and that the $20,000 spent to save, ultimately, zero lives would have bought 16 or so others from the same plateau the drugs needed to save them from dying of multi-drug-resistant tuberculosis. We can all think on Shaw's dictum about unreasonable men and progress, but we cannot forget that progress is not always benign to those caught up in it.
This is a book I think everyone should read—well-written, entertaining and thought-provoking. If it inspires you to a similar life, even in part, then it's wonderful. If it only moves you to compassion and helping out, then perhaps Farmer would say, "Well, I'll take that."
Horrible maternal/child health, admirable the way he fights it. Read soon after the horrible earthquake of 2010.
But behind Farmer is a very small army of dedicated people, from gracious donors like Tom White, to his core team, Ophelia and Dr. Jim Kim. They are also fascinating to read about.
Kidder is a wonderful journalistic author who brings the seemingly insurmountable data together and he does so beautifully. At times, the medicine gets slightly dry (I think a reader has to have some seed of interest in the topic), but I learned more about MDR TB (multi drug resistent tuberculosis) than I ever thought I could/would. Also, the AIDS epidemic, and how TB and HIV are inter-linked. Of course, explosion of either of those two diseases occurs in areas of severe poverty ... and Kidder takes us to many of those areas (mostly Haiti, but also Peru, Mexico and Russia), which are hard to read about, but I think, necessary, to understand the gravity of the problem.
I highly recommend this book to anyone who cares about social change and helping this fractured world.
In Peru they started a program to treat multi-drug resistant tuberculosis (MDR-TB). At one point they couldn't get funding because the WHO kept saying "hey, it's too expensive!" while the pharmaceutical companies kept saying, "well, there's no market!" No market for expensive drugs whose patents had already expired because the thousands of people with MDR-TB did't have enough money to buy them. Solution? They went to the pharmaceutical companies and said "Hey, we'll buy your drugs if we can negotiate a lower price!" Result? 97% decrease in cost. Basically, instead of leaving the last 10% to die in ignominy they found a way to save every one, or at least every one that could be saved with the best medicines in the world (not just the best medicines in Haiti/Peru/Siberia). And now *voila* treating MDR is no longer beyond WHO's funding. How easy was that?!
In some ways Farmer's story is inspiring. Here he is giving every waking hour to his work. If you say you can't ask that of everyone, he'll just say "Why not?" While there is an inequity in the world he figures everyone should spend every moment working to change that. It's a hard business model to sell but obviously has the moral high ground. He feels that you have to try to save every patient, even if that means spending $25,000 on drugs, even if that means medevacing a kid to Boston MGH to have open heart surgery. And then you start to think, well, that's morally pure, but I'm not entirely sure that works. He is anti-utilitarian. There's no such thing as the greater good. Everyone's good is just as great. In his mind, you can't say "don't spend this money on this child because you could be providing pre-natal care to 150 women." And I wonder at that. I'm sorry, but I'm a statistician, not a clinician, and I wonder. I cannot deny that his pressure on drug companies for TB medications has been a win-win situation. Will that same tactic bring down the cost of medical procedures, too? By providing all possible medical technology to everyone in his care, does that mean that eventually all medical care can be supplied to everyone. Is that even possible? (You can see I'd make a terrible saint. I ask the question "Is that possible?")
His work obviously makes me question myself and how much I would give. I couldn't work the way he works. I am willing to spend years of my life abroad, but not the majority of my years. I am willing to take less pay in order to do greater good, but not no pay. I am willing to work overtime, but I still want to be able to see my family from time to time. That's just my choice. Clearly, he has made the right choice for him. He has a calling, as few people have. I can only hope that I find something that suits me and to which I am suited even half as well as he is suited to be a jet-setting innovative rural doctor. And I cannot deny that there is a lot of work to be done. There is poverty and there is abject misery throughout this world. Now I just have to figure out how I, not being Paul Farmer, can help.
Why do some, a pityfully few people, seem to do something with their lives, seem to matter in the long run, seem to get useful work out of their time here that others just seem to waster and squander? Is it technique, is it passion, is it ability and in their genes, is it just restless energy? The book offers a few insights into this complex and important topic. But mostly it is a straightforward biography of Paul Farmer, from an unusual childhood to travelling often from Haiti to Boston, from the bottom to the top of the social and material world, about a dichotomy expressed in the life of one man: love of these poor people and love of modern medicine and what it can do for patients as real people.
I appreciated the book, i can hope to read more like this, i can never hope to be like him and will remain a spectator of such people, who seem to exist on a plane of their own. I am glad they live among us and i would believe that their presence blesses the rest of us. But i will remain in the bleachers cheering them onward, perhaps i can write a few small checks to their works but i will always see them from afar. Kidder does all us avid readers a great service by writing down what he saw and heard, thanks.
I really enjoyed it- found Kidder’s account both well written and informative and Farmer inspiring. Farmer may appear
No one would believe this character if he didn't actually exist. Author Tracy Kidder gets to know him well over the course of the book (and a few Haitian treks) and still finds him hard to believe. Despite setting the kind of moral example that makes people feel uncomfortable by comparison (i.e. "What am I doing with MY life?"), Farmer is cheerful and puts people at ease. He fights "the long defeat" against poverty and disease and corruption because it's the only way to attain eventual victories. He's downright inspiring.
My local library has about eight copies of this book, and I'm glad. Farmer is an inspiring figure, and the highly accomplished Kidder is just the man to write his portrait. Read this.