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Mountains Beyond Mountains
Couverture de Mountains Beyond Mountains
Mountains Beyond Mountains
The Quest of Dr. Paul Farmer, a Man Who Would Cure the World
NEW YORK TIMES BESTSELLER 20th Anniversary Edition, with a new foreword by the author • “[A] masterpiece . . . an astonishing book that will leave you questioning your own life and political views.”—USA Today
 
“If any one person can be given credit for transforming the medical establishment’s thinking about health care for the destitute, it is Paul Farmer. . . . [Mountains Beyond Mountains] inspires, discomforts, and provokes.”—The New York Times (Best Books of the Year)
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.”
WINNER OF THE LETTRE ULYSSES AWARD FOR THE ART OF REPORTAGE
NEW YORK TIMES BESTSELLER 20th Anniversary Edition, with a new foreword by the author • “[A] masterpiece . . . an astonishing book that will leave you questioning your own life and political views.”—USA Today
 
“If any one person can be given credit for transforming the medical establishment’s thinking about health care for the destitute, it is Paul Farmer. . . . [Mountains Beyond Mountains] inspires, discomforts, and provokes.”—The New York Times (Best Books of the Year)
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.”
WINNER OF THE LETTRE ULYSSES AWARD FOR THE ART OF REPORTAGE
Formats disponibles-
  • OverDrive Read
  • EPUB eBook
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Copies-
  • Disponible:
    0
  • Copies de la bibliothèque:
    0
Niveaux-
  • Niveau ATOS:
    8.0
  • Lexile Measure:
    1120
  • Niveau d'intérêt:
    UG
  • Difficulté du texte:
    6 - 9


Extraits-
  • Chapter 1 Chapter 1

    Six years after the fact, Dr. Paul Edward Farmer reminded me, “We met because of a beheading, of all things.”

    It was two weeks before Christmas 1994, in a market town in the central plateau of Haiti, a patch of paved road called Mirebalais. Near the center of town there was a Haitian army outpost–a concrete wall enclosing a weedy parade field, a jail, and a mustard-colored barracks. I was sitting with an American Special Forces captain, named Jon Carroll, on the building’s second-story balcony. Evening was coming on, the town’s best hour, when the air changed from hot to balmy and the music from the radios in the rum shops and the horns of the tap-taps passing through town grew loud and bright and the general filth and poverty began to be obscured, the open sewers and the ragged clothing and the looks on the faces of malnourished children and the extended hands of elderly beggars plaintively saying, “Grangou,” which means “hungry” in Creole.

    I was in Haiti to report on American soldiers. Twenty thousand of them had been sent to reinstate the country’s democratically elected government, and to strip away power from the military junta that had deposed it and ruled with great cruelty for three years. Captain Carroll had only eight men, and they were temporarily in charge of keeping the peace among 150,000 Haitians, spread across about one thousand square miles of rural Haiti. A seemingly impossible job, and yet, out here in the central plateau, political violence had all but ended. In the past month, there had been only one murder. Then again, it had been spectacularly grisly. A few weeks back, Captain Carroll’s men had fished the headless corpse of the assistant mayor of Mirebalais out of the Artibonite River. He was one of the elected officials being restored to power. Suspicion for his murder had fallen on one of the junta’s local functionaries, a rural sheriff named Nerva Juste, a frightening figure to most people in the region. Captain Carroll and his men had brought Juste in for questioning, but they hadn’t found any physical evidence or witnesses. So they had released him.

    The captain was twenty-nine years old, a devout Baptist from Alabama. I liked him. From what I’d seen, he and his men had been trying earnestly to make improvements in this piece of Haiti, but Washington, which had decreed that this mission would not include “nation-building,” had given them virtually no tools for that job. On one occasion, the captain had ordered a U.S. Army medevac flight for a pregnant Haitian woman in distress, and his commanders had reprimanded him for his pains. Up on the balcony of the barracks now, Captain Carroll was fuming about his latest frustration when someone said there was an American out at the gate who wanted to see him.

    There were five visitors actually, four of them Haitians. They stood in the gathering shadows in front of the barracks, while their American friend came forward. He told Captain Carroll that his name was Paul Farmer, that he was a doctor, and that he worked in a hospital here, some miles north of Mirebalais.

    I remember thinking that Captain Carroll and Dr. Farmer made a mismatched pair, and that Farmer suffered in the comparison. The captain stood about six foot two, tanned and muscular. As usual, a wad of snuff enlarged his lower lip. Now and then he turned his head aside and spat. Farmer was about the same age but much more delicate-looking. He had short black hair and a high waist and long thin arms, and his nose came almost to a point. Next to the soldier, he looked skinny and pale, and for all of...

Au sujet de l’auteur-
  • Tracy Kidder graduated from Harvard and studied at the University of Iowa. He has won the Pulitzer Prize, the National Book Award, the Robert F. Kennedy Award, and many other literary prizes. The author of Mountains Beyond Mountains, My Detachment, Home Town, Old Friends, Among Schoolchildren, House, and The Soul of a New Machine, Kidder lives in Massachusetts and Maine.
Critiques-
  • Publisher's Weekly

    Starred review from July 7, 2003
    In this excellent work, Pulitzer Prize–winner Kidder (The Soul of a New Machine) immerses himself in and beautifully explores the rich drama that exists in the life of Dr. Paul Farmer. A Massachusetts native who has been working in Haiti since 1982, Farmer founded Zanmi Lasante (Creole for Partners in Health), a nongovernmental organization that is the only health-care provider for hundreds of thousands of peasant farmers in the Plateau Central. He did this while juggling work in Haiti and study at the Harvard Medical School. (Farmer received his M.D. and a Ph.D. in anthropology simultaneously in 1990.) During his work in Haiti, Farmer pioneered a community-based treatment method for patients with tuberculosis that, Kidder explains, has had better clinical outcomes than those in U.S. inner cities. For this work, Farmer was recognized in 1993 with a MacArthur Foundation "genius grant," all of which he donated to Zanmi Lasante. Using interviews with family members and various friends and associates, Kidder provides a sympathetic account of Farmer's early life, from his idiosyncratic family to his early days in Haiti. Kidder also recounts his time with Farmer as he travels to Moscow; Lima, Peru; Boston; and other cities where Farmer relentlessly seeks funding and educates people about the hard conditions in Haiti. Throughout, Kidder captures the almost saintly effect Farmer has on those whom he treats.

  • Library Journal

    May 1, 2003
    Kidder profiles American doctor/anthropologist Paul Farmer, who has dedicated his life to helping poorest Haitians.

    Copyright 2003 Library Journal, LLC Used with permission.

  • School Library Journal

    January 1, 2004
    Adult/High School-Thought-provoking and profoundly satisfying, this book will inspire feelings of humility, admiration, and disquietude; in some readers, it may sow the seeds of humanitarian activism. As a specialist in infectious diseases, Farmer's goal is nothing less than redressing the "steep gradient of inequality" in medical service to the desperately poor. His work establishing a complex of public health facilities on the central plateau of Haiti forms the keystone to efforts that now encompass initiatives on three continents. Farmer and a trio of friends began in the 1980s by creating a charitable foundation called Partners in Health (PIH, or Zanmi Lasante in Creole), armed with passionate conviction and $1 million in seed money from a Boston philanthropist. Kidder provides anecdotal evidence that their early approach to acquiring resources for the Haitian project at times involved a Robin Hood type of "redistributive justice" by liberating medical equipment from the "rich" (Harvard) and giving to the "poor" (the PIH clinic). Yet even as PIH has grown in size and sophistication, gaining the ability to influence and collaborate with major international organizations because of the founders' energy, professional credentials, and successful outcomes, their dedicated vision of doctoring to the poor remains unaltered. Farmer's conduct is offered as a "road map to decency," albeit an uncompromising model that nearly defies replication. This story is remarkable, and Kidder's skill in sequencing both dramatic and understated elements into a reflective commentary is unsurpassed.-Lynn Nutwell, Fairfax City Regional Library, VA

    Copyright 2003 School Library Journal, LLC Used with permission.

  • Booklist

    July 1, 2003
    Kidder, a master documentarian, has primarily practiced his art on his home turf, Massachusetts, proving that one small place abounds in amazing stories. Now, in his most compelling chronicle to date, this Pulitzer Prize and National Book Award winner investigates a far harsher world in the company of Paul Farmer, a radical public health reformer devoted to providing medical care to the poor, mainly in Haiti. A Harvard-educated medical anthropologist, TB expert, and MacArthur "genius" gifted with an unshakable moral imperative, an ardent imagination, and limitless energy, compassion, and chutzpah, Farmer created Partners in Health, a renegade yet hugely influential organization. A powerful presence, this uncompromising visionary is too spectacularly impressive not to be disconcerting, and Kidder shares his puzzlement over and occasional discomfort with this charismatic and tirelessly giving man who eschews personal comfort to care for the "underdogs of the underdogs." As Kidder accompanies Farmer on his exhausting and risky daily routines and epic travels, he parses the cruel realities of deep poverty and the maddening politics of international health care. Most importantly, Kidder portrays a genuinely inspired and heroic individual, whose quest for justice will make every reader examine her or his life in a new light. (Reprinted with permission of Booklist, copyright 2003, American Library Association.)

  • Publisher's Weekly

    May 27, 2013
    Pulitzer Prize winner Kidder delivers this remarkable account of the life and times of Paul Farmer—a doctor and Harvard professor—who has made it his life’s work to cure highly infectious diseases and help people in the poorest areas of the world. Narrator Lincoln Hoppe offers a steady reading that is slow and subdued. While the source material can be intense at times, Hoppe reads as if listeners won’t fully understand the gravity of the story. The result is a somewhat underwhelming performance of an inspiring tale. Ages 12–up. A Delacorte hardcover.

  • Library Journal

    August 1, 2003
    In his latest work, Pulitzer Prize winner Kidder (Among Schoolchildren; The Soul of a New Machine) turns his documentarian gaze on the life and work of Paul Farmer, a medical anthropologist and physician who has spent much of the past 20 years transforming healthcare in the impoverished central plateau of Haiti. Part biography, part public health text, and part travelog, his book follows Farmer from his childhood in Florida and Harvard medical education to his establishment of the Haitian clinic Zanmi Lasante and current status as an international expert in treating communicable diseases, such as AIDS and tuberculosis. Farmer's work is fascinating-as is the author's compassionate portrayal of the lives of the Haitians with whom his subject lives and works; if the book has a flaw, it is that it attempts to cover too much territory. Instead of trying to cram three books into one, Kidder could have taken any one of the three approaches that he used and made a complete and captivating study. However, he does include an excellent annotated bibliography for readers who desire more information on any of the themes covered in the book. Recommended for public libraries and public health collections. [Previewed in Prepub Alert, LJ 5/1/03.]-Eris Weaver, Redwood Health Lib., Petaluma, CA

    Copyright 2003 Library Journal, LLC Used with permission.

  • Bob Shacochis, author of Easy in the Islands "Rarely has idealism fared so well on the planet as in Tracy Kidder's eloquently reported Mountains Beyond Mountains. One is tempted to call Paul Farmer's passionate sensibilities and loving ambitions otherworldly, but only in sadness that there are too few of him in the world. Kidder has provided us all, as the Farmerites say, with a road map to decency, and such an endowment is beyond measure."
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