MOUNTAINS BEYOND MOUNTAINS STUDY GUIDE

CHAPTER 17

Summary

Paul is given Ophelia’s blessing to court and marry someone else. He falls in love with Didi Bertrand, the daughter of the schoolmaster in Cange, and they are married there in 1996 with over 4000 guests - all of the town of Cange included!

In Peru, the patients are beginning to tax PIH’s resources. The cases of MDR are growing, and whole families are affected. Paul and Jim’s friend in Boston, Howard Hiatt, a very influential physician at Brigham and Harvard, is told that Farmer and Kim owe Brigham $92,000. They have been sweet-talking their way into medications from the hospital pharmacy, in what Hiatt calls their Robin Hood attitude. Fortunately, Tom White comes through with the money. However, even he is worried about their refusal to realize that the money could be finite. He wants to die penniless, but is afraid the two doctors will take all his money before he dies! Nonetheless, he is there with money whenever they need it. The sad part of all this is that they lack institutional support, and the weight of opinion is against them. Furthermore, Peru is putting a strain on all their other projects. Add to all these problems the costs of travel that both men, but especially Farmer, incur not only the cost to the treasury of PIH, but also the cost to Farmer’s health.

Farmer hadn’t been feeling well when he gave his speech in Chicago, but he feels even worse when he begins a month of service in........

Notes

This chapter shows the steady, sure changes that Farmer and Jim are making in Peru, but it also reinforces the possibility that Farmer could destroy his own health in trying to improve the health of others. Nonetheless, even Kidder, our author, is so impressed with .......

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