his years at medical school, Farmer had boarded at St. Mary of the Angels run by a parish priest known as Father Jack. The church was in Roxbury, one of Boston's run-down neighborhoods, and largely African American. His sermons had the feeling of a revival meeting, and he would declaim on poverty and injustice, with voices in the congregation calling out amen's. He was also on the board of PIH. In the early 1990's, he left St. Mary's for a place called Carabayllo, a slum on the outskirts of Lima, Peru. Now on visits back to Boston, he is telling Paul that PIH should start a project in his new parish. Jim Kim agrees eagerly.

Jim has happily served Paul for eight years as his second in command, but now he wants to do more, by learning how to do what Paul had done in Haiti. At first, Farmer is not enthusiastic, but eventually, he gives in and gets Tom White to contribute $30,000, half the initial cost of the project. And he gives Jim advice and encouragement almost daily. Jim plans to imitate a part of Zanmi Lasante: he'd create a system......

 

Notes

The program in Carabayllo becomes PIH's first foray outside of Haiti. Theyu face many of the same problems there, including government reluctance to admit the truth about the TB problem, but they also realize they aren't nearly as acute. That is, until ......

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