Paul Farmer Quotes

The idea that some lives matter less is the root of all that is wrong with the world.

It is very expensive to give bad medical care to poor people in a rich country.

We are such spendthrifts with our lives, the trick of living is to slip on and off the planet with the least fuss you can muster. I’m not running for sainthood. I just happen to think that in life we need to be a little like the farmer, who puts back into the soil what he takes out.

Anywhere you have extreme poverty and no national health insurance, no promise of health care regardless of social standing, that's where you see the sharp limitations of market-based health care.

And I can imagine Farmer saying he doesn't care if no one else is willing to follow their example. He's still going to make these hikes, he'd insist, because if you say that seven hours is too long to walk for two families of patients, you're saying that their lives matter less than some others', and the idea that some lives matter less is the root of all that's wrong with the world.

among a coward's weapons, cynicism is the nastiest of all

WL’s [White Liberals] think all the world’s problems can be fixed without any cost to themselves. We don’t believe that. There’s a lot to be said for sacrifice, remorse, even pity. It’s what separates us from roaches

How could a just God permit great misery? The Haitian peasants answered with a proverb: "Bondye konn bay, men li pa konn separe," in literal translation, "God gives but doesn't share." This meant... God gives us humans everything we need to flourish, but he's not the one who's supposed to divvy up the loot. That charge was laid upon us.

That's when I feel most alive, he told me once on an airplane, when I'm helping people.

I've been asked a lot for my view on American health care. Well, 'it would be a good idea,' to quote Gandhi.

...Attempts at imitation would put the emphasis where it didn't belong. The goal was to improve the lives of others, not oneself.

Statistics or graphs,’” are not optimal to understand the ‘experience of suffering.’” (qtd in Sutton 11)

We want to be on the winning team, but at the risk of turning our backs on the losers, no, it is not worth it. So we fight the long defeat.

Among a coward's weapons, cynicism is the nastiest of all.

Dr. Paul Farmer said it best: “The idea that some lives matter less is the root of all that’s wrong with the world.” Esther helped us see the truth in that statement.

We are all broken by something. We have all hurt someone and have been hurt. We all share the condition of brokenness even if our brokenness is not equivalent. I desperately wanted mercy for Jimmy Dill and would have done anything to create justice for him, but I couldn’t pretend that his struggle was disconnected from my own. The ways in which I have been hurt—and have hurt others—are different from the ways Jimmy Dill suffered and caused suffering. But our shared brokenness connected us. Paul Farmer, the renowned physician who has spent his life trying to cure the world’s sickest and poorest people, once quoted me something that the writer Thomas Merton said: We are bodies of broken bones. I guess I’d always known but never fully considered that being broken is what makes us human. We all have our reasons. Sometimes we’re fractured by the choices we make; sometimes we’re shattered by things we would never have chosen. But our brokenness is also the source of our common humanity, the basis for our shared search for comfort, meaning, and healing. Our shared vulnerability and imperfection nurtures and sustains our capacity for compassion. We have a choice. We can embrace our humanness, which means embracing our broken natures and the compassion that remains our best hope for healing. Or we can deny our brokenness, forswear compassion, and, as a result, deny our own humanity. I thought of the guards strapping Jimmy Dill to the gurney that very hour. I thought of the people who would cheer his death and see it as some kind of victory. I realized they were broken people, too, even if they would never admit it. So many of us have become afraid and angry. We’ve become so fearful and vengeful that we’ve thrown away children, discarded the disabled, and sanctioned the imprisonment of the sick and the weak—not because they are a threat to public safety or beyond rehabilitation but because we think it makes us seem tough, less broken. I thought of the victims of violent crime and the survivors of murdered loved ones, and how we’ve pressured them to recycle their pain and anguish and give it back to the offenders we prosecute. I thought of the many ways we’ve legalized vengeful and cruel punishments, how we’ve allowed our victimization to justify the victimization of others. We’ve submitted to the harsh instinct to crush those among us whose brokenness is most visible. But simply punishing the broken—walking away from them or hiding them from sight—only ensures that they remain broken and we do, too. There is no wholeness outside of our reciprocal humanity.

If disease is an expression of individual life under unfavorable conditions, then epidemics must be indicative of mass disturbances of mass life.

If I am hungry, that is a material problem; if someone else is hungry, that is a spiritual problem.

The idea that some lives matter less is the root of all that is wrong with the world.

The goofiness of radicals thinking they have to dress in Guatemalan peasant clothes. The poor don't want you to look like them. They want you to dress in a suit and go get them food and water. Comma.

with rare exceptions, all of your most important achievements on this planet will come from working with others—or, in a word, partnership.

Margaret Mead once said, 'Never underestimate the ability of a small group of committed individuals to change the world.' He paused. 'Indeed, they are the only ones who ever have.

There is nothing wrong with underlining personal agency, but there is something unfair about using personal responsibility as a basis for assigning blame while simultaneously denying those who are being blamed the opportunity to exert agency in their lives

In the end, it cannot be doubted that each of us can see only a part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And Truth comes somewhere above all of them, where,

Paul's face grew serious. 'I think whenever a people has enormous resources, it is easy for them to call themselves democratic. I think of myself more as a physician than an American. We belong to the nation of those who care for the sick. Americans are lazy democrats, and it is my belief, as someone who shares the same nationality as [a Russian doctor], I think the rich can always call themselves democratic, but the sick people are not among the rich [...] I'm very proud to be an American. I have many opportunities because I'm American. I can travel freely through the world, I can start projects, but that's called privilege, not democracy.

Medicine is a social science, and politics is nothing but medicine on a large scale.

The view reminded of the Haitain proverb "Beyond mountains there are mountains" which meant that when you'd solved one problem, you couldn't rest because you had to go on and solve the next.

a decent provision for the poor is the true test of civilization.

I think Farmer taps into a universal anxiety and also into a fundamental place in some troubled consciences, into what he calls "ambivalence," the often unacknowledged uneasiness that some of the fortunate feel about their place in the world, the thing he once told me he designed his life to avoid.

Human rights violations are not accidents; they are not random in distribution or effect. Rights violations are, rather, symptoms of deeper pathologies of power and are linked intimately to the social conditions that so often determine who will suffer abuse and who will be shielded from harm

Doctors are notorious for taking peculiar views of their own bodies. They tend to develop hypochondria in medical school and, once they get over it, if they do, tend to think they're invulnerable.

It is the curse of humanity that it learns to tolerate even the most horrible situations by habituation.” “Medical education does not exist to provide students with a way of making a living, but to ensure the health of the community.” “The physicians are the natural attorneys of the poor, and the social problems should largely be solved by them.

fraternité

I said, "Nég Mawon toujou kanpé!!" —the free man is still standing!! And she replied, powerfully. "Cheri, Nég Mawon p'ap jamn krazé" —my dear, the free man will never be broken.

Haiti was founderd by a righteous revolution in 1804 and became the first black republic. It was the first country to break the chains of slavery, the first to force Emperor Napoleon to retreat, and the only to aid Simón Bolívar in his struggle to liberate the indigenous people and slaves of Latin America from their colonial oppressors.

the basis of our preferential option for the poor to say: I accompany them not because they are all good, or because I am all good, but because God is good.

abject

Beyond mountains there are mountains.” - Haitian proverb

I felt vigorous and cheered by borrowed popularity.

In the process Paul laid out a comprehensive theory of poverty, of a world designed by the elites of all nations to serve their own ends, the pieces of the design enshrined in ideologies, which erased the histories of how things came to be as they were.

I have fought the long defeat and brought other people on to fight the long defeat, and I'm not going to stop because we keep losing. Now I actually think sometimes we may win. I don't dislike victory. ... You know, people from our background-like you, like most PIH-ers, like me-we're used to being on a victory team, and actually what we're really trying to do in PIH is to make common cause with the losers. Those are two very different things. We want to be on the winning team, but at the risk of turning our backs on the losers, no, it's not worth it. So you fight the long defeat.

Who was I kidding? I'm a farmer, and farmers are natural segregationists. We separate the wheat from the chaff. I'm not Rudolf Hess, P. W. Botha, Capitol Records, or present-day U.S. of A. Those motherfuckers segregate because they want to hold on to power. I'm a farmer: we segregate in an effort to give every tree, every plant, every poor Mexican, every poor nigger, a chance for equal access to sunlight and water; we make sure every living organism has room to breathe.

It is with this surety that we must stand with Haiti, a country whose spirit and people will never be broken, and work in solidarity toward the future the Haitian people deserve.

People call me a saint and I think, I have to work harder. Because a saint would be a great thing to be.” - Paul Farmer

We can spend sixty-eight thousand dollars per TB patient in New York City, but if you start giving watches or radios to patients here, suddenly the international health community jumps on you for creating nonsustainable projects.

Struggle toward the capital-T Truth, but recognize that the task is impossible—or that if a correct answer is possible, verification certainly is impossible. In the end, it cannot be doubted that each of us can see only part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And truth comes somewhere above all of them, where, as at the end of that Sunday’s reading: the sower and reaper can rejoice together. For here the saying is verified that “One sows and another reaps.” I sent you to reap what you have not worked for; others have done the work, and you are sharing the fruits of that work.

Laws are not science; they are normative ideology and are thus tightly tied to power. Biomedicine and public health, though also vulnerable to being deformed by ideology, serve different imperatives, ask different questions. They do not ask whether an event or a process violates an existing rule; they ask whether that event or process has ill effects on a patient or a population.

If you say that seven hours is too long to walk for two families of patients, you're saying that their lives matter less than some others. And the idea that some lives matter less is the root of all that's wrong with the world.

To an outsider, building a school before there was a medical clinic, or someone to deal with the problems of hunger and homelessness, was illogical, but Farmer and Lafontant understood that the school meant hope and empowerment.

We are all broken by something. We have all hurt someone and have been hurt. We all share the condition of brokenness even if our brokenness is not equivalent. I desperately wanted mercy for Jimmy Dill and would have done anything to create justice for him, but I couldn’t pretend that his struggle was disconnected from my own. The ways in which I have been hurt—and have hurt others—are different from the ways Jimmy Dill suffered and caused suffering. But our shared brokenness connected us. Paul Farmer, the renowned physician who has spent his life trying to cure the world’s sickest and poorest people, once quoted me something that the writer Thomas Merton said: We are bodies of broken bones. I guess I’d always known but never fully considered that being broken is what makes us human. We all have our reasons. Sometimes we’re fractured by the choices we make; sometimes we’re shattered by things we would never have chosen. But our brokenness is also the source of our common humanity, the basis for our shared search for comfort, meaning, and healing. Our shared vulnerability and imperfection nurtures and sustains our capacity for compassion. We have a choice. We can embrace our humanness, which means embracing our broken natures and the compassion that remains our best hope for healing. Or we can deny our brokenness, forswear compassion, and, as a result, deny our own humanity.

Giving people medicine for TB and not giving them food is like washing your hands and drying them in the dirt.

quixotic,

he murmured something about how much could be done in Haiti if only he could get his hands on the money that the first world spent on pet grooming.

If you do the right thing well, you avoid futility.

Dokte Paul works with both hands” — that is, both with science and with the magic necessary to remove ensorcellments.

Farmer liked to tell his Harvard students that to be a good clinician you must never let a patient know that you have problems too, or that you’re in a hurry.

Little sleep, no investment portfolio, no family around, no hot water. On an evening a few days after arriving in Cange, I wondered aloud what compensation he got for these various hardships. He told me, “If you’re making sacrifices, unless you’re automatically following some rule, it stands to reason that you’re trying to lessen some psychic discomfort. So, for example, if I took steps to be a doctor for those who don’t have medical care, it could be regarded as a sacrifice, but it could also be regarded as a way to deal with ambivalence.” He went on, and his voice changed a little. He didn’t bristle, but his tone had an edge: “I feel ambivalent about selling my services in a world where some can’t buy them. You can feel ambivalent about that, because you should feel ambivalent. Comma.” This was for me one of the first of many encounters with Farmer’s

You know the rest. In the books you have read How the British Regulars fired and fled,--- How the farmers gave them ball for ball, From behind each fence and farmyard wall, Chasing the redcoats down the lane, Then crossing the fields to emerge again Under the trees at the turn of the road, And only pausing to fire and load. So through the night rode Paul Revere; And so through the night went his cry of alarm To every Middlesex village and farm,--- A cry of defiance, and not of fear, A voice in the darkness, a knock at the door, And a word that shall echo for evermore! For, borne on the night-wind of the Past, Through all our history, to the last, In the hour of darkness and peril and need, The people will waken and listen to hear The hurrying hoof-beats of that steed, And the midnight message of Paul Revere.

Sure, I said. But some people would ask, 'How can you expect others to replicate what you're doing here?' What would be your answer to that? He turned back and , smiling sweetly, said, Fuck you. Then, in a stentorian voice, he corrected himself: No. I would say, 'The objective is to inculcate in the doctors and nurses the spirit to dedicate themselves to the patients, and especially to having an outcome-oriented view of TB.' He was grinning, his face alight. He looked very young just then. In other words, 'Fuck you'.

Sure,” I said. “But some people would ask, ‘How can you expect others to replicate what you’re doing here?’ What would be your answer to that?” He turned back and, smiling sweetly, said, “Fuck you.” Then, in a stentorian voice, he corrected himself: “No. I would say, ‘The objective is to inculcate in the doctors and nurses the spirit to dedicate themselves to the patients, and especially to having an outcome-oriented view of TB.’ ” He was grinning, his face alight. He looked very young just then. “In other words, ‘Fuck you.

some years later, that he had “faith,” then add, “I also have faith in penicillin, rifampin, isoniazid, and the good absorption of the fluoroquinolones, in bench science, clinical trials, scientific progress, that HIV is the cause of every case of AIDS, that the rich oppress the poor, that wealth is flowing in the wrong direction, that this will cause more epidemics and kill millions. I have faith that those things are true, too. So if I had to choose between lib theo, or any ology, I would go with science as long as service to the poor went along with it. But I don’t have to make that choice, do I?

Change the world? Of course they could. He really believed this, and he really believed that “a small group of committed individuals” could do it. He liked to say of PIH, “People think we’re unrealistic. They don’t know we’re crazy.

the Christianity of the peasants Farmer talked to had a different flavor: “the shared conviction that the rest of the world was wrong for screwing them over, and that someone, someone just and perhaps even omniscient, was keeping score.

How does one person with great talents come to exert a force on the world? I think in Farmer’s case the answer lies somewhere in the apparent craziness, the sheer impracticality, of half of everything he does, including the hike to Casse.

By ten o'clock, the sidewalk along Vine Street looks like the Fourth of July parade. Mama minds the cash box while Daddy and Mitch go to haul more tomatoes and peppers from the truck. The basket of beans is almost empty, so I fill it up again.

Do we see [human disparity] as a human predicament--an inescapable result of frailty of our existence? That would be correct had these sufferings been really inescapable, but they are far from that. Preventable diseases can indeed be prevented, curable ailments can certainly be cured, and controllable maladies call out for control. Rather than lamenting the adversity of nature, we have to look for a better comprehension of the social cuases of horror and also of our tolerance of societal abominations.

Farmer points to what he calls "structural violence," which influences "the nature and distribution of extreme suffering." The book is, as he explains, "a physician-anthropologist's effort to reveal the ways in which the most basic right-the right to survive-is trampled in an age of great affluence." He argues: "Human rights violations are not accidents; they are not random in distribution or effect. Rights violations are, rather, symptoms of deeper pathologies of power and are linked intimately to the social conditions that so often determine who will suffer abuse and who will be shielded from harm.

megalomaniacal.

But he realized that Haiti was now so embedded in his mind and heart that he could never abandon the country so quickly.

The last thing I want to do is expend my energy trying to convince my own coworkers.

The physicians are the natural attorneys of the poor, and the social problems should largely be solved by them.” This last was Farmer’s favorite.

I hope that, someday, grocery stores carry only permaculture food because the farmers make more money growing permaculture foods

Resources are always limited.” In international health, this saying had great force. It lay behind most cost-effectiveness analyses. It often meant, “Be realistic.” But it was usually uttered, Kim and Farmer felt, without any recognition of how, in a given place, resources had come to be limited, as if God had imposed poverty on places like Haiti. Strictly speaking, all resources everywhere were limited, Farmer would say in speeches. Then he’d add, “But they’re less limited now than ever before in human history.” That is, medicine now had the tools for stopping many plagues, and no one could say there wasn’t enough money in the world to pay for them.

Farmer would say, "Clean water and health care and school and food and tin roofs and cement floors, all of these things should constitute a set of basics that people must have a birthrights.

I think that the rich can always call themselves democratic, but the sick people are not among the rich.” I thought he was done, but he was only pausing for the interpreter to catch up. “Look, I’m very proud to be an American. I have many opportunities because I’m American. I can travel freely throughout the world, I can start projects, but that’s called privilege, not democracy.

The view reminded me of the Haitian proverb “Beyond mountains there are mountains,” which meant that when you’d solved one problem, you couldn’t rest because you had to go on and solve the next.

He recites the names of the trees, vines, shrubs, flowers that he’s planted here over the years. I count about forty different species. Finally, in the dim light from the patio, he studies a new fern that has just come up. “It’s just vibrant and happy and healthy. The way a patient should be.

To understand Russia, to understand Cuba, the Dominican Republic, Boston, identity politics, Sri Lanka, and Life Savers, you have to be on top of this hill,” he announced in a light tone as we studied the view together. But there was a serious point to his words. The sight of the drowned farmland, the result of a dam that had made his patients some of the poorest on this earth, was Farmer’s lens on the world. Look through it and you could see the billions of impoverished people in the world, and the many linked causes of their misery. I looked at him. He seemed to think I knew exactly what he meant, and I realized, with some irritation, that I didn’t dare say anything just then, for fear of disappointing him.

New England farmers did not think of war as a game, or a feudal ritual, or an instrument of state power, or a bloodsport for bored country gentlemen. They did not regard the pursuit of arms as a noble profession. In 1775, many men of Massachusetts had been to war. They knew its horrors from personal experience. With a few exceptions, they thought of fighting as a dirty business that had to be done from time to time if good men were to survive in a world of evil. The New England colonies were among the first states in the world to recognize the right of conscientous objection to military service, and among the few to respect that right even in moments of mortal peril. But most New Englanders were not pacifists themselves. Once committed to what they regarded as a just and necessary war, these sons of Puritans hardened their hearts and became the most implacable of foes. Their many enemies who lived by a warrior-ethic always underestimated them, as a long parade of Indian braves, French aristocrats, British Regulars, Southern planters, German fascists, Japanese militarists, Marxist ideologues, and Arab adventurers have invariably discovered to their heavy cost.

One time I listened to Farmer give a talk on HIV to a class at the Harvard School of Public Health, and in the midst of reciting data, he mentioned the Haitian phrase “looking for life, destroying life,” Then he explained, “It’s an expression Haitians use if a poor woman selling mangoes falls off a truck and dies.” I felt as if for that moment I could see a little way into his mind, It seemed like a place of hyperconnectivity, At moments like that, I thought that what he wanted was to erase both time and geography, connecting all parts of his life and tying them instrumentally to a world in which he saw intimate, inescapable connections between the gleaming corporate offices of Paris and New York and a legless man lying on the mud floor of a hut in the remotest part of remote Haiti. Of all the world’s errors, he seemed to feel, the most fundamental was the “erasing” of people, the “hiding away” of suffering. “My big struggle is how people can not care, erase, not remember.

Paul Farmer, the renowned physician who has spent his life trying to cure the world’s sickest and poorest people, once quoted me something that the writer Thomas Merton said: We are bodies of broken bones. I guess I’d always known but never fully considered that being broken is what makes us human. We all have our reasons. Sometimes we’re fractured by the choices we make; sometimes we’re shattered by things we would never have chosen. But our brokenness is also the source of our common humanity, the basis for our shared search for comfort, meaning, and healing. Our shared vulnerability and imperfection nurtures and sustains our capacity for compassion. We

When others write about people who live on the edge, who challenge their comfortable lives—and it has happened to me—they usually do it in a way that allows a reader a way out. You could render generosity into pathology, commitment into obsession. That’s all in the repertory of someone who wants to put the reader at ease rather than conveying the truth in a compelling manner.

We are all broken by something. We have all hurt someone and have been hurt. We all share the condition of brokenness even if our brokenness is not equivalent. I desperately wanted mercy for Jimmy Dill and would have done anything to create justice for him, but I couldn’t pretend that his struggle was disconnected from my own. The ways in which I have been hurt—and have hurt others—are different from the ways Jimmy Dill suffered and caused suffering. But our shared brokenness connected us. Paul Farmer,

I cleaned the shit off my pink high-tops and drove home, stopping for an espresso at the coffeehouse across from the college. Men and women were hunched over copies of Jean Paul Sartre and writing in their journals. Most wore the thin-rimmed tortoiseshell glasses favored by intellectuals. Their clothes were faded to a precisely fashionable degree; you can buy them that way from catalogs now, new clothes processed to look old. The intellectuals looked at me in my overalls the way such people inevitably look at farmers. I dumped a lot of sugar in my espresso and sipped it delicately at a corner table near the door. I looked at them the way farmers look at intellectuals.

The current human rights movement in Africa - with the possible exception of the women's rights movement and faith-based social justice initiatives - appears almost by design to exclude the participation of the people whose welfare it purports to advance.' - Chidi Anselm Odinkalu

There are more billionaires today than ever before,” Jim declared. “We are talking about wealth that we’ve never seen before. And the only time that I hear talk of shrinking resources among people like us, among academics, is when we talk about things that have to do with poor people.

Human rights violations are nit accidents; they are not random in distribution or effect. Rights violations are, rather, symptoms of deeper pathologies of power and are linked intimately to the social conditions that so often determine who will suffer abuse and who will be shielded from harm.

Paul Farmer, the renowned physician who has spent his life trying to cure the world's sickest and poorest people, once quoted me something that the writer Thomas Merton said: We are bodies of broken bones. I guess I'd always known but never fully considered that being broken is what makes us human. We all have our reasons. Sometimes we're fractured by the choices we make; sometimes we're shattered by things we would never have chosen. But our brokenness is also the source of our common humanity, the basis of our shared search for comfort, meaning, and healing. Our shared vulnerability and imperfection nurtures and sustains our capacity for compassion. We have a choice. We can embrace our humanness, which means embracing our broken natures and the compassion that remains our best hope for healing. Or we can deny our brokenness, forswear compassion, and, as a result, deny our own humanity.

The view reminded me of the Haitian proverb “Beyond mountains there are mountains,” which meant that when you’d solved one problem, you couldn’t rest because you had to go on and solve the next. The view of the Péligre Dam and its immense lake and the land it had drowned was, so to speak, another mountain to Farmer. It was a story of exploitation and disaster for at least a hundred thousand Haitians, and in one way or another, Farmer had to deal with it every day.

Virchow was the perfect role model for anyone who wanted to change the world, or at least lessen the inequality between the rich and poor. One of Farmer’s favorite Virchow quotes was “The physicians are the natural attorneys of the poor, and the social problems should largely be solved by them.” Virchow viewed the world in a way that made sense to Farmer, his vision a comprehensive one that included pathology—the study of disease—with social medicine, politics, and anthropology. Farmer,

Paul is the model of what should be done. He's not a model for how it has to be done. Let's celebrate him. Let's make sure people are inspired by him. But we can't say anybody should or could be just like him." He added, "Because if the poor have to wait for a lot of people like Paul to come along before they get good health care, they are totally fucked.

Virchow would write, ‘My politics were those of prophylaxis, my opponents preferred those of palliation.’ He had a knack for aphorism. ‘Medicine is a social science, and politics is nothing but medicine on a large scale.’ ‘It is the curse of humanity that it learns to tolerate even the most horrible situations by habituation.’ ‘Medical education does not exist to provide students with a way to make a living, but to ensure the health of the community.’ ‘The physicians are the natural attorneys of the poor, and the social problems should largely be solved by them.’ This last was Farmer’s favorite. Virchow put the world together in a way that made sense to Farmer. ‘Virchow had a comprehensive vision,’ he said. ‘Pathology, social medicine, politics, anthropology. My model.

The land lives,” is how one young rancher put it to me. But now that the Minneapolis/St. Paul metropolitan area contains more people than Montana and the Dakotas combined, I fear that his attitude will prove incomprehensible to modern, urban Americans who live as if they have outgrown the land that feeds them, as incomprehensible as a similar reverence for the land among Native Americans was to the railroad barons, merchants, and immigrant farmers of a century ago.

Statistics no longer frghten us. But pictures of the starving children of Biafra, of Haiti, or of India, with thousands sleeping in the streets, ought to. And this entirely apart from the horrors that befall the poor when they struggle to deliver themselves from their poverty: the tortures, the beheadings, the mothers who someow manage to reach a refuge, but carrying a dead child--a child who could not be nursed in flight and count not be buried after it had died. The catalogue of terrors is endless.

But the worst of the expense lies with the medications, and there is no reason for their high and fluctuating prices: the drugs have been off patent for decades, and we know that the same companies sell the same drugs at wildly different prices in different countries. Drug prices should not constitute the chief barrier to effective therapy for all patients... With less complaining, and more coordination, international public health authorities could have brought these prices down rapidly, as we have learned by our efforts to do so.

Roughly one-third of the planet already lived in chronic poverty, according to United Nations statistics. Farmer pointed out that through the spread of disease, illiteracy, and consumption of resources by the poor, prosperous first-world countries would increasingly be affected—unless they scaled back on their own use of resources and brought education and health care to the poor. In his speeches, Farmer liked to talk about “the nation of humanity,” as opposed to developed or undeveloped nations. He wanted everyone to see the interconnectedness of it all, and that the responsibility of the WLs was more than just giving money. Three

central imperative of liberation theology—to provide a preferential option for the poor—seemed like a worthy life’s goal to him. Of course, one could pursue it almost anywhere, but clearly the doctrine implied making choices among degrees of poverty. It would make sense to provide medicine in the places that needed it most, and there was no place needier than Haiti, at least in the Western Hemisphere, and he hadn’t seen any place in Haiti needier than Cange. He didn’t stick around in Léogâne to see the blood bank get installed. He’d found out that the hospital would charge patients for its use. He told me he had these thoughts, as he headed back toward the central plateau: “I’m going to build my own fucking hospital. And there’ll be none of that there, thank you.

In 1953 Time magazine, declaring that “the real news of the nation’s political future and its economic direction lies in people who seldom see a reporter,” sent one of its contributing editors, Alvin Josephy, on a national tour. His mission was to get a sense of America. The portrait he painted bore little resemblance to the America of 1929. Where the America of the twenties had been a land of extremes, of vast wealth for a few but hard times for many, America in the fifties was all of a piece. “Even in the smallest towns and most isolated areas,” the Time report began, “the U.S. is wearing a very prosperous, middle-class suit of clothes…. People are not growing wealthy, but more of them than ever before are getting along.” And where the America of the twenties had been a land of political polarization, of sharp divides between the dominant right and the embattled left, America in the fifties was a place of political compromise: “Republicans and Democrats have a surprising sameness of outlook and political thinking.” Unions had become staid establishment institutions. Farmers cheerfully told the man from Time that if farm subsidies were socialism, then they were socialists.1

the planned destruction of Iraq’s agriculture is not widely known. Modern Iraq is part of the ‘fertile crescent’ of Mesopotamia where man first domesticated wheat between 8,000 and 13,000 years ago, and home to several thousand varieties of local wheat. As soon as the US took over Iraq, it became clear its interests were not limited to oil. In 2004, Paul Bremer, the then military head of the Provisional Authority imposed as many as a hundred laws which made short work of Iraq’s sovereignty. The most crippling for the people and the economy of Iraq was Order 81 which deals, among other things, with plant varieties and patents. The goal was brutally clear-cut and sweeping — to wipe out Iraq’s traditional, sustainable agriculture and replace it with oil-chemical-genetically-modified-seed-based industrial agriculture. There was no public or parliamentary debate for the conquered people who never sought war. The conquerors made unilateral changes in Iraq’s 1970 patent law: henceforth, plant forms could be patented — which was never allowed before — while genetically-modified organisms were to be introduced. Farmers were strictly banned from saving their own seeds: this, in a country where, according to the Food and Agriculture Organisation, 97 per cent of Iraqi farmers planted only their own saved seeds. With a single stroke of the pen, Iraq’s agriculture was axed, while Order 81 facilitated the introduction and domination of imported, high-priced corporate seeds, mainly from the US — which neither reproduce, nor give yields without their prescribed chemical fertiliser and pesticide inputs. It meant that the majority of farmers who had never spent money on seed and inputs that came free from nature, would henceforth have to heavily invest in corporate inputs and equipment — or go into debt to obtain them, or accept lowered profits, or give up farming altogether.

Start releasing the American dream. In The Progress Paradox, Gregg Easterbrook uses parameters like healthcare, options, living space per person and mobility to conclude that we who live middle-class lives in North America or Europe are living a lifestyle that is, materially speaking, "better than 99 percent of all the people who have ever lived in human history." 2 He goes on to show the great paradox of our material wealth. As our lives have grown more comfortable, more affluent and filled with more possessions, "depression in the Western nations has increased ten times."3 Why? Easterbook cites Martin Seligman, past president of the American Psychological Association, who identifies rampant individualism (viewing everything through the "I," which inevitably leads to loneliness) and runaway consumerism (thinking that owning more will make us happy and then being disappointed when it fails to deliver) .4 Like the rich farmer in Luke's parable, excessive individualism and rampant consumerism distracts us from the care of our souls. We enlarge on the outside and shrivel on the inside, and we find ourselves spiritually bankrupt. If any characteristic of North American society might disqualify us from effective involvement in mission in our globalized world, it is the relentless pursuit of the so-called American dream. (I think it affects Canadians too.) The belief that each successive generation will do better economically than the preceding one leads to exaggerated expectations of life and feelings of entitlement. If my worldview dictates that a happy and successful life is my right, I will run away from the sacrifices needed to be a genuine participant in the global mission of God.