Mountains Beyond Mountains

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.

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.

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.

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.)