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Between the pressure and the bruises left by each death, burnout is inevitable. Grim's response is to head for Nigeria with Doctors Without Borders, and later to Bosnia and a Kosovar refugee camp, where once again she is "awestruck by the suffering God can inflict." The dearth of technology and supplies and the low survival rates make a shocking contrast to the miracles achieved in American hospitals. Grim considers some profound issues--the nature of grief, the humanitarian aid paradox in which helping out can indirectly enable corrupt governments, and the despair of trying to save lives when so many are dying. Ultimately, she realizes that the answer is in the particular; it is saving individual lives that makes her work--and life itself--meaningful. This is one powerful page-turner with the potential to change minds as well as lives. --Lesley Reed
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