56 pages 1-hour read

Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World

Nonfiction | Biography | Adult | Published in 2003

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Essay Topics

1.

Where does the title Mountains Beyond Mountains come from? What are the phrase’s origins, and how do they apply to Farmer’s journey?

2.

What is Farmer’s medical philosophy? Discuss the inspirations that influence it and how he differs from others in his field. Why does he insist on personally working with patients?

3.

Explain Kidder’s impression of Farmer. Why is Kidder reluctant to challenge Farmer’s philosophy? How does Farmer view the author, and do Kidder’s views change over time?

4.

Describe three social, historical, or medical challenges that affect Haiti. Explain why Farmer decides to work outside of existing systems and how he adapts medical practices to fit the social and spiritual needs of the Haitian population.

5.

What assumptions do wealthy nations make about developing countries and the ability to treat diseases there? Explain how Farmer challenges these beliefs in speeches, books, and interviews.

6.

Why does Partners in Health agree to work on the Peru and Russia projects despite Farmer’s desire to remain a small philanthropy? Analyze the ways that these operations benefit his efforts in Haiti.

7.

What is the problem with Peru’s DOTS program, and what obstacles do Farmer and PIH face in convincing Peruvian and WHO officials to change it? Explain how PIH reduced treatment costs and convinced officials to change strategies.

8.

Compare and contrast Partners in Health with the Soros Foundation operation in Russia. How do they differ in size, focus, funding sources, and leadership philosophies? What are the advantages and disadvantages of working with wealthy charities?

9.

Explain PIH’s challenges in treating the cancer patient in Chapter 25. What disadvantages did they face in treating the patient in Haiti verses the United States? Describe PIH’s rationale for spending as much as they did on the patient and Farmer’s issues with pragmatic approaches to healthcare.

10.

Compare and contrast the spread of tuberculosis and AIDS during the time of the book to the 2020 Covid-19 pandemic. Explain whether Farmer’s assertion that a respiratory disease would bring wealthy and poor populations together was accurate. What lessons from the book could apply to a wide-scale pandemic?

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