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Dr. Kim Ji-eun, a 28-year-old doctor, worked at the hospital in central Chongjin in North Korea. She hoped to join the workers' party to impress her father, who was devoted to the regime.

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Ever since she was young, Dr. Kim was a special student. At tthe age of seven she became a member of the Young Pioneers, a prestigious group for the youth at the time. At the age of thirteen she graduated to the Socialist Youth League and eventually hand picked out of class to attend medical school. She, the daughter of a construction worker, was chosen to become a doctor and she couldn't be any happier or proud. At 28 years old, Dr. Kim became one of the youngest doctors of her hospital. There she picked up a fierce personality. She adopted a "no-nonsense personality" and her colleagues were to quick to learn not to patronize her.

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In the early 1990s, Dr. Kim faced numerous challenges due to resource shortages in North Korea's healthcare system. Despite these difficulties, she tried to give her all to her patients.

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The sudden death of Kim Il-sung strongly affected Dr.Kim, triggering conspiracy theories among her colleagues about his assassination while she grappled with personal grief over losing the God-like figure.

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Following the death of Kim Il Sung, many more patients were admitted into the hospital because of all the people overheating and dehydrating from crying for hours on end in the blazing sun. For the folllowing weeks after Kim Il Sung's death, many new health problems arised within the community. Parents were showing up in the hospital with their children who only had slight colds or fevers, but would end up dead in hours. The lack of resource heavily affected the hospital work and the lack of food forced many parents to start feeding their kids replacements for vegetables. This may not seem like a big problem, but the herbs and roots used as replacements were too much for the childrens intestines to handle and they would die because their bodies were still developing and were weaker than an adults body.

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It was publicly acknowledged that North Korea was facing a severe food shortage caused by floods that damaged rice resulting in malnourished children suffering from symptoms.

Other patients arrived at the hospital displaying harsh symptoms due to their own malnourishment.

Despite desperate pleas for food assistance from many who sought refuge within its walls, even the hospital itself had no rations available dire situation.

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Dr. Kim's father intentionally starved himself out of grief for the great leader's demise despite all efforts made on his behalf by Dr.Kim herself. He died leaving behind a  message containing potential contacts for help in China.

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By 1995; North Korea's economy had come crashing down entirely-exports dwindled significantly while factories rusted away rendering Chongjin's ports empty.

The signs of propaganda that once adorned every corner began chipping away symbolizing an immense destruction just beginning while Demick notes how conveniently timed it was for Kim I-sung's death protecting his legacy from association with this catastrophic downfall.