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In this world, we become what we make of it. The author says this in  relation to how Haitians live their lives. The do not have the best quality of life compared to those of people in first wolrd countries but despite that they choose happiness. Happiness is there for free to anyone and cannot be purchased or sold whatsoever

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Understanding once culture helps clear out the stereotype that one has on other cultures. The thought of cultural ethnocentrism is avoided through cultural negotion where one tries to understand a particular culture. This helps the physicians provide a patient centered care which is core service of all health care organization.

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People from Haiti feel that they have been outcasted by the rest of the world according to this statement. The believe that their povety is as a result of issolation by the world but just to make themselves feel better they say that God loves the poot most according to doctor Paul Farmer.

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The world is full of miserable places. One way of living comfortably is not to think about them

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He was already attracted to liberation theology. “A powerful rebuke to the hiding away of poverty,” he called it. “A rebuke that transcends scholarly analysis.” In Haiti, the essence of the doctrine came alive for him. Almost all the peasants he was meeting shared a belief that seemed like a distillation of liberation theology: “Everybody else hates us,” they’d tell him, “but God loves the poor more. And our cause is just.”

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A doctor who knew nothing about local beliefs might end up at war with Voodoo priests, but a doctor-anthropologist who understood those beliefs could find ways to make Voodoo houngans his allies. A doctor who didn’t understand local culture would probably mistake many patients’ complaints for bizarre superstitions.