Topic > Trusting Relationships in the Mountains Beyond the Mountains of...

In her book, Mountains Beyond the Mountains, Tracy Kidder chronicles Dr. Paul Farmer's journey to provide healthcare to all, including those who can't afford it. At one point, Farmer is not in Haiti and has to hand over the care of a patient, John, to one of his workers, Serena Koenig. Farmer left major decisions to Koenig despite not having much experience; Koenig manages to get treatment for John in Boston where he dies (Kidder 2003). If Farmer had not trusted Koenig enough to care for John, it is possible that he would have died in pain until the last moments of his life. In situations where a healthcare worker is absent, he or she must entrust the care of patients to colleagues. After the situation with John, Kidder confronts Farmer about whether or not Koenig made the correct decision to spend resources to ease a patient's death. Farmer responds that he has "fought the long defeat and led other people to fight the long defeat" (p. 288). Farmer tries to convince that fighting for patients, no matter the cost, is Partners in Health's core belief. In this case, Kidder began to doubt whether Farmer was making the most logical decisions, so Farmer clarified his beliefs in providing health care. Clearly, Farmer is proof that team members in the healthcare profession don't fully trust each other. However, by placing trust in each other, doctors can work as a team to treat patients similarly