This is an important account of Farmer's experiences in helping Haiti respond to the 2010 earthquake, mainly focusing on delivering emergency health services. Farmer is clearly a dedicated doctor and aid worker. He gives a brief introduction to Haiti's sorry history, with a good analysis why the country had performed so poorly up to the time of the quake. The comparative analysis with Rwanda, where he also works, is insightful. He also takes on the well-known weaknesses of the aid business. The book could have been improved with a good editor; much of it is repetitive, and seems like it was written while waiting for a flight. There's too much name dropping of the famous people in Farmer's life for my taste. It concludes with a plea for a more inclusive, developmental future for Haiti, but lacks any convincing political analysis of how this might come about. About half the book is made up of essays and other writings on Haiti by others.