It occurred to me that PIH would probably always be in some kind of financial jeopardy, because it was constitutionally impossible for Farmer and Kim to sit on resources—to wait for lower drug prices while MDR killed Russian prisoners, to save for an endowment for Zanmi Lasante while Haitian peasants died of AIDS. Their approach, especially toward money, was completely impractical, it seemed to me, and yet it appeared to be working.