This mostly admiring portrait of Doctors Without Borders/Médecins Sans Frontières
(aka MSF), the nonprofit that won the Nobel Peace Prize in 1999, emphasizes the inner workings of the organization and is animated by interviews with mid-level staffers and by site visits to MSF projects in Angola, Afghanistan and Pakistan. In between, journalist Bortolotti traces the history of the world's largest independent medical humanitarian organization, whose genesis was the Biafran horrors of the late '60s. Histrionic founder Bernard Kouchner (whom Bortolotti didn't interview) left the group in 1979 after disputes about tactics; not until the early 1990s did MSF spread to North America. Only about a quarter of field volunteers are, in fact, doctors, and most staff are local hires rather than foreigners. MSF volunteers resist being described as heroic ("It's not noble; it's an attempt
," one says) but acknowledge that the crucible of crisis does test character. Some stories (illustrated by stock-looking photos, including two color inserts) are grimly poignant: a middle-aged surgeon tells of relying on his lower-tech training to perform surgery in Sri Lanka and Liberia; a logistician describes how to negotiate with drugged-up child soldiers at a Sierra Leonian checkpoint. While Bortolotti could have been clearer, for example, on the mechanics of MSF's fund-raising apparatus, he notes that even critics of humanitarian aid admire MSF for attempting to intervene under seemingly impossible circumstances. (Nov.)
