In the epic novel The Lord of the Rings, the elves of Lothlorien admit that they are losing their forest lands. But they battle on. They describe their struggle as “fighting the long defeat.” This is the source of the comment made by Paul Farmer, who fought a “losing battle” for health care for the poor. Farmer was a physician and medical anthropologist who co-founded “Partners in Health”, an NGO committed to the idea that good public health and medicine was possible to poor areas of the world. In Tracy Kidder’s biography of Farmer (Mountains Beyond Mountains) Farmer says, “I have fought the long defeat and brought other people on to fight the long defeat, and I’m not going to stop because we keep losing… I actually think sometimes we may win… So, you fight the long defeat.” His life and work reminds me of the persistent widow. Continue reading →