We tend to be ethnocentric, especially as Americans. I consider this book a must-read book for any who want to come to a better understanding of what people of other cultures, religions, and languages experience as they try to become "American." At the center of this book is the problem the medical community faces in dealing with large numbers of immigrants...especially from countries we have less experience with culturally and linguistically. Doctors are basically reduced to practicing veterinary medicine with these people because of the inability to communicate. Another idea developed in the book is that of the medical community treating the whole person and not being so clinical. Thought-provoking work in ethics...what is right and wrong and how do we decide what is best?