The compulsion to do good is an innate American trait. Only North Americans seem to believe that they always should, may, and actually can choose somebody with whom to share their blessings. Ultimately this attitude leads to bombing people into the acceptance of gifts.

It takes more time and effort and delicacy to learn the silence of a people than to learn its sounds. Some people have a special gift for this. Perhaps this explains why some missionaries, notwithstanding their efforts, never come to speak properly, to communicate delicately through silences. Although they "speak with the accent of natives" they remain forever thousands of miles away. The learning of the grammar of silence is an art much more difficult to learn than the grammar of sounds.

The medical establishment has become the major threat to health.

What kinds of things and people might learners want to be in contact with in order to learn?

Latin America can no longer tolerate being a haven for United States liberals who cannot make their point at home, an outlet for apostles too "apostolic" to find their vocation as competent professionals within their own community. The hardware salesman threatens to dump second-rate imitations of parishes, schools and catechisms -- out-moded even in the United States -- all around the continent. The traveling escapist threatens further to confuse a foreign world with his superficial protests, which are not viable even at home.

We cannot go beyond the consumer society unless we first understand that obligatory public schools inevitably reproduce such a society, no matter what is taught in them.

The depersonalizati on of diagnosis and therapy has changed malpractice from an ethical into a technical problem.