In MSF we are always constantly aware of the impossible choices that the people in places like Somalia face on a daily basis. For instance, we were wondering why children are dying from diarrhoea or malnutrition only 3km from our hospital which is free. Free drugs, free therapeutic feeding, free medical care. The reality is that these children are sick during the day when they are at home being cared for by their 9,10, 11 year old sibling. Their parents are working, the mother is in the market or in someones house washing clothes to try and make enough money to take care of the family, it is day by day survival. Of course there is no sick leave, if she misses a day at work to bring the sick child to the clinic where will the money come from to feed the other 5 children? If she does come and the medical staff need to admit the child into the therapeutic feeding centre (that is the place you have probably seen on television, rooms with malnourished children being fed with big orange cups by their mothers), she sometimes can't stay in the hospital and care for the child as she has to get back and feed the other children who are alone in the camp where they live. Nor can she stay for several days in the hospital or the families she washes clothes for will find someone else, and then she will go from little income to no income. These are real dilemmas these people face every day.