In the book "Mountains Beyond Mountains," Dr. Paul Farmer emphasizes the distinction between privilege and democracy, especially in the context of health and wealth. He acknowledges that while the wealthy can claim to uphold democratic values, those who struggle with illness often do not share the same privilege. This highlights a significant gap where health disparities exist, suggesting that true democracy should include equitable access to healthcare and resources.

Dr. Farmer's pride in being American stems from the opportunities afforded to him, such as freedom of movement and the ability to initiate important projects. However, he contrasts this with the idea of privilege, arguing that access and opportunities vary significantly among individuals. Privilege should not be conflated with democratic ideals, as it indicates an imbalanced system where not everyone can enjoy the same rights and advantages.