The Haitian proverb "Beyond mountains there are mountains" highlights the ongoing challenges in life, suggesting that solutions to one issue often lead to the emergence of another. In the context of Dr. Paul Farmer's experiences with the Péligre Dam, this idea becomes particularly poignant. The dam's creation resulted in significant suffering for around a hundred thousand Haitians, representing a continuous cycle of hardships that Farmer feels compelled to address.

This view of the dam and its consequences serves as a metaphorical mountain that Farmer must navigate. His commitment to humanitarian work means he cannot afford to pause, as the ramifications of exploitation and disaster echo through the lives of those affected. Each achievement in his quest for healing only reveals further challenges that demand attention, exemplifying the relentless pursuit of justice and care in the face of systemic issues.