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Yesterday, your reimbursement was one live chicken, the equivalent of $5, and a bag of corn. The day before, you paid one of your patients instead—she’d spent her week’s food money to buy her ticket for the 150-mile bus ride to your makeshift clinic, so you slipped her enough to cover a meal and a place to sleep. Today, you hope for no payment at all, except for the rush of excitement in a pair of brown eyes when their owner realizes he can walk again, work again—live again.