Americans are known for living luxurious lifestyles, higher education, and a value system based on equality. What we fail to identify with are the struggles of people around the globe just to survive - a reality absent in the American mind. As U.S. forces battle in Iraq, Afghanistan, and elsewhere, American troops continue to take part in humanitarian and peacekeeping work around the world. The goal is to provide medical treatment, health education, and help set the conditions for stability and economic prosperity in poor, rural communities. In 2003, I deployed with the 73rd Field Hospital to Paraguay to participate in a medical humanitarian mission. The experience and lasting impression far exceeded what we offered to the Paraguayan people.