Auto boutiques-francophones Simple and secure cloud storage pinata Furniture Kindle Music Deals Store Cycling Tools minions
An Imperfect Offering and over one million other books are available for Amazon Kindle. Learn more
Buy Used
CDN$ 2.97
+ CDN$ 6.49 shipping
Used: Good | Details
Condition: Used: Good
Comment: **SHIPPED FROM UK** We believe you will be completely satisfied with our quick and reliable service. All orders are dispatched as swiftly as possible! Buy with confidence!
Flip to back Flip to front
Listen Playing... Paused   You're listening to a sample of the Audible audio edition.
Learn more
See this image

An Imperfect Offering: Humanitarian Action in the Twenty-first Century Hardcover – Apr 4 2008

See all 8 formats and editions Hide other formats and editions
Amazon Price New from Used from
Kindle Edition
"Please retry"
Hardcover, Apr 4 2008
CDN$ 32.00 CDN$ 2.97

Unlimited FREE Two-Day Shipping for Six Months When You Try Amazon Student

Product Details

  • Hardcover: 448 pages
  • Publisher: Doubleday Canada; First Edition edition (April 4 2008)
  • Language: English
  • ISBN-10: 0385660693
  • ISBN-13: 978-0385660693
  • Product Dimensions: 15.8 x 3 x 23.6 cm
  • Shipping Weight: 658 g
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (8 customer reviews)
  • Amazon Bestsellers Rank: #318,037 in Books (See Top 100 in Books)

Product Description


“Thoughtful and passionate.”
The Globe and Mail

“With vivid personal anecdote, Orbinski chronicles the struggle around humanitarian intervention in one hotspot after another across the planet. In a narrative of grace and power, he displays the intense components of his remarkable life: integrity, compassion and principle. He is undaunted in the face of the worst the world has to offer. He is determined to salve the wounds of humankind. He is a truly committed man, mind and soul throbbing with incandescent decency.”
— Stephen Lewis, Former UN Special Envoy

An Imperfect Offering is more than a memoir of life on the frontlines of disaster — it is a provocative and revealing meditation on what it means to be human. What do we do, and what should we do, in the face of unspeakable suffering.”
Ottawa Citizen

“James Orbinski has lived for years in the middle of the worst that humans can be, and somehow emerged with both his compassion and his desire to understand us intact. He is a marvellous storyteller, and the stories he has to tell are some of the most powerful I have ever read.”
— Stephanie Nolen, author of 28: Stories of AIDS in Africa

“In this complex era of massive abuses to human rights by governments in too many countries, it is suprising to read such a poignant book that describes, without fanfare, the constant ethical, moral, and even legal dilemmas that those in the field must confront hundreds of times a day. Clarity, compassion and commitment are presented in spades in this book about those who are fighting the lack of political will that too often fails to prevent man's inhumanity to man.”
— L.Gen. Roméo Dallaire, author of Shake Hands with the Devil: The Failure of Humanity in Rwanda

“The rich beauty of Dr. James Orbinski’s writing contrasts with the stark poverty and suffering of the people he has served…. This book exposes truths most of us would rather not know. Do not put it down…. See who you become after reading it.”
Canadian Medical Association Journal

“A powerful personal memoir from a courageous Canadian who has spent most of his adult life in front-line humanitarian work in the world’s worst conflict zones…. It’s also a hopeful story about the emergence of MSF as a new and independent agent of civil society, and the possibilities of making the world a better place.”
Edmonton Journal

“A highly personal and wrenching memoir.”
The Walrus

“Almost unbearably intense…. Orbinski’s writing is strongest and most compelling when he is recounting his actual experiences as a doctor.”
Winnipeg Free Press

“Orbinski pulls no punches…. With his vivid descriptions, Orbinski brings the stench of death and illness to his pages with unflinching realism, giving us detailed narratives of such shameful events as the ruthless genocide of over one million Tutsis in Rwanda, and the United Nations’ complicity in turning a blind eye to the horror.”
Toronto Star

"An essential text for our dire times. Orbinski plunges into the heartbreak, the maelstrom, the moral dilemmas of the genocide territories of the world — Rwanda, Kosovo, Sudan — and finds there enough courage and redemption for us all to feel that there is hope for our sad humanity."
— Ariel Dorfman

About the Author

Dr. James Orbinski is a past international President of Médecins sans Frontières (MSF). He is a Research Scientist and Associate Professor of Family and Community Medicine and Political Science at St. Michael’s Hospital and the University of Toronto. He is a founder of the Drugs for Neglected Diseases Initiative, a not-for-profit pharmaceutical research and development entity focused on the diseases of the South. He recently founded Dignitas, an organization focused on community based treatment, care and prevention of HIV in the developing world. Dr. Orbinski lectures internationally on humanitarianism and global health.

See all Product Description

Inside This Book

(Learn More)
Browse and search another edition of this book.
Browse Sample Pages
Front Cover | Copyright | Table of Contents | Excerpt | Index
Search inside this book:

What Other Items Do Customers Buy After Viewing This Item?

Customer Reviews

4.6 out of 5 stars
5 star
4 star
3 star
2 star
1 star
See all 8 customer reviews
Share your thoughts with other customers

Most helpful customer reviews

17 of 17 people found the following review helpful By Kate Jongbloed on May 14 2008
Format: Hardcover
Just finished Dr. James Orbinski's new book, An Imperfect Offering: Humanitarian Action for the 21st Century. For those of you who don't know him, Orbinski is one of Canada's global health heroes. He accepted the Nobel Prize for Doctors Without Borders while he was its international president and has since worked on developing MSF's Access to Essential Medicine's Campaign and establishing Dignitas International, an organization that provides community-based HIV/AIDS treatment in Malawi.

I've heard Orbinski speak a couple of times, including at the Hope in the Balance forum last November. His talks provoke the idea of thoughts and a world view constantly evolving. This makes him especially human, despite his almost super-human committment to justice and health. One of his strongest messages is the world's need to create what he calls "humanitarian space," unobstructed by politics and military. Orbinski's experiences in Somalia, Kosovo, Afghanistan and elsewhere have made clear the problems of military co-option of humanitarian action. The classic example is the dropping of both bombs and food packets within Afghanistan; in several cases children have confused the two and were harmed rather than fed.

Orbinski's book is part memoir, part call to action. He takes the reader through some of the most devastating humanitarian disasters of the past 20-odd years, from the Rwandan Genocide to New York on September 11, 2001, when Orbinski worked in triage at Ground Zero. It struck me that on several occasions Orbinski has had a relationship with the countries he visits beyond their experience of humanitarian emergency, allowing him to describe the harsh differences between the time of acute crisis and normal daily life.
Read more ›
Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again.
18 of 19 people found the following review helpful By Smaantha on April 26 2008
Format: Hardcover
It really is difficult to find words to describe the hope that this book gives. Although it describes deeply disturbing and difficult to comprehend suffering, it is written by a man who continually describes himself as 'a man' but describes situations in where his behaviour and devotion come straight from heaven. "A human perspective on suffering" just doesn't do this book justice. this book provides the decidely un-human (meaning more than human) perspective and unbelievable willingness to accept hope in the face of evidence that there should be none. It should be mandatory reading.
Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again.
Format: Hardcover Verified Purchase
James Orbinski stays true to his profession even when writing the book. As a true doctor, he is honest and compassionate as he gives his account of the atrocities he witnessed/survived at the end of the 20th - beginning of the 21st century. Unfortunately, this is not the first nor the last book about ongoing genocides and mind-blowing ignorance. There is currently no cure for genocides. They still happen and they will continue to happen again and again. It can happen anywhere as modern-day genocidaires manage to find new "causes" for hatred and extermination...

Like any human being, the author of the book tries to restore the sanity in the mid of this chaos and impose an order on this depressing, pitiless, and ruthless natural world with no rules. In the book, James Orbinski tries to avoid the inescapable truth, that speaking out against genocide, acting against it, imposing the rules on it cannot prevent this inexplicable, but deliberate "human choice" (pp.163-164) from being made again and again. However, he believes in "human rights" and "humanitarian action" as if not solution, but, at least, the treatment for the tragic choice each of us makes. The belief that all people should share the same human values in this increasingly interconnected world is a wishful thinking. It is a sweet self-deception of the medicine, as well as law and politics, to think that there is some kind of collective cure for our epidemic desire to exterminate those who don't share our values. It is always hard to face our inability to control ourselves and the world around us. In this light, humanitarian action is truly "an imperfect offering"...
Read more ›
Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again.
1 of 1 people found the following review helpful By Dafou on July 18 2010
Format: Paperback
Whenever you feel like world isn't turning right..
This book helps you figure out why.

It puts words on images, despair, sufferings.
It puts words where we refuse to put them.

To be read.
And listened.
Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again.