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The author states that this work is based off of a few things, including multiple years of field work in Ukraine throughout 1990 to 2000.

Based upon her observations within research and medical facilities within Ukraine during these visits she defined patterns of issues affecting the population.

Using her knowledge and past experience as well she established these patterns and their effects in order to understand the situation in Ukraine.

She also interviewed russian scientists to understand their perspective on the issues as well.

The main argument is that the cultural translation of a patient’s history is a very complex and difficult process, and can almost eliminate any chance at getting to the root of the patient’s problem.