You don’t have to leave America to go to the Third World. I, for example, live in the San Francisco Bay Area, and here, as in all northern megacities, crushing poverty surrounds the comfortable precincts. I can’t call it “extreme” poverty, for of course it cannot compete with the despair endemic to, say, the North African drought zones. But when an organization like Remote Area Medical feels compelled to bring its traveling free clinic to The Oakland Coliseum (now, officially, the Oracle Arena), and when thousands stand for long hours to receive basic care they could not hope to afford, the problem is nonetheless clear. This last April, when the good folks at RAM pulled up stakes and left Oakland for their next stop, it was Haiti. The America they were leaving was not the “exceptional” America of the official dream.