Fall 1999 Clinical Realities and Moral Dilemmas: Contrasting Perspectives from Academic Medicine in Kenya, Tanzania, and America Authors Mary-Jo DelVecchio Good, Esther Mwaikambo, Erastus Amayo, and James M'Imunya Machoki To Dædalus issue To read this essay or subscribe to Dædalus, visit the Dædalus access page Access now To Dædalus issue