In late 2011, I found myself hanging over the edge of a cargo ship off the coast of the eastern Indonesian island of Liran, helping to haul an elderly woman aboard. Wobbling about on the deck of a small fishing boat beneath her was her daughter, pushing her up towards me. "Careful," yelled the daughter, "she's got a bad leg!" After some tugging and shoving, the woman made it aboard, where she sat on deck for three days and three nights. It was the only way she could get to a hospital.