Your husband works 200 miles away, comes home twice a year and sleeps around in between. You risk your life in every act of sexual intercourse.  You go to work past a house where a teenager lives alone tending young siblings without any source of income.

Over there lies a man desperately sick without access to a doctor or clinic or medicine or food or blankets or even a kind word. At work you eat with colleagues, and every third one is already fatally ill. Your leisure is occupied by the funerals you attend every Saturday. You go to bed fearing adults your age will not live into their 40s