Thank you to Constancia Romilly for illustrating her experiences in Israel, the West Bank, and the Gaza Strip. This side of the Middle East conflict is rarely exposed-the direct effect on the health care system and people's daily lives, and the disparities that exist depending on where you live. Her article pointing out the harsh refugee conditions that Palestinians endure-and the terrible fear that the Israeli population lives under-is important. We never hear about how the situation there affects people's daily lives; we hear just about the violence.

Lisa McMurdo, MPH, RN

Albany, NY