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This study of Mdecins Sans Frontires Doctors Without Borders MSF casts new light on the organizations founding principles, distinctive culture, and inner struggles to realize more fully its without borders transnational vision.Pioneering medical sociologist Rene C. Fox spent nearly twenty years conducting extensive ethnographic research within MSF, a private international medical humanitarian organization that was created in 1971 and awarded the Nobel Prize for Peace in 1999. With unprecedented access, Fox attended MSF meetings and observed doctors and other workers in the field. She interviewed MSF members and participants and analyzed the content of such documents as communications between MSF staff members within the offices of its various headquarters, communications between headquarters and the field, and transcripts of internal group discussions and meetings.