This is a very disturbing read, not pleasant for me in any way. It is written in very strong terms. Central Asia Institute has done amazing things in Afghanistan and Pakistan, and I very much support their mission. Greg has done stacks of wonderful work in Pakistan and Afghanistan. This hot off the presses e-book exposes a different side of the story that I am sorry to report seems more than slightly credible and certainly makes me a little sad. I'm not sure what more to think of it at this point, having read it once through. Rock and Ice also issued something preliminary which can be found here. These are important issues for those interested in the health of people living in mountain environments around the world, in education, nonprofit management, and trustworthy spending of their donated dollars. For now, I am taking it with a grain of salt and waiting to learn more. I hope that the way that this has been presented overreaches the data, but for now will just have to wait to learn more.