LAUSR

sperm injection (ICSI) services in the United States are a “glimmering but distant mirage” due to their exorbitant costs, remaining inaccessible to the Arab refugees (p. 133). The costs, as told by some of the interlocutors, are less expensive in their home countries; yet this population is caught in “reproductive exile.” These refugees were forced to leave their home countries to flee war and political upheavals. Unfortunately, their resettlement in the United States is not a panacea to their suffering. Inversely, they are caught up in a system which denies them access to affordable health care and decent economic prosperity. While Inhorn spent numerous hours interviewing couples, the focus of her ethnographic study is on Arab refugee men and their reproductive health issues resulting from the toxic effects of war. Given that women face the same harrowing experiences, including war atrocities, displacement, sectarian strife, and economic precarity, women’s voices are clearly overshadowed, even eclipsed, by those of men in this work. There is no doubt that this impressive study will be invaluable to anyone interested in conflict and health, the conditions of Arab refugees in the United States, and the struggles they face as they navigate the health system pleading their cases for affordable health care. This extraordinary and original book goes where others have not, in asking the United States to fulfill its moral obligation toward this vulnerable population and urging policymakers to consider “ethical questions about health-care equity and social justice—or lack thereof—for refugees and immigrants in the US health-care system” (p. 101).