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One quibble I had reading the book was there were so many different people featured that it at times was hard to keep straight in my head who was part of which family and what the various relationships were. I found myself wishing there was a listing of each person at the beginning that I could refer back to while reading.
That said, it really was a powerful work that takes a bad situation and seems to portray it for exactly what it is... something horrible that each person living it works to survive as best they know how. It was amazing reading of how cutthroat people can become when they have nothing and to make matters even worse, the people tasked with helping instead view those below them as marks to profit from.
Towards this end, I was struck by a paragraph from the final chapter (which also was noted in the Janet Maslin New York Times book review that contained a number of views I'd echo)...
"Powerless individuals blamed other powerless individuals for what they lacked. Sometimes they tried to destroy one another. Sometimes, like Fatima, they destroyed themselves in the process. When they were fortunate, like Asha, they improved their lots by beggaring the life chances of other people."
What made Behind the Beautiful Forevers so interesting to me was how Boo told matter of fact (and true) stories of people acting in ways that certainly weren't always admirable, but made sense given their lives born into and forced to navigate. People still tried to lift themselves up and improve their lot (which kept the book from simply being a long tale of despair), but the external forces seemed to be at best not helpful and at worst restrictive of those efforts. Some level of success could still be achieved, but often in spite of most everyone and everything around them.