Biruk notes her own complicity in the systems she is critiquing highlighlighting how "anthropologists make global health in the process of studying in, and continue to be as "doubly ambivalent, perhaps, as our colonial predecessors - in quiet collaboration with power and institutions even as we critique them." (page 18). She also notes how because she was in the field and administering the questionnaires together with the demographers she also has another level of complicity in the actual work she is critiquing as well.
