A Thousand Hills to Heaven

Love, Hope, and a Restaurant in Rwanda


By Josh Ruxin

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One couple’s inspiring memoir of healing a Rwandan village, raising a family near the old killing fields, and building a restaurant named Heaven.

Newlyweds Josh and Alissa were at a party and received a challenge that shook them to the core: do you think you can really make a difference? Especially in a place like Rwanda, where the scars of genocide linger and poverty is rampant?

While Josh worked hard bringing food and health care to the country’s rural villages, Alissa was determined to put their foodie expertise to work. The couple opened Heaven, a gourmet restaurant overlooking Kigali, which became an instant success. Remarkably, they found that between helping youth marry their own local ingredients with gourmet recipes (and mix up “the best guacamole in Africa”) and teaching them how to help themselves, they created much-needed jobs while showing that genocide’s survivors really could work together.

While first a memoir of love, adventure, and family, A Thousand Hills to Heaven also provides a remarkable view of how, through health, jobs, and economic growth, our foreign aid programs can be quickly remodeled and work to end poverty worldwide.


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This is not a book about the Rwandan genocide, nor is it a book about politics. It is not a cookbook (exactly). It's a book about our marriage, our adventures together in the Heart of Darkness, and about Heaven, our hillside restaurant and bar in Rwanda, where, from the outdoor dining deck, there is a very good evening view of the end of poverty.


Getting There

Our plane drifts up over the Atlantic at dusk. We watch a film or two, then doze off. The sun comes up as we float down to Brussels. A cup of coffee there, then we rise over the morning Alps, and then the blue Mediterranean, and finally the torn, brown edge of Africa. There is a thick brown haze below—a midday sandstorm in the Sahara. It takes time to cross the Sahara, as it is about the size of the United States. Africa is big enough to hold all of the United States, including Alaska, plus all of Mexico, all of China, India, France, Spain, Germany, Italy, Greece, Turkey, Pakistan, Afghanistan, and the United Kingdom. Even then, you'd have enough land left over for two States of Texas—but Africa has enough trouble. When economists describe Africa as the next China, or the next New World, you have to keep in mind how impossibly big it is, but also how filled it is with energetic, ambitious young people and unmeasured resources. It is too violent, yes, but so was North America once.

In a few hours we are high above the pain and beauty of Darfur, where horrific atrocities are still playing out, and then over oil-rich and therefore troubled South Sudan. Then over Uganda with its booming economy and new construction—its traffic jams are glowing jewelry below, as night has fallen. Beyond that, only a few slash-and-burn fires below relieve the incredible darkness in the heart of Africa. Finally we slide down along the swampy, reed-lined shores of Lake Victoria, which is as large as Lake Michigan, and into Rwanda. The nation of Rwanda is two-thirds the size of Switzerland, or about the size of Massachusetts, but round like a fist and tucked just under the Equator.

On approach to the little nation's capital, Kigali, we fly over the spot where the plane carrying the presidents of Rwanda and Burundi was shot down on April 6, 1994, triggering perhaps the cruelest one hundred days in human history. Roughly a million men, women, and children were killed, mostly by machete. Then, east of Rwanda, across the Congo border—the darkest spot on the continent—millions more died in the years following 1994, and fighting continues there even now, driven by a lack of government and an excess of militias, gold, diamonds, oil, and memories of murder. It is the nation next door and a constant worry.

But we do not go quite that far. As our plane lands and finally rolls to a stop, four men push a stairway to the door. We hundred people pull down our bags, fumble for business cards for seatmates, relocate passports and yellow fever vaccination cards, and shuffle out. Most passengers seem to be Rwandans or other Africans, coming home or on business. Maybe a quarter of the people are Europeans and Americans, some no doubt coming to work with a charity or church group. A few look like tourists: middle-agers on their way to the misty ridges of the volcanoes in the north of Rwanda, where they will sit among the mountain gorillas like the fellow primates they are. As we exit, there are some very awake people, young and old, whose eyes seem ravenous for every new sight around them and whose smiles are as fixed as if they had just taken a hit of something—Africa is indeed an altered state for those fully open to it.

If you arrived before dark, you would see a green hilly country with farming terraces cut into every slope—even terraced up the sides of the volcanoes, and terraced down into the bowls of them. Rwanda is the most crowded country in Africa, and therefore the most farmed. But one usually arrives late, as it is a long way from anywhere.

Arriving at nine o'clock in the evening seems like midnight. It feels good to walk around on the tarmac after such a lengthy flight. The airplane is massive in the darkness above you, and the miracle of flight seems more real than in a Western airport, where you slip out through a deep corridor, never really seeing the big bird for what it is, and never having that moment to just look up and marvel at it for bringing you such a long way, so quickly and safely. Travelers and explorers of the past had to suffer years of canoe paddling, diseases, and murderous jungle trekking to get here—most not arriving this far inland until well into the twentieth century.

You have used the assembled knowledge of Western civilization to get here more easily, though you are tired. You stand in the cool African air, hear the caws of night birds, smell the signature scent of Africa—a blend of the day's burning of leaves swept from the streets by ten thousand women with straw brooms and gunny sacks, plus the tropical sweetness of flowers and the dust and faint pungency of the faraway open sewers of poverty. There might be a bread bakery in the distance, is how it seems.

Not so long ago this same tarmac saw people running toward the last planes out, as artillery fired from the sides of the runway toward the rebel army perched on Parliament Hill, just over there—now with bright lights on it, and the Parliament building still with holes in it. The holes are intentionally preserved for history, like the cannonballs stuck in Virginia's fine old homes.

For me, when I stand in such a place, I can't help but visualize Rwanda's nightmare. It's not my own memory, but after years here, the memories of friends saturate my thinking.

If you met us now at the airport, you would see my wife, Alissa, our two young daughters, our toddler son, and me. It has become a milk run for us, yet always a very long way to come.

Is it right to raise children in such a place—a crime scene, really? We've lived here nearly a decade, so clearly we've voted with our feet (and frequent flier miles). And there are Abed and Apollo, waving just outside the security area. Abed is the driver for our agricultural and health projects in the rural villages, and Apollo is our family driver. They have both come knowing that we'd be returning with more than two dozen fifty-pound bags loaded with treats from Trader Joe's, wet wipes and diapers, cereal, and cooking supplies for our restaurant. We are deeply grateful for their smiles and help: we are home.

You might think that Rwanda, situated just south of the Equator, would be a constant steam bath, but it is not. The elevation of the entire country is about a mile up, which makes the weather rather like early spring in Southern California, all year long. In the morning, there is nowhere you can look and not see flowers, bananas, fiery orange blossoms in treetops, birds of paradise, lush hillsides and imposing volcanoes, and giant birds sailing overhead instead of airplanes and their jet trails. And it rains a great deal—Rwanda needs two rainy seasons just to get all that rain in. Sunrise always comes at about the same time, as does sunset, and the days are always the same length, with the dark hours equal to the light. If you were us, you might miss the four seasons of New York and Connecticut, and the long summer evenings there, but you would soon embrace this short-sleeved world of flowering landscapes and trees full of birds.

As for the people, there are no kinder in the world than Rwandans.

Kigali, the capital, consists of one hill after another, much like the rest of Rwanda. The constant hill climbing keeps everyone lean, though poverty makes a contribution. The country's nickname for itself is "the land of a thousand hills" or le pays des mille collines. The native language is Kinyarwanda, and Swahili is widely used as well. English is the language used lately in schools and between Rwandans and foreigners who might not know much Kinyarwanda. Further complicating communication, French is the residual language of colonial days under the Belgians and is the lingua franca of many people.

The so-called Hotel Rwanda, made famous by the movie of the same name, is on the same hill as our home and also our restaurant. Its real name is the Hôtel des Mille Collines, and it has been remodeled into a luxury hotel since the troubles. The swimming pool that saved the thousand barricaded people from dying of thirst has nice bamboo furniture around it now, and a thatch-roofed bar. Some things, some, have moved on.



You want to sleep in after that long flight. But the morning birds!

We were still new to our present house in Rwanda—a home built by a Belgian architect who fled with his family during the 1994 genocide—when a strange rainstorm woke us one morning after an arduous flight. It was strange because the rains usually come in the afternoon, but it was also strange because of the women who seemed to come in with it.

Every morning, rainy or not, begins about the same here, and you never need an alarm clock. The glass louvers of your windows are open year-round, but screened to keep out the dangerous mosquitoes. (Most mosquitoes only make you itch, but the varieties with white spots can transmit malaria.) Breezes and the rich smells of ripe fruit and big flowers drift in during the day and night. Your skin enjoys the moist air. The mosquito net over your bed catches the blue dawn like a sultan's tent.

At four thirty, if you are awake, through the silence you will just barely hear the day's first call to prayer from the Muslim section of town, which is perhaps a mile away and around several hills. It is lovely. It is lovely for its own sake, and also because the Muslim section of town was protected from the genocide by the people's refusal to kill and their willingness to protect others—an untold story of the Rwandan genocide. So it is a good sound to begin the day. And then the birds.

The prayer awakens the birds. A few birds have been making simple chirps through the hours, but they are just the night watch. Now arriving, however, are the symphony's main players. They begin with a few peeps, twitters, whistles, and caws, as if tuning up. You might sleep through that, with practice. But then big leaves and pods, heavy with dew, begin to fall on the roof with leathery thumps. The guayava fruit, pecked-at for breakfast by big birds high in the trees, fall like hammer blows on your tin roof—if you have a tin roof, as most do, rich and poor. If you are yet sleeping, you will now wake to the turacos and other big-beaked, long-tailed, colorful jungle birds as they take their turns with brilliantly loud soprano ululations that rise over this million-bird overture to the new day. If you have two little daughters and a baby boy, their voices will be next.

The birds and babies are not alone in their vociferous response to the dawn: though each day is a challenge for Rwandans, whose homes, tiny and large, spread out in smoky pastels below our bedroom window's vista, it is, very simply, another day to be thankful to be alive. Rwandans are conscious of, and thankful for, the miraculous luck of their personal survival. They are proud of their country for how it has moved on from unspeakably dark times. They believe it is on its way to greatness—the Singapore of Africa, perhaps. That thought helps them get out of bed and keep at it.

On that strange morning in the house that was new to us, I was under the great net canopy of our bed, propped on an elbow to watch Alissa sleep a little longer beside me as the lavender light came in. She sometimes wears earplugs to sleep longer—only one earplug, actually, as the other ear listens for the children.

I watch Alissa stir awake. She is brave to be here, especially after a miscarriage during her first pregnancy. This is our home now, but that is only a geographic fact. Where you grew up and came of age is always your true home. As I listen to the birds chatter, I like to think of the bigger picture, to feel that these jungles are our deeper home. Indeed, they were the planet's main genetic labs, where our human ancestors began our story a quarter-million years ago. Some humans stayed to evolve in place and some migrated across the savannahs and up the Nile, becoming the people of the Middle East, of Southern Europe, of Asia and the New World. But this jungle is our truest home. The European explorers, the Stanleys and Livingstones, who journeyed up the Nile to find its source, were salmons of a sort, coming home. And this place, where we live, is that river's source, or very near it. We fashion our fancy cultures and think we have sprung from some American story, some Irish sod, some English countryside, some Asian or European village, some Eastern European shtetl, but all that has merely been the journey. This has always been the home.

Rwanda's mornings, like the evenings, have a tranquilizing coolness that is quite comfortable. Alissa has surrendered to the weather here; she wears open-toed sandals on the evening terrace of Heaven, our restaurant, which often results in a chilly bedtime surprise for me. She is considerate, however, and sometimes runs warm water over her icy little dancer's feet before coming to bed.

At five o'clock this morning, the thunder announced an unusual morning storm on its way. The birds screamed their songs suddenly louder—no empathy for lazy creatures still abed. Then lightning struck nearby. Alissa said good morning and rolled into me as the windows were still rattling. Her toes were warm.

African rains arrive like waterfalls. It was noisily drowning the trees a few blocks away, then it rushed closer, then we were underneath it. The escaping birds warned their friends downwind. Three big kites—big black birds with five-foot wingspans and muscles enough to carry away small animals—suddenly rose up across our view through the window as the last helicopters out.

When the rain stopped suddenly, as it does—it just turns off—we could hear the beeping of horns and little motorcycles, the moto-taxis, down on the road. We could hear a dog or two barking. There are some dogs in Rwanda, but not many. They are expensive to feed, and most of them were shot in the days after the genocide, when so many bodies were on the streets and in the underbrush. The starving dogs found them and lost the affection of the nation. We have a little mutt we rescued as a newborn puppy on the street, and our neighbors have a dog, but otherwise they are rare.

Then a knock came at the gate. It was still very early.

We have a cook and helper, Joel (pronounced in the French way: Jo-Ell), who had already arrived for the day. I knew because I could smell his coffee—rich Rwandan coffee from beans grown and roasted by our neighbor. I heard Joel go outside to open the gate. He brought three women to the front door as I headed downstairs.

They were Rwandan women, dressed in the flowing bright prints and headdresses of Africa. They had calm but serious expressions as they shook off their umbrellas and stood them against the long wall of the front veranda, which is accented by several banana trees. Thumb-sized bananas grace our table nearly year-round, and we use the flower of the plant in Asian-inspired salads at the restaurant.

"Bonjour," said the eldest woman. "I am here to inform you that the body of my brother is buried in your backyard, and we would like to arrange a time to come with a priest and some workers to remove his bones," she said in French.

"S'il vous plaît, entrez," I said, inviting them in.

"Merci," she said as they came in and sat on our big blue and white couches that have hosted many gatherings of public health experts, journalists, American friends on safari, and Kigali friends from down the road. Joel disappeared to prepare African tea with ginger and milk, and a tray of cookies. The oldest in the group calmly explained that the murderer of her brother had recently confessed and had given exact information about where the bones had been buried during the hundred days of terror. She showed us the X on the map of our side yard. The grave was in a far corner against the concrete block wall. It was no doubt very shallow, and we had been lucky not to disturb it when we planted the birds of paradise, bamboo, banana, red hibiscus, acacia, frangipani, and mandarin trees to obscure the security wall.

It is a regular occurrence for bones to be discovered somewhere, almost everywhere, and then be moved to the genocide memorial tombs. You often see machete-scarred people on the street with limbs missing, and those bones must be somewhere, too—though the rest of the person hobbles on to return your morning Mwaramutse! with a smile. Such sights were more common when we first arrived, but even now, a savage scar or missing limb receives no more notice on the street than a bold tattoo in Manhattan, though we still feel a great heaviness when we see it.

Even now we occasionally find human bones when we walk along the dirt road that goes uphill from our house. They wash out in the rainy seasons from shallow graves dug twenty years ago.

Most of that history was something we could shut out when we closed the door and turned on our music from back home. The heavy ghosts had not come into our own house, at least until now. But, indeed, we now understood that a good young man named Epafrodite Rugengamanzi, whose sister loved him very much, died a brutal death in our yard at the age of thirty-six. Epafrodite was buried where he fell.

We agreed on a date when the body could be exhumed. The women thanked us as they left.

I heard Alissa quietly crying in the bathroom. I think we had not properly mourned a few things ourselves, and now there were these bones.


The Neighbors Will Know About the Bones

I am not one for ghosts, but you want your home to be a joyful place with the atmosphere of good memories, not terror. I was curious to learn more about the killing, and I figured our neighbors might know more about what happened in our yard, as they had been here during the genocide. Also, I had not thanked them for the sack of roasted coffee beans that appeared at our door soon after we moved in. They have a small coffee plantation—a hobby really.

Olivier Costa, the son and family scion, who races sports cars and manages the family automotive and advertising businesses, is in his mid-forties, as am I. He greeted me at their gate, and we sat down for a cup with his father, Pierantonio. Their housekeeper set a table with silver for us on a lush lawn, near the family's prized orchids. The family's cook then appeared and set a French press decanter of coffee before us.

Pierantonio looks fit for his years. He has the pink, round face of prosperity and deeply sympathetic blue-green eyes. Olivier, the son, was but twenty-two when it all began. He and his sister, as his father explained, had just come home for spring break from their studies in Europe. Their ten-year-old brother was also at home that evening of April 6, 1994. The five of them, including Olivier's mother, Swiss-born Mariann, heard two explosions: the rocket hitting the president's airplane as it approached the Kigali airport, and the sound of the plane's impact, killing all aboard and triggering the meticulously planned genocide. Roadblocks were instantly erected all over the city to hold the doomed Tutsi and the politically moderate Hutus in their neighborhoods so they could be slaughtered door to door. Hutu death mobs were given long lists of family addresses.

I asked Pierantonio about the bones in our yard.

"Oui," he said as he stirred the sugar into his coffee. He looked at me a little sadly, as no one needs to hear such things about the house they call home. "En fait, j'ai le regret de vous informer, quatre personnes ont été assassinées dans votre maison."

Four people had been killed at our home—in the yard, he believed. Three of them, he knew, had been buried down the hill—right across the road—and the other one on our property somewhere. His description chilled me: I had noticed when we moved in that many of the doorframes in our house had been repaired. Now I knew that the doors had been kicked in. The Interahamwe—the death mobs—filled the city with so many corpses that they came back through and forced those not targeted for killing to bury them where they lay or nearby. They killed a quarter of the big city's population. That was a great deal of killing, as Kigali and its outskirts had a population of about a million. Larger percentages, up to 80 percent or more of a village's population, were killed elsewhere.

Four people had run to our house—a few hours vacant since the Belgian architect sped his family to the airport. The streets were barricaded, block by block, by men with machetes. The bodies of Tutsi men, women, and children were piling up at the barricades. The Interahamwe, blowing whistles in unison like soccer fans, were chasing people down streets, up driveways, into gardens and houses. They were burning some alive in the streets with gasoline.

It should be understood that Hutus and Tutsi were not even tribal groups, though they once had been. By the nineteenth century, the terms were used mainly as a class system: if you owned many cattle, you were considered a Tutsi. An overlay of ethnic differences remained, but there had been so much mobility up and down, and so much intermarriage, that Tutsi really meant upper class and Hutu meant laborer. They shared the same language, traditions, religions, and lands.

The Belgian colonists had marked their identity cards as Hutu or Tutsi based on almost random considerations. Narrower nose: mark her a Tutsi. Fewer than ten cattle: mark him Hutu. Whatever old divisions had once been real, after Belgium's arrival the main difference between the Rwandan people was simply ink marks on identity cards. The Belgians elevated the Tutsi to coveted government positions, leaving the Hutu a mostly unrepresented majority. If the Belgians needed a justification for the division, there was a handy theory that the Tutsi came from Ethiopia or thereabouts, where they were a lost tribe of Israelites—they were kin to whites in that way. Many Tutsi believe they are related to the Israelites and, as Alissa and I are Jews who celebrate Passover with our Rwandan friends, the subject has come up. Among the more insane parallels to the Passover story is the fact that at the beginning of the genocide, baby boys and young men were the first to be taken from their families to be killed.

When the Belgians left in 1959, the Hutu used their overwhelming numbers to rule over and massacre the Tutsi, prompting an exodus of Tutsi to neighboring countries and abroad. In the 1980s the ongoing oppression in Rwanda led a number of refugees, including future president Paul Kagame and his friend and colleague Fred Rwigema, to begin hatching one of the most elaborate military plans of all time. Incredibly, they built a secret military consisting of Rwandan refugees within the Ugandan army. Their war for Rwanda began in 1990, just as the Ugandans were about to uncover their plot. By 1994 the rebel army had pushed the Hutu government to the negotiating table, precisely when the most brutal hundred days of genocide began. Thus, in historical perspective, 1959 was the real commencement of the conflict, of which 1994 was but the insane crescendo.

On that first night, April 6, 1994, as Pierantonio explained to me, the Costa family slept in their bathroom, the only room without exposed windows. Ten-year-old Matthew slept in the bathtub. As the dawn came, they stood on their lawn and peered through their hedges, where they saw the Interahamwe shooting at and trying to break into the homes of two of their good neighbors. Fifteen people ran to Pierantonio's house and found protection in the attic.

There were twenty-five hundred United Nations peacekeepers in Rwanda, so the families under siege desperately telephoned for UN help. A white UN pickup truck arrived several times across the way, and the attackers dispersed. But then the truck went away and did not come again, and the attackers worked like zombies at the iron bars of the windows. (Many middle-class houses have iron bars. Some have safe rooms or hiding places, but they will buy only a little time under such intense attack.)

The Costas watched through their hedges and listened as the Sebulicocos, their neighbors directly across the dirt road, Rue de Progrès, were invaded and killed. Perhaps their other neighbors across the Rue, the Lando family, would be luckier. Pierantonio admired them. Mr. Lando, perhaps forty, was a professional, a minister in the government. His wife was Canadian. They had two fine boys, tall for their ages, and a teenage daughter who was beautiful and sparkling in temperament. Pierantonio admired how the girl was poised in conversation and how she took issue with the opinions of her mother, but in a charming way. The Landos' only problem this morning was that the father was a Tutsi, so his children were Tutsi, and his wife was the wife of a Tutsi. The Costas, other than make pleading phone calls on behalf of their neighbors, could do nothing against the well-armed death squad. They saw the Lando home finally overtaken by the butchers who then ravaged and killed the family.

Pierantonio's eyes welled up. He remembered the feeling of being powerless to help. It was a feeling of immense but unwarranted shame.

Pierantonio happened to hold the honorific title of Italian Consul to Kigali at the time of the genocide. Normally it meant nothing. But, as many of the professional diplomats, including the Italian ambassador to Rwanda, were back in their European homes for Easter, the fate of the nearly two hundred Italian expats in Rwanda fell to Pierantonio.

Mariann, his wife, quickly rummaged through all the shirts and trousers and towels and tablecloths and bedclothes in the house to find enough green, white, and red cloth to quickly stitch together some tricolor Italian flags. One was posted on the corner of their yard, visible from the road. Rwandans are an obedient people. Those who were killing were indeed obeying orders. With luck, they would obey the international convention of diplomatic protection—rules are rules. Other flags were rigged on the family's big Land Cruiser, as Pierantonio and Olivier would need to wade out into the killing to do what was now clearly necessary: get the Italians and as many other people as possible to the airport and out of Rwanda.

Pierantonio was not new to Africa or its horrors. He is the grandson of a planter who was perhaps the first white man to arrive at nearby Lake Tanganyika from the west, cutting through the jungles of Congo. He was only the fifth or sixth white man seen in many African places, just fifty-five years behind Stanley and Livingstone and the opening of Equatorial Africa.


  • 2014 Nautilus Award Gold Winner

    "An absorbing and affecting narrative." -- New York Times
  • "Part memoir, part history lesson, part discourse on how to make a public health project work using business standards, the story of Ruxin's life in Rwanda is riveting and inspirational.... From the depths of destruction to "Heaven," Ruxin chronicles the regeneration of this remarkable country, ultimately revealing the healing power of forgiveness and hope." -- Publishers Weekly
  • "The upbeat story of an American couple raising their three children in Rwanda and making a huge difference in the lives of thousands.... A personal adventure tale with a serious message for those concerned with eradicating poverty." -- Kirkus
  • "Even those disinterested in the wonk of development work will be enchanted by the characters in A THOUSAND HILLS TO HEAVEN." -- The Daily Beast
  • "Josh Ruxin is a dynamic and creative leader in the fight for Health for All in Africa and the world. His stories are like Josh himself: lively, interesting, and inspiring. Read this terrific book and you'll be filled with ideas of how you too can help to change the world." -- Jeffrey D. Sachs, director, The Earth Institute at Columbia University, author of To Move the World
  • "Heart-wrenching. Heart-warming. Poignant. Inspirational. Written with uncommon empathy and deftly turned phrases, full of entrepreneurial idealism tempered by hard-boiled common sense, and told with a modesty worthy of Mother Teresa and a page-turning suspense reminiscent of Stieg Larsson, A Thousand Hills to Heaven may well be the most meaningful book you read this year." -- Steven Raichlen, author of Planet Barbecue and host of Primal Grill on PBS
  • "Josh Ruxin is an entrepreneur for the 21st century who works at the intersection of health and business. His book beautifully captures his family's experiences and their ground-breaking - and often tasty - initiatives." -- Ambassador Mark R. Dybul, Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria
  • "This breezy memoir traces a wide-eyed do-gooder American duo from their naïve arrival to Rwanda, across years of work and lessons learned with the poor, concluding with a boutique bed-and-breakfast called Heaven. Wild ride." -- Laurie Garrett, Pulitzer Prize-winning writer and Senior Fellow at the Council on Foreign Relations
  • "Josh Ruxin limns the trajectory of his work, and his family's life, against the backdrop of a country's transformation. As all of us privileged to work in Rwanda know, there are remarkable opportunities-and stories-here, personal, professional, and universal. Some of these are recounted in A Thousand Hills to Heaven, Ruxin's account of the origins and growth of a project, a family, and a restaurant." -- Dr. Paul Farmer, Harvard Medical School, Brigham and Women's Hospital, Partners In Health
  • "Ruxin's work in Rwanda is an inspiration and in this book, he brings his insights and experience right to you. It's a moving, extraordinary journey that's worth sharing with your friends and your family." -- Larry King, host of Larry King Now
  • "Ruxin's story offers a window into the painful past and promising future of a nation ravaged by genocide and now bursting with potential. In a voice both compassionate and pragmatic, Ruxin offers a repudiation of conventional wisdom on international development work, making the case for a response that is at once creative and integrated, bold and humble. But the success of the book is that this lesson is delivered through an intensely personal narrative - tracking a decade in the life of a young couple through love and loss, certainty and doubt. This book is at times wrenching, at times hilarious and always honest. And perhaps its greatest feat is in calling the reader to account for our own choices - when have we failed to venture off the safe, well-trodden path? What would it take to choose an inspired life, driven daily by a higher purpose? How much are we willing to risk in the pursuit of a calling?" -- Rabbi Sharon Brous, IKAR
  • "A memoir of love, adventure, and family, A THOUSAND HILLS TO HEAVEN also provides a remarkable view of how, through health, jobs and economic growth, our foreign aid programs can be quickly remodeled and work to end poverty worldwide." -- Mother Nature Network
  • "A Thousand Hills to Heaven is a memoir of making the impossible possible. The Ruxins created a model for success, and helped bring health and happiness to a region that desperately needed it."—Kurt Michael Friese, Civil Eats

On Sale
Nov 5, 2013
Page Count
320 pages

Josh Ruxin

About the Author

Josh Ruxin is on faculty at Columbia University, directs Health Builders, and contributes to the New York Times and Forbes. He and his wife, Alissa, live in Rwanda with their three children.

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