Medical, cultural, and logistical barriers exist across the state of Alaska as healthcare facilities care for our people. Moral, social, and clinical norms established in metropolitan locations do not always easily transfer to rural and remote locations.Reflecting upon these challenges, this essay lives through the early days and short life of an Alaska Native infant. Exploring the assumptions of metrocentric, moralized medicine the author questions the justice of a system that is not designed for or attentive to the needs of Alaskans living in remote locations. Through his own embrace of the emotional and narrative elements of clinical ethics, the author attempts to understand the deep coping that comes through ancient stories and deep emotions.