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With stark poignancy and political dispassion, Tightrope draws us deep into an "other America". The authors tell this story, in part, through the lives of some of the children with whom Kristof grew up in rural Yamhill, Oregon, an area that prospered for much of the 20th century but has been devastated in the last few decades as blue-collar jobs disappeared. About one-quarter of the children on Kristof's old school bus died in adulthood from drugs, alcohol, suicide, or reckless accidents.

Since 1984, Nicholas Kristof has worked almost continuously for The New York Times as a reporter, foreign correspondent, bureau chief, and now columnist, becoming one of the foremost reporters of his generation. Here, he recounts his event-filled path from a small-town farm in Oregon to every corner of the world. This is a candid memoir of vulnerability and courage, humility and purpose, mistakes and learning—a singular tale of the trials, tribulations, and hope to be found in a life dedicated to the pursuit of truth.