Médecins sans frontières has just released a short critical report on the absence of humanitarian aid in critically endangered regions of the world. Its title, Where is everyone? is in many ways the full extent of its message. This document is not without merits even if many will find its tone difficult to fathom. MSF does have the legitimacy to articulate a critique and to ground it in its own history of long-term engagement in the most dangerous parts of the world but is it the right way and is it the right question?