In Chapter 6 of 16, micro-philanthropist and humanitarian Adam Carter shares how learning local Cambodian culture while working with orphanages separates real local needs from a Westerner perceived needs view. Asking why there are no mattresses, Carter learns children do not lack mattresses - many had been donated; rather, they do not sleep on mattresses. Carter uses this new found knowledge to redirect his investigation and identify a local need for kitchen supplies, whereupon he uses his Cause and Affect Foundation (http://www.causeandaffectfoundation.org/) funds to buy the orphanage kitchen supplies, in effect its own "Oprah Dream Kitchen."