Health Travels: Cuban Health(care) On and Off the Island


Book Description

This collection of essays challenges static and binary discourses regarding the Cuban healthcare system, bringing together papers that paint a nuanced and dynamic picture of the intricacies of Cuban health(care) as it is represented and experienced both on the island and around the world.




Cuban Health Care


Book Description

Quiet as it’s kept inside the United States, the Cuban revolution has achieved some phenomenal goals, reclaiming Cuba’s agriculture, advancing its literacy rate to nearly 100 percent – and remaking its medical system. Cuba has transformed its health care to the extent that this “third-world” country has been able to maintain a first-world medical system, whose health indicators surpass those of the United States at a fraction of the cost. Don Fitz combines his deep knowledge of Cuban history with his decades of on-the-ground experience in Cuba to bring us the story of how Cuba’s health care system evolved and how Cuba is tackling the daunting challenges to its revolution in this century. Fitz weaves together complex themes in Cuban history, moving the reader from one fascinating story to another. He describes how Cuba was able to create a unified system of clinics, and evolved the family doctor-nurse teams that became a model for poor countries throughout the world. How, in the 1980s and ‘90s, Cuba survived the encroachment of AIDS and increasing suffering that came with the collapse of the Soviet Union, and then went on to establish the Latin American School of Medicine, which still brings thousands of international students to the island. Deeply researched, recounted with compassion, Cuban Health Care tells a story you won’t find anywhere else, of how, in terms of caring for everyday people, Cuba’s revolution continues.




Cuban Health Care


Book Description

The Cuban health care system has been the focus of much international attention and debate while revealing jarring contrasts. Long publicized as the Cuban Revolution’s greatest accomplishment, it is also a system covered by such a thick wall of political ideology that critical analysis is difficult. Its medical missions in Haiti and other developing countries have generated good will toward the Castro government, even as humanitarian groups in North America and Europe organize shipments of medicines and medical equipment to Cuban clinics and hospitals plagued by shortages of the most basic supplies. No country’s health care system functions independently of its economy, and over the years, Cuba’s medical services and public health indicators have improved at some intervals and declined at others. Cuban authorities have been closing medical facilities and making other cutbacks in the health budget, amid reported outbreaks of cholera and dengue fever in several parts of the country. The Cuban health care system is facing more upheaval as the country begins to look ahead to a post-Castro Cuba and the changes this could entail.




Viral Loads


Book Description

Drawing upon the empirical scholarship and research expertise of contributors from all settled continents and from diverse life settings and economies, Viral Loads illustrates how the COVID-19 pandemic, and responses to it, lay bare and load onto people’s lived realities in countries around the world. A crosscutting theme pertains to how social unevenness and gross economic disparities are shaping global and local responses to the pandemic, and illustrate the effects of both the virus and efforts to contain it in ways that amplify these inequalities. At the same time, the contributions highlight the nature of contemporary social life, including virtual communication, the nature of communities, neoliberalism and contemporary political economies, and the shifting nature of nation states and the role of government. Over half of the world’s population has been affected by restrictions of movement, with physical distancing requirements and self-isolation recommendations impacting profoundly on everyday life but also on the economy, resulting also, in turn, with dramatic shifts in the economy and in mass unemployment. By reflecting on how the pandemic has interrupted daily lives, state infrastructures and healthcare systems, the contributing authors in this volume mobilise anthropological theories and concepts to locate the pandemic in a highly connected and exceedingly unequal world. The book is ambitious in its scope – spanning the entire globe – and daring in its insistence that medical anthropology must be a part of the growing calls to build a new world.




The Monologic Imagination


Book Description

The pioneering and hugely influential work of Mikhail Bakhtin has led scholars in recent decades to see all discourse and social life as inherently "dialogical." No speaker speaks alone, because our words are always partly shaped by our interactions with others, past and future. Moreover, we never fashion ourselves entirely by ourselves, but always do so in concert with others. Bakhtin thus decisively reshaped modern understandings of language and subjectivity. And yet, the contributors to this volume argue that something is potentially overlooked with too close a focus on dialogism: many speakers, especially in charged political and religious contexts, work energetically at crafting monologues, single-voiced statements to which the only expected response is agreement or faithful replication. Drawing on ethnographic case studies from the United States, Iran, Cuba, Indonesia, Algeria, and Papua New Guinea, the authors argue that a focus on "the monologic imagination" gives us new insights into languages' political design and religious force, and deepens our understandings of the necessary interplay between monological and dialogical tendencies.




The Ethics and Politics of Community Engagement in Global Health Research


Book Description

Drawing on a growing consensus about the importance of community representation and participation for ethical research, community engagement has become a central component of scientific research, policy-making, ethical review, and technology design. The diversity of actors involved in large-scale global health research collaborations and the broader ‘background conditions’ of global inequality and injustice that frame the field have led some researchers, funders, and policy-makers to conclude that community engagement is nothing less than a moral imperative in global health research. Rather than taking community engagement as a given, the contributions in this edited volume highlight how processes of community engagement are shaped by particular local histories and social and political dynamics, and by the complex social relations between different actors involved in global public health research. By interrogating the everyday politics and practices of engagement across diverse contexts, the book pushes conversations around engagement and participation beyond their conventional framings. In doing so, it raises radical questions about knowledge, power, expertise, authority, representation, inclusivity, and ethics and to make recommendations for more transformative, inclusive, and meaningful community engagement. This book was originally published as a special issue of the Critical Public Health journal.




Going Public


Book Description

This Element highlights the pivotal role of corporate players in universal health coverage ideologies and implementation, and critically examines social innovation-driven approaches to expanding primary care in low-income settings. It first traces the evolving meanings of universal health/healthcare in global health politics and policy, analysing their close, often hidden, intertwining with corporate interests and exigencies. It then juxtaposes three social innovations targeting niche 'markets' for lower-cost services in the Majority World, against three present-day examples of publicly-financed and -delivered PHC, demonstrating what corporatisation does to PHC, within deeply entrenched colonial-capitalist structures and discourses that normalize inferior care, private profit, and dispossession of peoples.




Beyond Cuban Waters


Book Description

Twenty-first-century Cuba is a cultural stew. Tommy Hilfiger and socialism. Nike products and poverty in Africa. The New York Yankees and the meaning of "blackness." The quest for American consumer goods and the struggle in Africa for political and cultural independence inform the daily life of Cubans at every cultural level, as anthropologist Paul Ryer argues in Beyond Cuban Waters. Focusing on the everyday world of ordinary Cubans, this book examines Cuban understandings of the world and of Cuba's place in it, especially as illuminated by two contrasting notions: "La Yuma," a distinctly Cuban concept of the American experience, and "África," the ideological understanding of that continent's experience. Ryer takes us into the homes of Cuban families, out to the streets and nightlife of bustling cities, and on boat journeys that reach beyond the typical destinations, all to better understand the nature of the cultural life of a nation. This pursuit of Western status symbols represents a uniquely Cuban experience, set apart from other cultures pursuing the same things. In the Cuban case, this represents neither an acceptance nor rejection of the American cultural influence, but rather a co-opting or "Yumanizing" of these influences.




Cuban Revolution in America


Book Description

Cuba's grassroots revolution prevailed on America's doorstep in 1959, fueling intense interest within the multiracial American Left even as it provoked a backlash from the U.S. political establishment. In this groundbreaking book, historian Teishan A. Latner contends that in the era of decolonization, the Vietnam War, and Black Power, socialist Cuba claimed center stage for a generation of Americans who looked to the insurgent Third World for inspiration and political theory. As Americans studied the island's achievements in education, health care, and economic redistribution, Cubans in turn looked to U.S. leftists as collaborators in the global battle against inequality and allies in the nation's Cold War struggle with Washington. By forging ties with organizations such as the Venceremos Brigade, the Black Panther Party, and the Cuban American students of the Antonio Maceo Brigade, and by providing political asylum to activists such as Assata Shakur, Cuba became a durable global influence on the U.S. Left. Drawing from extensive archival and oral history research and declassified FBI and CIA documents, this is the first multidecade examination of the encounter between the Cuban Revolution and the U.S. Left after 1959. By analyzing Cuba's multifaceted impact on American radicalism, Latner contributes to a growing body of scholarship that has globalized the study of U.S. social justice movements.




State of Health


Book Description

State of Health takes readers inside one of the most controversial regimes of the twenty-first century—Venezuela under Hugo Chávez—for a revealing description of how people’s lives changed for the better as the state began reorganizing society. With lively and accessible storytelling, Amy Cooper chronicles the pleasure people experienced accessing government health care and improving their quality of life. From personalized doctor’s visits to therapeutic dance classes, new health care programs provided more than medical services. State of Health offers a unique perspective on the significance of the Bolivarian Revolution for ordinary people, demonstrating how the transformed health system succeeded in exciting people and recognizing historically marginalized Venezuelans as bodies who mattered.