This book is a compendium of clinical and social information and, in particular, focuses on the impact of the US Trade Embargo and the Helms Burton Act on the continued viability of the enterprise. In this account, the medical reader will find a huge amount of relevant and difficult to obtain epidemiological and clinical data. Discusses current areas of Cuban research as well as the historical context.
Challenging many of the assumptions scholars have made about the Cuban Revolution's impact on healthcare, this volume recounts one anthropologist's quest to discover the truth behind the complicated relationship between Cuba's revolution, politics, and healthcare system. Katherine Hirschfeld became interested in Cuba in the mid-1990s, after reading numerous laudatory books and articles describing the Castro regime's achievements in health and medicine. Cuba's population health indicators seemed to be far superior to those of neighboring countries, the national health costs low, and medical care free at point-of-service to the entire people. Historical records indicated that most of these positive health trends resulted from the changes instituted by Castro in 1959. Few of these authors, however, had actually spent time on the island. Thus, Hirschfeld found that academic writing on Cuba was often long on praise, but short on empirical research about what exactly had changed in Cuban medicine since 1959.After much bureaucratic wrangling, Hirschfeld managed to secure permission to conduct long-term ethnographic research in Cuba, where she lived with families from Havana and Santiago, conducted clinic observations, interviewed doctors and patients, and was treated in a Cuban hospital during an epidemic of dengue fever. The reality of the Cuban healthcare system turned out to be different than the scholarly ideal: it was bureaucratized, authoritarian, and repressive, and most people preferred to seek healthcare in the informal economy rather than endure the material shortages, red tape, and political surveillance of the public sector. Written in the form of a first-person narrative, Health, Politics, and Revolution in Cuba Since 1898 not only critically reevaluates Cuban healthcare after the 1959 revolution; it includes chapters detailing Cuban health trends from the Spanish-American War (1898) through the fall of Fulgencio Batista in 1959 and into the
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.
“Frequent insights, stimulating historical comparisons, and command of the data relating to Cuba’s economic and social performance.” —Foreign Affairs Uncritically lauded by the left and impulsively denounced by the right, the Cuban Revolution is almost universally viewed one dimensionally. In this book, Samuel Farber, one of its most informed left-wing critics, provides a much-needed critical assessment of the Revolution’s impact and legacy. “The Cuban story twists and turns as we speak, so thank goodness for scholars such as Samuel Farber, an unapologetic Marxist whose knowledge of Cuban affairs is unrivalled . . . In this excellent, necessary book, Farber takes stock of fifty years of revolutionary control by recognizing achievements but lambasting authoritarianism.” —Latin American Review of Books “A courageous and formidable balance-sheet of the Cuban Revolution, including a sobering analysis of a draconian ‘reform’ program that will only deepen the gulf between revolutionary slogans and the actual life of the people.” —Mike Davis, author of Planet of Slums
As health care concerns grow in the U.S., medical anthropologist Linda M. Whiteford and social psychologist Larry G. Branch present their findings on a health care anomaly, from an unlikely source. Primary Health Care in Cuba examines the highly successful model of primary health care in Cuba following the 1959 Cuban Revolution. This model, developed during a time of dramatic social and political change, created a preventive care system to better provide equity access to health care. Cuba's recognition as a paragon of health care has earned praise from the World Health Organization, UNICEF, and the Pan American Health Organization. In this book, Whiteford and Branch explore the successes of Cuba's preventive primary health care system and its contribution to global health.
The Cuban revolution served as a rallying cry to people across Latin America and the Caribbean. The revolutionary regime has provided vital support to the rest of the region, offering everything from medical and development assistance to training and advice on guerrilla warfare. Cuba and Revolutionary Latin America is the first oral history of Cuba’s liberation struggle. Drawing on a vast array of original testimonies, Dirk Kruijt looks at the role of both veterans and the post-Revolution fidelista generation in shaping Cuba and the Americas. Featuring the testimonies of over sixty Cuban officials and former combatants, Cuba and Revolutionary Latin America offers unique insight into a nation which, in spite of its small size and notional pariah status, remains one of the most influential countries in the Americas.
This book is a study of Cuba's economic development under communism over the last fifty-five years. The authors find that Cuba's socioeconomic development has gone backward since the Cuban Revolution in 1959. The authors conclude that Fidel Castro's revolution has been an economic disaster for Cuba. The book first outlines Cuba's economic position prior to the revolution. It reviews Cuba's rankings with respect to Gross Domestic Product (GDP) per capita in the 1950s and examines the strength of pre-Castro Cuba's foreign reserves and the health of its monetary system. It also presents pre-Castro Cuba's investments in health care and education and documents the island's development potential in the 1950s. The last few chapters describe the precipitous decline in all of these areas of Cuba's economy under Castro. Despite the socioeconomic catastrophe of the Castro years, the authors envision a post-Castro Cuba, where this book can provide a benchmark to measure the developmental success that the Cuban work-ethic and entrepreneurial spirit can generate in a free-market system.
The recent retirement of Fidel Castro turned the world’s attention toward the tiny but prominent island nation of Cuba and the question of what its future holds. Amid all of the talk and hypothesizing, it is worth taking a moment to consider how Cuba reached this point, which is what Antoni Kapcia provides with his incisive history of Cuba since 1959. Cuba In Revolution takes the Cuban Revolution as its starting point, analyzing social change, its benefits and disadvantages, popular participation in the revolution, and the development of its ideology. Kapcia probes into Castro’s rapid rise to national leader, exploring his politics of defense and dissent as well as his contentious relationship with the United States from the beginning of his reign. The book also considers the evolution of the revolution’s international profile and Cuba’s foreign relations over the years, investigating issues and events such as the Bay of Pigs crisis, Cuban relations with Communist nations like Russia and China, and the flight of asylum-seeking Cubans to Florida over the decades. The collapse of the Soviet Union between 1989 and 1991 catalyzed a severe economic and political crisis in Cuba, but Cuba was surprisingly resilient in the face of the catastrophe, Kapcia notes, and he examines the strategies adopted by Cuba over the last two decades in order to survive America’s longstanding trade embargo. A fascinating and much-needed examination of a country that has served as an important political symbol and diplomatic enigma for the twentieth century, Cuba In Revolution is a critical primer for all those interested in Cuba’s past—or concerned with its future.
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.
