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Revolutionary Medicine – Health and the Body in Post–Soviet Cuba: Experimental Futures

Autor P. Sean Brotherton
en Limba Engleză Paperback – 20 mar 2012
Revolutionary Medicine is a richly textured examination of the ways that Cuba’s public health care system has changed during the past two decades and the meaning of those changes for ordinary Cubans. Until the Soviet bloc collapsed in 1989, socialist Cuba encouraged citizens to view access to health care as a human right and the state’s responsibility to provide it as a moral imperative. Since the loss of Soviet subsidies and the tightening of the U.S. economic embargo, Cuba’s government has found it hard to provide the high-quality universal medical care that was so central to the revolutionary socialist project. In Revolutionary Medicine, P. Sean Brotherton deftly integrates theory and history with ethnographic research in Havana, including interviews with citizens seeking medical care, family physicians, public health officials, and research scientists. He describes how the deterioration of health and social welfare programs has led Cubans to seek health care through informal arrangements, as well as state sponsored programs. The creative, resourceful ways that they are pursuing their health and well-being provide insight into how Cubans are navigating, adapting to, and pragmatically coping with the rapid social, economic, and political changes in post-Soviet Cuba.
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Specificații

ISBN-13: 9780822352051
ISBN-10: 0822352052
Pagini: 288
Ilustrații: 29 illustrations, 3 tables, 2 figures
Dimensiuni: 155 x 226 x 25 mm
Greutate: 0.39 kg
Editura: MD – Duke University Press
Seria Experimental Futures


Recenzii

“Revolutionary Medicine is fabulous. In this intelligent, insightful, and nuanced book, P. Sean Brotherton takes health care as a window through which to view and understand the ‘new Cuba,’ which, as he notes, incorporates elements of the pre-revolutionary period, the Soviet era, and the post-Soviet era. Both substantively and analytically, this is a book of very high quality.” Susan Eckstein, author of Back from the Future: Cuba under Castro

Notă biografică


Cuprins

List of Illustrations ix
List of Tables xi
Prologue xiii
Preface. An Ethnography of Contradictions xv
Acknowledgments xxv
Introduction. Bodies in States of Crisis 1
Part I. Biopolitics in the Special Period 13
1. The Biopolitics of Health 15
2. Expanding Therapeutic Itineraries 35
Part II. Socialist Governmentality, Public Health, and Risk 55
3. Medicalized Subjectivities 57
4. Curing the Social Ills of Society 84
5. Preventive Strategies and Productive Bodies 111
Part III. We Have to Think Like Capitalists but Continue Being Socialists 145
6. Turismo y Salud, S.A.: The Rise of Socialist Entrepreneurs 147
7. My Doctor Keeps the Lights On 169
Conclusion. Bodies Entangled in History 182
Coda 191
Notes 193
Bibliography 219
Index 245

Descriere

The Cuban revolution made improved health for ordinary Cubans a primary goal of the state and a measure of the revolution’s success. From the Special Period forward, there were less resources to provide health care to everyone, but the investment in health on the part of the ordinary citizen remained. Cubans began to seek out other forms of health assistance in the informal economy, or from spiritual or alternative sources. In this fine-grained ethnography of Havana, Brotherton talks to doctors, health care providers, and everyday people, tracing out their complex attitudes toward their bodies, health, and the Cuban state.