Cuban Health Care: Utopian Dreams, Fragile Future

Front Cover
Lexington Books, Aug 20, 2014 - Political Science - 148 pages
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.
 

Contents

Introduction
1
Medical Histories
11
Infrastructure and Shortages
25
Women and Children
39
Aging and Youth A Cuban Dilemma
59
Cuban Medical Training
69
Research and Pharmaceuticals Necessity is the Mother of Invention
83
Medical Diplomacy Medical Services
105
Facing the Future
119
Cuban Doctors Open Letter to Raul Castro Which Began Circulating in September 2012
127
A Cuban Medical Timeline
133
Selected Bibliography
135
Index
137
About the Authors
141
Copyright

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About the author (2014)

Steven Ullman is director of the Center for Programs in Health Sector Management and Policy at the University of Miami.

Mary Helen Spooner is a journalist who has covered Latin American topics since 1977 and has also reported on health care issues for the Canadian Medical Association Journal.