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For Cuba's supporters, health is the most commonly cited evidence
of the socialist system's success. Even critics often concede that
this is the country's saving grace. Cuba's health statistics are
indeed extraordinary. This small island outperforms virtually all
of its neighboring countries and all countries of the same level of
economic development. Some of its health statistics rival wealthy
industrialized countries. Moreover, these health outcomes have
resulted against all odds. Setting out to unravel this puzzle, the
author finds that Cuba possesses an unusually high level of popular
participation and cooperation in the implementation of health
policy. This has been achieved with the help of a longstanding
government that prioritizes public health, and has enough political
influence to compel the rest of the community to do the same. On
the other hand, popular participation in decision-making regarding
health policy is minimal, which contrasts with the image of popular
participation often promoted. Political elites design and impose
health policy, allowing little room for other health sector groups
to meaningfully contribute to or protest official decisions. This
is a problem because aspects of health care that are important to
those who use the system or work within it can be neglected if they
do not fit within official priorities. The author remains, overall,
supportive of health achievement in Cuba. The country's preventive
arrangements, its collective prioritization of key health areas,
the improvements in public access to health services through the
expansion of health facilities and the provision of free universal
care are among the accomplishments that set it apart. The
sustainability and progress of these achievements, however, must
involve open recognition and public discussion of weaker aspects of
the health system.
For Cuba's supporters, health is the most commonly cited
evidence of the socialist system's success. Even critics often
concede that this is the country's saving grace. Cuba's health
statistics are indeed extraordinary. This small island outperforms
virtually all of its neighboring countries and all countries of the
same level of economic development. Some of its health statistics
rival wealthy industrialized countries. Moreover, these health
outcomes have resulted against all odds.
Setting out to unravel this puzzle, the author finds that Cuba
possesses an unusually high level of popular participation and
cooperation in the implementation of health policy. This has been
achieved with the help of a longstanding government that
prioritizes public health, and has enough political influence to
compel the rest of the community to do the same. On the other hand,
popular participation in decision-making regarding health policy is
minimal, which contrasts with the image of popular participation
often promoted. Political elites design and impose health policy,
allowing little room for other health sector groups to meaningfully
contribute to or protest official decisions. This is a problem
because aspects of health care that are important to those who use
the system or work within it can be neglected if they do not fit
within official priorities.
The author remains, overall, supportive of health achievement in
Cuba. The country's preventive arrangements, its collective
prioritization of key health areas, the improvements in public
access to health services through the expansion of health
facilities and the provision of free universal care are among the
accomplishments that set it apart. The sustainability and progress
of these achievements, however, must involve open recognition and
public discussion of weaker aspects of the health system.
This book explores how globalization and ubiquity of digital
technology combine to create specific global impacts, challenges
and opportunities. Although globalization is already associated
with the speeding up of interactions and change, digital
globalization is characterized by immediacy. The utter
pervasiveness opens new global vulnerabilities at international,
national, social and personal levels. The Digital Global
Condition examines the nature of digital globalization,
enabling us to not only inhabit a digital world, but also to
understand it, even to live well in it.
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