In February 2003, an undocumented immigrant teen from Mexico lay dying in a prominent American hospital due to a stunning medical oversight - she had received a heart-lung transplantation of the wrong blood type. In the following weeks, Jesica Santillan's tragedy became a portal into the complexities of American medicine, prompting contentious debate about new patterns and old problems in immigration, the hidden epidemic of medical error, the lines separating transplant ""haves"" from ""have-nots,"" the right to sue, and the challenges posed by ""foreigners"" crossing borders for medical care. This volume draws together experts in history, sociology, medical ethics, communication and immigration studies, transplant surgery, anthropology, and health law to understand the dramatic events, the major players, and the core issues at stake. Contributors view the Santillan story as a morality tale: about the conflicting values underpinning American health care; about the politics of transplant medicine; about how a nation debates deservedness, justice, and second chances; and about the global dilemmas of medical tourism and citizenship.

Rafael L. Ramirez presents an insightful examination of Puerto Rican culture and the ways in which Puerto Rican masculinity is constructed. What It Means to Be a Man begins with a discussion of machismo set in the context of the social construction of masculinity. Ramirez presents his interpretation of what it means to be a Puerto Rican man, discussing the attributes and demands of masculinity, and pointing out the ways in which strength, competition, and sexuality are joined with power and pleasure. He examines the erotic relationships between men as part of the expressions of masculinity, and analyzes how the homosexual experience reproduces the dominant masculine ideology. Finally, Ramirez draws on the literature of the recent men's movements, offering Puerto Rican men the possibility of constructing a new masculinity, liberated from power games, to provide them with a chance to not only be better understood by others, but also to better understand themselves and their place in society.