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The pragmatic state : socialist health policy, state power, and individual bodily practices in Havana, CubaBrotherton, Pierre Sean January 2003 (has links)
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The pragmatic state : socialist health policy, state power, and individual bodily practices in Havana, CubaBrotherton, Pierre Sean January 2003 (has links)
This thesis examines how the recent socio-economic and political arena in Cuba informs the relationship among the idea of population health, national statistics, and the everyday lives of individuals. Post-revolutionary Cuba has used measures of the health of individuals as a metaphor for the health of the body politic, effectively linking the efficacy of socialism and its governmental apparatus to the health conditions of the population. The creation of a model of health care that was informed by the revolutionaries' vision of a new social order, which in turn would help to create an ' hombre nuevo' (new man and new woman), effectively shaped a model of citizenship that was associated with a particular notion of health, and in addition defined a system of socialist values and ideals. Thirty months of ethnographic field research in the city of Havana focused specifically on the Family Physician-and-Nurse Program---an innovative primary health care program in which family physician-and-nurse teams live and work on the city block or in the rural community they serve. Drawing on my ethnographic findings, I explore two key themes. First, I examine how state policy, enacted through the government's public health campaigns, has affected individual lives, changing the relationship among citizens, government institutions, public associations and the state. Secondly, I examine how the collapse of the Soviet bloc (post-1989) and the strengthening of the US embargo is changing the relationship between socialist health-policies and individual practices and how it has redefined how state power becomes enacted through and upon individual bodies. In particular, I examine how individual practices play an important role in the maintenance of Cuba's population-health profile, as individual citizens give priority to their own health care needs, both material (such as food, medicines and medical supplies) and spiritual (including the re-emergence of religious
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