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Established under late Venezuelan president Hugo Chavez, Misión Barrio Adentro (MBA) — Venezuela’s adaptation of the Cuban social medical model — utilizes a free, universal health care system to serve and educate rural, poor and marginalized populations and to broaden the very praxis and ideology of what health means in a true Latin American social medicine approach. MBA moves beyond conventional medicine to form a true community-oriented primary care system Through qualitative research with personnel from both sides of the political spectrum in Venezuela, Venezuela’s Health Care Revolution offers a unique analysis of MBA’s ability to empower marginalized populations to become health care providers for their own medically vulnerable and under-served communities. Further, Chris Walker argues that the potential of this medical approach is significant not just in Latin America but in Canada and the United States as well. Chris Walker is a PhD candidate at Saint Mary’s University and the author of several publications on Cuban medical adaptations as well as on the cultural constructions of health care, medical education, rural/urban medical disparities and the connections between politics, health and poverty.
"Revolutionary Doctors gives readers a first-hand account of Venezuela's innovative and inspiring program of community healthcare, designed to serve--and largely carried out by--the poor themselves. Drawing on long-term participant observations as well as in-depth research, Brouwer tells the story of Venezuela's Integral Community Medicine program, in which doctor-teachers move into the countryside and poor urban areas to recruit and train doctors from among peasants and workers. Such programs were first developed in Cuba, and Cuban medical personnel play a key role in Venezuela today as advisors and organizers. This internationalist model has been a great success--Cuba is a world leader in medicine and medical training--and Brouwer shows how the Venezuelans are now, with the aid of their Cuban counterparts, following suit. But this program is not without its challenges. It has faced much hostility from traditional Venezuelan doctors as well as all the forces antagonistic to the Venezuelan and Cuban revolutions. Despite the obstacles it describes, Revolutionary Doctors demonstrates how a society committed to the well-being of its poorest people can actually put that commitment into practice, by delivering essential healthcare through the direct empowerment of the people it aims to serve"--Provided by publisher.
Revolutionary Doctors gives readers a first-hand account of Venezuela’s innovative and inspiring program of community healthcare, designed to serve—and largely carried out by—the poor themselves. Drawing on long-term participant observations as well as in-depth research, Brouwer tells the story of Venezuela’s Integral Community Medicine program, in which doctor-teachers move into the countryside and poor urban areas to recruit and train doctors from among peasants and workers. Such programs were first developed in Cuba, and Cuban medical personnel play a key role in Venezuela today as advisors and organizers. This internationalist model has been a great success—Cuba is a world leader in medicine and medical training—and Brouwer shows how the Venezuelans are now, with the aid of their Cuban counterparts, following suit. But this program is not without its challenges. It has faced much hostility from traditional Venezuelan doctors as well as all the forces antagonistic to the Venezuelan and Cuban revolutions. Despite the obstacles it describes, Revolutionary Doctors demonstrates how a society committed to the well-being of its poorest people can actually put that commitment into practice, by delivering essential healthcare through the direct empowerment of the people it aims to serve.
State of Health takes readers inside one of the most controversial regimes of the twenty-first century—Venezuela under Hugo Chávez—for a revealing description of how people’s lives changed for the better as the state began reorganizing society. With lively and accessible storytelling, Amy Cooper chronicles the pleasure people experienced accessing government health care and improving their quality of life. From personalized doctor’s visits to therapeutic dance classes, new health care programs provided more than medical services. State of Health offers a unique perspective on the significance of the Bolivarian Revolution for ordinary people, demonstrating how the transformed health system succeeded in exciting people and recognizing historically marginalized Venezuelans as bodies who mattered.
Is Venezuela's Bolivarian revolution under Hugo Chávez truly revolutionary? Some see the president as a shining knight of socialism, while others see him as an avenging Stalinist strongman. But the Chávez government does not fall easily into a seamless fable of emancipatory or authoritarian history, as these distinguished essays make clear.
Reveals the revolutionary power of the Chavista grassroots movement Venezuela has been the stuff of frontpage news extravaganzas, especially since the death of Hugo Chavez. With predictable bias, mainstream media focus on violent clashes between opposition and government, coup attempts, hyperinflation, U.S. sanctions, and massive immigration. What is less known, however, is the story of what the Venezuelan people – especially the Chavista masses – do and think in these times of social emergency. Denying us their stories comes at a high price to people everywhere, because the Chavista bases are the real motors of the Bolivarian revolution. This revolutionary grassroots movement still aspires to the communal path to socialism that Chavez refined in his last years. Venezuela, the Present as Struggle is an eloquent testament to their lives. Comprised of a series of compelling interviews conducted by Cira Pascual Marquina, professor at the Bolivarian University, and contextualized by author Chris Gilbert, the book seeks to open a window on grassroots Chavismo itself in the wake of Chavez’s death. Feminist and housing activists, communards, organic intellectuals, and campesinos from around the country speak up in their own voices, defending the socialist project and pointing to what they see as revolutionary solutions to Venezuela’s current crisis. If the Venezuelan government has shown an impressive capacity to resist imperialism, it is the Chavista grassroots movement, as this book shows, that actually defends socialism as the only coherent project of national liberation.
Cholera, although it can kill an adult through dehydration in half a day, is easily treated. Yet in 1992-93, some five hundred people died from cholera in the Orinoco Delta of eastern Venezuela. In some communities, a third of the adults died in a single night, as anthropologist Charles Briggs and Clara Mantini-Briggs, a Venezuelan public health physician, reveal in their frontline report. Why, they ask in this moving and thought-provoking account, did so many die near the end of the twentieth century from a bacterial infection associated with the premodern past? It was evident that the number of deaths resulted not only from inadequacies in medical services but also from the failure of public health officials to inform residents that cholera was likely to arrive. Less evident were the ways that scientists, officials, and politicians connected representations of infectious diseases with images of social inequality. In Venezuela, cholera was racialized as officials used anthropological notions of "culture" in deflecting blame away from their institutions and onto the victims themselves. The disease, the space of the Orinoco Delta, and the "indigenous ethnic group" who suffered cholera all came to seem somehow synonymous. One of the major threats to people's health worldwide is this deadly cycle of passing the blame. Carefully documenting how stigma, stories, and statistics circulate across borders, this first-rate ethnography demonstrates that the process undermines all the efforts of physicians and public health officials and at the same time contributes catastrophically to epidemics not only of cholera but also of tuberculosis, malaria, AIDS, and other killers. The authors have harnessed their own outrage over what took place during the epidemic and its aftermath in order to make clear the political and human stakes involved in the circulation of narratives, resources, and germs.
Describes the leadership of Venezuela's elected president, Hugo Chávez, and his efforts to transform his country and paints a picture of his life based on interviews with ministers, aides, courtiers, and everyday citizens.
Since he was first elected in 1999, Venezuelan President Hugo Chávez Frías has reshaped a frail but nonetheless pluralistic democracy into a semi-authoritarian regime—an outcome achieved with spectacularly high oil income and widespread electoral support. This eye-opening book illuminates one of the most sweeping and unexpected political transformations in contemporary Latin America. Based on more than fifteen years' experience in researching and writing about Venezuela, Javier Corrales and Michael Penfold have crafted a comprehensive account of how the Chávez regime has revamped the nation, with a particular focus on its political transformation. Throughout, they take issue with conventional explanations. First, they argue persuasively that liberal democracy as an institution was not to blame for the rise of chavismo. Second, they assert that the nation's economic ailments were not caused by neoliberalism. Instead they blame other factors, including a dependence on oil, which caused macroeconomic volatility; political party fragmentation, which triggered infighting; government mismanagement of the banking crisis, which led to more centralization of power; and the Asian crisis of 1997, which devastated Venezuela's economy at the same time that Chávez ran for president. It is perhaps on the role of oil that the authors take greatest issue with prevailing opinion. They do not dispute that dependence on oil can generate political and economic distortions—the "resource curse" or "paradox of plenty" arguments—but they counter that oil alone fails to explain Chávez's rise. Instead they single out a weak framework of checks and balances that allowed the executive branch to extract oil rents and distribute them to the populace. The real culprit behind Chávez's success, they write, was the asymmetry of political power.