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"Challenging many of the assumptions scholars have made about the Cuban Revolution's impact on healthcare, this volume recounts one anthropologist's quest to discover the truth behind the complicated relationship between Cuba's revolution, politics, and healthcare system. Katherine Hirschfeld became interested in Cuba in the mid-1990s, after reading numerous laudatory books and articles describing the Castro regime's achievements in health and medicine. Cuba's population health indicators seemed to be far superior to those of neighboring countries, the national health costs low, and medical care free at point-of-service to the entire people. Historical records indicated that most of these positive health trends resulted from the changes instituted by Castro in 1959. Few of these authors, however, had actually spent time on the island. Thus, Hirschfeld found that academic writing on Cuba was often long on praise, but short on empirical research about what exactly had changed in Cuban medicine since 1959.After much bureaucratic wrangling, Hirschfeld managed to secure permission to conduct long-term ethnographic research in Cuba, where she lived with families from Havana and Santiago, conducted clinic observations, interviewed doctors and patients, and was treated in a Cuban hospital during an epidemic of dengue fever. The reality of the Cuban healthcare system turned out to be different than the scholarly ideal: it was bureaucratized, authoritarian, and repressive, and most people preferred to seek healthcare in the informal economy rather than endure the material shortages, red tape, and political surveillance of the public sector. Written in the form of a first-person narrative, Health, Politics, and Revolution in Cuba Since 1898 not only critically reevaluates Cuban healthcare after the 1959 revolution; it includes chapters detailing Cuban health trends from the Spanish-American War (1898) through the fall of Fulgencio Batista in 1959 and into the"--Provided by publisher.

The author draws on behavioral ecology to predict the evolution of organized crime in unregulated systems of exchange and the further development of racketeer economies into unstable kleptocratic states. The result is a new model that explains the expansion and contraction of political-economic complexity in prehistoric and contemporary societies.

"Gangsterism, extortion and racketeering are currently viewed as deviant, pathological behaviors that are disconnected from formal political and economic structures, and often excluded from analysis in the fields of political science and economics. A critical reconsideration of organized crime reveals that the evolution of racketeering in systems of exchange should be understood as a natural phenomenon that can be predicted with tools from behavioral ecology originally developed to model the dynamics of predator-prey relations. These models predict the conditions under which unregulated markets evolve into hierarchical criminal syndicates, and how established organized crime groups expand and intrude into formal systems of government, creating chimeric 'gangster-states'. This book outlines the parameters of this process, and uses archival research to explore case studies of organized crime and kleptocratic state formation. A final section proposes redefining state formation as part of a longitudinal cycle of political-economic evolution that includes phases of racketeering, instability, collapse and regeneration"--

1. Introduction -- 2. History and Ecology of Malaria in the Caucasus -- 3. The Karabakh Conflict, 1988-1994 -- 4. Rebordering, Forced Migration and Population Health Crises, 1988-1994 -- 5. Long-Term Conflict and Environmental Change -- 6. Conclusions.

This Open Access book uses Mary Kaldor's concept of "New Wars" to explore how ethnic conflict reshaped the social and environmental landscape of the Southern Caucuses following the collapse of the Soviet Union. It relies on remote sensing data and qualitative historical research to explore how armed conflict between non-state actors generated the region's largest epidemic of P. vivax malaria since the 1960s. This book is an important addition to the literature on the Karabakh conflict and conflict studies more broadly because the infectious disease outbreaks associated with warfare often kill more people than the armed conflicts themselves. Warfare itself has also changed dramatically since the collapse of the USSR, and the Karabakh conflict provides an excellent case study of the way "New Wars" transform the natural and social environment to facilitate outbreaks of preventable disease. This extended case study will be useful to researchers from a variety of academic disciplines, including medical anthropology, geography, conflict studies, disease ecology, global health and public health. It also reveals the fragility of twentieth century malaria control in temperate regions and will assist in predictive modeling for future outbreaks.