List of Illustrations  ix

List of Tables  xi

Prologue  xiii

Preface. An Ethnography of Contradictions  xv

Acknowledgments  xxv

Introduction. Bodies in States of Crisis  1

Part I. Biopolitics in the Special Period  13

1. The Biopolitics of Health  15

2. Expanding Therapeutic Itineraries  35

Part II. Socialist Governmentality, Public Health, and Risk  55

3. Medicalized Subjectivities  57

4. Curing the Social Ills of Society  84

5. Preventive Strategies and Productive Bodies  111

Part III. We Have to Think Like Capitalists but Continue Being Socialists  145

6. Turismo y Salud, S.A.: The Rise of Socialist Entrepreneurs  147

7. My Doctor Keeps the Lights On  169

Conclusion. Bodies Entangled in History  182

Coda  191

Notes  193

Bibliography  219

Index  245

“The book does a brilliant job of demonstrating the productive relationships between individual bodily practices and macro-level socioeconomic change. Brotherton makes valuable contributions to analytic understandings of medically mediated citizenship, subjectivity, and the limits of individual agency and state authority in a context of ongoing economic crisis. Revolutionary Medicine would be an excellent stand-alone text to read in graduate or undergraduate courses in Latin American studies, medical anthropology, global health, or the medical humanities.”—Amy Cooper, Somatosphere

“In this excellent analysis of the impact of change since 1989, Brotherton provides a rich ethnographic picture of what this has meant in practice for both medical professionals and citizens seeking treatment…. This is a thought-provoking and sensitive study that will be of major interest both to public health professionals as well as scholars.”—GO’T, The Latin American Review of Books

“Revolutionary Medicine…represents an important contribution to an emergent anthropological literature on the Cuban State in the post-1990 era…It will be of interest to a broad range of readers, including undergraduates, graduate students and specialists in global health, medical anthropology, political theory and Latin American studies.” —Jennifer Lambe, Global Public Health

“Revolutionary Medicine is a an engaging and theoretically curious ethnography which masterfully connects global macroeconomic changes to the micropolitics of health in contemporary Cuba, and will speak to a wide range of disciplines and scholars within medical anthropology, public health, political sciences and Latin American studies.” —Eva Vernooij, Medische Antropologie

“Others have studied the Cuban health system, but no one has delved into the political dynamics of Cuba’s universal health provision in the way that Brotherton has…. [T]his study… is an enormous contribution to our understandings of a tumultuous period of Cuban life and demonstrates the power of ethnographic analysis to those outside anthropology who belatedly discover Brotherton’s excellent analysis.”—Thomas F. Carter, Anthropological Quarterly

“Brotherton’s book is a comprehensive, engaging, and original account of the health landscape in Cuba from the outset of the ‘Special Period’ of the 1990s...This intriguing book, over a decade in the making, is worthy of the time invested in it--it makes a valuable contribution to the literature on health in Cuba.”—Elizabeth Kath, Bulletin of the History of Medicine

“The book does a brilliant job of demonstrating the productive relationships between individual bodily practices and macro-level socioeconomic change. Brotherton makes valuable contributions to analytic understandings of medically mediated citizenship, subjectivity, and the limits of individual agency and state authority in a context of ongoing economic crisis. Revolutionary Medicine would be an excellent stand-alone text to read in graduate or undergraduate courses in Latin American studies, medical anthropology, global health, or the medical humanities.”—Amy Cooper, Somatosphere

“In this excellent analysis of the impact of change since 1989, Brotherton provides a rich ethnographic picture of what this has meant in practice for both medical professionals and citizens seeking treatment…. This is a thought-provoking and sensitive study that will be of major interest both to public health professionals as well as scholars.”—GO’T, The Latin American Review of Books

“Revolutionary Medicine…represents an important contribution to an emergent anthropological literature on the Cuban State in the post-1990 era…It will be of interest to a broad range of readers, including undergraduates, graduate students and specialists in global health, medical anthropology, political theory and Latin American studies.” —Jennifer Lambe, Global Public Health

“Revolutionary Medicine is a an engaging and theoretically curious ethnography which masterfully connects global macroeconomic changes to the micropolitics of health in contemporary Cuba, and will speak to a wide range of disciplines and scholars within medical anthropology, public health, political sciences and Latin American studies.” —Eva Vernooij, Medische Antropologie

“Others have studied the Cuban health system, but no one has delved into the political dynamics of Cuba’s universal health provision in the way that Brotherton has…. [T]his study… is an enormous contribution to our understandings of a tumultuous period of Cuban life and demonstrates the power of ethnographic analysis to those outside anthropology who belatedly discover Brotherton’s excellent analysis.”—Thomas F. Carter, Anthropological Quarterly

“Brotherton’s book is a comprehensive, engaging, and original account of the health landscape in Cuba from the outset of the ‘Special Period’ of the 1990s...This intriguing book, over a decade in the making, is worthy of the time invested in it--it makes a valuable contribution to the literature on health in Cuba.”—Elizabeth Kath, Bulletin of the History of Medicine

"Revolutionary Medicine is fabulous. In this intelligent, insightful, and nuanced book, P. Sean Brotherton takes health care as a window through which to view and understand the 'new Cuba,' which, as he notes, incorporates elements of the prerevolutionary period, the Soviet era, and the post-Soviet era. Both substantively and analytically, this is a book of very high quality."—Susan Eckstein, author of Back from the Future: Cuba under Castro

"Using a sophisticated theoretical framework, P. Sean Brotherton weaves an intricate ethnographic tapestry representing the daily practice of medicine at the level of the city block, as well as the community's responses to changes in that practice. Revolutionary Medicine is a must-read for anyone interested in the health sphere in Cuba, the limits of the role of the state, social policy and politics, and medical anthropology."—Julie M. Feinsilver, author of Healing the Masses: Cuban Health Politics at Home and Abroad

"In this unprecedented and daring journey into the lived contradictions of the world's most captivating biopolitical enterprise, P. Sean Brotherton powerfully illuminates the para-infrastructures of care and the ambiguous political subjectivities that emerge in the economic shadows of Cuba's revolutionary medicine. This thought-provoking ethnography is indispensable reading for all who are concerned with the political economy, practice, and theory of public health today."—João Biehl, author of Vita: Life in a Zone of Social Abandonment and Will to Live: AIDS Therapies and the Politics of Survival

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