Top Menu

Inequality

Cuba’s Medical Mission

John M. Kirk, Health Care without Borders: Understanding Cuban Medical Internationalism (Gainesville, FL: University Press of Florida, 2015), 376 pages, $79.95, hardback.

When the Ebola virus began to spread through western Africa in fall 2014, much of the world panicked. Soon, over 20,000 people were infected, more than 8,000 had died, and worries mounted that the death toll could reach into hundreds of thousands. The United States provided military support; other countries promised money. Cuba was the first nation to respond with what was most needed: it sent 103 nurses and 62 doctors as volunteers to Sierra Leone. With 4,000 medical staff (including 2,400 doctors) already in Africa, Cuba was prepared for the crisis before it began: there had already been nearly two dozen Cuban medical personnel in Sierra Leone.… Since many governments did not know how to respond to Ebola, Cuba trained volunteers from other nations at Havana’s Pedro Kourí Institute of Tropical Medicine. In total, Cuba taught 13,000 Africans, 66,000 Latin Americans, and 620 Caribbeans how to treat Ebola without being infected. It was the first time that many had heard of Cuba’s emergency response teams.… The Ebola experience is one of many covered in John Kirk’s new book Health Care without Borders: Understanding Cuban Medical Internationalism. | more…

From Incarceration to Decarceration

The Need to Abolish Prisons

Maya Schenwar, Locked Down, Locked Out (San Francisco: Barrett-Koehler Publishers, 2014), 228 pages, $18.95, softcover.

Prison justice issues are garnering more public exposure today than ever before. In June 2012, the United States Senate held its first hearing on solitary confinement, the second in February 2014. This past fall, the New York Times ran a series of prominent exposés on conditions on Rikers Island that resulted in substantive shifts in staffing and conditions. Even the immense success of the TV show Orange Is the New Black suggests that what happens to people locked up is no longer a fringe issue, but part of our public consciousness.… Yet there are so many contradictions bound up in the way we talk about prisons. Solitary confinement is torture for children, but not for terrorists; the death penalty is unjust, but locking people up for life is not; “inmates” are terrifying beings, except the ones who look or speak like us. Therefore, for many progressives, the question is not whether prisons “work”—but how to make them more humane for those who “deserve” time on the inside. | more…

Interview with Bill Gallegos

As we veteran activists of the 1960s and early ’70s enter our años del retiro, it is time for reflection, summation, and most importantly sharing what we have learned with those reaching to grab the baton. Many of us, now grandparents, are getting questions from our grandkids and kids about our lives in the “golden age” of U.S. social movements. … Bill Gallegos has been an activist since the 1960s, when he became involved in Crusade for Justice, a revolutionary Chicano nationalist organization. He has since emerged as a leading socialist environmental justice activist, and is the former executive director of Communities for a Better Environment. | more…

Stripping Away Invisibility

Exploring the Architecture of Detention

tings chak, Undocumented: The Architecture of Migrant Detention (Montreal: Architecture Observer, 2014), 112 pages, 22 euros ($30.60 from Amazon), paperback.

Over the past six years, more than 100,000 people, including children, have been jailed in Canada, many without charge, trial, or an end in sight, merely for being undocumented.… Locked away from the public eye, they become invisible.… Like the people within, immigrant detention centers are often invisible as well. Photos and drawings of these places are rarely public; access is even more limited. Canada has three designated immigrant prisons, and it also rents beds in government-run prisons to house over one-third of its detainees.… Undocumented: The Architecture of Migrant Detention begins to strip away at this invisibility. In graphic novel form, Toronto-based multidisciplinary artist tings chak draws the physical spaces of buildings in which immigrant detainees spend months, if not years. In crisp black and white lines, chak walks the reader through the journey of each of these 100,000+ people when they first enter an immigrant detention center. | more…

The Part of “Illegal” They Don’t Understand

Anyone who really wants to understand U.S. immigration policy needs to read the brief history of the U.S.-Mexico border in Aviva Chomsky’s often-brilliant new book on immigration.… Politicians constantly tell us we have lost control of the border. In fact, as Undocumented demonstrates, never in the 166 years since the border was established by the 1848 Treaty of Guadalupe Hidalgo has it been so tightly controlled as it is now. For nearly half its history it was exactly the thing immigration opponents say they fear most—an open border. The first serious restrictions did not come until a head tax and a literacy requirement were imposed in 1917, and even then there was an exemption for Mexican workers, the people most likely to enter the country from the south.… The United States wanted this labor for a reason: it was cheap and disposable. | more…

Monthly Review Volume 67, Number 4 (September 2015)

September 2015 (Volume 67, Number 4)

In the U.S. case, imperialism has always been closely tied to a system of racial domination at home. As W.E.B. Du Bois wrote some sixty years ago in “Negroes and the Crisis of Capitalism in the United States” (Monthly Review, April 1953; reprinted in April 2003),

The United States, with its existing social structure, cannot abolish the color line despite its promises. It cannot stop injustice in the courts based on color and race. Above all, it cannot stop the exploitation of black workers by white capital, especially in the newest South. White North America beyond the urge of sound economics is persistently driving black folk toward socialism. It is the United States which is straining every effort to enslave Asia and Africa, and educated and well-to-do black Americans are coming to know this just as well as anybody. They may delay their reaction; they may hold ominous silence. But in the end, if this pressure keeps up, they will join the march to economic emancipation [the struggle against capitalism], because otherwise they cannot themselves be free.

Despite the gains of the civil rights era, the reemergence of what is now called the “New Jim Crow,” based on the mass incarceration and repeated police killings of unarmed black men, shows that the old systems of racial control have been “modernized” in the present, maintaining the color line, if in modified fashion: not only in relation to black Americans—though they have a special position emerging out of the whole legacy of slavery…—but also with respect to all other people of color as well. | more…

Imperialism’s Health Component

Medicine and public health have played important roles in imperialism. With the emergence of the United States as an imperial power in the early twentieth century, interlinkages between imperialism, public health, and health institutions were forged through several key mediating institutions. Philanthropic organizations sought to use public health initiatives to address several challenges faced by expanding capitalist enterprises: labor productivity, safety for investors and managers, and the costs of care. From modest origins, international financial institutions and trade agreements eventually morphed into a massive structure of trade rules that have exerted profound effects on public health and health services worldwide. International health organizations have collaborated with corporate interests to protect commerce and trade. In this article we clarify the connections among these mediating institutions and imperialism. | more…

Resisting the Imperial Order and Building an Alternative Future in Medicine and Public Health

Although medicine and public health have played important roles in the growth and maintenance of the capitalist system, conditions during the twenty-first century have changed to such an extent that a vision of a world without an imperial order has become part of an imaginable future. Throughout the world, diverse struggles against the logic of capital and privatization illustrate the challenges of popular mobilization. In addition to these struggles, groups in several countries have moved to create alternative models of public health and health services. These efforts—especially in Latin America—have moved beyond the historical patterns fostered by capitalism and imperialism…. All the struggles that we describe remain in a process of dialectic change and have continued to transform toward more favorable or less favorable conditions. However, the accounts show a common resistance to the logic of capital and a common goal of public health systems grounded in solidarity, not profitability. | more…

The Hidden Structure of Violence: Who Benefits from Global Violence and War

The Hidden Structure of Violence: Who Benefits from Global Violence and War

The Hidden Structure of Violence marshals vast amounts of evidence to examine the costs of direct violence, including military preparedness and the social reverberations of war, alongside the costs of structural violence, expressed as poverty and chronic illness. It also documents the relatively small number of people and corporations responsible for facilitating the violent status quo, whether by setting the range of permissible discussion or benefiting directly as financiers and manufacturers. The result is a stunning indictment of our violent world and a powerful critique of the ways through which violence is reproduced on a daily basis, whether at the highest levels of the state or in the deepest recesses of the mind. | more…

The Scars of the Ghetto

The article that appears below is reprinted from the February 1965 issue of Monthly Review. Despite her small body of work and short life, Lorraine Hansberry (1930–1965) is considered one of the great African-American dramatists of the twentieth century. Her play A Raisin in the Sun (1959) is required reading, and performed regularly, in high schools and colleges nationwide, as well as on Broadway and London’s West End. Hansberry’s association with the left, and especially with Monthly Review, began in her teenage years. When she moved to New York, she became good friends with Leo Huberman and Paul M. Sweezy. In spring 1964, although terminally ill with pancreatic cancer, she left her hospital bed to speak at a benefit for Monthly Review Press; her speech appeared posthumously as the article below.…

Bangladesh—A Model of Neoliberalism

The Case of Microfinance and NGOs

In 2006, a few months after the Nobel Peace Prize for Muhammad Yunus and Grameen Bank was announced, I was visiting Germany [where many] Germans…looked at it as a victory over neoliberalism. One German activist theatre group invited me to the show of their latest drama, Taslima and the Microcredit. The show was eye opening for me: I realized to what extent Grameen Bank had been misunderstood in the West, and how media campaigns and public relations activities, including embedded studies, created a myth around the Grameen Bank and Yunus.… The theatre organizers requested me to join a discussion following the show. Standing before a mesmerized audience, I had to tell them the hard truth with facts and figures. I said that, despite their best wishes, they were making a terrible mistake. Grameen had never been an alternative to the World Bank-pushed neoliberal economic model; rather, it was born and brought up as a necessary supplement to it. | more…

Monthly Review, December 2014 (Volume 66, Number 7)

December 2014 (Volume 66, Number 7)

Notes from the Editors

In 1832, when the global cholera pandemic was approaching Manchester—as a young Frederick Engels was later to recount in The Condition of the Working Class in England (1845)—“a universal terror seized the bourgeoisie of the city. People remembered the unwholesome dwellings of the poor, and trembled before the certainty that each of these slums would become a centre for the plague, whence it would spread desolation in all directions through the houses of the propertied class.” As a result, Engels noted, various official inquiries were commissioned into the condition of the poor. But little was done in the end to combat the social factors that facilitated the spread of the disease.… One can see an analogous situation today in the growing concern that has materialized in the United States and other wealthy nations over the Ebola epidemic in Africa. | more…