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Where No Doctor Has Gone Before
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17 January 2013

Tens of thousands of people around the world die each day from causes that could have been prevented with access to affordable health care resources. In an era of unprecedented global inequity, Cuba, a small, low-income country, is making a difference by providing affordable health care to millions of marginalized people.
Cuba has developed a world-class health care system that provides universal access to its own citizens while committing to one of the most extensive international health outreach campaigns in the world. The country has trained thousands of foreign medical students for free under a moral agreement that they serve desperate communities. To date, over 110,000 Cuban health care workers have served overseas.
Where No Doctor Has Gone Before looks at the dynamics of Cuban medical internationalism to understand the impact of Cuba’s programs within the global health landscape. Topics addressed include the growing moral divide in equitable access to health care services, with a focus on medical tourism and Cuba’s alternative approach to this growing trend. Also discussed is the hidden curriculum in mainstream medical education that encourages graduates to seek lucrative positions rather than commit to service for the marginalized. The author shows how Cuba’s Escuela Latinoamericana de Medicina (ELAM) serves as a counter to this trend.
An acknowledgement of Cuba’s tremendous commitment, the book reveals a compelling model of global health practice that not only meets the needs of the marginalized but facilitates an international culture of cooperation and solidarity.
Robert Huish is an assistant professor at Dalhousie University in the Department of International Development Studies. He has published widely on how development strategies, notably through health care and sport education programs in Cuba, have worked to transform conditions of poverty and sub-development throughout the global South. He teaches courses on global health, poverty and human rights, and pedagogies of activism for development.
Table of Contents for Where No Doctor Has Gone Before: Cuba's Place in the Global Health Landscape, by Robert Huish
Preface
Acknowledgements
List of Acronyms
A Note on Sources
1. Against the Garden Path That Justifies Health Inequity: Making the Case for Health Care as a Human Right
2. Sewing the Seeds of Health as a Right: The Origins of Health Care in Cuba
3. Growing Alternatives through Foreign Policy: Foreign Policy and Perspectives on International Health
4. The New Doctor Blooms: The Ethics of Medical Education
5. The Blossom of Cooperation: Cuban Medical Internationalism through ELAM in Ecuador
6. The Fruit of Solidarity: How to Maintain Hope for Global Health
Notes
References
Index