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January 2005 (Volume 56, Number 8)

Notes from the Editors

An essential aspect of any modern democratic society is a communications system that enables rather than disables public debate. Yet the mass media in the advanced capitalist societies are highly concentrated, controlled by a few owners (on the extent of this control in the United States and its implications see Robert W. McChesney, The Problem of the Media [Monthly Review Press, 2004]). Further, the United States has witnessed the emergence of what is undoubtedly the most sophisticated propaganda system ever developed, making it possible for control of the media to translate into the power to sway large parts of the society. An understanding of this problem is crucial if one is to grasp the changes occurring in U.S. society today: from war to privatization to the suppression of human rights | more…

The Failure of Empire

The United States is facing the prospect of a major defeat in Iraq that is likely to constitute a serious setback in the ongoing campaign to expand the American empire. Behind the pervasive war propaganda as evidenced in the “victorious” attack on Fallujah lies the reality of a U.S. war machine that is fighting a futile battle against growing guerrilla forces, with little chance for a stable political solution to the conflict that could possibly meet U.S. imperial objectives. Nevertheless, the U.S. ruling class, though not unaware of the dangers, is currently convinced that it has no choice but to “stay the course”-a slogan adopted by both political parties and accepted by virtually the entire economic, political, military, and communications establishment. The reason for this seemingly irrational determination to stick it out at all costs can only be understood through an analysis of the logic and limits of capitalist empire | more…

Possibility and Hope: Getting from Here to There

Pete Seeger is one of the world’s quintessential activists, having played such an important role in singing the songs and engaging in the struggles of civil rights, free speech, human rights, anti-Vietnam War, environmental, peace, anti-nuclear, and social justice movements. (David Kupfer, “Longtime Passing,” Whole Earth Magazine, 104, 2001, p. 19.)  | more…

What is Social Medicine?

The past two decades have seen a rapid expansion of the corporate agenda in the field of health and health care. Rather than moving toward a system of universal access to medical care in the United States, the access to and quality of clinical services is being turned over increasingly to the insurance industry. Patients are now “clients” and clinical services are “product lines.” More clinical research is now funded by the pharmaceutical industry than the National Institutes of Health; pharmaceutical dollars pay the salaries of top academics and set the national research agenda. Clinicians and patients alike are wooed by sophisticated advertising campaigns (often disguised as education) that promote expensive drugs of dubious efficacy. The insertion of “market rationality” into health care has not brought the hoped for curbing of health care costs. The United States, despite spending more per capita on medical care than any other country in the world, continues to perform poorly on many health indicators, with a life expectancy at birth that ranks twenty-seventh in the world | more…

Prevention and Solidarity: Democratizing Health in Venezuela

Halfway up the hill, in a semi-finished, rustic house, a sheet divides the consulting room from the treatment room. Rarely is there a need to identify oneself upon arrival. “How are you Mr. Antonio, has your pressure decreased?” says the fifty-three-year-old Venezuelan nurse Carlota Núñez. Antonio goes in and, little by little, the inhabitants of the neighborhood Las Terrazas de Oropeza Castillo, municipality Sucre, Caracas move through the waiting room | more…

On Revolutionary Medicine

This simple celebration, another among the hundreds of public functions with which the Cuban people daily celebrate their liberty, the progress of all their revolutionary laws, and their advances along the road to complete independence, is of special interest to me | more…

Martinique

Mountains of smoking ruins, heaps of mangled corpses, a steaming, smoking sea of fire wherever you turn, mud and ashes—that is all that remains of the flourishing little city which perched on the rocky slope of the volcano like a fluttering swallow. For some time the angry giant had been heard to rumble and rage against this human presumption, the blind self-conceit of the two-legged dwarfs. Great-hearted even in his wrath, a true giant, he warned the reckless creatures that crawled at his feet. He smoked, spewed out fiery clouds, in his bosom there was seething and boiling and explosions like rifle volleys and cannon thunder. But the lords of the earth, those who ordain human destiny, remained with faith unshaken—in their own wisdom | more…

Perpetual War for a Lasting Peace

Thomas P. M. Barnett, The Pentagon’s New Map: War and Peace in the Twenty-First Century (New York: G. P. Putnam’s Sons, 2004), 320 pages, hardcover $26.95.

The geopolitics of war are theorized in a Pentagon-centered system of war colleges, defense universities, academic departments, institutes of strategic and international studies, and quasi-private think tanks. Together these make up a powerful, rightist military-ideological complex. For the most part, waging war is discussed behind closed doors by people sharing similar attitudes, beliefs, and values—of patriotism for their beloved country, and antagonism toward its circle of enemies, real and supposed | more…