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Health services have long been characterized by inequities and contradictions urban concentration of health resources versus a dearth of rural services and, within the urban situation, relatively efficient services f a few large institutions versus the conglomeration of small, inefficient, and largely autonomous units.
Using the Cuban system as a model, Danielson discusses the ingrredients involved in the transformation into an equitable medical system. The sociopolitical formation of new health workers, the continuous emphasis on rural and primary services, the involvement of all groups, including specialists, in the general fanning process, and a pragmatic style of politically inspired leadership t all levels of organizations are examined in this context. The author so considers the need for heavy economic investments and popular support for social reform as prerequisites for establishment of equitable medical services. According to Danielson, medical and social revolution are closely linked.
Throughout his exposition, there is a rare quality of sympathy and compassion for all the earnest and honest health reformers, physicians, andmedical faculty of Cuba, regardless of their political orientation.