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By Don Fitz June 29, 2018 — Links International Journal of Socialist Renewal reposted from Monthly Review — During the 1960s, Cuban medicine experienced changes as tumultuous as the civil rights and antiwar protests in the United States.1 While activists, workers, and students in western Europe and the United States confronted existing institutions of capitalism and imperialism, Cuba faced the even greater challenge of building a new society. The tasks of Cuban medicine differed sharply between the first and the second halves of the revolution’s first decade. The years 1959–64 aimed at overcoming the crisis of care delivery, as half of the island’s physicians fled. It was during the second half of the decade (1964–69) that Cuba began redesigning medicine as an integrated system. The resulting reconceptualization of health care, which put the area polyclinic at the center of medical care, created a model for poor countries that has changed medicine ever since.