With stark income inequalities rooted in its dual currency economy, Cuba is taxing down high and unearned incomes, while trying to raise national productivity and official salaries through performance-related pay and labor restructuring. Such measures are portrayed as an abandonment of socialism, but in Cuba are discussed in terms of historic socialist debates about distribution and the balance of moral and material incentives at work, in a society still characterized by common ownership, social protection, and collective debate.
Case studies demonstrate how countries in the same region can develop health care policies that represent different biomedical and sociocultural outcomes. For example, Cuba's policies result in the lowest HIV/AIDS prevalence rates in the Caribbean, whereas Belize experiences the second highest rates.
