To many in the West, the League of Nations was to establish political peace between nations. To the Cuban sugar-producing elite of the 1920s and 1930s, however, the League was an important socioeconomic institution used to augment many of Cuba's first modern state institutions. This article explores how and why Cuban delegates were the principals behind the 1937 International Sugar Agreement.
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.