Central Florida Health Care Credit Union

As once-powerful communist rulers flee their presidential palaces and centralized economies give way to free markets, the future of Latin America's last socialist country hangs in the balance. In a fast-paced style that is both technically sophisticated and admirably free of economic jargon, Eliana Cardoso and Ann Helwege provide a much-needed road map for a peaceful and productive transition from communism to capitalism. They vividly depict the tough choices Cuba faces in the years ahead, and propose a series of reforms to ease Cuba through a transition to capitalism while preserving some legitimate gains--such as those in education and health care--that socialism has provided the Cuban people. The authors begin with the crux of Cuba's predicament: it is an overly centralized single-crop economy that is fast running out of money, as it can no longer depend on privileged trade relations with the former Soviet Union. In this difficult period, Cuba faces the challenge of managing an increasingly chaotic, dysfunctional economy. Is Cuba's transition to capitalism bound to yield another Haiti? Cardoso and Helwege answer with a resounding no. They begin their analysis with a fascinating history of the political roots of Cuba, from Cuban "independence" after the Spanish-American War to the rise of Castro and the development of a socialist economy. After discussing the various economic alternatives reflected in the experience of neighboring countries--models as diverse as Nicaragua, the Dominican Republic, Costa Rica, and Chile--the authors present a systematic program to help Cuba prevent economic decline and political chaos. Their plan involves rapid privatization and the attraction offoreign investment, while providing safeguards against the excesses and inequalities endemic to Latin American capitalism.

Why, in the recent campaigns for universal health care, did organized labor maintain its support of employer-mandated insurance? Did labor's weakened condition prevent it from endorsing national health insurance? Marie Gottschalk demonstrates here that thc unions' surprising stance was a consequence of the peculiarly private nature of social policy in the United States. Her book combines a much-needed account of labor's important role in determining health care policy with a bold and incisive analysis of the American welfare state. Gottschalk stresses that, in the United States, the social welfare system is anchored in thc private sector but backed by government policy. As a result, the private sector is a key political battlefield where business, labor, the state, and employees hotly contest matters such as health care. She maintains that the shadow welfare state of job-based benefits shaped the manner in which labor defined its policy interests and strategies. As evidence. Gottschalk examines the influence of the Taft-Hartley health and welfare funds, thc Employee Retirement Income Security Act (E.R.I.S.A.), and experience-rated health insurance, showing how they constrained labor from supporting universal health care.