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Drawing on long-term participant observations as well as in-depth research, Brouwer tells the story of Venezuela's Integral Community Medicine program, in which doctor-teachers move into the countryside and poor urban areas to recruit and train doctors from among peasants and workers. Such programs were first developed in Cuba, and Cuban medical personnel play a key role in Venezuela today as advisors and organizers. This internationalist model has been a great success-Cuba is a world leader in medicine and medical training-and Brouwer shows how the Venezuelans are now, with the aid of their Cuban counterparts, following suit. But this program is not without its challenges. 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Steve Brouwer rigorously marshals the devastating evidence and indicts the Bush Gang for encouraging a corporate crime wave (Savings and Loan scandals of the 1980s; Harkin and Halliburton; Enron, WorldCom and Arthur Anderson) and promoting the greatest economic inequality since the 1920s. While Brouwer teases the Bushes for following the Skull and Bones flag of their elite Yale club, he also -levels the serious charge that they are pirates. The richest 1% of Americans grabs 20.3% of our national income. They have overwhelmed democracy with campaign bribery. Brouwer's book is indispensable to ousting the buccaneers. 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