Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

Subjectivation of Cuban doctors: distinguishing traits of Cuba’s internationalism within the More Doctors Program

  • Luciano Bezerra Gomes
  • Emerson Elias Merhy
  • Alcindo Antônio Ferla
  • Luciano Bezerra Gomes

    Universidade Federal da Paraíba, Centro de Ciências Médicas, Departamento de Promoção da Saúde, . João Pessoa, Paraíba, Brasil

    Emerson Elias Merhy

    Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Macaé, Rio de Janeiro, Brasil

    Alcindo Antônio Ferla

    Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Programa de Pós-Graduação em Saúde Coletiva, Porto Alegre, Rio Grande do Sul, Brasil.



Abstract

In order to understand certain effects of the More Doctors Program (Programa Mais Médicos, in Portuguese), we studied the subjectivation processes that occurred in the constitution of the Cuban doctors throughout the revolutionary process triggered ever since the end of the 1950s. To do so, we analyzed many publications, and considered our experiences with these professionals using Michel Foucault’s formulations about how the power-knowledge relationships constitute the individuals, in the connection between political aspects and ethical processes. We demonstrate the role that the public health system has in the Cuban Revolution, identifying the centrality of the doctors in this process; we discuss the moral aspects that have an impact on the ethical constitution of the Cuban doctors, especially the figure of the revolutionary and the practices of solidary internationalism. Lastly, we analyze the recent transformations in that country and their yet undefined consequences for the subjectivation of the Cuban doctors.

Keywords

physicians,
professional practice,
health systems,
Cuba

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