The Uses of Haiti

by Paul Farmer, Larry Birns (Afterword), Erica Bjerning (Cover designer), Jessica Leight (Afterword), Maggie Steber (Cover artist), Matt Wuerker (Cover designer)

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The Uses of Haiti tells the truth about uncomfortable matters--uncomfortable, that is, for the structures of power and the doctrinal framework that protects them from scrutiny. It tells the truth about what has been happening in Haiti, and the US role in its bitter fate.--Noam Chomsky, from the introduction In this third edition of the classic The Uses of Haiti, Paul Farmer looks at what has happened to the health of the poor in Haiti since the coup. Winner of a McArthur Genius Award, Paul show more Farmer is a physician and anthropologist who has worked for 25 years in Haiti, where he serves as medical director of a hospital serving the rural poor. He is the subject of the Tracy Kidder biography, Mountains Beyond Mountains. show less

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3 reviews
I really don't think the 2 zillion afterwords were necessary. Especially since they were not as well researched and compelling as the bulk of the book. What to make of the massive anti-Aristide demonstrations in late 2003, early 2004 for example? But the overall argument is sound and compelling.
Originally released in the early 1990s after the first coup again Jean-Bertrand Aristide, The Uses of Haiti gives an overview of the country's history and how it has been systematically denied status and any true democracy. It explains eloquently why the country has often been ruled by dictators, the simple answer being that they were funded and trained by countries like the United States. Farmer, a doctor who has treated Haiti's poorest people since the early 1980s, then tells three stories of patients and relatives of patients and how they have each suffered from the way Haiti has been abused. Whether through health (hint, Haiti didn't spawn AIDS, it came to the country from the north), torture, or death. it's something of a miracle show more that Haiti still exists as a country and speaks to the enduring spirit of her people.
Updated in the early 2000s, we learn not that much had changed. Since the book was published, Aristide was again elected president, and again removed under questionable circumstances.
If you want to get a sense of what the country has endured, read this book. Especially now after the earthquake, I can only imagine things are still at least like this.
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The first part of the book could be called 'A People's History of Haiti' since it so resembles the intent and style of Howard Zinn's wonderful classic 'People's History of the United States.' The second part of the book tells personal stories that raise further debate questions about what exactly is the truth, what should US policy be towards Haiti. I found this part not quite so illuminating as the history chapters. The overall effect is part much needed alternative perspective on Haiti, and part polemic. An introduction by Howard Zinn (rest in peace) would have been so much more meaningful and hard hitting than Chomsky could ever be.

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Paul Farmer is the Kolokotrones University Professor of Global Health and Social Medicine at Harvard Medical School and cofounder and chief strategist of Partners In Health. He is the author of Reimagining Global Health; Pathologies of Power: Health, Human Rights, and the New War on the Poor, Infections and Inequalities: The Modern Plagues; and show more AIDS and Accusation: Haiti and the Geography of Blame, all from UC Press. show less
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3+ Works 246 Members
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All Editions

Chomsky, Noam (Introduction)
Kozol, Jonathan (Foreword)

Common Knowledge

Canonical title
The Uses of Haiti
Original publication date
1994
People/Characters
Aristide, Jean-Bertrand; Duvalier, François; Duvalier, Jean-Claude; Cédras, Raoul; French, Howard W.
Important places
Haiti; West Indies; Saint-Domingue/Haiti
Epigraph
Everyone in Haiti was always criticizing the American government, and I'd say 'Your're not there, so how do you know they really wish us harm?' They'd say, 'but look what they did to us in 1915, and I'd respond, 'But that was... (show all) a long time ago; things have changed.' And yet I've come to see that there hasn't really been any change. My experience on Guantánamo allowed me to discover that it was true -- these things are their doing. I have no idea what we are to them -- their bêtes noires, or perhaps devils. We're not human to them, but I don't know what we are. It's as if they see us as a part of the world born to serve as American lackeys. And that's just what's come to pass. They use us as they see fit.

-- Yolande Jean, detained on Guantánamo
Dedication
For Tom and Jim, whom I pulled

into this maelstrom.

For Loune, whom I found already there.

For Frico and Mamito, who went down with me.
First words
Haiti may capture the headlines of the American popular press, but understanding of what is at stake here remains, at best, persistently superficial.

Classifications

Genres
Nonfiction, History, Anthropology, General Nonfiction, Politics and Government
DDC/MDS
972.94073History & geographyHistory of North AmericaMexico, Central America, West Indies, BermudaWest Indies (Antilles) and Bermuda; CaribbeanHaitiHaiti
LCC
F1928.2 .F37Local History of the United States, Canada and Latin AmericaLatin America. Spanish AmericaGreater AntillesHaiti (Island). HispaniolaHaiti (Republic)
BISAC

Statistics

Members
230
Popularity
141,091
Reviews
3
Rating
½ (4.47)
Languages
English
Media
Paper
ISBNs
6
ASINs
1