Language: English
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In this world of daunting disparities, no one doubts that transformational change to improve population health, expand health equity and build better-performing health systems is a tough job. Certainly no undertaking for the comfortable or faint-hearted.
In this issue, we present the work, perspectives and research of some of Cuba’s “uncomfortable”, who are challenging the boundaries of science and society to generate new policies and innovative practices aimed at better health. The starting point is a critique of the Cuban capital itself, home to 2.1 million people, one of the fastest-aging populations in the Americas. Architect and urban planner Miguel Coyula argues that the city he calls home is unprepared to ensure a healthy quality of life for the 60-year-oldplus generation, already nearly 20% of its inhabitants (Havana: Aging in an Aging City). He calls for studies to reveal policy alternatives that could comprehensively address the multiple needs and rights of the capital’s older adults.