Patients, Practitioners, and Paradoxes: Responses to the Cuban Health Crisis of the 1990s
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Twenty-one respondents in Havana, Cuba, were interviewed for the purpose of understanding the challenges facing the Cuban health care system since the 1990s and the individual solutions that have been proposed to these challenges. Three major shortages were identified: a lack of medication, a lack of medical supplies, and a lack of medical professionals. Consequently, informal coping mechanisms, such as the black market and using personal connections, were a common way of overcoming the difficulties associated with these shortages. Beyond this, however, Cuban health care has experienced a unique fusion of medical traditions, such that now biomedicine and complementary and alternative medicine not only coexist in Cuban society but actively collude together to respond to the increasing demands for health services in light of waning supplies of medication and medical supplies. As a result, Cuba has managed to survive its most difficult health crisis since the beginning of the Revolution.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.021 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.006 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it