Lázaro Cárdenas served as Mexico’s president from 1934–1940. His presidency marked the end of the “Maximato,” the period in which the former president Plutarco Elías Calles exercised control. It bridged the gap between the rocky postwar years of the 1920s and the authoritarian dominance of the Institutional Revolutionary Party (PRI) that characterized the rest of the 20th century. Cárdenas is Mexico’s most studied and best remembered president. To the extent that the Mexican Revolution ever was truly radical or popular, it was during the Cárdenas presidency. Cardenismo is an amorphous term that refers both to Cárdenas’s administration and his reform agenda. Cardenistas were a diverse coalition of supporters, some who advocated his agenda and others who merely allied themselves with his administration for non-ideological reasons. Cárdenas set out to realize what he saw as the promises of the revolution: justice for workers and peasants. He distributed about twice as much land as his predecessors combined, and he promoted unionization and strikes. He famously expropriated and nationalized the petroleum industry in dramatic defense of the Mexican worker. These actions earned him enduring affection, although he did not receive universal support even among the disenfranchised while in office. Many opposed his policies, especially those tied with the project of cultural transformation whose origin came earlier, but whose objectives Cárdenas sought to support, especially secularization. Cárdenas’s “Socialist Education” project faced particularly fierce opposition, and he was forced to abandon it along with most of the anticlerical agenda after 1938. That same year, he reorganized the ruling party along corporatist lines and rebaptized it the “Party of the Mexican Revolution,” or PRM. That restructuring is largely credited with having created the conditions under which future administrations would be able to exercise authoritarian control, although this was not Cárdenas’s intention. His presidency is more noted for what it failed to accomplish than for its successes. Nevertheless, his legacy lives on, most visibly in countryside and in the political career of his son Cuahtémoc, who has for decades struggled to fulfill his father’s vision.
Today, the death of women during pregnancy, childbirth or postpartum is considered simultaneously a public health, social inequality, and gender discrimination problem. In Mexico, approximately one thousand women die each year during pregnancy, childbirth, postpartum or from an unsafe abortion, experiencing a premature and sudden death in the midst of their most productive years, often with lasting consequences for their families and surviving children. As elsewhere, the great majority of these deaths would not have occurred if women had had prompt and unlimited access to quality emergency obstetric care, as well as easy access to contraceptives to prevent unwanted pregnancies. Most deaths are related to the substandard quality of available maternal healthcare services; services that are provided for free to most Mexican women in an overly saturated and underfunded public health system that also tends to overmedicalize and pathologize normal births. Their prematurity and abruptness, their occurrence in the process of giving life, the fact that these deaths exclusively affect women, and their avoidable nature make maternal mortality unacceptable in today’s social, political, and ethical arenas.
From an historical perspective, deaths in childbirth were much more common in past centuries than today; these deaths were considered inevitable and were accepted as natural occurrences until the late 19th century. However, surrounding rituals, the meaning attached to these deaths, related notions of womanhood and motherhood, and practices to prevent or avoid them, underwent changes according to broader sociocultural, political and religious transformations from Pre-Hispanic times to the 20th century.
As elsewhere, in Mexico maternal deaths declined considerably in the 1930s–1950s with the discovery of penicillin and the concomitant decline of puerperal fever; they reached a plateau in the 1960s and 1970s and began to slowly decline again in the 1980s–1990s with an even steeper decrease after the signature of the United Nations (UN) Millennium Development Goals in the year 2000; time when the reduction of maternal mortality became one of eight high-priority global public policy objectives, closely monitored by UN bodies.
Maternal deaths are a reflection of ingrained multiple social inequalities that characterize Mexican society at large; poor, rural, marginalized and Indigenous pregnant women face a 2–10 times higher risk of dying than the rest of Mexican women, because their access to contraception and to prompt and high quality obstetric emergency care is more limited. Today, research in the field of maternal mortality etiology, measurement and reduction includes the call for women-centered respectful maternal care, the elimination of discrimination in the provision of obstetric services and the application of a human rights perspective to health policies, programs, and care.
Nicole L. Pacino
During the pre-Columbian and colonial periods, Andean cosmological understandings shaped indigenous approaches to maternal health. Women typically gave birth at home with the assistance of a midwife (also called a partera or comadrona in Spanish). Birthing and post-partum care relied on local herbal remedies and followed specific social rituals. Women drank teas derived from anise or coca during the labor process, gave birth in a squatting position (toward Mother Earth, or Pachamama), and drank sheep soup after labor to replenish strength and warm the body. Rooms were kept dark because the common perception was that bright light injured newborn babies’ eyes. After labor, families buried or otherwise disposed of the placenta to keep the baby and mother healthy and facilitate lactation, as per Andean tradition.
Changes in maternal health rituals began in the 18th century, as colonial rule became more consolidated. The rise of a distinct medical profession and government interest in population growth gradually shifted responsibility for maternal health from the Catholic Church and charitable organizations to the state. Throughout the 19th and 20th centuries, the growing power and authority of the state and the medical profession led doctors and urban-based reformers to attempt to change long-standing Andean birthing practices, which they considered archaic and unsanitary. These reforms emerged from a desire to reduce infant mortality rates and to replace traditional healers with medical professionals who were trained, licensed, and regulated by the state. As reformers looked to replace Andean maternal health and healing practices with new scientific understandings of the female body and birthing process, they also worked to discredit and displace midwives’ knowledge and practices. In particular, they encouraged women to give birth in newly constructed hospitals and to seek the guidance of medical professionals, like obstetricians. However, these reforms met with limited success. In the Andes today, midwives still attend to roughly 50 percent of all births, and in some remote areas, the figure is as high as 90 percent. It is also more common today to see the merging of biomedical and ritual practices to increase women’s access to and acceptance of health services and to reduce overall mortality rates.
Robert M. Buffington
The Porfirian era (1876–1911) marked a watershed in social understandings of manhood. New ideas about what it meant to be a man had appeared in Mexico by the middle of the 19th century in the form of self-help manuals intended primarily for middle-class and bourgeois men who sought to distinguish themselves in a post-independence society that had done away with legal distinctions, including aristocratic titles. Marks of distinction included cleanliness, good grooming, moderation, affability, respectability, love of country, and careful attentiveness to the needs and opinions of others, including women, children, and social “inferiors”—an approach that artfully combined longstanding notions of masculine responsibility and authority with modern ideas about self-mastery and citizenship, especially the sublimation of volatile “passions” in all domains of social life. Modern qualities also mapped onto traditional concerns about male honor predicated on the fulfillment of patriarchal duties, especially the control of female dependents. The socially validated, “hegemonic” masculinity produced by this amalgamation of modern and traditional ideas proved burdensome for many middle-class men, who struggled to maintain an always precarious sense of honor or who rejected the constraints it sought to impose on their behavior. For men from less privileged classes, it represented an impossible ideal that they sometimes rejected through the adoption of antisocial “protest” masculinities and often satirized as delusional or unmanly, even as they too came to define their masculinity in relation to a modern/traditional binary. The modern/traditional binary that characterized ideas about masculinity for all sectors of Porfirian society has persisted until the present day, despite the epochal 1910 social revolution that inaugurated a new era in Mexican social relations.
The years immediately following World War II constituted a watershed in Mexico’s political development: the national government, controlled by the recently renamed Institutional Revolutionary Party (PRI) and led by a new generation of civilian professional politicians, made rapid industrialization its top priority. In a matter of decades, the nation transformed from a predominantly rural to an ever more urbanized society. Significant social and cultural changes followed. The middle classes became the dominant voice in national politics and the beneficiaries of the government’s economic policies, while earlier efforts designed to ameliorate the suffering of the majority were suspended or even reversed, leaving urban workers and the rural poor to wonder what had happened to their revolution. Gradually, a consumerist culture eclipsed the cultural revolution of the 1920s and 1930s. Despite official claims to the contrary, Mexico in this era shed its revolutionary identity and replaced it with a modernizing zeal.
Through the 1960s, scholarly assessments regarded the nation as a model of Third World development. In the estimation of foreign and domestic observers alike, the combination of aggressive capitalist development, state protectionism, and foreign investment had created an economic miracle, while the 1910 Revolution had produced a relatively benign, paternalistic form of “soft” authoritarianism. But in the years following the devastating massacre of students in 1968 at the Plaza de Tlatelolco just days before the Mexico City Summer Olympics, scholarly assessments soured. In the coming decades, more and more evidence of political violence, media manipulation, and official corruption would surface, leading to a crisis of political legitimacy that would be severely aggravated by economic crisis in 1982. For these reasons, the period from 1946 to 1982 is a distinct and important chapter in the nation’s 20th-century development.
On August 13, 1521, the conquistadors and their native allies seized Tenochtitlan, the capital of the Aztec empire. The Spaniards succeeded because they had agreed with the Tlaxcalans and other indigenous self-governing communities (altepetl) to fight the Aztecs. After the conquest these communities continued their traditions, and the Spaniards replaced Aztec leadership with their own. The friars and the secular church converted the natives, and together with the crown they foiled the conquistadors’ attempts to become liege lords with jurisdiction. The process culminated in the New Laws of 1542, which curbed the encomienda, a grant to a Spaniard that comprised several Indian towns paying him or her tribute. In its stead a society of corporations evolved, composed of town councils, lay brotherhoods of churches, and others, complete with their own laws and jurisdictions. Then a series of silver strikes beginning at Zacatecas in 1546 drew settlers into the region called the Bajío north of the former Aztec and Tarascan empires. The local natives resisted initially, and when peace came, they and the settlers created a dynamic early capitalist economy that invigorated other regions. The frontier expanded when animal herds moved further north beyond the mines, and the zone of Spanish influence grew to the south as well.
In 1540 Spanish conquistadors and their indigenous allies began seizing the northwestern Yucatan Peninsula, and they took Tiho/Mérida in 1542. The Yucatan, the Bajío, and the other regions that composed colonial Mexico successively integrated into a global commercial network spanning Europe, Africa, and Asia. The crown and the merchant guild (consulado) in Seville sought to capture the burgeoning Atlantic commerce within the fleet shuttling between Seville/Cadiz and Veracruz and restrict the silver flowing from Acapulco to Asia via the Philippines. Market forces defied most of the rules they put in place. Merchants from Asia settled in Manila; Peruvians docked in Acapulco; and the Dutch, French, and English competed with fleet merchants or operated contraband trade from the Caribbean islands to New Spain. In the 18th century, the crown found allies to loosen trade regulations within the empire and curb corporative autonomies. A series of audits (visitas) shook New Spain, and more compliant viceroys and officials appeared, while the friars lost over one hundred parishes (doctrinas) during the mid-century. The king expelled the Jesuits in 1767; registered ships sailing individually replaced the fleet in 1778; and in 1786 José de Gálvez introduced the intendants in New Spain. As the empire transitioned toward a territorial state, Napoleon imprisoned the Spanish king (1808). In 1810 Miguel Hidalgo and a popular following unleashed the War of Independence. As the conflict unfolded, the legitimacy of the old order crumbled, and the empire dissolved in 1821.
Since the mid-19th century, Argentine society has undergone significant demographic shifts. The expansion of capitalism and the growing complexity of the state apparatus increased the social importance of occupations that are usually considered to be part of the middle class, especially in the Pampas. There was a rapid increase in salaried labor and income distribution worsened significantly. A consumer society arose amid this climate and a good portion of the new trade opportunities rested in the hands of European immigrants, therein generating a complex panorama of both new and old forms of inequality. At the same time, various middle-class trades began to organize themselves in order to mobilize their specific demands. Nevertheless, they did not develop ties of solidarity between one another, nor a unified “middle class” identity. Such an identity would begin to form much later within the political sphere. Starting in 1919, politicians and intellectuals became concerned about the expansion of revolutionary ideas and labor activism, and in order to counteract this, they began to encourage pride in a middle class identity within the public sphere. The historical evidence suggests that from that time on, some members of the common people began to identify as middle class, thereby slowly transforming the perception of social difference that had up until that moment still been binary. A middle-class identity definitively took root after 1945 as a part of the political experience of the middle strata. Peronism, for its plebeian elements and for the social and symbolic space it granted the lower classes, posed a profound challenge to the concepts of hierarchy and respectability that had existed until then. This challenge paved the way for vast sectors to embrace a middle-class identity and to distinguish themselves from the pueblo peronista, as well as to assert their right to a central role within their country. In this context, the middle-class identity in Argentina assumed some characteristics unique to the region, weaving together narratives of nationhood that placed the middle class, the supposed descendants of European immigrants (the implication being “white”), in a place of preeminence as the champions of “civilization,” and therein, as enemies of Peronism and the cabecitas negras, or the “little black heads,” that supported him.
Paraguay is a pluriethnic, plurilingual, and multicultural society, influenced by migration from the Americas, Europe, Asia, and Africa, which contains many conflicting identities. Despite its heterogeneity, there are certain characteristics which have been seen by Paraguayan and foreign writers as having significant influence on national identity. These are primarily related to three factors: Paraguay’s geographical position as a landlocked country, between two regional superpowers, and the resulting historical isolation; the prevalence of Guarani as the favored language of the vast majority of Paraguayans, and its relationship with Spanish; and the impact of international war and defense of its frontiers, primarily the Triple Alliance War (1864–1870), on Paraguay’s economic, cultural, and political development, as well as on its self-perception.
However, Paraguay is also unusual in that following the catastrophe of the Triple Alliance War, there was a concerted effort by a group of intellectuals to challenge the liberal consensus and reinterpret the past to create a national history. This revisionist approach became increasingly influential until, after the Chaco War (1932–1936) and the end of the liberal period, it became the dominant “official” version. Here it subsequently remained through civil war, dictatorship, and finally transition to democracy. While many observers believed this hegemonic revisionist version would disappear with the end of the Stroessner regime in 1989, it has proved more resilient, flexible, and durable than expected, reflecting a high level of internalization of national identity. This in turn suggests that the official discourse was not purely an invention of tradition but was constructed on deeply held ideas of geographical, cultural, historical, and linguistic difference.
The prevention of communicable diseases, the containment of epidemic disorders, and the design of programs and the implementation of public health policies went through important transformations in Mexico, as in other Latin American nations, between the final decades of the 19th century and first half of the 20th century. During that period not only did the advances in medical science make possible the identification and containment of numerous contagious diseases; it was also a time when the consolidation of formal medical institutions and their interaction with both national and international actors contributed to shape the definitions and solutions of public health problems. Disease prevention strategies were influenced by medical, scientific, and technical innovations and by the political values and commitments of the period, and Mexico experienced profound and far-reaching political, economic, and social transformations: the apogee, crisis, and downfall of the long Porfirio Díaz regime (1876–1910), the armed phase of the Mexican Revolution (1910–1920), and the period of national reconstruction (1920–1940). Thus, during the period under consideration, and alongside the consolidation of an official medical apparatus as an integral part of public power, the promotion of public health became a crucial element to reinforce the political unification and the social and economic strength of the country.
Pablo A. Piccato
Free speech was a greater concern for Mexican politicians, legislators, and intellectuals during the 19th century than electoral democracy. This can be easily verified by looking at the large number of laws, decrees, trials, appeals, and polemics provoked by contradictory efforts to guarantee the right to express reasonable opinions, formulated since the 1812 Cádiz Constitution, and the concern to limit that freedom for the preservation of stability, morality, religion, and honor. Mexican public men spent considerably more energy reading and arguing about written words than counting votes. Yet the historiography of Mexican liberalism has, for the most part, stressed the history of frustrated attempts to expand representation and thus consolidate sovereignty. This article looks at the public sphere as a space for but also of contention. Politics, as was understood by most political agents of the time, took place in that virtual space, and a good part of political conflict revolved around the right to speak on behalf of public opinion. The broader arc to be described here starts with the contentious and romantic decades since the 1857 Constitution consecrated free speech and press juries and moves through the taming of the press using legal reforms and politically motivated prosecutions under Porfirio Díaz, to the consolidation of a new order in which a diverse and prosperous press struck an understanding with the post revolutionary regime to constrain the possibilities of political debate, around 1930.