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You win by struggle, and that requires understanding and serious analysis of the options and the circumstances, and then you can do a lot.

Insofar as the universities are free and independent, they will also be "subversive," in the sense that dominant structures of power and their ideological support will be subjected to challenge and critique, a counterpart to attitudes that are fostered in the hard sciences wherever they are taken seriously.

Haitian rice farmers are quite efficient, but they can't compete with U.S. agribusiness that relies on a huge government subsidy, thanks to Ronald Reagan's free market enthusiasms.

If some small storekeeper somewhere decides he's not going to pay the money, the Godfather doesn't let him get away with it. The money doesn't mean anything to him, but he sends in his goons to beat him to a pulp. You have to establish credibility, otherwise conformity to your orders will tend to erode. International affairs runs in much the same way.

Radical activists can't ignore the fact that we live in this world, like it or not, and have to make difficult decisions about which paths are the best - or sometimes, the least harmful. There are no abstract formulas. Have to think through each case on its own.

The U.S. has the most dysfunctional healthcare system in the industrial world, has about twice the per capita costs, and some of the worst outcomes. It's also the only privatized system.