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A further discussion of the social and structural determinants of health. In two presentations recorded at the International League of People's Struggles Fourth International Assembly, Martha Roberts from the Alliance for People's Health and Delen de la Paz from Health Action for Human Rights expose the inadequacy of the World Health Organization's interpretation of a social determinants of health approach and argue that we need to look to socialist models of health care such as in Cuba and post-revolution China for a guide to creating a truly people-centred health-care system.