This special double issue of HealthPAC Bulletin focuses on health care in revolutionary contexts, particularly in Nicaragua, Grenada, and El Salvador. It features a poignant letter from a physician working in Nicaragua, detailing the dire conditions in hospitals, including shortages of essential medical supplies and the impact of U.S. military actions on health care. The issue emphasizes the achievements of health care systems in these countries despite external pressures and advocates for solidarity and action from American citizens to support these revolutionary efforts. The editor's letter calls for awareness and action against U.S. interventions that threaten health care advancements in these nations.