Book excerpt: The United States has not had a coherent foreign policy with which to approach the volatile region encompassing the Caribbean, Cuba, and Central America. Taking into account socio-anthropology and history--especially the 20th century and the impact of U.S. foreign aid--and American security interests, the book makes specific recommendations on policy options. It opens with an outline of American interests and goes on to consider some of the most effective policy tools available to the U.S. government today.