Many of the Central American health programs with which we work have come under attack by U.S. supported governments. In Guatemala, for instance, the government looks on rural health workers as subversives and many of them have ‘disappeared’. Health workers in Nicaragua report great difficulties caused by the U.S. backed anti-Sandinista ‘contras’. In the interests of health and social justice in Central America, we urge all those who share our goal of a fairer, healthier society for all to take a stand in opposing U.S. intervention in Central America.