I got to spend my last few days with the awesome Peace Corps people, Jaime (Jim) and Emily, pictured above supporting me as I was sick as a dog in Antigua. Although, for the most part, I felt like I reached a lot of the same conclusions as they did about Guatemalan life even in my much shorter period of time, we did have some different experiences.
For one thing, they knew that the Ministry of Health's budget was cut by a large percentage in order to finance Mi Familia Progresa, the program my host mother worked for. Mi Familia Progresa is a direct payment to women for keeping their kids in school, taking them to the doctor, and attending health talks. To me, it seemed like a good idea and not unlike what Jim and Emily are doing (they give health talks), but it turns out it's not so great in practice. There isn't enough money for it, and many of the women just get beat up by their husbands so they can take the money and go drink. I guess maybe paying the doctors and nurses at the clinics was a better use of health funds.
The other thing we differed on were tiendas (pictured above.) These little stores are found every few houses and sell pretty much anything you need on a daily basis. I thought they were kind of awesome: because you can always get fresh food, you don't need a big storehouse, you don't need to use a refrigerator, you can do all your purchases on foot (I think Guatemalans would find the idea of needing a car to go to the grocery store rather absurd, whereas it's one of the main reasons Americans won't give up a car), the food supply system is very robust (unlike America where several corporations control everything), and I also find the ease with which one can become a store owner or entrepreneur in general kind of appealing (no health codes, little startup cost.)
But, it turns out that there are downsides to the tiendas. They (of course) mark up the products- matches are 5 for 1Q at the market, but 1 for 1Q in a tienda. (They're probably 10 for 1Q if you go to the supermarket in Soloma.) So, families that are pretty poor are routinely paying 5x as much as they need to for basic supplies. It also (according to Jaime) contributes to a larger mentality of never planning ahead, and in fact, never having a need to plan ahead. And, it creates enough income to support a whole bunch of people who are not actually adding any value to the economy- they're not producing or improving anything, they're just transporting it to another place and marking it up.
I came across the not-planning-ahead mentality when I bought food for several days, and my host family ate a lot of it up the first day- they're just not used to my odd custom of stockpiling food.
I highly recommend Jim and Emily's excellent blog. I'm currently in the process of reading it from the beginning.