Randall gives readers an inside look at her children's education, the process through which new law was enacted, the ins and outs of healthcare, employment, internationalism, culture, and ordinary people's lives. She explores issues of censorship and repression, describing how Cuban writers and artists faced them. She recounts one of the country's last beauty pageants, shows us a night of People's Court, and takes us with her when she shops for her family's food rations. Key figures of the revolution appear throughout, and Randall reveals aspects of their lives never before seen.

More than fifty black and white photographs, most by the author, add depth and richness to this astute and illuminating memoir. Written with a poet's ear, depicted with a photographer's eye, and filled with a feminist vision, To Change the Worldùneither an apology nor gratuitous attackùadds immensely to the existing literature on revolutionary Cuba.