U.S. sanctions block the Venezuelan people from obtaining food and medicine. They resulted in at least 40,000 deaths between 2017 and 2018, according to a study by the Center for Economic and Policy Research – and that was prior to the most severe sanctions, announced in 2019. President Biden has continued the sanctions since taking office in January 2021. Venezuelans under Siege (in Spanish, Venezuela frente las sanciones) documents the impacts of the sanctions plus the ways that ordinary Venezuelans are organizing to survive and to build new institutions of participatory socialism.