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This paper adopts a Marxist framework to explain how imperialist exploitation in Latin America and the Caribbean evolves while the mechanism for unequal exchange remains. Chinese investments in the region have increased exponentially in the last decade which raise questions as to what impact they may bring. This paper uses the case of Hong Kong to argue that without organised popular force with a progressive agenda which can bargain with and channel Chinese investments into socially useful projects, they can even exacerbate existing contradictions and lead to unrest by their apparent challenge to Western capital. Progressive popular forces in the LAC region should attempt an all-sided assessment of the effects of Chinese investments and form strong sovereign and social development agendas that could optimise their utilisation and strengthen the forces against neoliberalism and imperialism.