It must have been a very painful transition, yes, but Cuba nevertheless succeeded in maintaining its health care system. The furniture may be a little worn, but if you compare the number of doctors in Cuba with other Latin American countries it is still amazing what they have accomplished. And that Cuba is able to send doctors abroad to help other countries never ceases to amaze me.
According to the Pan American Health Organization, the Cuban Government currently devotes a smaller percentage of its budget for health care than such regional countries as Jamaica, Costa Rica, and the Dominican Republic.
Then apparently Cuba must have a bigger budget. Or maybe it’s a question of Cuban doctors being as cheap as they are!
Health Care in Cuba: "Medical Apartheid" and Health Tourism
Of course, not everyone in Cuba receives substandard health care. In fact, senior Cuban Communist Party officials and those who can pay in hard currency can get first-rate medical services any time they want.
Of course, in any other Latin American country but Cuba substandard health care wouldn’t really bother anybody, would it? Substandard health care or even no doctors at all in a Peruvian or Guatemalan village would just be a sign of the people there not being able to pay for a doctor’s services, supply and demand. It wouldn’t bother anybody that the rich get all the medical care they can buy – sometimes by taking the next plane to the USA. Whereas in Cuba, with free health care for everybody, the writers of this article see nothing but signs of exploitation of the poor!!!
This situation exists because the Cuban Government has chosen to develop a two-tiered medical system--the deliberate establishment of a kind of "medical apartheid"--that funnels money into services for a privileged few, while depriving the health care system used by the vast majority of Cubans of adequate funding.
Yeah, right. It would surprise me if health care in Cuba didn’t suffer cut backs along with everything else in the 90s, but surprisingly enough it’s still there and still so efficient that I have heard of Cubans living in Denmark who went back to Cuba to be examined by the doctors there because they were not content with the examinations they had received by the hospitals here.
Following the loss of Soviet subsidies, Cuba developed special hospitals and set aside floors in others for exclusive use by foreigners who pay in hard currency. These facilities are well-equipped to provide their patients with quality modern care. Press reports indicate that during 1996 more than 7,000 "health tourists" paid Cuba $25 million for medical services.
Cuba's "Medical Technology Fair" held April 21-25 presented a graphic display of this two-tier medical system. The fair displayed an array of both foreign and Cuban-manufactured medicines and high-tech medical equipment and services items not available to most Cubans. The fair showcased Cuban elite hospitals promoted by "health tourism" enterprises such as SERVIMED and MEDICUBA.
That is not even all! The Cubans had to sell out of other resources as well. The wonderful beaches of Varadero were turned into a holiday resort exclusively for tourists, off limits to the Cubans, except for the ones who have to work there. You can imagine what that feels like in a country priding itself of the achievement of its revolution, one of which being that the beaches that used to be the private property of the rich, including a lot of norte americanos, were now open for everybody, black or white. Things like that have, of course, caused a lot of resentment, but the Cubans have stood up with it only because they have understood the necessity for these measures in the Special Period, “the ending of the $5 billion in subsidies that the U.S.S.R. gave annuallyâ€. Yes, a thing like that
does take a lot of reorganization – and luckily the Cubans seem to know that this is something that they have to get through. They are not at all fond of
“this two-tier medical systemâ€. But the three-tier medical system in other Latin American countries going from luxurious health care for the rich and none at all for the poor is not an alternative that they would like to reintroduce. They didn’t like it in Batista’s days, and they don’t like it now.
On the other hand, members of the Cuban Communist Party elite, and the military high-command are allowed to use these hospitals free of charge. Certain diplomatic missions in Havana have been contacted and told that their local employees can be granted access privileges to these elite medical facilities--if they pay in dollars.
That the
“Cuban Communist Party elite†is an elite the same way that the elite in the USA or in any other North or South American country is an elite, that is: with the privileges of the rich in those countries, is too absurd for ordinary Cubans to believe: They are able to see how party members and leaders live! And since hospital workers are also ordinary Cubans, it would not remain a secret for very long if health care for an elite was very different than for the rest of the Cubans. The Cuban revolution was fortunate enough to have Che Guevara as one of its leaders, and Che set a very good example when it came to the ‘party elite’ hoarding elitist privileges for themselves! (I can recommend the book
Ernesto Che Guevara – A Revolutionary Life, by John Lee Anderson, an American, I think. It contains enough examples to show that, no, Che Guevara was not a god, he was not a Mother Theresa, he was a revolutionary and a human being with good and bad sides, but if there was one thing he could not stand, it was the leaders of the revolution being privileged in comparison with ordinary people.)
The founder of Havana's International Center for Neurological Restoration, Dr. Hilda Molina, in 1994 quit her position after refusing to increase the number of neural transplant operations without the required testing and follow-up. She expressed outrage that only foreigners are treated. Dr. Molina resigned from her seat in the national legislature, and returned the medals Fidel Castro had bestowed on her for her work.
In 1994, Cuba exported $110 million worth of medical supplies. In 1995, this figure rose to $125 million. These earnings have not been used to support the health care system for the Cuban public. In fact, tens of millions of dollars have been diverted to support and subsidize Cuba's biomedical research programs--money that could have been used for primary care facilities.
Yes, indeed. Cuba is so poor that all the money in one sector is at the same time needed in all the others! But in order to build up the economy these are some of the very drastic measures that they are forced to take.
Another means of earning foreign exchange at the expense of providing health care to ordinary Cubans is the government's policy to export its doctors to other countries. South Africa alone has nearly 300 Cuban doctors. Cuba, in the early 1990s, reportedly planned to have 10,000 physicians abroad by the turn of the century.
A group of Cuban doctors recently arrived in the United States said they were "mystified" by claims in a recent report of the American Association for World Health (AAWH) that the United States embargo is to be blamed for the public health situation in the country.
According to these doctors, "we . . . can categorically and authoritatively state that our people's poor health care situation results from a dysfunctional and inhumane economic and political system, exacerbated by the regime to divert scarce resources to meet the needs of the regime's elite and foreign patients who bring hard currency."
Yes, that is what you would expect to hear from defectors, isn’t it? And as doctors, that is as some of the people who have benefited from Cuba’s free education, they will be able to use this education to earn a lot of hard currency in the USA. The difference being that the hard currency will go into their own pockets and not towards helping the Cuban economy back on track. That is the way that a market economy functions, so let us forget about the thousands of Cuban doctors who work abroad and don’t defect, even though they have the chance. Because they know what they are working for, and what the purpose is of the sacrifices they make. Again the MD Che Guevara serves as an inspiration to them!
Referring to the growing disparity between health care provided to ordinary Cubans and that offered to tourists and high ranking Communist party members, the exiled Cuban doctors noted that they "wish that any one of us could provide tours to foreign visitors of the hospitals Cira Garcia, Frank Pais, CIMEQ, and Hermanos Ameijeiras, in order to point out the medicines and equipment, even the bedsheets and blankets, reserved for regime elites or dollar-bearing foreigners, to the detriment of our people, who must bring their own bedsheets, to say nothing of the availability of medicines."
I suppose that they did not mention the US blockade in that context. And as I’ve already pointed out: The Cubans know about Cuba providing health care for foreigners for money! They are the ones working there!
This statement by these newly arrived Cuban doctors is corroborated by the latest available trade figures for Cuba (1995). Cuba's imports totaled $2.8 billion dollars, yet only $46 million dollars--only 1.5% of overall foreign purchases--on medical imports for its 11 million people. By comparison, Cuba's neighbor, the Dominican Republic, spent $208 million dollars on medical imports for its 7.5 million citizens in 1995.
Cuban economy hit an all-time low in the middle of the 90s, so that would be a very good year to use for unfavourable comparisons. I still don’t think that Cubans in general would want to become Dominicans. Even the
“group of Cuban doctors†probably knew enough about the conditions there to make them decide to defect to the USA instead.
U.S. Sales of Medicines and Medical Supplies to Cuba
The US embargo does NOT deny medicines and medical supplies to the Cuban people. As stipulated in Section 1705 of the Cuban Democracy Act of 1992, the U.S. Government routinely issues licenses for the sale of medicine and medical supplies to Cuba. The only requirement for obtaining a license is to arrange for end-use monitoring to ensure that there is no reasonable likelihood that these items could be diverted to the Cuban military, used in acts of torture or other human rights abuses, or re-exported or used in the production of biotechnological products.
Yeeaaah, riiiight!!! We, the US regime, do not deny anybody medical supplies. All we require is the right to guarantee that Cuba won’t use our antibiotics to develop
Weapons of Mass Destruction! And the Cubans have no reason whatsoever not to believe in our good intentions!
Monitoring of sales can be performed by independent non-governmental organizations, international organizations, or foreign diplomats.
Whom we’ll trust the same way we trusted that Hans Blix guy, that is, as long as they report only what we want them to report!
Since 1992, 36 of 38 license requests have been approved to U.S. companies and their subsidiaries to sell medicine and medical equipment to Cuba. Sales have included such items as thalamonal, depo-provera, pediatric solutions, syringes, and other items. The Department of Commerce declined the other two requests for licenses it received for failure to meet legal standards. Both of these exceptions to the general policy of approving commercial medical sales occurred in 1994.
Moreover, the U.S. embargo on Cuba affects only U.S. companies and their subsidiaries. Other nations and companies are free to trade with Cuba. Should Cuba choose not to purchase from the U.S., it can purchase any medicine or medical equipment it needs from other countries. Such third-country transactions only cost an estimated 2%-3% more than purchases from the U.S. as a result of higher shipping costs.
And, of course, there is no such thing as companies dealing with Cuba being punished, is there?
Humanitarian Assistance
The Cuban Democracy Act encourages the donation of humanitarian supplies to the people of Cuba, including medicine, food, and clothing.
Since the passage of the Cuban Democracy Act, the U.S. has become the largest donor of humanitarian assistance to Cuba. Much of the humanitarian assistance by U.S. non-governmental organizations consists of medicines and medical equipment. The U.S. Government has licensed more than $150 million in humanitarian assistance to Cuba over the last four years. That is more than the total of worldwide foreign aid to Cuba during that period.
U.S. humanitarian assistance has been distributed throughout the island, including to medical clinics. Monitoring is not required for donations of medicines for humanitarian purposes to non-governmental organizations in Cuba.
Just too bad that hospitals in Cuba happen to be governmental institutions!
"Even more farcical is the new opening which allows non-governmental organizations to purchase food and medicines. Thereby, churches in Cuba will be permitted to buy medicines but not Cuban hospitals (all governmental). So now the churches can do diagnoses, treatments and surgery. In turn, the hospitals can lead the prayers - for the patients who are treated by the churches.
David Wald Project USA/Cuba InfoMedâ€
http://www.cubasolidarity.net/blockade.html
In addition it is believed that the single largest source of medicines used in Cuba today is the large volume of "care packages" sent to Cuba by family members living in the U.S. These "care packages" are worth millions of dollars each year.
Which is probably the reason why the USA have recently placed new restrictions on what and how much family members are allowed to send to Cuba.
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dann: And it is the reason why you have so many prostitutes in the world's richest nation, the USA.
I'm not sure what you are trying to claim here. Are you trying to say that the US has a proportionally large population of people who cannot make money any other way than prostitution?
Nooooo! I wouldn’t dream of saying a thing like that! What I’m saying is that I’m so happy for you! To be able to live in a country that provides so many horny women, who dream of nothing but to sleep with ten stangers a day, with the opportunity to
get paid for doing so and thus live a life of luxury. Where else but in the land of opportunity would they be able to fulfil their dream like that! It is just so typical that the Cuban communists deprived women of this privileged opportunity as soon as they took over after the US favourite pimp Batista!
And you and I, RussDill, we can both be proud and happy to live in countries where we won’t see some rich guy, say, the leader of a party or a corporation, receive better health care than the welfare mother of two living in the slums. We both know for a fact that a thing like that will never happen in either Denmark or the USA where we have one-tier health care systems where nobody is treated any different from all the others, no matter what their position is! No corruption and the same kind of health care, education and nutritional meals for everybody!
We are happy not be ruled by a Communist elite, but by decent politicians who would never dream of doing anything improper. Even your presidents wouldn’t stoop so low as to pay some prostitute for a spell of casual sex. In spite of their position they would much rather make do with a simple chubby intern. Just like everybody else! Now
that’s a real-life Cinderella story! Unlike Castro and his ilk, men like that deserve our true respect and our daily sacrifices!
This, of course, is the only reason why you would like to see the health care system of Cuba replaced by the one they have in Haiti, isn't it?! And who knows? If Bush succeeds it might actually happen …
In the meantime we’ll have to await the film
Sicko about health care made in the USA (not due till 2006):
http://www.detnews.com/2004/health/0412/22/health-40252.htm
I can also recommend the book
Adventures in a TV Nation, especially the chapter about the 'health care competition' between Cuba, the USA and Canada (a very funny example of censorship in the USA):
http://www.amazon.com/exec/obidos/A...45/sr=2-1/ref=pd_ka_b_2_1/002-1509374-2484022
And if you want to read up on the US blockade and its effects on health in Cuba, look here:
The Effect of the US Blockade on the Health of the Cuban people: http://www.cubasolidarity.net/inemheal.html
Cuban medical purchases from the USA still a fantasy:
http://www.cubasolidarity.net/blockade.html#health