Quiet as it’s kept inside the United States, the Cuban revolution has achieved some phenomenal goals, reclaiming Cuba’s agriculture, advancing its literacy rate to nearly 100 percent—and remaking its medical system. Cuba has transformed its health care to the extent that this “third-world” country has been able to maintain a first-world medical system, whose health indicators surpass those of the United States at a fraction of the cost. Don Fitz combines his broad knowledge of Cuban history with his decades of on-the-ground experience in Cuba to bring us the story of how Cuba’s health care system evolved and how Cuba is tackling the daunting challenges to its revolution in this century. | more…
Overcoming the HIV/AIDS and Special Period crises prepared Cuba for COVID-19. Aware of the intensity of the pandemic, Cuba knew that it had two inseparable responsibilities: to take care of its own with a comprehensive program and to share its capabilities internationally. | more…
In the 1960s and the context of mushrooming popular movements across the globe, the brutality of U.S. imperialism, the unreliability of the Soviet Union as an ally, and the Latin American Communist Parties’ focus on the urban working class, Cuban leaders felt beckoned to help revolutionary projects in Africa. While Cuba sent soldiers, they also sent doctors. By the end of the 1960s, when the Cuban revolutionary government had been in power for only ten years, doctors had been involved in four different African political projects. Cuba’s deployment of military doctors to Africa left profound impacts, both on the host countries and on the Cuban doctors, who were bound to secrecy and only began sharing their stories decades later. | more…
During the 1960s, Cuban medicine experienced changes as tumultuous as the civil rights and antiwar protests in the United States. While activists, workers, and students in western Europe and the United States confronted existing institutions of capitalism and imperialism, Cuba faced the even greater challenge of building a new society. | more…
Stories of Cuban medical accomplishments often note that half of the country’s 6,000 doctors had left by 1963. But just as professionals were forsaking their homeland en masse for the comforts of Miami, 3,000 doctors chose to stay. Why did they remain? More important, the number of patients per doctor now doubled, how did they face the daunting task of transforming medicine? In addition to treating patients, their goals included expanding medical care to rural regions; increasing medical education to replace doctors who had left; making care preventive, community-oriented, and focused on tropical diseases; and redesigning a fractured and non-cohesive health system.… The consciousness of the 3,000 who stayed became the “material force” in the production of Cuban health care, as much a material force as the manufacture of pharmaceuticals or the construction of hospitals. | more…
John M. Kirk, Health Care without Borders: Understanding Cuban Medical Internationalism (Gainesville, FL: University Press of Florida, 2015), 376 pages, $79.95, hardback.
When the Ebola virus began to spread through western Africa in fall 2014, much of the world panicked. Soon, over 20,000 people were infected, more than 8,000 had died, and worries mounted that the death toll could reach into hundreds of thousands. The United States provided military support; other countries promised money. Cuba was the first nation to respond with what was most needed: it sent 103 nurses and 62 doctors as volunteers to Sierra Leone. With 4,000 medical staff (including 2,400 doctors) already in Africa, Cuba was prepared for the crisis before it began: there had already been nearly two dozen Cuban medical personnel in Sierra Leone.… Since many governments did not know how to respond to Ebola, Cuba trained volunteers from other nations at Havana’s Pedro Kourí Institute of Tropical Medicine. In total, Cuba taught 13,000 Africans, 66,000 Latin Americans, and 620 Caribbeans how to treat Ebola without being infected. It was the first time that many had heard of Cuba’s emergency response teams.… The Ebola experience is one of many covered in John Kirk’s new book Health Care without Borders: Understanding Cuban Medical Internationalism. | more…
Cuba is remaking medicine in a remarkable diversity of cultures in Latin America, the Caribbean, Africa, Asia, and the Pacific Islands. Its efforts go far beyond providing medical care to other parts of the world as a Western approach might limit itself to doing. The Cuban project develops bilateral agreements with host countries to rethink, redesign, and recreate medicine. | more…
A revolution can only be successful when the new generation takes over from the old. When thousands of students come together because of their dedication to helping others at a school that was built to allow them to fulfill their goals, the ground is fertile for students to continue the struggle.… Students are assuming defining roles at the Latin American School of Medicine (Escuela Latinoamericana de Medicina or ELAM), the twelve-year-old medical school in Santa Fe, Playa, a ninety-minute bus ride from Havana, Cuba. With their educational costs covered by the Cuban government, students learn new social relationships in medical practice that they will use in underserved communities in their countries. | more…
