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Meet the Americans studying medicine on the Cuban government’s dime

The Cuban government has been paying Americans through a little known program to study medicine in order to return to the United States and serve underprivileged communities.

by Alan Macleod

Part 4 - A different kind of health care

There are certainly downsides to studying in Cuba, not least the intensive Spanish-language courses non-speakers must take. The internet is still infuriatingly slow and patchy on the island; the government continues to be highly mistrustful of it. Perhaps they have reason to be; the U.S. government was secretly behind multiple friendly-looking social networks aimed at Cubans, that were, in fact, attempts to foment regime change from within, sending users anti-communist propaganda and prompting them to attend anti-government demonstrations.

The result is that “it requires a huge effort to maintain long-distance relationships with friends and family back home,” according to Albanese. Because of the embargo, there are also still shortages of testing kits and other equipment, meaning that practicing in Cuba does have its challenges.

Nevertheless, there is no need to constantly check and confirm if insurance companies will allow doctors to treat patients with certain drugs. Because there is no profit motive, doctors can also spend as long as they feel necessary consulting with patients. Indeed, Dr. Sefa-Boakye claimed she knew the names of all her patients and their families and was taught to treat them like they were loved ones. And of course, the system is free for both doctors and patients. “Imagine getting sick and not having to worry about insurance and hospital bills!” said Albanese.

In the U.S., one of the most common conversation topics between doctors is student loans. Sefa-Boakye says her colleagues look at her with amazement when she tells them she has no debt because Cuba paid for her studies.

The country not only brings in students from around the world but exports its own doctors to poor countries too. Tens of thousands of Cuban doctors work in dozens of countries, generating significant income for the cash-strapped island. While they are often described as little more than slaves in the U.S. press, the defection rates for those abroad appears to be minuscule. The effect they have had is not. Cuba, for instance, helped Venezuela’s Hugo Chavez build a nationalized healthcare system from the ground up. “You cannot talk about Latin America’s healthcare without talking about Cuba,” said Sefa-Boakye, estimating that there are incredibly more Cuban or Cuban-trained doctors in Africa currently than domestically-trained African doctors.

Cuba, like most countries, is in the midst of a growing COVID-19 problem. The government confirmed 139 cases on Sunday. The Guardian also reported that it faces a shortage of soap. Nevertheless, Albanese believes it is more equipped than most to deal with a pandemic: “I am very confident of Cuba’s public health and epidemiology system, it is all very organized: nationally, provincially, regionally and locally,” she said.

I wish every U.S. citizen could experience the social qualities of Cuba. I have noticed that despite all the day to day difficulties of living in a blockaded country, that there is generally less anxiety and depression here, that people are, in general, social, outgoing, friendly, easygoing, laugh often and find time to relax and enjoy life. There is not so much social isolation and fear of strangers here as there is in the U.S.

Americans can apply for ELAM through the Interreligious Foundation for Community Organization.

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