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Yoani Sanchez

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Breast Implants Expose Corruption at Cuba's Calixto Garcia Hospital

Posted: 07/21/2012 5:49 pm

"A doctor implanted them during his guard duty," she told me, while proudly feeling her breasts through her blouse. Then she points to her rear end and pouts, "This didn't go so well for me, because the surgeon didn't have much practice." When I asked her where she got the silicone prostheses so obvious in her body, she told me she would only use "brand name" ones so she asked her Italian boyfriend to bring them to her. "The other part was easy, you know, you pay a doctor to do the operation." I confess that I am not very familiar with the matter; surgeons scare me and for years now I've gotten used to the awkward figure I see reflected in my mirror. But still I ask her for the details and she confirms what I'd sensed, the existence of an illegal network of plastic surgeons who practice in the same hospitals where they offer free care.

The practice took off in the late nineties and initially the main clients were hookers whose foreign boyfriends absorbed the costs. But now it's been extended to people of both sexes who have the resources to achieve the body of their dreams. Normally they go into the hospital with a false clinical history for some illness they don't actually suffer from, and within a few hours of coming out of the operating room they are sent home to recuperate. These surgical interventions aren't logged into the hospital records and a good share of the resources used are bought on the black market by the medical personnel themselves. Nothing should go wrong, because a complaint would expose the network involved. Discretion is fundamental and the patient is rarely followed up to see if there were adverse reactions. "We are all adults, so everyone is responsible for what happens," warned my friend's doctor before the anesthetic took effect.

At a price ranging between 750 and 900 Cuban convertible pesos (CUCs), breast implants are the most popular among the wide range of inserts implanted and of the clandestine operations performed. On sites like Revolico.com you can find a wide variety of sizes, with the most popular brands being Mentor and Femme. But you have to add "labor" to this price, which runs from 500 to 700 CUCs for a recognized specialist in these fields. Some beginners will also do it, for a little less, but the results leave much to be desired. For a Cuban surgeon whose salary barely reaches 30 CUCs a month, performing one of these operations is extremely tempting. However, they know the danger of being found out and that the risk of losing the right to practice medicine is very high. So they protect themselves in networks that almost always extend throughout the administration and leadership of the hospitals. These involve everyone from orderlies and aestheticians to nurses and public health officials. The worst thing that can happen is someone dying on the operating table; then they will have to invent some chronic disease to justify the casualty.

A few weeks ago the blogger Rebeca Monzó exposed one of these scandals of illegal surgery in a tweet*. The scenario in this case was Calixto Garcia Hospital, but it could have been any other operating theater in the city. Without specifying the details of what happened, there was talk of an entire clandestine room dedicated to foreign patients and Cubans who could pay for the operations. Popular rumor has it that it was all discovered when a tourist who had just been operated on hemorrhaged at the airport on her departure from Cuba, but this could be a complete myth. It is true, however, that like the rest of our reality, medicine exists on two planes, in two very different dimensions. One is that of patients who have no resources to offer gifts or payment to doctors, and the other is of those who can pay for the surgery on the spot, in cash. Material resources can shorten the time and increase the quality of any treatment, making sutures, x-rays and chemotherapy all appear on time.

It all starts with a gift of soap to the dentist who fills our cavities, and goes all the way up to a sterilized room where a foreigner can get an abortion, or a Cuban can receive a pair of breast implants.

*Translator's note: The tweet says, "Yesterday, Dr. Fonseca, the director of Calixto Garcia hospital, was led out of it handcuffed to the astonishment of all the personnel present." Dr. Fonseca and others at the hospital were arrested for illegally performing private plastic surgeries.

 
 
 

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"A doctor implanted them during his guard duty," she told me, while proudly feeling her breasts through her blouse. Then she points to her rear end and pouts, "This didn't go so well for me, because t...
"A doctor implanted them during his guard duty," she told me, while proudly feeling her breasts through her blouse. Then she points to her rear end and pouts, "This didn't go so well for me, because t...
 
 
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HUFFPOST SUPER USER
nypapajoe
10:18 AM on 07/24/2012
This is nothing compared to what's happening across Africa, India and South America where foreigners go to obtain Kidney transplants at a fraction of what they would pay In their own country! Never forget that people would go to any length to save a buck, especially the very rich!
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inthedesert
Those who never question will fall for anything.
07:33 PM on 07/23/2012
breast implants?
corruption?
Cuban hospitals?

Am I the only one who finds this article really, really strange?
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HUFFPOST SUPER USER
ms schatzi
08:37 AM on 07/25/2012
I agree with you. It makes absolutely no sense.
HUFFPOST SUPER USER
Obi-jonKenobi
dharma bum with computer
11:59 PM on 07/22/2012
For those of you shaking your heads about the sad state of Cuba's medical health system, it ranks just ahead of the U.S. in overall effectiveness according to the U.N.

For a relatively poor country their health care system performs slightly better than the U.S., one of the richest countries in the world (We actually rank far behind all of the industrial democracies in AVERAGE household income).

Cue the "USA, USA, USA" chants . . .
09:19 AM on 07/23/2012
Not according the UN but according the fake information regimes gives to UN. Remember that castrofascism does not allow any international organism to go in Cuba and inspect. It is a normal practice in totalitarian regimes to delivery false information to the world. But even comparing this false data with data obtained directly by UN in 1958 Cuba shows a decline in health parameters, from #13 among world's nation in 1958 to #28 today....... if you add the real destruction caused by regimen over the wonderful health system it inherited of democracy you can place Cuba today behind most Latin American, European and North American countries. Furthermore if you add to this data the fact about regime's criminal nature, tens of thousands killed people, hundreds of thousand jailed and millions of exiled you find that it is not worth just one of the 53 years in power.
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Obi-jonKenobi
dharma bum with computer
04:41 PM on 07/23/2012
Wow, according to you (with no sources cited, not even so-called fake information) Castro has killed tens of thousands, jailed hundreds of thousands, etc. and the general drift is that the Batista regime' was "democracy".

Yeah, that kind of foaming-at-the-mouth crazy is going to sell. Check the mirror and check out the foam, also check to see if your eyes are dilated.
07:09 PM on 07/23/2012
Batista Democracy?????...... who said that????......... castrofascism is simply a continuation of batista regime....... in 1959 happens simply a substitution of dictators organized by US dept of State...... you better get informed......... Cuba was a democracy before castro-batista regime.......... about the sources you ask no better sources than castrofascism self....... che guevara, risponsable for thousands of those crimes declared in a speech he vomited in UN 1963: "Yes, we have killed, we kill, and we shall kill"....... read guevara's "Campaing Dairy" so you get informed, there you will find aside a bunch of communist bias the real nature of this criminal....... I will not lose my time telling you Cuba's history under castrofascism, it is well known around the world...... if you want to know names, date of killing and relatives of those tens of thousands killed by castrofascist take a walk for The Cuban Memorial........ or take your time and read the lists of killed:

http://www.memorialcubano.org/indexeng.htm

http://www.cubaverdad.net/genocide.htm#Other%20Sources:
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HUFFPOST SUPER USER
Cory Gudwin
examine thyself before blaming the system
09:33 AM on 07/23/2012
Cubas health statistics are created by the regime.
Like many things there, they are a lie.
Cubans will confirm this. Ask them.
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altheschrod
I'm pedaling hard.
09:04 PM on 07/22/2012
I TOLD my buddy Pres. Chavez not to go there for cancer treatments, but he wouldn't listen! Just a few more miles would have reached Florida, where spanish-speaking Drs of the highest quality would have welcomed a senior like Hugo with open arms!
06:31 PM on 07/22/2012
Castro regime official Eusebio Leal, known in Cuba as Eusebio "el Leal" (the "loyal one" -- due to his allegiance to Cuba's dictators), is now leasing government-owned buildings in old Havana to a handful of "private small businesses."

Translation to reality: On behalf of the Castro brothers, Eusebio Leal is using his official position as "Historian of Havana" to preferentially lease space in previously confiscated buildings in prime locations in Old Havana to five Castro loyalists (including Fidel's former chef).

Therefore, Castro's mafia can continue to enrich themselves.

It's called the piñata.
06:16 PM on 07/22/2012
This week, the Castro regime sent off 32 new Ambassadors to posts throughout the world.

Despite its grave economic troubles, the Castro regime has more embassies throughout the world than any other Latin American nation.

That's because propaganda and intelligence-gathering are key to the regime.

In a ceremony, whereby the new Ambassadors swore an oath to the Castro regime, they were instructed by the Vice-Minister for Foreign Affairs, Abelardo Moreno, that the function of a Cuban Ambassador is to "defend national security" and to "focus on spreading information about the rehabilitation of Cuba's economy and to confront all efforts to minimize its extent and depth."

In other words, their focus is to spread propaganda about Raul's so-called "reforms."

Similar to the recently revealed lobbying strategies of Syria's Assad, and Libya's Gaddafi before that, the smoke-screen of "reforms" is used to preserve the repressive apparatus of these regimes.

Sadly, Castro's Ambassadors are already being aided abroad by a handful of so-called Cuba "experts" and even a couple of Cuban-American businessmen.
05:13 PM on 07/22/2012
Court Won't Stay Cuban Workers' Slavery

A federal judge refused to stay a lawsuit in which three Cubans claim a shipyard on the island of Curacao virtually enslaved them to pay off Cuba's debt to the company.

In their 2006 lawsuit, the Cuban workers said they were kidnapped and trafficked to Curacao, where the Cuban government forced them and many others to work for Curacao Drydock in slave-like conditions on ships and oil platforms, for 112 hours a week. The men claimed they were never paid and worked for 15 years to satisfy a debt Cuba owed Curacao Drydock. They eventually escaped and made it to the United States.

After the workers sued the shipyard under the Alien Tort Statute and the RICO Act, Curacao Drydock unsuccessfully tried to move the case to Curacao. The company then abandoned its defense of the lawsuit and lost by default. The district court in Miami ordered Curacao Drydock to pay the plaintiffs $80 million
03:52 PM on 07/22/2012
Association for the Study of the Cuban Economy.
www.ascecuba.org
The Association for the Study of the Cuban Economy (abbreviated ASCE) will hold its twenty second annual meeting under the theme "Where is Cuba Going?" on 2-4 August 2012 at the Hilton Miami Downtown Hotel in Miami, Florida 33132. This event represents the broadest gathering of academics, policymakers and profemssionals working on or researching the Cuban economy and society. Among the distinguished scholars and professionals expected to attend will be Professor Jorge I. Domínguez (Harvard University and ASCE) delivering the Betancourt Keynote Address. Scholars and civil society actors from Cuba, the United States, Canada, Mexico, Europe and South America will also give presentations on the Cuban economy. For the Preliminary Conference Program, registration and hotel bookings, visit www.ascecuba.org.
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Humberto Capiro
01:19 PM on 07/22/2012
MIAMI HERALD: Cuban doctors treated private patients in public hospitals - By Juan O. Tamayo

A number of Havana doctors, nurses and others are under investigation for allegedly treating paying patients in public hospitals and running post-surgery recovery rooms in private homes, according to reports from Cuba.

Among those reported to have been interrogated by police are medical personnel from the Calixto García Hospital, built in the early 1900s near the University of Havana medical school, and the Workers’ Maternity Hospital.

The case highlights the growing reports of low paid Cuban medical personnel treating patients who pay under the table to receive better care than what they can receive from a deteriorated public health system — the island’s only legal alternative.

Cubans living in South Florida often pay in dollars to improve the care of relatives on the island, said Miami physician Julio Alfonso, or undergo medical procedures themselves during visits to the country to avoid the high costs of U.S. health care.

One exile living in the United States said his family paid $500 so that his father-in-law could recover after surgery for peritonitis at a private home, with full-time nurses and a hospital-type bed. He asked for anonymity because the arrangement was illegal.

CLICK LINK FOR ENTIRE ARTICLE!

http://www.miamiherald.com/2012/07/20/2904637/cuban-doctors-treated-private.html
12:58 AM on 07/22/2012
OK, Yoani, you have reported an example of corruption in Cuba. You suggest it’s rampant and that this diminishes necessary medical services in Cuba. Americans who believe Cuba is a swamp of evil communism or socialist failure will be delighted. But what is the larger reality? Is this anecdotal or a trend? Is there a systemic problem which needs to be addressed and if so, is anyone in the medical or political ranks working on it? What do you suggest? Did your source have any ideas how elective surgery could be safer or more ethically delivered in Cuba?

Millions in the US have no access to medical care and millions more get lousy care. Those with insurance or money, seldom examine the relationships between public and private care, charity and elective treatments. In fact, it is widely accepted in the US, that wealthier people deserve better care since after all they can pay for it. In the US, a typical breast augmentation costs from $5,000 to $15,000 or more if you include follow-ups.

So why not for once do an article on those who are trying to reduce corruption, whether financial or quality of care? Or those working to improve delivery and compensation to deserving health care workers in Cuba. It might be less interesting to the haters and greedy who only want to hear of negatives and failures in Cuba, but we have much to learn from each other if we only open our minds to the possibilities.
08:13 AM on 07/22/2012
If you are interested in corruption in Cuba: lots of cases documented here:
http://cubacorrupcion.impela.net/
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Humberto Capiro
01:12 PM on 07/22/2012
wteague!! THE CUBAN MEDICAL SYSTEM IS NOT WHAT IT SEEMS! NOR WHAT THE CASTROFASCISTS WANT THE WORLD TO BELIEVE!

WIKILEAK DOCUMENT : Viewing cable 08HAVANA103, CUBAN HEALTHCARE: “AQUI NADA ES FACIL”-
In one Cuban hospital, patients had to bring their own light bulbs. In another, the staff used ``a primitive manual vacuum'' on a woman who had miscarried. In others, Cuban patients pay bribes to obtain better treatment.

Those and other observations by an unidentified nurse assigned to the U.S. diplomatic mission in Havana were included in a dispatch sent by the mission in January 2008 and made public this month by WikiLeaks.

Titled ``Cuban healthcare: Aquí Nada es Facil'' -- Nothing here is easy -- the cable offers a withering assessment by the nurse, officially a Foreign Service Health Practitioner, or FSHP, who already had lived in Cuba for 2 ½ years.

CLICK LINK BELOW FOR ORGINAL WIKILEAK DOCUMENT
http://www.wikileaks.ch/cable/2008/01/08HAVANA103.html
professor
Correkt the Spelling and Pick on the Moniker
11:43 PM on 07/21/2012
So. The Cuban authorities acted appropriately and arrested the doctor.

You really have to read hard to figure this out.

This article couldn't be just another attempt of Miami Cubans to calumniate Cuba, could it?

Nah.

And of course, scams like this never happen in the US. The US is perfect because it is not like Cuba with those bad commonists 'n all.
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Humberto Capiro
01:11 PM on 07/22/2012
professor!! THE CASTROFASCISTS DONT NEED THE "MIAMI CUBANS" TO SHOW HOW CORRUPT AND DESPOTIC THEY ARE! THE WHOLE WORLD KNOWS!

AMNESTY INTERNATIONAL: DOCUMENT - CUBA: ROUTINE REPRESSION: POLITICAL SHORT-TERM DETENTIONS AND HARASSMENT IN CUBA- 2012

The Cuban government wages a permanent campaign of harassment and short-term detentions of political opponents to stop them from demanding respect for civil and political rights. Since Amnesty International’s last report on the respect for the freedom of expression in Cuba, published in June 2010 the situation has further deteriorated with a steady increase in the number of arbitrary detentions. Criticism of the government is not tolerated in Cuba and it is routinely punished with arbitrary and short-term detentions, “acts of repudiation” (demonstrations led by government supporters with the alleged participation of state security officials aimed at harassing and intimidating government critics), intimidation, harassment and politically motivated criminal prosecutions.

The authorities continue to deny those wanting political change in Cuba their right to express and share their ideas freely and without reprisal or retaliation. Repression is routine. Peaceful demonstrators, independent journalists and human rights activists are routinely detained for exercising their rights to freedom of expression, association, assembly and movement. Activists are often detained as a preventive measure to stop them from attending public demonstrations or private meetings.

CLICK LINK FOR ENTIRE REPORT!

http://www.amnesty.org/en/library/asset/AMR25/007/2012/en/ccc6aeba-e892-4079-9e4a-63eebecd8a76/amr250072012en.html
08:00 PM on 07/21/2012
I believe Cuba earns hard currency by providing medical care to people from all over Latin America -- "medical tourism." Cuban friends of mine know that these foreign visitors have access to medicine, scarce resources, etc. that are not offered to Cuban citizens. It isn't a big step to then allowing Cubans to buy the "foreign" services, if they have enough CUCs.
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09:17 PM on 07/21/2012
Your version, "rugbymom" accords with known facts and sounds far less hysterical than Yoanni's version. Does she have a medical problem or are these sensationalist stories merely a way of seeking attenton for herself?
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GarethJonesLives
תיקון עולם
11:09 AM on 07/22/2012
This is what she does. She couldn't make a living when she was in Switzerland so she went back to Cuba and set up her own little cottage industry backed by unnamed foreigners to the tune of tens of thousands of dollars per year. She can afford anything she wants in Cuba. She's just doing the job she's being paid to do. One has to keep that in mind when reading her articles.
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GarethJonesLives
תיקון עולם
07:09 PM on 07/22/2012
It's how she makes a living.