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Yoani Sanchez

Yoani Sanchez

Posted: April 1, 2010 01:26 PM

Fuedal Serfdom: The Fate of Health Professionals in Cuba

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Read More: Cuba , Human Rights , World News

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This is not the chronicle of a woman who manages to escape from her abusive husband, nor the story of a teenager who runs away from authoritarian parents. The title refers to another process of emancipation - complicated and feudal - that doctors, nurses and pharmacists must request to travel outside the island. Under the significant name of "liberation," there is a mandatory process that Public Health workers must complete to be allowed to leave, temporarily or permanently. Included in the record of the possible traveler is whether he owns his own home or car, because the State will confiscate those if he does not return within 11 months. The paperwork passes through numerous levels of authorization that can delay it a year or a decade. Many never receive a reply.

Mario saw patients in a specialized practice and began to be seen as a deserter when he announced a desire to reunite with his family across the sea. He was immediately punished by being assigned to a position of general practitioner in an emergency room far from his house. They reminded him every day that the degree hanging on the wall in his living room had been given to him by the Revolution, which he now was betraying. Forced to swallow it whole, he endured the four years of repeated jabs and investigation for his safe-conduct to leave the country, which the minister of his branch still had not signed. "We have many cases, we can't cope," the secretary repeated, and his exiled wife broke into tears on the telephone when he told her. His children, meanwhile, were growing up in some distant place without a father.

In the midst of his impotence, Mario came to reproach his mother for having encouraged him to study medicine. "Why didn't you warn me!" he shouted one afternoon, when he could no longer bear the white coat that had become his shackles. When they finally allowed him to board the plane, a circle of baldness delineated the middle of his head and a nervous tick had taken control of his hands. To those who welcomed him in a distant airport, he was not the enterprising orthopedist from years ago, but someone who had decided to have nothing to do with hospitals. The agonizing process of "liberation" had taken away any desire to fix a knee or correct an ankle; he couldn't stop thinking that it was that profession that had separated him from his family.

Yoani's blog, Generation Y, can be read here in English translation.

 
 
 

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12:40 AM on 04/02/2010
The very name given by regime to this emigration process implies that castrofacism is well awarded about the fact it maintain Cubans inside the island as prisoners, jailed, without freedom… that’s why it calls the process: Liberation!!!!
12:39 AM on 04/02/2010
Bellow this comment appears the monothematic castrofascism defenders with the only pseudo argument they can find to try cover regime's crimes, barbaric and primitive way to repress Cubans freedom fighters ....... the old routine..... to present ancients achievements of Cubans like health care and education...... Free and universal health care were instituted by Cubans in the early 40's long before castro took the power..... free and excellent education were instituted in Cuba almost with the beginning of the century.........
02:27 PM on 04/01/2010
Whats the point of this blog?

It seems that fear is the motivation, and that is too bad. I would appreciate it if you at least tried to be honest with your assertions, if the goal is to have an HONEST discourse about this topic.

As it stands now, if ANY government pays for your medical school education, you owe THEM your service for a set amount of time after graduation. That's how it's worked in OUR government ( in the National Public Health Service Corps) for years, and I have yet to hear of a doctor complaining about it's "atrocities."

Are you saying that a physician should get his/her education and training paid for, and then have NO requirement to serve the people of the very country that paid for his schooling?

It that is your point, WHAT would be the benefit to the assisting country? What would be the purpose?
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murphyj87
03:18 PM on 04/01/2010
Yet the UN ranks American insurance run and insurance rationed health care as 50th in the world, BEHIND Cuba, which ranks 49th. In the US, it's the patients who are the feudal serfs to the insurance company bureaucrats who make the health care decisions for patients based on what's best for the inusrance company's bottom line, and not what's best for the patient's health and well-being.
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10:08 AM on 04/02/2010
US hospitals are full of doctors from the developing world.So who is looking after the citizens of those countries? Cuban doctors are extremely overworked and undercompensated. They are basically volunteers.However it is made very clear from the beginning that as doctors they are expected to serve.That is the price they pay for their education.The poor in other developing countries must depend on missionaries and NGO's for their health care.The US and E-U steal doctors from the poor like they steal everything else.
There is an excellent source of blogs from Cuba by Cubans which I can't recommend enough.
www.havanatimes.org
02:36 AM on 04/04/2010
Thanks for the recommendation Flying Sparks, I'll take a look at the link you provided.
jhNY
Mercy.
01:49 PM on 04/01/2010
As the Cuban state invested a goodly portion of its revenue in the training of this medical professional, it's hardly surprising they would be loathe to allow him to emigrate, however loathesome the state's practice of endless bureaucracy and insinuation may be to read about. Glad to see the doctor finally got to join his family.