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Cuba is Exporting Healthcare Now

It almost reads like some phantasy. They live longer than almost anyone in the region. Far fewer babies die. Almost everyone has been vaccinated, and such scourges of the poor as parasites, TB, malaria, even HIV/AIDS are rare or non-existent. Anyone can see a doctor, at low cost, right in the neighborhood.

The success of the Cuban health care system is indeed stupendous. The recent Michael Moore documentary pouring scorn on healthcare in US as opposed to what is going on in a small country like Cuba has once again turned the attention of many commentators on the strides made in that small nation.

Cubas people manage to be as healthy as those of the world's wealthiest countries at a fraction of the cost borne by the latter, points out Sarah Van Gelder.

Many elements of the health care system Cuba is exporting around the world are common-sense practices. Everyone has access to doctors, nurses, specialists, and medications. There is a doctor and nurse team in every neighborhood, although somewhat fewer now, with 29,000 medical professionals serving out of the country -- a fact that is causing some complaints. If someone doesn't like their neighborhood doctor, they can choose another one.

House calls are routine, in part because it's the responsibility of the doctor and nurse team to understand you and your health issues in the context of your family, home, and neighborhood. This is key to the system. By catching diseases and health hazards before they get big, the Cuban medical system can spend a little on prevention rather than a lot later on to cure diseases, stop outbreaks, or cope with long-term disabilities. When a health hazard like dengue fever or malaria is identified, there is a coordinated nationwide effort to eradicate it. Cubans no longer suffer from diphtheria, rubella, polio, or measles and they have the lowest AIDS rate in the Americas, and the highest rate of treatment and control of hypertension.


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