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Earlier this week I posted an announcement of the Webinar "SHINING THE LIGHT ON 
CUBA'S MEDICAL SOLIDARITY" that will take place this Saturday evening. David 
Duport followed up with a question, "Cuba still charges host countries for 
these medical missions, right?" 

It's an important question that others have raised as well. Several list 
subscribers have weighed in on the matter, but I think that more can and should 
be said. Cuba's outstanding demonstration of medical internationalism during 
the COVID-19 pandemic has drawn world attention, provoking astonishment and 
admiration from many, and hostility and alarm from reactionaries in many 
quarters. The Trump administration is continuing to pressure countries to 
refuse Cuban offers of medical assistance. It has stepped up its campaign of 
lies and slanders about the island's international solidarity efforts. 

Turning to David's question, let's begin by noting that one core principle of 
the Cuban medical missions is that Cuban international assistance does not 
depend on the host country's ability to pay. A sliding scale is applied, and 
many countries where Cuban doctors and nurses serve, pay little or nothing. The 
case of Bolivia is instructive. Shortly after Evo Morales was elected president 
in 2006, Cuba began providing medical services to the country. The Cubans went 
to areas that had never seen a doctor or a nurse. Cuba covered the full cost of 
its medical missions. Over time, the Bolivian economy prospered while Cuba 
encountered serious economic problems. The terms of the agreement were then 
revised, and Bolivia began to pay some or all of the cost of the medical 
services from Cuba. (After the coup against Morales last October, the new 
authorities expelled the Cuban medical staff and terminated the agreement.)

Another principle that Cuba insists on is that, however the host country's 
health system may be organised, the Cuban health workers do not charge their 
clients or patients for their services. Medical care is free to those who need 
it.

Here I’d like to turn the floor over to a representative of the Cuban 
government. On Wednesday, in a live-streamed interview with CODEPINK, Cuba's 
Ambassador to Canada Josefina Vidal explained how her country finances the 
international medical missions, and what it does with the payments that it 
receives for their services. See https://tinyurl.com/ybpn8dyf . The portion 
dealing with the question of funding begins at approximately 16:00.

(In a previous assignment, Josefina Vidal led the Cuban side in the 
negotiations with the Obama administration that resulted in the breakthrough in 
US-Cuban relations that were announced on December 17, 2014.)

Another reliable source is the Canadian professor John Kirk. As Richard Fidler 
has noted, a recent interview with Kirk appears at 
https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/
 . Kirk's explanation is the same as Vidal's. For those interested in looking 
into Cuban medical internationalism in greater depth, I recommend Kirk's 2015 
book, "Healthcare without Borders".

Fortunately, both Josefina Vidal and John Kirk will participate as panelists 
during the webinar on Saturday night. An ample period for Q&A is planned, so 
anyone who wishes will be able to take up this question with them. The webinar 
will begin at 7 pm Eastern Time; registration is via 
https://tinyurl.com/ycg3frnx .

Art Young

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