Cuban medical missions have long been a cornerstone of healthcare in the Caribbean, providing critical support to nations like Saint Lucia with limited medical infrastructure. These missions, staffed by Cuban doctors, nurses, and technicians, have filled gaps in healthcare systems, offering services ranging from routine care to specialised treatments. For many Caribbean nations, the presence of Cuban medical professionals is not just beneficial—it is indispensable.
The recent threats by the United States government to impose trade sanctions and/or revoke visas for countries supporting Cuban medical missions pose a significant challenge to the region. The U.S. alleges that these missions constitute “forced labour” and claims they enrich the Cuban regime. However, these allegations lack substantial evidence and fail to consider the profound impact these missions have on the health and well-being of Caribbean populations.
Cuban medical missions have been a lifeline for Caribbean nations, particularly in underserved and rural areas. For example, countries like Saint Lucia, Jamaica, Saint Vincent and the Grenadines, and Grenada rely heavily on Cuban healthcare professionals to provide essential services, including dialysis treatments and eye surgeries. During the COVID-19 pandemic, Cuban medical brigades were instrumental in managing the crisis, showcasing their commitment and expertise.
Historically, the U.S. has not demonstrated a willingness to deploy its own medical professionals to the Caribbean on a scale comparable to Cuba’s efforts. This raises the question: if Cuban doctors are forced to leave, who will step in to provide the critical care that millions in the Caribbean depend on? In other words: Who will fill the void?
We are mindful that the U.S. has been involved in several healthcare initiatives focusing on improving public health and addressing critical challenges which have been helpful to the people of the region. For instance, its HIV/AIDS Programmes, such as the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). This has been a significant contributor to HIV/AIDS prevention and treatment in the Caribbean. It has helped reduce HIV prevalence and provided essential funding for medication and community-led initiatives.
We also recognise that recent collaborations have enhanced vaccine distribution across the region. Initiatives include mobile vaccination units, public awareness campaigns, and investments in cold chain technology to ensure vaccine efficacy.
U.S. funding has historically supported healthcare recovery efforts following natural disasters like hurricanes. This includes rebuilding infrastructure and providing emergency medical supplies.
We have not forgotten that the U.S. has worked with Caribbean nations to strengthen healthcare systems through partnerships that share resources and expertise, even though recent funding cuts and policy changes have raised concerns about the sustainability of these programmes, particularly in areas like HIV treatment and disaster preparedness.
Therefore, we know that the U.S. knows how critical the Cuban medical missions are to the Caribbean and that targeting these missions undermines the healthcare systems of the developing nations within this region. These missions are not just a diplomatic tool for Cuba; they are a humanitarian effort that saves lives. Why then is the U.S. pressuring Caribbean nations to sever ties with Cuba? Instead of imposing sanctions, the U.S. could contribute positively by offering its own medical assistance or by supporting initiatives that enhance healthcare infrastructure in the Caribbean that is on par with the Cuban medical missions. Such a move would demonstrate a genuine commitment to the region’s development and well-being.
Make no mistake, Cuban medical missions are a vital lifeline for the Caribbean, and their importance cannot be overstated, so much so that Caribbean leaders’ response to the U.S. threats was unified with a defiant stance. Prime Ministers like Ralph Gonsalves of Saint Vincent and the Grenadines and the retired Prime Minister Keith Rowley of Trinidad and Tobago have made it clear that they prioritise the health of their citizens over access to U.S. visas. Their declarations underscore the region’s commitment to sovereignty and the well-being of its people.
The region’s leaders’ resistance is not just about healthcare; it is a broader statement about each country’s right to determine its own partnerships and priorities.
We call on the U.S. to reconsider its stance and work collaboratively with the region to support its healthcare systems rather than undermine them. Caribbean nations, in turn, must remain steadfast in their commitment to their people’s health and sovereignty. Together, they can navigate this challenge and ensure that the region’s healthcare needs are met.
We are aware that Caribbean citizens can play a crucial role in addressing this issue. Advocacy and public awareness campaigns can highlight the importance of Cuban medical missions and the potential consequences of their absence. By voicing their concerns through petitions, social media, and community forums, Caribbean people can influence both regional and international discourse on this matter.
A multi-faceted approach is needed to address this challenge. This is where CARICOM comes in to present a united front in negotiations with the U.S. Secondly, Caribbean countries should explore alternative partnerships with other nations to diversify their sources of medical support. Thirdly, they must invest in training and retaining local healthcare professionals to reduce dependency on external assistance in the long term.