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Letters to the Editor: Cuban medical system not as good as touted
Thursday, 01 December 2005 05:36
While visiting Asheville over Thanksgiving, I picked up and enjoyed your newspaper. One of your stories by Stephanie Thomas (?®Cuban health system tops U.S., acitvist claims,?∆ Nov. 23) reporting on a lecture by Katrina Sommers demanded my quite different observation of life in Cuba be shared with your readers.

I was there six years ago on my boat for almost a month with my son and two other friends. Two of us speak fluent Spanish.

While having repair work done on the boat, we were able to travel throughout Cuba by private car, visiting many small towns and two cities other than Havana. We had several first-hand experiences with Cuba??s medical system, the first being next to another boat of a Florida man who regularly visited Cuba and on this trip was about to have major elective surgery.

We met his girlfriend, a surgeon, spending several afternoons with them. He was to have his operation soon by a friend of hers in another specialty. He had to bring all necessary supplies, including anesthesia, antibiotics and fluids, as while the surgery was free, they could not guarantee the availability of those supplies even for emergency operations.

It is apparently correct that Cuba has many doctors, but almost no medicines. It turned out that my medical chest aboard was better equipped than most clinics ?? the envy of his girlfriend and her friends.
We hired three men to help work on our boat at, for them, a great wage of $10 a day, even after having to kickback 20 percent to the marina supervisor. 

One of those men was a baker, having lost his job due to an injury on the job ?±?± a rod being driven through his chest. The resultant infection caused him to be out of work six months. Again he had no medicine, had lost his lifetime job and had to find day labor to survive.

Another time, our driver on a countryside tour asked if we could stop in every village where there was a medical clinic to look for medicine for his 6-year-old daughter. She had a respiratory infection but could get no medicine in Havana at her neighborhood clinic.

Later, one of my crew came down with strep throat as we cruised along the coastal towns on our way out of Cuba. The doctor there made a ?®boat call,?∆ but could not do a definitive diagnosis, as he said no lab testing was available ??  although tourists were at the top of the list in medical priorities nationwide. He could only offer two antibiotic pills, and when we showed him our supply was thrilled to be able to help us in a medically proper way.

We gave him some of our supplies to have for other local patients. There are several other medical stories, but since space is limited, I will offer other experiences instead. We found the Cuban people friendly. We had no government guides, so found all open and many candid.

One particularly interesting man was a guide at the main Havana cemetery, a retired high school history teacher who was there when Castro came to power and is a good witness to it all. He continues to be impressed with Castro??s initiative regarding universal literacy.

There was no real criticism of the government ?? just wishes for a better life. Almost all the young people we spoke to wanted to emigrate to the U.S. The older ones were happy in Cuba, but worried about their pensions, etc. ?? not unlike here, just a different scale.

There are many other observations from the trip, but my main one is the general view of socialism vs. capitalism. Cuba can trade with the rest of the world, and our embargo should not have that much effect on them, but they need something to trade with.

Another day, in an old Woolworth store building, a flea market offered for sale or trade bent nails, partially stripped screws and scrap lumber.

The only people who seemed to be inspired to work were those who had a chance to get cash in the form of U.S. dollars. We came across many examples of bureaucratic inertia, and some of corruption.

The everyday, ordinary people have to scramble to get by ?±?± not like the poor I saw in Haiti, but very poor by our standards. We visited Puerto Rico soon after Cuba, and saw first-hand what a similar island with similar resources, cultural backgrounds and climates could do under the capitalistic approach.
                JAMES BULLOCK
Callao, Va.
 



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