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"With their memories of the sixties, when to be young was very heaven, they still believe that an oppositional stance in pursuit of perfection is virtuous in itself—indeed, is the prime or sole content of virtue. And it is this belief that renders them interesting to Hollander, for it makes genuine moral reflection about the nature of various governments and policies impossible. It transforms merely personal discontents into matters of supposedly great general importance."

-Theodore Dalrymple on Paul Hollander: The Only Superpower: Reflections on Strength, Weakness, and Anti-Americanism

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Thursday
28Apr2005

Cuban Healthcare

Google "Cuba healthcare." 

Voila, you now have in front of you the world's largest collection of Marxist apologia/propaganda that exists on the planet.

OK, maybe not the biggest, but at least you know how we felt when we tried to find an assessment that sounded even the tiniest bit balanced.  It was all very Manchurian Candidate: Cuba's healthcare system is the kindest, warmest, most fabulous healthcare system anyone has ever encountered and just think how even more fabulous it would be if that mean, nasty United States would lift the embargo.

At this point we defer to our betters:

Employees must was their hands before returning to work
Employees must was their hands before returning to work
Juan Paxety: The myth goes on: Cuban Healthcare.  Succinct.  Fisks a typical article about the marvels of Cuban healthcare.
therealcuba.com:  Pictures that are hard to stomach.  No amount of Photoshop technology could have produced these and considering the breadth of the subject matter, makes a very compelling case for the deep and abject poverty that ordinary Cubans endure.  From the page cited browse around to Havana Hospital for pictures of Hospital Clinico Quirugico.

While  cruising for eyewitness accounts or even a discerning viewpoint , we came across this article by Anna Ellis, student editor of studentBMJ, the international medical student's journal.  She travelled to Cuba and was entranced with the warmth and caring of the healthcare system.  Her voice is a good one because she seems to understand how certain things wouldn't fly in her country (Britain) but she's naive enough to think that the reason that things are acceptable in Cuba is because, well, the people are just nice and trusting and cooperative and they think their doctors are gods (more "cultural differences").

The emphasis is on prevention rather than cure, as there are often shortages of medicines. As well as their day to day work, the family doctors have detailed prevention programmes to follow, consisting of categorising each patient yearly into a group (healthy, at risk, ill or chronically ill, and disabled) and visiting them in their home a certain number of times a year, according to what group they're in. Social factors, such as sanitation, are then further categorised, and even the family itself is labelled as "functional" or "dysfunctional." It felt as though Big Brother was truly watching; but it is accepted and is an important part of their health care.
We love that last sentence.  Now we understand how the surveillance method mentioned in Cuba and HIV works.  It isn't trench-coated shadow figures who are keeping tabs on your extremely private activities: it's Marcus Welby, the kindly, wise family physician.

The CIA Country Factbook has provided excellent grist for the propagandist, especially with respect to statistical evidence of the population's health.  Cuba's life expectancy rates, as measured conventionally, are comparable to ours and its infant mortality rates are even better.  One caveat, and this is true for all international census statistics: the definition of certain parameters is often left to the country compiling the statistics.  [This is one of the reasons the US often looks bad in the infant mortality stats: we count all births but most other  countries do not include premature babies in the live birth count; those most likely to die are thereby factored out of the statistic].  Anyway, it occurred to us that with such comprehensive care, the detection of a weak fetus might cause the mother to have an abortion (file under collectivist ideal, prevention better than cure, etc.) and the lovely future doctor Anna provides:
The major health problems in Cuba are the same as in any Western country: heart disease, cancer, and diabetes. The doctor is still akin to God; patients respect their doctors and generally do what they tell them to. Abortion is common, and, although family planning programmes have been set up, women have had on average about four abortions by the time they have their first child. What we would call a medical abortion in the United Kingdom they call "menstrual regulation," and it's a regular occurrence. Infertility is roughly as common as it is here, although there are no services providing in vitro fertilisation. Family values are held firm, and the shortage of housing means that three generations often live together. The policlinic was piloting an "adopt a granny" scheme, where elderly people with no local family would live with an adopted one. The scheme is so far successful, even in its infancy.
Factoring in abortions, oops..ahem!, menstrual regulation, we can create a "life expectancy at conception" statistic that wouldn't be nearly so handsome for Fidel's Utopia.  Just a couple of notes: free rent = shortage of housing and piloting an "adopt a granny" scheme, where elderly people with no local family would live with an adopted one. The scheme is so far successful, even in its infancy.   Anna, Anna, Anna: how could it NOT be successful?

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Reader Comments (5)

ADOPT A GRANNY, IN A ONE BEDROOM APARTMENT
True Socialism. Shortage of apartments, they shift an old crone into your home. One bedroom with mother, father, two kids, and the new granny sleeps on the floor in the kitchen.
Can you see Kevin Costner or Barbara Streisand taking one in with their families, or Harry Belafonte and Danny Glover moving one into their Cuban mansions?

Ye Gads, Sandy, it's Daddy Warbucks.
April 30, 2005 | Unregistered Commenterhowarde
And they blame the US for the shortfalls because of the embargo - even tho Cuba can buy any damn thing it wants from those scuzzbags in europe.
May 1, 2005 | Unregistered CommenterJay
I [...] LA.

Sorry, Matt.  We are exercising our right to employ the Cuban Model with respect to free speech on this blog.  Quid Nimis is not, nor will it ever be a forum for Communists to advocate abortion, oppression, state control of individuals, or the really crappy use of the English language.  You are hereby censored.  If you don't like it, get an inner tube and set yourself adrift on the open seas and pray to Fidel that you make landfall on the Worker's Island Paradise.  We wish you God speed and note that this suggested mode of transportation utilizes entirely sustainable rainforest products and poses no threat to the environment through the emission of greenhouse gasses.  It has the added advantage of  promoting healthy populations of  Galeocerdo cuvieri, a high-food-chain species that serves the purpose of culling weaker, less fit forms of life.

May 4, 2005 | Unregistered Commentermatthew
Ain't no one in Cuba owns diddly-squat.

Socialist paradises don't have no private ownership.

May 4, 2005 | Unregistered Commenteraelfheld
THIS FROM HOWARDE:
I had a letter from a Cuban who says that doctor's in Cuba cannot report the deaths of infants, that it is covered up, hence Castro's talk concerning the "lowest infant death rate in the hemisphere" is nothing but lies. Teachers must give good grades to failing students in order to live up to his talk about education, or lose their jobs. Free education? Students work in the cane fields five days a week, not three afternoons as he claims. What kind of an education is that, other than to train them as serfs?

Sex in the cane fields is one diversion on a hot afternoon. They don't get paid, they get laid. Please excuse the terminology, but it is the truth of things.


June 13, 2005 | Registered Commenterbbmoe

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