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	<title>
	Comments on: Cuba’s Unique Model of Medical Internationalism	</title>
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	<description>MARXIST ESSAYS AND COMMENTARY</description>
	<lastBuildDate>Sun, 12 Apr 2020 22:41:56 +0000</lastBuildDate>
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		<title>
		By: Linda Meissenheimer		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16858</link>

		<dc:creator><![CDATA[Linda Meissenheimer]]></dc:creator>
		<pubDate>Sun, 12 Apr 2020 22:41:56 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16858</guid>

					<description><![CDATA[Reply to Richard Fidler&#039;s comment, by Linda Meissenheimer and Art Young:

Richard raises some good questions. Let&#039;s try to clarify further the objectives of the Canadian Network on Cuba’s fund drive.

The specific goal is to help pay some of the costs of Cuban emergency medical brigades that are now fighting the COVID-19 pandemic in 17 countries, saving many lives in Africa, Europe, Latin America and the Caribbean. The fund is not meant to subsidize Cuba&#039;s entire health system and all of its ongoing international medical missions.

Also, the CNC fund drive, rather than only &quot;asking solidarity activists to contribute money&quot; or gathering &quot;material aid from solidarity groups,&quot; reaches out much more widely, appealing to new people and new forces.

The CNC statement reminds us of its previous organizing efforts along these lines. Its &quot;Cuba for Haiti&quot; campaign in 2010 &quot;was warmly and enthusiastically received by Canadians. As Haitians struggled to recover from the devastating earthquake, more than $200,000 were raised to assist the Cuban medical mission in Haiti.&quot; 

Cuba&#039;s current example demonstrating leadership and solidarity in the global fight against the new coronavirus is inspiring many people. And it is galvanizing the solidarity movement. The CNC fund appeal is responding to this reality and its new opportunities.

The fund-raising effort also has a vital political and educational component that is reflected in the CNC&#039;s statement and our introduction to it. (Both appear in a previous post on this site.) This helps to engage wider forces, making it making it easier, not harder, to address other important issues like those that Richard mentions.

In fact, Isaac Saney, Co-chair of the CNC, recently explained demands that the CNC is now promoting, together with the U.S.-based National Network on Cuba, in a campaign for Canada and the United States to end all obstacles to medical collaboration with Cuba. Saney was a panelist at a webinar held on April 9, initiated by several Cuba solidarity organizations in the U.S., titled “Cuba Leads in Global Fight Against COVID-19.” The event attracted more than 600 participants from Cuba, the U.S., Canada, and other countries.

This new campaign is fully described at http://www.us-cubanormalization.org/viva-cuba. It seeks to win the support of medical personnel, unions, elected officials, and community, faith-based, and political organizations for:

• The U.S. and Canada to immediately lift any restrictions on access to Cuban medical expertise in order to more effectively combat COVID-19,

• The U.S. and Canada to conduct clinical trials of the Cuban-developed antiviral, Interferon Alfa 2B Recombinant (IFNrec, whose use in this pandemic has already been sought by 45 countries), and

• The U.S. to end its economic and travel sanctions against Cuba and their extraterritorial use, and end its attempts to stop other countries from accepting Cuban medical brigades.]]></description>
			<content:encoded><![CDATA[<p>Reply to Richard Fidler&#8217;s comment, by Linda Meissenheimer and Art Young:</p>
<p>Richard raises some good questions. Let&#8217;s try to clarify further the objectives of the Canadian Network on Cuba’s fund drive.</p>
<p>The specific goal is to help pay some of the costs of Cuban emergency medical brigades that are now fighting the COVID-19 pandemic in 17 countries, saving many lives in Africa, Europe, Latin America and the Caribbean. The fund is not meant to subsidize Cuba&#8217;s entire health system and all of its ongoing international medical missions.</p>
<p>Also, the CNC fund drive, rather than only &#8220;asking solidarity activists to contribute money&#8221; or gathering &#8220;material aid from solidarity groups,&#8221; reaches out much more widely, appealing to new people and new forces.</p>
<p>The CNC statement reminds us of its previous organizing efforts along these lines. Its &#8220;Cuba for Haiti&#8221; campaign in 2010 &#8220;was warmly and enthusiastically received by Canadians. As Haitians struggled to recover from the devastating earthquake, more than $200,000 were raised to assist the Cuban medical mission in Haiti.&#8221; </p>
<p>Cuba&#8217;s current example demonstrating leadership and solidarity in the global fight against the new coronavirus is inspiring many people. And it is galvanizing the solidarity movement. The CNC fund appeal is responding to this reality and its new opportunities.</p>
<p>The fund-raising effort also has a vital political and educational component that is reflected in the CNC&#8217;s statement and our introduction to it. (Both appear in a previous post on this site.) This helps to engage wider forces, making it making it easier, not harder, to address other important issues like those that Richard mentions.</p>
<p>In fact, Isaac Saney, Co-chair of the CNC, recently explained demands that the CNC is now promoting, together with the U.S.-based National Network on Cuba, in a campaign for Canada and the United States to end all obstacles to medical collaboration with Cuba. Saney was a panelist at a webinar held on April 9, initiated by several Cuba solidarity organizations in the U.S., titled “Cuba Leads in Global Fight Against COVID-19.” The event attracted more than 600 participants from Cuba, the U.S., Canada, and other countries.</p>
<p>This new campaign is fully described at <a href="http://www.us-cubanormalization.org/viva-cuba" rel="nofollow ugc">http://www.us-cubanormalization.org/viva-cuba</a>. It seeks to win the support of medical personnel, unions, elected officials, and community, faith-based, and political organizations for:</p>
<p>• The U.S. and Canada to immediately lift any restrictions on access to Cuban medical expertise in order to more effectively combat COVID-19,</p>
<p>• The U.S. and Canada to conduct clinical trials of the Cuban-developed antiviral, Interferon Alfa 2B Recombinant (IFNrec, whose use in this pandemic has already been sought by 45 countries), and</p>
<p>• The U.S. to end its economic and travel sanctions against Cuba and their extraterritorial use, and end its attempts to stop other countries from accepting Cuban medical brigades.</p>
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		<title>
		By: Richard De Gaetano		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16829</link>

		<dc:creator><![CDATA[Richard De Gaetano]]></dc:creator>
		<pubDate>Thu, 09 Apr 2020 21:13:31 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16829</guid>

					<description><![CDATA[I think Pathfinder&#039;s new book, Red Zone: Cuba and the Battle Against Ebola in West Africa, by journalist Enrique Ubieta gives a lot of background info about the Harry Reeves Brigade and Cuba&#039;s role in medical solidarity around the world.]]></description>
			<content:encoded><![CDATA[<p>I think Pathfinder&#8217;s new book, Red Zone: Cuba and the Battle Against Ebola in West Africa, by journalist Enrique Ubieta gives a lot of background info about the Harry Reeves Brigade and Cuba&#8217;s role in medical solidarity around the world.</p>
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		<title>
		By: Katheryne		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16821</link>

		<dc:creator><![CDATA[Katheryne]]></dc:creator>
		<pubDate>Thu, 09 Apr 2020 16:12:26 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16821</guid>

					<description><![CDATA[Hi Ken, 

I don&#039;t think anyone is trying to disguise the fact that there will always be self-interested people who take all the money invested in them by the Cuban people to train a doctor, and try to cash it out on the market. Ironically, in many places like Canada, Cuban doctors would find that they are not allowed to practice because their credentials are foreign. However, the vast majority of Cuban doctors don&#039;t leave because they don&#039;t want to emigrate. 

The problem with moving abroad of course is that it creates brain drain. What John did not say specifically, although I am sure he knows it, is that poor people in the US and other wealthy countries don&#039;t get to become doctors because the schooling costs are astronomical. That&#039;s why the Cuban model makes so much sense. Collective scarce resources are used to train doctors, doctors get enhanced salaries, and Cuba gets some of their training costs paid back by having doctors work abroad. 

The ridiculous thing that is happening is that the US is actually complaining because Cuban doctors as individuals don&#039;t get to keep all the money generated by the medical missions. In Cuba, the money the Cuban government gets goes back into the social well being of Cubans at large. The people who sacrificed so that medical training could be offered in the first place. 

The US government also doesn&#039;t offer poor US residents a free medical education, so it does not need to recoup those training costs. The US doesn&#039;t spend administrative resources assembling medical brigades, transporting them and taking care of them, so it doesn&#039;t need to recoup those costs. And of course, doctors in other countries pay major taxes, which is how many countries take a share of the income doctors generate, in addition to charging medical students an arm and leg for their own training. Cuban doctors don&#039;t pay taxes. 

Sorry for the long comment but your comment inspired me but to think through the collective vs individual benefits of the medical mission program. Does my comment make sense to you? Is there a way to state it more clearly? I would like to hear any thoughts on that. Thanks, Kat]]></description>
			<content:encoded><![CDATA[<p>Hi Ken, </p>
<p>I don&#8217;t think anyone is trying to disguise the fact that there will always be self-interested people who take all the money invested in them by the Cuban people to train a doctor, and try to cash it out on the market. Ironically, in many places like Canada, Cuban doctors would find that they are not allowed to practice because their credentials are foreign. However, the vast majority of Cuban doctors don&#8217;t leave because they don&#8217;t want to emigrate. </p>
<p>The problem with moving abroad of course is that it creates brain drain. What John did not say specifically, although I am sure he knows it, is that poor people in the US and other wealthy countries don&#8217;t get to become doctors because the schooling costs are astronomical. That&#8217;s why the Cuban model makes so much sense. Collective scarce resources are used to train doctors, doctors get enhanced salaries, and Cuba gets some of their training costs paid back by having doctors work abroad. </p>
<p>The ridiculous thing that is happening is that the US is actually complaining because Cuban doctors as individuals don&#8217;t get to keep all the money generated by the medical missions. In Cuba, the money the Cuban government gets goes back into the social well being of Cubans at large. The people who sacrificed so that medical training could be offered in the first place. </p>
<p>The US government also doesn&#8217;t offer poor US residents a free medical education, so it does not need to recoup those training costs. The US doesn&#8217;t spend administrative resources assembling medical brigades, transporting them and taking care of them, so it doesn&#8217;t need to recoup those costs. And of course, doctors in other countries pay major taxes, which is how many countries take a share of the income doctors generate, in addition to charging medical students an arm and leg for their own training. Cuban doctors don&#8217;t pay taxes. </p>
<p>Sorry for the long comment but your comment inspired me but to think through the collective vs individual benefits of the medical mission program. Does my comment make sense to you? Is there a way to state it more clearly? I would like to hear any thoughts on that. Thanks, Kat</p>
]]></content:encoded>
		
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		<title>
		By: Katheryne		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16820</link>

		<dc:creator><![CDATA[Katheryne]]></dc:creator>
		<pubDate>Thu, 09 Apr 2020 15:26:59 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16820</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16814&quot;&gt;Richard Fidler&lt;/a&gt;.

Hi Richard, Kat Schulz here. I have started a letter writing campaign calling  on the Canadian government to send aid to Cuba, so that Cuba can get its doctors where they are needed. I will sent it to you via email.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16814">Richard Fidler</a>.</p>
<p>Hi Richard, Kat Schulz here. I have started a letter writing campaign calling  on the Canadian government to send aid to Cuba, so that Cuba can get its doctors where they are needed. I will sent it to you via email.</p>
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		<title>
		By: Ken Hiebert		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16815</link>

		<dc:creator><![CDATA[Ken Hiebert]]></dc:creator>
		<pubDate>Wed, 08 Apr 2020 19:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16815</guid>

					<description><![CDATA[I appreciate that John Kirk does not try to disguise the fact that for some Cuban doctors overseas service is a step toward leaving Cuba and moving to a richer country.]]></description>
			<content:encoded><![CDATA[<p>I appreciate that John Kirk does not try to disguise the fact that for some Cuban doctors overseas service is a step toward leaving Cuba and moving to a richer country.</p>
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		<title>
		By: Richard Fidler		</title>
		<link>https://johnriddell.com/2020/04/08/cubas-unique-model-of-medical-internationalism/#comment-16814</link>

		<dc:creator><![CDATA[Richard Fidler]]></dc:creator>
		<pubDate>Wed, 08 Apr 2020 19:56:03 +0000</pubDate>
		<guid isPermaLink="false">http://johnriddell.com/?p=5642#comment-16814</guid>

					<description><![CDATA[This is very valuable and much-needed information about Cuba&#039;s material solidarity effort. But it raises questions, does it not, about the rationale of the Canadian Network on Cuba&#039;s attempt to raise money to assist Cuba&#039;s health missions (reported in your previous post)? 
To clarify: Prof. Kirk notes that Cuba has a surplus of doctors proportionate to its population; Cuban medical personnel benefit both personally and professionally from participation in overseas missions; and the monetary remuneration Cuba gets in return for providing these vital services constitutes a form of subsidy for the Cuban healthcare system. Not to mention the enormous political benefits to Cuba of these international initiatives.
Instead of asking solidarity activists to contribute money to this effort, shouldn&#039;t we instead focus on demanding that the Canadian government allocate some of its new COVID-19 foreign aid funding -- much more than what we as individuals can raise -- to assisting Cuba? Perhaps Ottawa could generously reimburse Cuban medical teams attending to the neglected healthcare needs of Indigenous peoples -- not just in Manitoba, where they have been requested, but elsewhere. And send Canadian medical personnel to work alongside the Cubans, learning how to engage in this kind of material solidarity.
Material aid from solidarity groups can be important in some situations. But more importantly,  a  political campaign of this nature would do more to publicize the exemplary Cuban effort, to show how the Cuban approach is a positive alternative to Canada&#039;s ongoing mistreatment of its Indigenous population, and to help educate Canadians as to how a noncapitalist government would treat healthcare personnel and services very differently, not only here but abroad.]]></description>
			<content:encoded><![CDATA[<p>This is very valuable and much-needed information about Cuba&#8217;s material solidarity effort. But it raises questions, does it not, about the rationale of the Canadian Network on Cuba&#8217;s attempt to raise money to assist Cuba&#8217;s health missions (reported in your previous post)?<br />
To clarify: Prof. Kirk notes that Cuba has a surplus of doctors proportionate to its population; Cuban medical personnel benefit both personally and professionally from participation in overseas missions; and the monetary remuneration Cuba gets in return for providing these vital services constitutes a form of subsidy for the Cuban healthcare system. Not to mention the enormous political benefits to Cuba of these international initiatives.<br />
Instead of asking solidarity activists to contribute money to this effort, shouldn&#8217;t we instead focus on demanding that the Canadian government allocate some of its new COVID-19 foreign aid funding &#8212; much more than what we as individuals can raise &#8212; to assisting Cuba? Perhaps Ottawa could generously reimburse Cuban medical teams attending to the neglected healthcare needs of Indigenous peoples &#8212; not just in Manitoba, where they have been requested, but elsewhere. And send Canadian medical personnel to work alongside the Cubans, learning how to engage in this kind of material solidarity.<br />
Material aid from solidarity groups can be important in some situations. But more importantly,  a  political campaign of this nature would do more to publicize the exemplary Cuban effort, to show how the Cuban approach is a positive alternative to Canada&#8217;s ongoing mistreatment of its Indigenous population, and to help educate Canadians as to how a noncapitalist government would treat healthcare personnel and services very differently, not only here but abroad.</p>
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