More than a dozen countries, from Angola to Andorra, have received a total of 800 Cuban doctors and nurses
number of patients mounts but the number of healers does not, whom do you call? That was the question for Giulio Gallera, the health minister in Lombardy, the Italian region worst hit by covid-19. The army was erecting a field hospital with 32 beds in a car park in Crema, 50km south-east of Milan. But what about doctors to attend them? “Someone said to me: ‘Write to the Cuban ministry of health,’” recalls Mr Gallera.
Cuba trains a staggering number of doctors for its size and wealth . Even though its population of 11m is not young, it has doctors to spare. More than usual are available. In the past 18 months 9,000 have left Brazil, Bolivia, El Salvador and Ecuador, where leftist presidents have recently lost power. According to, Cuba’s state-owned daily newspaper, the number of doctors and nurses abroad fell from more than 50,000 in 2015 to 28,000 in 2020.
But countries like Italy need help, and Cuba needs cash. Covid-19 has stopped tourism, a big source of income. Remittances from the United States will fall. Even before the pandemic Cuba was in trouble: in October it missed debt payments to creditor countries. One creditor is Italy, which might have accepted medical help as in-kind debt payment, says Rodrigo Olivares-Caminal, a professor at Queen Mary University in London. It is not clear whether all new host countries are paying up.
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