Cuba's Healthcare System Crumbles Under Intensified US Sanctions
In Havana, the Ramón González Coro maternity hospital stands as a stark symbol of the human cost of decades-long US sanctions, now drastically tightened by Donald Trump's policies. Maria, a 50-year-old patient with terminal cervical cancer, lies in a hospital bed, wrapped in a dark blue blanket, surrounded by friends. She praises her doctors but laments the systemic failures caused by fuel shortages and resource constraints.
"In the hospital itself, sometimes they don't have all the facilities for the doctor to do their job properly," Maria explains. "No matter how much they want to help you, there are things beyond their control." The hospital lacks tranexamic acid, a basic drug to prevent bleeding, leading to severe complications like anaemia for patients like Maria. When informed that Trump claims sanctions aim to help Cubans, she calls it "outrageous."
Wider Consequences of the Fuel Crisis
Dr. Lilian Peruyera describes the broader impact: medical staff struggle to afford commutes, resulting in understaffed wards. Women are increasingly giving birth at home, premature births are rising, and illnesses go undetected until it's too late. "That we Cubans want to be happy, I think that's the most important thing," Peruyera says, tearfully. "There's no other message. I believe we have a right to dignity, to live as human beings."
Cuba's healthcare system, once a pride of the revolution with life expectancy rivaling wealthy nations, is now in decline. Infant mortality rates have reportedly doubled since 2018 due to renewed sanctions. The island faces national blackouts, with families resorting to charcoal stoves for cooking and rubbish piling up in streets due to fuel shortages for collection.
Historical Context and Current Struggles
The US embargo, imposed over six decades, was designed to strangle Cuba's revolution. Once-grand buildings crumble from lack of materials like cement and steel, while taxi drivers rely on vintage 1950s cars. "We're living in the 21st century, but it feels like the 19th," one driver remarks. A brief respite under Barack Obama's eased restrictions boosted tourism, but Trump reversed this, cutting off oil supplies from Venezuela and Mexico earlier this year.
Tourism, a vital lifeline, is collapsing as visitor numbers drop, flights cancel, and hotels close. Daniel, a young film-maker, notes, "It's undeniable that the government's popularity is at an all-time low. In that sense, the sanctions are succeeding." He criticizes the Cuban state but rejects US claims of acting in Cubans' interests, pointing to the embargo's six-decade duration and the current oil blockade costing lives.
Global Implications and US Foreign Policy
This crisis mirrors broader patterns of US foreign policy, from Iraq to Palestine, where destruction has become synonymous with American power. Trump's use of brute force aims to restore US authority but instead fuels global resentment. As Cuba endures uncertainty, the era of US hegemony appears to be ending in a brutal, disfigured manner, with the world drawing conclusions and seeking alternatives.
How Cuban society will navigate the coming months remains unclear, but the human toll of sanctions and blockades is undeniable, highlighting a urgent need for humanitarian reassessment.



