• Tag Archives Cuba
  • No, Fidel Castro Didn’t Improve Health Care or Education in Cuba

    On CBS’s 60 Minutes, Senator Bernie Sanders recently praised the achievements of communist Cuba. An interviewer asked him about his 1985 comments that Cubans supported communist dictator Fidel Castro because he “educated their kids, gave their kids health care, totally transformed society.” In response, Sanders defended those comments, by stating that when “Fidel Castro came into office, you know what he did? He had a massive literacy program.”

    But Castro did not give Cubans literacy. Cuba already had one of the highest literacy rates in Latin America by 1950, nearly a decade before Castro took power, according to United Nations data (statistics from UNESCO). In 2016, the Washington Post fact-checker Glenn Kessler debunked a politician’s claim that Castro’s rule significantly improved Cuban healthcare and education.

    In today’s Cuba, children are taught by poorly paid teachers in dilapidated schools. Cuba has made less educational progress than most Latin American countries over the last 60 years.

    According to UNESCO, Cuba had about the same literacy rate as Costa Rica and Chile in 1950 (close to 80 percent). And it has almost the same literacy rate as they do today (close to 100 percent).

    Meanwhile, Latin American countries that were largely illiterate in 1950—such as Peru, Brazil, El Salvador, and the Dominican Republic—are largely literate today, closing much of the gap with Cuba. El Salvador had a less than 40 percent literacy rate in 1950, but has an 88 percent literacy rate today. Brazil and Peru had a less than 50 percent literacy rate in 1950, but today, Peru has a 94.5 percent literacy rate, and Brazil a 92.6 percent literacy rate. The Dominican Republic’s rate rose from a little over 40 percent to 91.8 percent. While Cuba made substantial progress in reducing illiteracy in Castro’s first years in power, its educational system has stagnated since, even as much of Latin America improved.

    Contrary to Sanders’ claim that Castro “gave” Cubans healthcare, they already had access to healthcare before he seized power. Doctors frequently provided free healthcare to those who couldn’t afford it. As the Washington Post’s Glenn Kessler noted:

    As for health care and education, Cuba was already near the top of the heap before the revolution. Cuba’s low infant mortality rate is often lauded, but it already led the region on this key measure in 1953-1958, according to data collected by Carmelo Mesa-Lago, a Cuba specialist and professor emeritus at the University of Pittsburgh.

    Cuba led virtually all countries in Latin America in life expectancy in 1959, before Castro’s communists seized power. But by 2012, right after Castro stepped down as Communist Party leader, Chileans and Costa Ricans lived slightly longer than Cubans. Back in 1960, Chileans had a life span seven years shorter than Cubans, and Costa Ricans lived more than two years less than Cubans on average. In 1960, Mexicans lived seven years shorter than Cubans; by 2012, the gap had shrunk to just two years.

    (Today, life spans are virtually the same in Cuba as more prosperous Chile and Costa Rica—if you accept the rosy official statistics put out by Cuba’s communist government, which many people do not. Cuba has been credibly accused of hiding infant deaths, and exaggerating the life spans of its citizens. If these accusations are true, Cubans die sooner than Chileans or Costa Ricans).

    Cuba has made less progress in health care and life expectancy than most of Latin America in recent years, due to its decrepit health care system. “Hospitals in the island’s capital are literally falling apart.” Sometimes, patients ”have to bring everything with them, because the hospital provides nothing. Pillows, sheets, medicine: everything.”

    As The Washington Post’s Kessler noted:

    Reporters have also documented that Cuban hospitals are ill-equipped. A 2004 series on Cuba’s health-care system in Canada’s National Post said pharmacies stock very little and antibiotics are available only on the black market. “One of the myths Canadians harbor about Cuba is that its people may be poor and living under a repressive government, but they have access to quality health and education facilities,” the Post said. “It’s a portrait encouraged by the government, but the reality is sharply different.”

    Under communism, Cuba has also fallen behind on more general measures of human development. As the progressive economist Brad DeLong pointed out:

    Cuba in 1957—was a developed country. Cuba in 1957 had lower infant mortality than France, Belgium, West Germany, Israel, Japan, Austria, Italy, Spain, and Portugal. Cuba in 1957 had doctors and nurses: as many doctors and nurses per capita as the Netherlands, and more than Britain or Finland. Cuba in 1957 had as many vehicles per capita as Uruguay, Italy, or Portugal. Cuba in 1957 had 45 TVs per 1000 people—fifth highest in the world …Today? Today the UN puts Cuba’s HDI [Human Development indicators] in the range of … Mexico. (And Carmelo Mesa-Lago thinks the UN’s calculations are seriously flawed: that Cuba’s right HDI peers today are places like China, Tunisia, Iran, and South Africa.) Thus I don’t understand lefties who talk about the achievements of the Cuban Revolution: ‘…to have better health care, housing, education.’

    As Michael Giere notes, Cuba was prosperous before Castro’s communists seized power:

    A United Nations (UNESCO) report in 1957 noted that the Cuban economy included proportionally more workers who were unionized than in the U.S. The report also stated that average wages for an eight hour day were higher in Cuba than in “Belgium, Denmark, France, and Germany.”…PBS explained in a 2004 retrospective, that

    “Havana [prior to Castro] was a glittering and dynamic city. Cuba ranked fifth in the hemisphere in per capita income, third in life expectancy, second in per capita ownership of automobiles and telephones, first in the number of television sets per inhabitant. The literacy rate, 76%, was the fourth highest in Latin America. Cuba ranked 11th in the world in the number of doctors per capita. Many private clinics and hospitals provided services for the poor. Cuba’s income distribution compared favorably with that of other Latin American societies. A thriving middle class held the promise of prosperity and social mobility.”

    But after Castro took over, the prosperity came to an end:

    Castro’s destruction of Cuba cannot be over dramatized. He looted, murdered, and destroyed the nation from the ground up. Just one factoid explains it all; Cubans once enjoyed one of the highest consumption of proteins in the Americas, yet in 1962 Castro had to introduce ration cards (meat, 2 ounces daily), as food consumption per person crashed to levels not seen since the 1800s.

    Hunger became so widespread that a visiting Swedish doctor, Hans Rosling, had to warn Cuba’s dictator in 1992 about widespread protein deficiency among Cubans. Roughly 40,000 Cubans had been reported to have been experiencing “visual blurring and severe numbness in their legs.” Rosling investigated at the invitation of the Cuban embassy in Sweden, and with the approval of Castro himself. Rosling travelled to the heart of the outbreak, in the western province of Pinar del Río. It turned out that those stricken with the disorder all suffered from protein deficiency. The government was rationing meat, and adults had sacrificed their portion to nourish children, pregnant women and the elderly. Dr. Rosling told Fidel Castro about this.

    During this period of widespread hunger, Bernie Sanders was peddling the myth that hunger was non-existent in Cuba. In 1989, he published a newspaper column claiming that Fidel Castro’s Cuba had “no hunger, is educating all of its children and is providing high quality, free health care.”

    This article was reprinted with permission from Liberty Unyielding.


    Hans Bader

    Hans Bader practices law in Washington, D.C. After studying economics and history at the University of Virginia and law at Harvard, he practiced civil-rights, international-trade, and constitutional law.

    This article was originally published on FEE.org. Read the original article.


  • Why Cuba’s Infant Mortality Rate Is so Low

    Fidel Castro, the dictator who ruled Cuba with an iron fist for almost six decades, has been dead for more than three years now. Unfortunately, his regime didn’t die alongside him. The Caribbean’s largest island is still under the burdensome yoke of communism.

    Since Castro took over in 1959, Castroism has been characterized by the brutal repression of political and civil rights, as well as low economic growth. Real GDP growth averaged a meager one percent from 1959 to 2015.

    Despite the lack of freedom and the poor economic track record, Cuba is often praised for its social achievements in health care and education, some of which rival developed countries. A good example of this is the Infant Mortality Rate (IMR), which is defined as the share of children dying before their first birthday. The graph below plots Cuba’s IMR against four developed countries:

    Surprisingly, Cuba’s IMR in 2017 was lower than that of both the U.S. and Canada: 4.1 deaths per 1,000 live births as opposed to 5.7 in the United States and 4.5 in Canada.

    This seems counterintuitive. How could a poor country like Cuba, whose income per capita is a fraction of those of developed countries, outperform two of the world’s wealthiest nations?

    There are a few possibilities, both of which involve health care spending. Are these stellar numbers the result of Cuba spending more than the U.S.?

    Not according to the data. As the following chart shows, Cuba’s health care spending per capita is substantially lower than that of the United States.

    But higher spending doesn’t ensure better results. According to the Bloomberg Health Care Index, which measures cost efficiency in health care, the U.S. spends four times as much as Singapore in per capita terms, yet life expectancy is four years higher in the Asian country. Therefore it could be that, despite spending less, Cuba achieves better results.

    Unfortunately, Cuba’s planned economy is far from what anyone would call efficient. This means that there has to be another explanation.

    In fact, Cuba’s impressive IMR has a simple explanation: data manipulation.

    In a 2015 paper, economist Roberto M. Gonzalez concluded that Cuba’s actual IMR is substantially higher than reported by authorities. In order to understand how Cuban authorities distort IMR data, we need to understand two concepts: early neonatal deaths and late fetal deaths.

    The former is defined as the number of children dying during the first week after birth, whereas the latter is calculated as the number of fetal deaths between the 22nd week of gestation and birth. As a result, early neonatal deaths are included in the IMR, but late fetal deaths are not.

    For the sample of countries analyzed by Gonzalez, the ratio of late fetal deaths to early neonatal deaths ranges between 1-to-1 and 3-to-1. However, this ratio is surprisingly high in Cuba: the number of late fetal deaths is six times as high as that of early neonatal deaths.

    This number suggests that many early neonatal deaths are systematically reported as late fetal deaths in order to artificially reduce the IMR. Gonzalez estimates that Cuba’s true IMR in 2004, the year analyzed in the paper, was between 7.45 and 11.46, substantially higher than the 5.8 reported by Cuban authorities, and far worse than the rates of developed countries.

    That Cuba’s dictatorship manipulates self-reported statistics shouldn’t come as a surprise. After all, the Castros have been trying for years to prove that, despite the lack of freedom in their country, their regime has built a welfare state where high-quality public services are guaranteed for all citizens.

    Nothing could be further from the truth. The only achievement of the 1959 Revolution was to turn Cuba into a huge prison where misery and repression dominate the lives of millions of Cubans that haven’t had the opportunity to flee the country in search of a better life.

    Dictatorships have always resorted to data manipulation for political purposes. This isn’t new. What is really disturbing is that Western intellectuals continue to buy the propaganda of the oldest tyranny in the Americas.

    This article is republished from Intellectual Takeout.


    Luis Pablo de la Horra

    Luis Pablo De La Horra holds a Bachelor’s in English and a Master’s in Finance. He writes for FEE, the Institute of Economic Affairs and Speakfreely.today.

    This article was originally published on FEE.org. Read the original article.


  • Rand Paul knocks out Marco Rubio like Ali over Foreman

    Sen. Rand Paul, Kentucky Republican, has delivered a knock out punch against Sen. Marco Rubio to normalization of relations with Cuba to benefit the United States. The punch was as decisive as Muhammad Ali’s knock out of George Foreman in the Rumble in the Jungle 40 years ago. Mr. Rubio’s presidential ambitions are over.

    The Florida senator’s implacable hatred of Fidel Castro and Cuba’s Communist regime has driven him to anti-democratic tirades and to a policy of Cuban ostracism that sneers at Presidents George Washington and Thomas Jefferson. His child-like immaturity and conflicting loyalties between Cuba and the United States disqualify him for the White House.

    Mr. Rubio is the son of Cuban immigrants who fled under the dictatorship of Fulgencia Batista. He has apparently forgotten that as a U.S. citizen and senator, his sole allegiance is to the U.S. Constitution and to the general welfare of the people of the United States. If there is a conflict between Mr. Rubio’s sympathies for the Cuban people and the best interests of the United States, he is required to abandon the former in favor of the latter.

    Full article: http://www.washingto … o-like-ali-over-for/