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"It is well past time that the U.S., E.U., and other powerful actors in the international community seriously reconsider this cruel and often counterproductive mechanism," said one of the study's authors.
A study published this week in the British medical journal The Lancet Global Health revealed that unilateral economic sanctions cause more than 500,000 excess deaths annually, prompting renewed calls for the United States to end its use of a form of collective punishment that claims roughly as many lives as all the world's current wars combined.
The study, authored by Francisco Rodríguez, Silvio Rendón, and Mark Weisbrot of the Center for Economic and Policy Research (CEPR), is the first to examine the "effects of sanctions on age-specific mortality rates in cross-country panel data using methods designed to address causal identification in observational data."
Studying the effects of sanctions on 152 countries between 1971 and 2022, the researchers "showed a significant causal association between sanctions and increased mortality," with "the strongest effects for unilateral, economic, and U.S. sanctions."
"We estimated that unilateral sanctions were associated with an annual toll of 564,258 deaths," the study's authors noted, "similar to the global mortality burden associated with armed conflict."
🚨 NEW REPORT: The myth that sanctions are a humane alternative to war is shattered. Sanctions imposed by single countries cause massive civilian deaths, with children under 5 hit hardest. bit.ly/Sanctions_Study
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— Center for Economic and Policy Research (@ceprdc.bsky.social) July 23, 2025 at 6:14 AM
Weisbrot, CEPR's co-director, said in a statement: "It is immoral and indefensible that such a lethal form of collective punishment continues to be used, let alone that it has been steadily expanded over the years. And sanctions are widely misunderstood as being a less lethal, almost nonviolent, policy alternative to military force."
The researchers found that children younger than 5 years old made up 51% of all sanctions deaths during the three-decade study period. More than three-quarters of all sanctions deaths between 1971-2022 were of children under age 15 and people over 60.
The study also noted the repeated failure of U.S. sanctions to deliver policy goals like regime change. However, such measures have caused economies to collapse, harming everyday people far more than ostensibly targeted leaders, who have the power and resources to shield themselves from the worst effects of sanctions.
"Sanctions often fail to achieve their stated objectives and instead only punish the civilian populations of the targeted countries," said Rodríguez. "It is well past time that the U.S., [European Union], and other powerful actors in the international community seriously reconsider this cruel and often counterproductive mechanism."
For six decades, the U.S. has imposed a crippling economic embargo on Cuba that has adversely affected all sectors of the socialist island's economy and severely limited Cubans' access to basic necessities including food, fuel, and medicines. The Cuban government claims the blockade cost the country's economy nearly $5 billion in just one 11-month period in 2022-23 alone. United Nations member states have perennially—and overwhelmingly—condemned the embargo.
In Venezuela, as many as 40,000 people died in 2017-18 due to U.S. sanctions, CEPR researchers found.
Some critics have noted that civilian suffering appears to be more than an incidental cost of U.S. sanctions—it is apparently often their very intent. Historian Arthur Schlesinger Jr.—a confidant of former President John F. Kennedy—claimed that JFK sought to unleash "the terrors of the Earth" on Cuba following Fidel Castro's successful overthrow of a U.S.-backed dictatorship, because "Castro was high on his list of emotions."
While the new study "found no statistical evidence of an effect" for United Nations sanctions, Mary Smith Fawzi and Sarah Zaidi conducted research for the U.N. Food and Agriculture Organization that was published in The Lancet in 1995 and revealed that as many as 576,000 Iraqi children died prematurely as a result of sanctions imposed by the U.N. Security Council—whose sanctioning capacity was heavily influenced by the United States—to target the regime of longtime Iraqi leader Saddam Hussein.
"Discussions in the 1990s on the effects on child mortality of sanctions on Iraq strongly influenced policy debates and were one of the main drivers of the subsequent redesign of sanctions on the government of Saddam Hussein," the authors of the new study wrote, citing Fawzi and Zaidi's research.
With Hussein's regime unmoved by the sanctions, Madeleine Albright, then U.S. secretary of state under President Bill Clinton, was asked if the human cost was too high. Albright infamously replied that "the price is worth it."
"The U.S. State Department should explain to Americans and the international community how the attack on Cuban medical services, on which the health of millions of people in dozens of countries depends, enhances their country," said Cuba's president.
The Trump administration is under fire this week for expanding a visa restriction policy that targets Cuba's medical missions around the world—which U.S. Secretary of State Marco Rubio described as "forced labor," a characterization Cuban officials reject.
"This expanded policy applies to current or former Cuban government officials, and other individuals, including foreign government officials, who are believed to be responsible for, or involved in, the Cuban labor export program, particularly Cuba's overseas medical missions," Rubio, the son of Cuban immigrants, said Tuesday. "This policy also applies to the immediate family of such persons."
Social media users called the Trump administration's move " depraved," "beyond cruel," and "absolutely repulsive," and warned of the impact it could have on patients across the globe.
Medea Benjamin, co-founder of the U.S.-based peace group CodePink, said that "this is PURE EVIL. Punishing people who help provide healthcare to poor people around the world."
As Reuters reported Wednesday:
Since its 1959 leftist revolution, Cuba has dispatched an "army of white coats" to disaster sites and disease outbreaks around the world in the name of solidarity. In the last decade, they have fought cholera in Haiti and Ebola in West Africa.
But Cuba has also exported doctors on more routine missions in exchange for cash or goods in recent decades, an increasingly critical source of hard currency in a nation suffering a deep economic crisis.
Venezueanalysis noted Wednesday that "according to official figures, Cuban doctors in Venezuela numbered as many as 30,000, with approximately 255,000 serving in the country since the start of the program following a deal signed by Venezuelan President Hugo Chávez and Cuban President Fidel Castro in the year 2000, primarily working in low-income barrios. Havana's support was key during the Covid-19 pandemic, supplying vaccines that Caracas found hard to secure due to wide-reaching U.S. sanctions."
Cuba has been targeted by U.S. sanctions for decades—and although former President Joe Biden notified Congress of his intent to remove the island nation from the State Sponsors of Terrorism list shortly before leaving office last month, President Donald Trump swiftly reversed that decision and restored a list of "restricted entities" created during the Republican's first term.
Cuban President Miguel Díaz-Canel and Foreign Minister Bruno Rodriguez denounced those decisions and the visa policy.
Rodriguez took aim at the U.S. secretary of state on Tuesday, saying in English and Spanish social media posts that "once again, Marco Rubio puts his personal agenda before the U.S. interests. The suspension of visas associated to Cuba's international medical cooperation is the seventh unjustified aggressive measure against our population within a month."
"The decision announced today, based on falsehoods and coercion, is intended to affect health services of millions in Cuba and the world, to benefit special groups of interest for which Rubio... guarantees the squandering of the U.S. taxpayers' money," he said.
Díaz-Canel said that "the U.S. State Department should explain to Americans and the international community how the attack on Cuban medical services, on which the health of millions of people in dozens of countries depends, enhances their country."
The new sanctions against Cuba notably come as Republicans in the U.S. Congress work to gut healthcare programs that serve low-income Americans, who have to contend with a for-profit healthcare system dominated by corporate greed.
Every person living in Cuba has access to its universal healthcare system, which is free at the point of service and government-run.
Peace advocates on Thursday said that the near-unanimous vote by United Nations member states to demand an end to the U.S. economic embargo of Cuba underscores the imperative for the Biden administration to lift the crippling 60-year blockade.
"What would Cuba be like today, if the blockade didn't hinder its development?"
For the 30th straight year, U.N. General Assembly members voted in favor of a Cuban resolution condemning the embargo, first enacted during the administration of then-President John F. Kennedy, who according to close confidant and historian Arthur M. Schlesinger Jr., wanted to unleash "the terrors of the Earth" on Cuba following Fidel Castro's successful overthrow of a brutal U.S.-backed dictatorship.
Thursday's vote was 185-2, with only the United States and Israel dissenting, and Ukraine and Brazil abstaining.
"The Biden administration talks about the need for a rules-based international order. Today's U.N. vote clearly shows that the global community is calling on the U.S. to lift its brutal embargo on Cuba," CodePink co-founder Medea Benjamin said in a statement.
\u201cThe United States is completely isolated in sustaining its 60-year embargo on #Cuba.\n\nIn defiance of the international community's nearly unanimous will, the #Biden administration continues to block trade and travel.\n\n#LetCubaLive\u201d— Massachusetts Peace Action (MAPA) (@Massachusetts Peace Action (MAPA)) 1667492392
Benjamin added that U.S. President Joe Biden "should respect global opinion" and return to former President Barack Obama's "policy of normalizing relations with Cuba."
Manolo De Los Santos, co-executive chair of the People's Forum, wondered, "What would Cuba be like today, if the blockade didn't hinder its development?"
"It is impossible to quantify the pain generated by power cuts, long queues to purchase food, the obstacles to the life projects of families, particularly young people," he added. "Cuba has a right to live!"
\u201cBiden has faithfully applied the worst of Trump\u2019s 243 additional & illegal sanctions on Cuba that make basic trade & purchases of good nearly impossible. It\u2019s a deliberate act of violence whose only aim has been to strangle Cubans into submission.\u201d— Manolo De Los Santos (@Manolo De Los Santos) 1667491557
Speaking before the U.N. General Assembly Thursday, Cuban Minister of Foreign Affairs Bruno Rodriguez Parrilla noted that "more than 80% of the current Cuban population was born under the blockade," which he called a "deliberate act of economic war" akin to "a permanent pandemic, a constant hurricane."
Rodriguez said that since then-President Donald Trump rolled back most of the reforms set in motion by Obama, the United States "has escalated the siege around our country, taking it to an even crueler and more inhuman dimension, with the purpose of deliberately inflicting the biggest possible damage on Cuban families."
Taking aim at Biden, Rodriguez added that "the current U.S. administration does not have a policy of its own toward Cuba. It acts out of inertia and continues the inhuman policy of maximum pressure instituted during the presidency of Donald Trump."
\u201c1\u20e38\u20e35\u20e3 \ud83c\udd9a 2\u20e3\n\nThe international community eloquently confirms, once again, the almost unanimous call for an end to the blockade and the isolation the US suffers due to a cruel policy that violates International Law.\n\n#MejorSinBloqueo\u201d— Bruno Rodr\u00edguez P (@Bruno Rodr\u00edguez P) 1667495798
Rodriguez said the embargo has cost Cuba more than $6.3 billion during the first 14 months of the Biden administration, or more than $15 million per day. In 2018 a United Nations commission estimated the total cost to the Cuban economy of the 60-year blockade was at least $130 billion.
Members of CodePink plan to rally against the embargo Thursday afternoon in San Francisco. This follows CodePink protests to #LetCubaLive in cities including New York, Los Angeles, Chicago, and Washington, D.C. over the past several days.
CodePink is set to cap a week of action Saturday by joining with the Cuban-American group Puentes de Amor to send a plane loaded with 8.5 tons of food and medicines to the besieged island.
"Unfortunately," said CodePink Latin American coordinator Samantha Wherry, the shipment "represents a tiny gesture compared to the billions of dollars of harm caused by the U.S. blockade."
The peace activists have three demands: An end to the U.S. blockade, lifting of all travel and economic restrictions on Cuba, and removal of Cuba from the U.S. list of state sponsors of terrorism.
Successive U.S. administrations backed a decadeslong campaign of exile terrorism against Cuba, attempted subversion, failed assassination attempts, economic warfare, and covert operations large and small in a fruitless policy of regime change.
Meanwhile, a dozen U.S. administrations have come and gone since the triumph of the Cuban revolution in 1959.