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Trump’s Cuba Strategy Is Economic Genocide
In an interview, scholar Danny Shaw discusses President Donald Trump’s policy of strangling Cuba and offers an anatomy of the impact of the economic embargo on its people after having witnessed firsthand the existing conditions on the island.
Jun 10, 2026
Cuba has been under a US trade embargo since the Eisenhower administration, although it was President John F. Kennedy who implemented a comprehensive embargo on all trade with Cuba. And while every subsequent administration has tried since to cause pain and suffering to the Cuban people for its support of a revolutionary government, it is the Trump administration that has made the collapse of the communist regime on the island a top priority by expanding sanctions against the island, blocking fuel deliveries, and threatening Cuba with military action.
Cuba is indeed on the brink and unlikely to survive since the inhumane and criminal actions of the second Trump administration have plunged the island into a deep humanitarian crisis.
In the interview that follows, Danny Shaw discusses President Donald Trump’s policy of strangling Cuba and offers an anatomy of the impact of the economic embargo on its people after having witnessed firsthand the existing conditions on the island. Danny Shaw is a scholar of Latin American and Caribbean studies and a longtime supporter of the Cuban revolution. He recently traveled across Cuba, where he documented for The Grayzone the harrowing conditions following the Trump administration's imposition of an energy blockade.
C. J. Polychroniou: US President Donald Trump has revived the Monroe Doctrine with a series of forceful actions in the Western Hemisphere, such as the attack on Venezuela, which resulted in the kidnapping of Venezuelan President Nicolas Maduro, and conducting military strikes against fishing boats in the Caribbean. It may not be totally clear what’s driving the Trump administration’s gunboat diplomacy, but Cuba, which has endured perhaps the longest economic embargo in modern history, is next on the wannabe dictator’s hit list.
Danny, can you talk about the policy methods the second Trump administration has used in order to further isolate Cuba and, in the process, strangle its economy and its people?
Danny Shaw: On January 29, the Trump administration—the true spokesman of the billionaire class with global reach, as we’ve seen from Caracas to Tehran—took actions to completely shut down the Cuban economy. Threatening any country that sold oil to Cuba or continued to trade with them tightened the screws on an already long-existing, illegal, unilateral Economic War. Washington and their right-wing minions across the hemisphere also went after Cuban medical missions from Honduras to Jamaica, which brought much-needed foreign reserves for Cuba and most importantly afforded medical attention throughout the Americas and the world to marginalized populations. Ecuador and Costa Rica kicked out the Cuban embassies. The Trump administration has made it clear to the world: Any attempt to support the Cuban government will be severely criminalized. Concretely, this means Cuba is more isolated and desperate than it has ever been.
The US method of stoking “hunger” and “desperation” has completely crushed this fascinating, historical experiment in resistance and a people’s government.
We must see Trump’s energy blockade in the context of an economic blockade which has left Cuba on life support since 1991, the year the Soviet Union and the Socialist Block countries fell. Overnight, these measures cut Cubans’ average caloric intake in half. Periodically, under both Democratic and Republican presidencies, the US government has taken a scalpel to the Cuban economy. With a Gazaesque strategy of surgical precision, the State Department has cut off remittances, wiped out tourism, and penalized any foreign company that did business with Cuba. January 29 was yet another inflection point of what has truthfully been an ongoing “special period” and is now proving to be a death sentence for many Cuban families. Now the FBI and Homeland Security are going after those of us who have brought humanitarian aid to Cuba.
Every word I share, including my quotation of hungry and dispirited Cubans, has to be seen within the context of a 67-year-old war on a country that has sought to be sovereign from empire. As an ethnographer, an international affairs analyst for Cuban and Venezuelan television since 2014, and someone building fluency in Cuban Spanish for over three decades, I have had a lot of intimate contact with Cubans, their opinions, and their struggles. We have to go back to the original State Department memorandum as laid out by Deputy Assistant Secretary of State for Inter-American Affairs Lester Mallory on April 6, 1960:
..it follows that every possible means should be undertaken promptly to weaken the economic life of Cuba. If such a policy is adopted, it should be the result of a positive decision which would call forth a line of action which, while as adroit and inconspicuous as possible, makes the greatest inroads in denying money and supplies to Cuba, to decrease monetary and real wages, to bring about hunger, desperation and overthrow of government.”
I quoted the ruling class’s thinking at length because that is precisely what has been happening in Cuba now since at least 1991. The US method of stoking “hunger” and “desperation” has completely crushed this fascinating, historical experiment in resistance and a people’s government. What I witnessed in Cuba in February, March, and April of this year was apocalyptic.
C. J. Polychroniou: The Trump administration forced a leadership change in Venezuela, but it is debatable whether there has also been a regime change. However, the plan for Cuba seems to be regime change even though its government is not doing anything to threaten the United States. Why is Trump after regime change in Cuba and to what end? Whose interests is he really serving?
Danny Shaw: Trump is the ultimate distraction. Like all billionaire bubble boys, there are no consequences for his lies, threats, and general clownishness. But behind the bombastic, arrogant billionaire are the true global power brokers, a small group of 2,800 billionaires who seek to preside over humanity’s destiny. They use Trump as their spokesman to carry out a fascist global agenda that was thought to be impossible prior to 2016 when he first came into power.
The War on Cuba and all states who represent any type of resistance—China, Nicaragua, Venezuela, Zimbabwe, Palestine, Russia etc.—is designed to convince us again and again of “the end of history.” The idea that cowing to the billionaires and soon-to-be trillionaires is inevitable.
The corporate media has long presented “Cuba” as a “failed socialist state.” This serves the empire’s ideological interests. They can showcase this “miserable island,” stripped of all contexts, and show this horrible place on CNN and Fox hemorrhaging their own people. Millions of Cubans are dying and migrating. Even before this crisis, the most extreme ever, the Cuban population shrank by 1.4 million between 2020 and 2024. The capitalist media can then propagandistically contrast this reality with a mirage of extreme abundance and excess that they parade in front of our faces through their ideological apparatuses. Think social media, Hollywood, the mainstream media etc.
We are all focused on US drones, bombs, and boots on the ground, but the invasion has already arrived.
The other interest the US has in Cuba is of course economic. The Cuban state has been the ultimate arbiter of questions of foreign trade and investment and an obstacle to unfettered penetration by private capital. Trump, his business partners, and cronies will cash in on land grabs, mineral deals, and the buying of shorefront hotels. Cuba has long had a big tourist economy that they can cash in on.
So these are some of their motivations. But I think your question is an interesting one that I have sat with for decades.
Truthfully, the Empire would only have to blow and the Cuban government would fall. In terms of being able to provide for and defend the Cuban people, the Cuban government fell long ago, arguably in 1991.
Private property is now ascendant in Cuba and has been arguably since 1991. Whatever leadership that is there now, though they put out daily patriotic statements, is not the leadership of Fidel, Che, and Camilo that we in the Western left came to love and defend since 1959. What I have seen over the past 31 years was a people left to fend for themselves. The ethos and general mindset in Cuba is not “Patria o Muerte” and “Venceremos,” (“Homeland or Death” and “We Shall Overcome”), the historic slogans of the Revolution; it is the “Law of the Jungle” and “Every Man For Himself.”
While leftist tourists maintain a glorified, outdated image of this museum of socialism, another mentality already reigns over Cuba, especially among the two generations born into the special period. For example, in the province of Sancti Spiritus I stayed with a family that was relatively stable. The father was a retired track coach and the mother a retired physical therapist. The son plays professional basketball in Brazil and, at 6 feet 9 inches, is one of the tallest Cubans in the country. They have given a plate of food to two elderly neighbors, Sonia and Francisco, for years now. They can no longer afford to do so as they can barely feed themselves and their immediate family. Sonia and Francisco are now hungry and malnourished. They will soon die, two more anonymous victims of this macabre US foreign policy. But who will record their deaths? Who will know their names? The local officials will just record that they died of old age.
And this happens everyday now in Cuba. Generalized hunger has become mass malnutrition, and everyday that passes there is more death. Many Cubans say there is already starvation in the most historically neglected areas like Guantanamo and Las Tunas.
So I think being able to point a finger and enact laws in Florida about "commemorating the victims of communism” serves the billionaires' interests. This begins to explain why they have sadistically sought to cause so much suffering in Cuba.
C. J. Polychroniou: As you already pointed out, you were recently in Cuba and traveled throughout the island. Describe the actual conditions that you encountered.
Danny Shaw: Let me take you deeper into the class contradictions that have long been surfacing in Cuba.
One of the first things a visitor to Cuba will notice is that as the people are dehydrated and starved, the private sector is growing. It is important to clarify that Marco Rubio, Trump, and the architects of the intensification of the economic war on Cuba are at the same time bolstering the private sector. So the owners of private businesses, the MIPYMES, are allowed to import gas, generators, food, etc. It is the Cuban masses that are completely cut off, as an emerging business sector continues to consolidate its economic power on the island functioning as Miami and Washington’s beachheads. But to access these private shops one has to have dollars, or big stacks of Cuban pesos. The 99% of Cubans have neither. The private MYPIMES also have more quality food, but they are private peninsulas of privilege, or Little Miamis, that very few Cubans can afford.
Four days after the guerrillas took power in Havana on January 1 1959, Fidel Castro asked a crowd of tens of thousands in Camaguey, “How can we call this our homeland, if the homeland gives us nothing?” Today, the children, grandchildren and great-grandchildren of that generation of Cubans circulate this heroic speech that grew out of their anti-imperialist and anti-dictatorship struggle and ask, “Why are we being shut out of our own country?”
Collectively, right now, Cuban children have less access to toys and food than what I have seen across Haiti since I first went there in 1998. Some of my friends in Cuba have asked me if there is any way for them to escape to Haiti. Haitian medical students I knew in Santiago and other Haitians were forced to flee Cuba and return to their besieged homeland because of how bad Cuba is. When Haiti is a reference for relative abundance, that is the ultimate indicator of how blockaded and dire Cuba is.
My responsibility is not to parrot Cuban government speeches and positions as the left does here in the West, but to give a voice to a population captured in a looming Economic Genocide, trapped between two bureaucracies,
Agricultural products cannot get from the countryside into the city. Every day there is more hunger, malnutrition, and encroaching starvation. The Cuban people say they have no voice. The most vulnerable, the elderly, children and prisoners, are already dying. There is a stark sense of generalized hopelessness. There are no functioning means of transportation. Yet as one waits for buses that never arrive, imported cars from Miami speed down the highways. The people say those are rich Cubans or government officials. The people do not trust their government and see them as a central ingredient in the genocidal campaign they are facing.
Let’s break down the math of starvation, CJ. Because we are all focused on US drones, bombs, and boots on the ground, but the invasion has already arrived. What will play out in the upcoming days and months is the consolidation of the umpteenth US intervention in the affairs of the people of the Caribbean, South America, and the world. And it will continue to exterminate a lot of lives. When Cubans say that today Cuba is the equivalent of Gaza without bombs, they are not exaggerating.
A liter of gasoline in Cuba costs more than 6,000 pesos ($10 US dollars), meaning a gallon of gas costs $40. The average Cubans’ salary or pension is 2,400 pesos ($4 dollars) monthly. A bottle of Turkish sunflower oil to cook costs 1,500 ($2.50), a pound of rice costs 350 ($0.60), and the electricity bill, regardless of whether there is any, is 400-500 pesos (less than $1 per month), meaning that alone consumes a Cuban’s money for the month.
In Cuba, no matter how much money you have in the bank, you can only take out $2 or $3 dollars. That is why you see long lines across Cuba of retirees and heads of family waiting all day in front of banks, trying to get their money out. Cuba is a country of lines, long lines.
Infant mortality rates have increased by 148% in Cuba. Center for Economic and Policy Research’s director of international policy Alexander Main: explains: “The Trump policy of 'maximum pressure' on Cuba has killed a lot of babies… it’s highly likely that more babies are dying now, and at an even higher rate than last year as a result of the current US fuel blockade targeting Cuba.”
Many families have to get up in the middle of the night because that is the only time they have access to a few hours of electricity. Measures of insomnia, depression, and all mental health indicators are skyrocketing. US terrorism comes in many different forms.
By the time we publish, the hyperinflation and devaluation of the Cuban peso will be even more extreme. Everyday, the peso is worth a fraction less than the dollar, damaging Cubans’ earning power even more. What Cubans have whispered to me since 1995 is that if they film their reality or try to speak out against the economic disparities, the authorities will arrest them immediately.
What if you have children? How do you feed them? Cuban families are weary of having children because they cannot feed them. The War on Cuba is a Demographic War, a War of Depopulation. From the perspective of capital, Cuba’s population is excessive and expendable, especially old people who are generally more loyal to the revolution because they can remember what it once was prior to 1991. Similar to Palestine and Haiti, masses of people can be displaced and exterminated. Why would capital care? And why would a Western public care, if they have never heard one positive word about these “sh^thole countries,” to quote the ever-eloquent Trump again.
Religion, alcohol and drug addiction all find a foothold among a population who cannot see beyond this bleak material reality. All of the ingredients for an Economic Genocide are in place. Cubans I met and hung out with in Las Tunas, Holguin, or Granma were not worried about imperialist drones or bombs. They said the bombs of thirst and hunger have long been their number one enemy. Colonial death comes in many different forms.
C. J. Polychroniou: Cuban government officials have said that the country will fight to death in the event of a US invasion. But is it realistic to expect a starving nation fight back in the event of a full-scale invasion of the island by the world’s most powerful and advanced military?
Danny Shaw: Minister of Foreign Affairs, Bruno Rodriguez, himself explained: “It seems that the US government has chosen a dangerous path, a path that could lead to unimaginable consequences, to humanitarian catastrophe, to a genocide.” He then says what every leader has to say but it is tough to take seriously: "Cuba will exercise its right for its legitimate defense to the very last consequences with massive, mass support of the people." These militant government statements are out of touch with mass sentiment.
Observing our movement of activists, Marxists, the left, or whatever we call ourselves, we pretend like it is 1959 or 1989 and Fidel and well-trained, honest revolutionaries are still at the helm of the state. If we cannot honestly reflect on this question of leadership, the Cuban state and the masses, aren’t we complicit in the ongoing strangling and starvation of today’s mambisado (the masses who fought for Cuba’s independence against Spain)? Do we judge a revolution by the objective and subjective conditions the people confront, or by the latest interview or speech of Diaz-Canel? Have any of these activists who defend Cuba ever gotten outside of the Hotel Nacional and outside of the government-guided tours? If we mischaracterize the objective and subjective conditions in Cuba, aren't we complicit in our own way in the war on Cuba, which Cubans say comes from both an internal and external blockade?
Capitalism is the accumulation of misery in one pole, and luxury in the other.
To think Cuba can resist in any way is ridiculous. How can a half-starved, unarmed people resist the largest military with the largest budget, $1.5 trillion, in the history of the world? Cubans overwhelmingly told me they are so sick of “resolving," “surviving," and “resisting." Besides some elderly veterans of the heroic war of liberation in Angola and that generation of fighters, I met almost no Cubans with any enthusiasm for the idea of fighting back against the United States. There’s a complete state of demoralization across Cuba. Hyperbolic leftist comparisons to “People’s War” in Vietnam under the direction of Ho Chi Minh and General Nygun Vo Giap are goofy and dishonest. Cubans see their government and police as complicit in everything that is happening. Why would they die for a process they long stopped believing in? The Western “left movement” is clueless about the objective and subjective conditions in Cuba because we uncritically take our cues from the Cuban government. The private sector could not be ascendant in Cuba if there was not collusion with high-level officials. The Cuban masses perceive that government officials are saying one thing publicly but behind the scenes are looking out for themselves. And if you listen to the statements on CNN by this generation of Castros, that is exactly what they say. They praise capitalism and position themselves to adapt to the inevitable reconquering of the island.
Cuban officialdom and their leftist counterparts have engaged in what we can call “high politics.” Spanish researcher of communes in Venezuela, Cira Pascual Marquina, explains that we often base our conclusion on “institutional declarations, negotiations, geopolitical responses—while overlooking the dense fabric of everyday political practice that sustains the process.” Look at the Venezuela General Vladimir Padrino and all of his rhetoric before January 3 about a “people's war” in Venezuela that would resist any efforts by the Trump administration. What resistance has there been in Venezuela? Today, six months after the US
occupation of Venezuela, Padrino is an agricultural minister.
All of these triumphant-sounding speeches mask the reality of the Cuban masses, and arguably do more damage than good. As a supporter of the Cuban Revolution, I waited years if not decades to say some of these things publicly. Because again, I am with David, not Goliath. But scholars and supporters of Cuba need to be vocal about the whole truth. My responsibility is not to parrot Cuban government speeches and positions as the left does here in the West, but to give a voice to a population captured in a looming Economic Genocide, trapped between two bureaucracies. Here is an essay by a Cuban student in Ireland which brilliantly captures how the Cuban people feel they are stuck between two competing rhetorics, which both ignore their interests.
C. J. Polychroniou: US imperialism never went away but has gone totally berserk under the second Trump administration. Can the beast be reformed?
Danny Shaw: In Cuba, the closest place to get Cuban food is Miami.
It’s surreal. After navigating dehydration and hunger across Cuba for one month, I returned, like other activists and friends of Cuba, to be detained and interrogated by the FBI in Miami. When I was released, after my third detention and interrogation in less than two years, I walked through an airport full of every last type of food and consumer good. Capitalism is the accumulation of misery in one pole, and luxury in the other. The Donroe Doctrine means US imperialism cuts off any attempt by China, Russia, Iran, etc., at building multipolarity in the hemisphere and recolonizes any bad example or “maroon state" that has escaped their hegemony. There is no reforming US imperialism. Only the unity of oppressed peoples as expressed through multipolar projects like the BRICS+ nations could ever defeat empire. That is the only hope right now for defeating this beast which will continue to starve, bomb, and genocide resistant populations until a knife is plunged into its neck.
Like the War on Haiti, first through the use of paramilitary gangs beginning in 2018, and now through Erik Prince and his private security companies to displace the once resistant population of Port-au-Prince and Latibonit (another department or province of Haiti), this constitutes the latest and most intense chapter of war on the Cuban people. Cubans are dying in silence as US government officials talk about bringing “freedom” to Cuba and Cuban government officials give speeches about Cuba’s “historic resistance.” What I have lived and witnessed in Cuba since 1995 constitutes an ongoing Economic Genocide against a defenseless, muzzled population.
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Cuba Works Health Miracles While Under US Blockade
Cuba’s approach to providing healthcare is indicative of the nature of the revolution: to serve Cubans and the oppressed across the world.
Jun 04, 2026
Last week, the Cuban Center for Molecular Immunology, or CIM, announced a major health breakthrough with VAXIRA, a vaccine treatment for lung cancer. This is a remarkable achievement, made only more impressive by the fact that this is Cuba’s second lung cancer vaccine.
The vaccine stops the progression of cancer by developing the patient’s immune system to fight off cancer cells. This has proven to significantly prolong people’s survival. Since 2013, the vaccine has been monitored, trialed, and tested on more than 1,300 patients. Over a 10-year period, patients survived a median of 76.6 months, with 20% of all patients who were given VAXIRA experiencing unexpected long-term survival. Last year, VAXIRA was awarded the Technological Innovation Prize in Cuba for its contribution to healthcare in Cuba. This is an incredible feat for humanity and the battle against cancer—and it is being done by a country facing the longest and most severe blockade in history.
In 2011, Cuba developed CIMAvax, which remains the world’s only approved lung cancer vaccine. This vaccine works to induce the immune system to stop the growth of cancer cells and slow the progression of tumors. This vaccine has already treated more than 5,000 people across the world and many more thousands in Cuba itself. Given the immense significance of the vaccine, the United States agreed to a special arrangement to trial the vaccine in the US. The Roswell Park Cancer Institute in New York has been running clinical trials with CIM since 2018. They have run the first clinical trials of CIMAvax in the United States. The very same nation that is imposing a genocidal blockade on Cuba is also benefiting from the historic breakthroughs in healthcare.
These major developments in medicine to treat cancer are not Cuba’s only awe-inspiring health achievements.
The truth is that even with this genocidal blockade, Cuba maintains the principles of its revolution and the motivation to better the world.
During the Covid-19 pandemic, Cuba produced five vaccines: Ablada, Soberana 01, Soberana 02, Soberana Plus, and Mambisa. Cuba had one of the lowest Covid-19 deaths in the Western Hemisphere—and by 2021, Cuba’s fatality rate was just 0.59% compared with the 2.2% worldwide average. The vaccines were produced without the need for specialist refrigeration, which meant they could be easily transported and also distributed across the world to places where accessing such infrastructure would be impossible. Quickly, Venezuela, Iran, Vietnam, St. Vincent and the Grenadines, and Mexico all picked up the vaccine to protect their population.
By 2023, Cuba had the third-highest rate of vaccinations per 100,000 people. Despite the fact that the US banned the country from importing the syringes necessary to immunize its own population. In this context, Cuba was the first country in the world to vaccinate toddlers and children, as part of their push to reopen schools safely.
Cuba, like the United States, offered its Covid-19 vaccines to the world. While Cuba donated vaccines to St. Vincent and the Grenadines and sold them as cheaply as they could, the US bullied countries into putting up their assets, like embassy buildings and military bases, in order to access vaccines. This was to “protect” against future legal challenges that vaccine recipients might file against the manufacturer of the vaccine. This profit motive was a major cause for the vaccine apartheid in the distribution of Covid-19 protection across the world. As of August 2024, in high-income countries, more than 222 doses had been distributed per 100 people. While in low-income countries, this was less than 46. In 2021, US pharmaceutical companies that produced Covid-19 vaccines (Moderna, Pfizer, Johnson & Johnson) collected an eye-watering revenue of $31 billion. The concept that companies and shareholders should make money from a pandemic should be utterly outrageous.
Biotechnology
Cuba leads the world in its vaccine breakthroughs. But, how is this all possible? It is not by accident that Cuba is able to develop world-leading health breakthroughs in medicine. Cuba has developed a world-class biotechnological sector that is state-owned and operates in the interests of the people, not profit. There are no profit motives to producing vaccines; research and development are for the collective benefit, and resources are shared to better the process of scientific development. This is quite the opposite situation in capitalist countries, where biotechnology is a major competition dominated by pharmaceutical companies motivated entirely by profits, which often means that when there are major developments in health, they are not accessible to people.
In 1981, Cuba opened the Biological Research Center, despite the blockade stopping the entry of equipment, materials, access to research journals, and medicines. In the first 9 years, the center produced three products. Between 1990 and 2000, it produced 18, and between 2001 and 2010, it produced more than 40. Today, that figure continues to grow. The center flourished into a world-class biotechnological sector that has made major health breakthroughs. Cuba produced the world’s first human vaccine to contain a synthetic antigen for Haemophilus influenzae type B.
In 1989, Cuba produced the world’s first Meningitis B vaccine during a severe outbreak of the disease in the country. This was the first ever vaccine produced to protect against Meningitis B and was exported to protect people in countries across Latin America. The US approved its first vaccine for Meningitis B in 2014.
Cuba once had among the lowest rates of infant mortality in the world. But since 2019, with the increase of more than 250 additional sanctions on Cuba, the rates of infant mortality have risen by 148%.
The following year, Cuba produced a vaccine for Hepatitis B. They joined just five other countries as a manufacturer of Hep B vaccines: France, South Korea, the United States, Indonesia, and Britain. As the US blockade made it virtually impossible and far too expensive to import the vaccine, Cuba produced their own and eliminated Hepatitis B in under 15 years.
In 2006, Cuba developed Heberprot-P, the only medicine in the world to reduce the amputation rate of patients with diabetic foot ulcers by 75%. Within 10 years, it was used in 23 countries. It has treated more than 400,000 people with foot ulcers. In 2024, the United States even broke its own blockade and approved it for trials and use. The very thought that Americans who suffer from diabetes might be treated by Cuban medicine while being fed propaganda against Cuba and funding a war against the very Cuban researchers and scientists helping them reveals how inhumane this blockade is.
By 2015, Cuba became the first country in the world to eliminate mother-to-child transmission of HIV and syphilis. Cuba managed this because of its socialist model, which is the same reason why it is not celebrated in mainstream media and looked to as a center for health advances in the US. This world historical achievement came as a result of Cuba’s universal health system that integrated maternal and child health programs with HIV and STI treatment. Cuba has one of the lowest rates of AIDS in the world and the lowest in the Americas, thanks to the free provision of antiretroviral treatment it has been distributing since 2001. Its vaccination programs have eradicated diseases that continue to cause death and suffering around the world, including diphtheria in 1979, measles in 1993, whooping cough in 1994, and rubella in 1995. Cuba has also developed the highest control of blood pressure in the world.
The same principles that led Cuba to produce world-leading medical breakthroughs are similar to its success in eliminating diseases. Cuba’s vaccination model is motivated by protecting its people. The National Immunization Program, which began in 1962, has saved the lives of at least 560,000 children who would have otherwise contracted diseases if it weren’t for the program. This is motivated by four directives: equity of vaccine distribution; integration of vaccination in primary healthcare; the inclusion of active community participation; and providing vaccines free of charge. These guiding principles indicate how central the health of all society is, not corporate interests or greed.
Cuba’s approach to providing healthcare is indicative of the nature of the revolution: to serve Cubans and the oppressed across the world. Before the revolution in 1959, 300 children were paralyzed by polio each year. One of the first measures by the revolutionary government was immunization for Cuban society. In 1962, the polio campaign launched through mobilizing 100,000 members of newly founded revolutionary committees to conduct a population census and vaccinate all children. Within months, polio was eradicated in Cuba, making it one of the first countries in the world to do so. Polio is still a leading cause of paralysis and death across the world.
These health achievements have massively benefited people across the world through access to new treatments and cures, affordable and accessible vaccines and medicines, and models for healthcare. But another awe-inspiring element of Cuba’s healthcare is its international solidarity.
Cuba has restored the eyesight for more than 4 million people with its joint program with Venezuela, Operation Miracle. They have sent more than 600,000 health workers on medical missions to 160 countries in response to pandemics, epidemics, natural disasters, and other crises where no other country would act. They have and continue to train doctors from the Global South for free so they go back to their home countries to practice medicine.
Cuba makes these miraculous achievements for humanity while facing a blockade that causes shortages of medicines in pharmacies across Cuba; blocks researchers from accessing health journals; and prevents the entry of equipment, spare parts, and laboratory materials that could make it easier and faster to conduct research. The US blockade should be seen as an attack on humanity itself. This is a genocidal act of war against a population that exports doctors across the world by an empire that exports bombs, fighter jets, and invading soldiers.
Cuba once had among the lowest rates of infant mortality in the world. But since 2019, with the increase of more than 250 additional sanctions on Cuba, the rates of infant mortality have risen by 148%. It is estimated that this has cost 1,800 lives of infants. This is the material result of a blockade that intends to kill, punish, and destroy a country for asserting its own sovereignty. Yet, even still, Cuba’s infant mortality rate is lower than that in the United States. The US enforces its blockade on Cuba so that it can try to claim Cuba is a “failed state,” which also means its universal, free healthcare system “fails”; all so it can maintain its abysmal healthcare system that operates purely for profit, despite the level of death, bankruptcy, and suffering it causes to poor Americans.
The truth is that even with this genocidal blockade, Cuba maintains the principles of its revolution and the motivation to better the world.
Like Fidel Castro said in 2003: “Our country does not drop bombs on other peoples, nor does it send thousands of planes to bomb cities; our country does not possess nuclear weapons, chemical weapons, or biological weapons. Our country’s tens of thousands of scientists and doctors have been educated in the idea of saving lives. It would absolutely contradict this concept to put a scientist or a doctor to work to produce substances, bacteria, or viruses to kill other human beings.”
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'We're Literally Starving Them': GOP Senator Gloats That Iranians 'Can't Feed Themselves' Because of Trump Blockade
One foreign policy analyst said the senator was effectively admitting that “we’re literally committing crimes against humanity.”
Apr 23, 2026
A Republican US senator proudly declared that President Donald Trump's blockade of Iranian ports is "starving" Iranians on Wednesday, in yet another piece of counterevidence to the idea that the president's war there is meant to "liberate" the people.
"We have this embargo working, this blockade, and we're literally starving them," said Sen. Roger Marshall (R-Kan.) during an interview on Newsmax. "Both financially, and they can't feed themselves either, very long."
During the same interview, Marshall said Trump must “take everything into consideration” to finish the war against Iran and compared the decision Trump must make to "President [Harry] Truman’s decision on dropping the bomb, and D-Day for President [then-Gen. Dwight] Eisenhower.”
The comments came after Trump announced that he would extend a two-week ceasefire while continuing his naval blockade of Iranian ports, enacted as a counter to Iran's closure of the Strait of Hormuz, which has caused chaos and inflation across the global economy.
It was yet another 180-degree spin from Trump, who just days before had issued another genocidal threat to "blow up" the "whole country" of Iran, including civilian infrastructure, if it did not capitulate to his demands in a ceasefire agreement, which was roundly condemned by international organizations as a pledge to commit war crimes.
The Iranian population suffered tremendously under Trump's "maximum pressure sanctions" before the war, which fueled 58% food inflation year over year in September 2025.
The war launched by the US and Israel in February has only heightened the pain: Last month, Iran's inflation rate hit a record 72%, and the cost of its staple food basket soared to 134% compared with the previous year.
More than 750,000 jobs had been lost as of last week, and the United Nations Development Program predicted that Iran's economy could contract by as much as 10% as a result of the war. In just 40 days of war, the UNDP found that 3.5-4.1 million Iranians have fallen below the poverty line.
Trump's blockade of Iranian ports has tightened the noose even more, cutting off about 90% of the nation's maritime trade.
According to The Wall Street Journal, the blockade immediately affected nearly a million tons of grain and oilseeds. Prices for commodities like rice, which have already increased sevenfold in recent months, are expected to soar even further.
While Iran is much larger and more self-sufficient than Cuba, the blockade mirrors the economic warfare Trump has waged against the island in what he has said is an effort to force its leadership from power or outright "take" it for the US.
The blockade of fuel shipments to the island enacted through tariff threats has paralyzed its economy and resulted in rolling blackouts that have disrupted hospital care, agriculture, and every other facet of daily life for the Cuban people, drawing condemnation from United Nations human rights experts, who have called it a "serious violation of international law" and an act of "extreme unilateral economic coercion."
The Trump administration and its cheerleaders in Congress have not been shy about their goal for sanctions in Iran—to inflict suffering upon the people of Iran in hopes that they will rise up and overthrow their governmen. But Marshall's declaration that Trump was trying to "starve" Iran was seen by critics as an even more explicit endorsement of collective punishment than most.
Dylan Williams, the vice president for government affairs at the Center for International Policy, said it confirmed that Trump was pitching "genocide as a tactic in Iran."
In less than two months, at least 1,700 civilians have been killed, including more than 250 children, according to the US-based Human Rights Activist News Agency. More than 26,000 people have been injured, according to the Iranian Health Ministry.
The international affairs researcher Derek Davison wrote that by cheering a policy he said was "literally starving" Iran, Marshall was basically saying: "We're literally committing crimes against humanity. It's awesome."
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