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Cuba’s approach to providing healthcare is indicative of the nature of the revolution: to serve Cubans and the oppressed across the world.
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.
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.”
"Efforts to undercut or undermine Medicaid for the children who rely on it are a bet against the future of the country," said the president of the American Academy of Pediatrics.
The American Academy of Pediatrics warned Wednesday that the Trump administration's new rule governing Medicaid work requirements will damage the health of children across the US, as additional bureaucratic barriers make it more difficult for families to access and maintain coverage.
AAP, the largest professional association of pediatricians in the country, said it "strongly opposes" the rule unveiled by the Centers for Medicare and Medicaid Services (CMS) earlier this week, calling it "an intentional policy choice that will harm children’s long-term health and well-being." The group said the rule should be rescinded.
“When parents have healthcare coverage, their children are more likely to be covered and stay covered over time, allowing uninterrupted access to the care they need to grow up healthy," said Andrew Racine, AAP's president. "Work requirements have not been shown to help adults gain employment. Instead, the added red tape makes it more difficult for eligible people to stay enrolled in Medicaid and makes the program less efficient overall. These administrative barriers will disproportionately hurt people with disabilities, and parents of children with special healthcare needs will lose coverage."
"The new burdensome requirements that many parents will face under this rule will ultimately undermine families’ health and financial stability," Racine added. "The policies to narrowly define who qualifies for exemptions will add to the state costs to administer the program, create headaches for families trying to navigate the bureaucracy, and harm the very people that Medicaid is meant to serve. Medicaid is a program designed around the needs of children. Efforts to undercut or undermine Medicaid for the children who rely on it are a bet against the future of the country."
Analysts and advocacy groups have said the Trump administration's rule, which implements work requirements included in a Republican budget law enacted last summer, will likely push millions of people off Medicaid—including many who are eligible but fail to comply with complex new reporting procedures.
The Center on Budget and Policy Priorities (CBPP) noted in Wednesday analysis that state agencies "will have to significantly re-work policy and systems" in light of the new rule, likely resulting in "errors and delays that could affect health coverage and care for the entire Medicaid population—including groups to whom the work requirement doesn’t apply, such as children, seniors, and people with disabilities."
Nearly half of all children in the US are enrolled in Medicaid or the Children's Health Insurance Program (CHIP). A recent analysis by the Center for Children and Families at Georgetown University found that two million fewer children were enrolled in Medicaid in April compared to the start of President Donald Trump's second White House term—and the number of uninsured kids is expected to grow as the GOP budget law's unprecedented Medicaid cuts take hold.
In addition to its impacts on children, critics say the new CMS rule will harm people with serious illnesses such as cancer and HIV/AIDS. The rule does not necessarily exempt such people from the Medicaid work mandates, which require certain program enrollees to document at least 80 hours per week of employment or related activities. The requirement is set to take effect nationwide in January 2027.
Carl Schmid, executive director of the HIV+Hepatitis Policy Institute, said in a statement earlier this week that the Trump administration's new rule appears to run afoul of the law.
"People who have special medical needs, including those with a serious or complex medical condition, are statutorily exempt from the community engagement requirement," said Schmid. "People living with HIV have a lifelong serious and complex medical condition and have special medical needs—they cannot stay healthy without continuous access to lifesaving HIV treatment. Any gap will put them at risk of serious health consequences."
"We are disappointed that the Trump administration ignored the law and, while they agree that HIV/AIDS and viral hepatitis are serious or complex medical conditions, they are proposing that states will have to determine for every individual if their health is impaired and that they can’t comply with the work requirement," Schmid continued. "This added requirement was not in the law and puts the health of people living with HIV and viral hepatitis at risk."
The president says we can't afford both. My neighbors are already paying the price.
In a single week, the Pentagon spent $11 billion destroying Iran's nuclear capabilities—the same capabilities the administration had declared "completely obliterated" just months earlier.
On Easter Sunday, President Donald Trump explained his priorities. "It's not possible for us to take care of daycare, Medicaid, Medicare, all these individual things," he said. "We have to take care of one thing: military protection."
He's right that a choice is being made. But in a democracy, we the people are the ones who are supposed to have that choice.
My neighbors didn't get one. Until recently, our children went to the same daycare, at least until prices went up by 10%. They provided several weeks notice, then phased the increase over a few weeks. For us, the raise meant $200 more per month. Our neighbors, on the other hand, had three kids in daycare.
For the Pentagon, it's bomb first, figure out the money later. For parents, the bills are due today.
The increase added up to $600 a month more than they'd been paying, so they pulled out. Two kids went to a super cheap option—more like group babysitting, really—because they were about to age out and attend free pre-K. Their youngest daughter switched to a place they didn't love, with food they didn't trust.
Overall, they were disappointed. It meant more logistics for pickup and dropoff. They felt more pressure to teach and cook healthy food for their kids. But ultimately, they didn't have a choice. Financially, this was the only way to make it work.
Millions of American families make calculations like this every day—cutting corners on childcare, food, healthcare—just to keep the math working. They do it quietly, without a press conference, without a vote.
The daycare crisis was already breaking families before the Iran war started.
The average American family pays over $13,000 a year per child—more than the average cost of in-state college tuition in many states. Waitlists stretch for months. In some counties, there are more children who need care than licensed spots available. For working parents, especially single parents, affordable daycare isn't a luxury. It's the difference between holding a job and not. And after an election fought on affordability, it was getting harder, not easier.
Economic shockwaves from the war hit immediately. Gas prices surged, adding an average of $175 (and counting) to every American driver's bill. Food prices followed. And in May, Spirit Airlines shut down entirely, citing Iran War fuel costs as the final straw—grounding a low-cost carrier that millions of working families depended on.
There are about 10.8 million US children enrolled in daycare at a national average of $13,128 per year. Collectively, parents spend roughly $390 million per day making sure their children are cared for.
The Pentagon's official tally for the war is $29 billion—almost certainly an undercount. Administration sources told CBS the real figure is closer to $50 billion. Even at their own number, that covers daycare for 2.5 months for every enrolled American child.
But the Pentagon's figure leaves out Midnight Hammer, Southern Spear, and the ongoing ceasefire costs. Harvard professor Linda Bilmes, who has spent two decades tracking the true costs of American wars, estimates the full bill could swell to over $1 trillion within a decade.
And then there's what no spreadsheet can measure. Thirteen service members killed. More than 400 wounded. Military families lend their loved ones to this country on the promise that their sacrifice means something—that the people sending them into harm's way are making choices worthy of that trust.
The daycare math suggests otherwise.
The combined price tag of Trump's wars, plus over $40 billion in extra gas costs borne by American drivers since the war began, brings the total north of $79 billion—enough to fund more than seven months of daycare for all 10.8 million enrolled children.
For the Pentagon, it's bomb first, figure out the money later. For parents, the bills are due today.
Simply put, you cannot make a meaningful choice—at the ballot box or anywhere else—when the numbers in front of you are at best incomplete and at worst deliberately misleading. And every day this war continues, Trump is deciding what your family can and can't afford.
Relief won't come in time for my neighbors. Their kids will age out of daycare before Washington does anything about it. They made the best choice they could with what they had. Most American families don't get any other kind.
Demand a vote on this war. Demand the real price tag. And in November, remember who made this choice for you.