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"We do everything with love to assist people, but the reality right now is that we don’t have enough resources," said one Cuban doctor, who added that "the main cause of everything is the USA."
The Trump administration's oil blockade of Cuba—an escalation of the 65-year US stranglehold on the socialist island's economy—is killing Cubans amid a severe shortage of electricity and critical basic medical supplies, doctors and nurses there told reporters this week.
"I can’t tell you how many deaths, but I’m sure there are more than in the same period last year,” Dr. Alioth Fernandez, chief anesthesiologist at William Soler Pediatric Hospital in Havana, told The New York Times in an article published Friday. “I see it in shift handovers, in colleagues’ comments, and in children I’ve operated on.”
Cuba's universal healthcare system is internationally known. Its "Army of White Coats" has been deployed around the world, both to provide routine and specialized care, as well as during emergencies such as the Haiti earthquake, Sierra Leone Ebola outbreak, and Covid-19 pandemic in Italy.
Despite decades of success under increasingly adverse conditions, Cuba's vaunted health system is under tremendous strain, due in no small part to the cumulative effects of generations of US economic sanctions.
"Since I was born, this is the most difficult time, without any doubt," José Carlos, a resident intern at Havana Cardiology Institute, told the Canadian Broadcasting Corporation on Thursday. "We do everything with love to assist people, but the reality right now is that we don’t have enough resources."
The lack of fuel is limiting ambulance service and keeping many doctors and other medical professionals from commuting to hospitals that are canceling surgeries and discharging patients early. As Common Dreams reported earlier this week, more than 96,000 Cubans—including 11,000 children—are waiting for surgery due to the fuel shortage.
"Everything is hitting us—energy, resources, transportation," Carlos told the CBC.
When the lights go out, neonatal nurses use hand-pumped ventilators to keep infants alive. Without power, hospitals and clinics can't administer chemotherapy cycles or dialysis treatments.
“I don’t know how long we can keep going,” Xenia Álvarez, the mother of a 21-year-old man who suffers a rare genetic disease and requires full-time use of a ventilator, told The New York Times.
Shortages of basic medicines and supplies are forcing doctors to substitute medications, delay treatments, or even ask patients' relatives to find supplies themselves. Antibiotics, painkillers, and medications to treat chronic diseases are scarce, as are gloves, syringes, and diagnostic equipment. Hospital staff also report difficulty maintaining sterile conditions.
While the US government claims that humanitarian goods like medicine are exempt from sanctions, critics counter that the fuel blockade, along with severe restrictions on banking and shipping, effectively block many medical supplies from reaching the island. The Trump administration has also been pressuring countries into expelling the lifesaving Cuban medical teams, sparking widespread outrage and condemnation.
After the Fidel Castro-led revolution that ousted the US-backed dictatorship of Fulgencio Batista, the United States imposed an economic embargo on the island that has been perennially condemned by an overwhelming majority of United Nations member states for 33 years. Cuba says US sanctions have cost its economy more than $200 billion in inflation-adjusted losses.
US Secretary of State Marco Rubio recently admitted that the economic chokehold is meant to force political change in Cuba while simultaneously disparaging the Cuban economy as "dysfunctional."
Rubio also said that although President Donald Trump is currently focused on the US-Israeli war of choice on Iran—one of seven nations attacked since the self-proclaimed "president of peace" returned to the White House—he would "be doing something with Cuba very soon."
Trump said earlier this month that he believes he'll "be having the honor of taking Cuba," language echoing the 19th century US imperialists who conquered the island along with Puerto Rico and the Philippines from Spain.
In addition to patients, the crisis in Cuba is also taking a physical and psychological toll on Cuban doctors—who, even with a recent raise earn just 100 pesos, or about $2.40, per 12-hour shift. This, in a country in which a dozen eggs cost nearly $10. Many doctors rely upon side hustles to get by.
"Doctors' pay is just for basic things," said Carlos. "It doesn’t allow you to buy many things in the supermarket or go to a restaurant or a hotel, or things like that."
Breakdowns and burnout are on the rise.
"I've seen doctors cry," one physician, who wished to remain anonymous for fear of retaliation, told Reuters. "With this crisis, they cry. They've stopped working, they've become depressed. You can see it on their faces."
Despite the worsening situation, Carlos told the CBC that he does not want to leave Cuba, and blamed the US for the crisis.
"The main cause of everything is the USA," he said. "I have no doubt about that."
Some do want to leave, blaming their own government as well the US embargo for Cuba's suffering. Others are taking things one day at a time.
"We don’t know what will happen," a nurse who gave only her first name, Rita, told the CBC, "so we just keep working."
The mounting—and preventable—deaths in Cuba are prompting renewed calls for the US to lift sanctions on Cuba.
"No patient deserves this. Trump's cruel Cuban blockade is killing people unnecessarily," National Nurses United, the largest US nurses' union, said on social media Friday. "Depriving Cubans of essential resources needed to sustain life and health is an unconscionable violation of human rights. Nurses say: End the blockade now!"
Congresswoman Ilhan Omar (D-Minn.) also weighed in during a Thursday floor speech in which she said that "Cuba poses no threat to us, yet we are strangling an entire nation with economic warfare."
Trump's oil blockade is strangling an entire nation.
Families are going without food. Water systems are failing. Hospitals are struggling to stay open. This is economic warfare.
I'm calling for an immediate end to this cruel and indefensible blockade. Hands off Cuba. pic.twitter.com/MNybPNlBHn
— Rep. Ilhan Omar (@Ilhan) March 26, 2026
"Families are going without food. Water systems are failing. Hospitals are struggling to stay open," she continued. "These tactics are designed to suffocate an island into submission. Make no mistake: This unconscionable suffering is occurring because Trump is trying to force regime change."
"Hands off Cuba," Omar added. "End the blockade now."
"ICE messed with the wrong profession. We nurses will fight to abolish ICE and bring about a vision for a healthy society based on nurses’ values of caring, compassion, and community."
The largest union of nurses in the United States is holding protests across the country this week to protest the killing of one of their own, Alex Pretti, by federal officers in Minneapolis and to demand the abolition of Immigration and Customs Enforcement, whose agents are terrorizing communities nationwide.
Demonstrations organized by National Nurses United (NNU) have been planned in more than a dozen states—from California to Florida to New York—as grassroots backlash against the Trump administration's lawless mass deportation efforts, detentions, and violent crackdowns on dissent continue to mount.
"Pretti's death will not be in vain. ICE messed with the wrong profession," NNU said in a statement. "We nurses will fight to abolish ICE and bring about a vision for a healthy society based on nurses’ values of caring, compassion, and community."
NNU, which represents more than 225,000 nurses in the US, said in the hours after Pretti's killing that federal agents "have executed one of our fellow nurses, Alex Pretti, who saved veterans’ lives as an intensive care unit RN for the Veterans Health Administration."
"He not only advocated for his patients inside the VA as a member of American Federation of Government Employees (AFGE), but also took his advocacy to the streets to stand up for his community as nurses do," the union said. "We demand justice and accountability for his murder."
While demanding ICE's elimination as a federal agency, the nurses' union is also pushing senators to oppose any government funding legislation that includes money for the Department of Homeland Security (DHS), which oversees ICE.
"Call your senators and tell them to oppose any appropriations package that includes the Homeland Security Appropriations bill," NNU wrote in a social media post on Tuesday. "Congress must not give a penny to ICE. Our taxpayer dollars must not be used to murder and terrorize our communities!"
URGENT: Call your senators and tell them to oppose any appropriations package that includes the Homeland Security Appropriations bill.
Congress must not give a penny to ICE. Our taxpayer dollars must not be used to murder and terrorize our communities!
☎️ 202-998-6094 ☎️ pic.twitter.com/h3i7iMvZPD
— National Nurses United (@NationalNurses) January 27, 2026
Ahead of a possible government shutdown at the end of the week, the US Senate is set to consider a legislative package that includes six appropriations bills, including a $64.4 billion DHS funding bill that contains $10 billion for ICE. Senate Minority Leader Chuck Schumer (D-NY) has said Democrats won't provide the votes Republicans need to advance the appropriations package if the DHS bill is included.
Members of the Senate Democratic caucus are demanding that the DHS funding be stripped from the broader appropriations package and considered on its own, along with concrete reforms to ICE.
Sen. Bernie Sanders (I-Vt.), a close ally of union nurses, put forward a series of demands on Monday, including repeal of the $75 billion ICE funding that Republicans and President Donald Trump approved last summer, unmasking of ICE agents, and immediate removal of federal immigration agents from Minnesota and Maine.
"ICE is out of control, ignoring the law and our Constitution,” said Sanders. “Congress must vote NO on any additional funding for DHS."
"Republicans have a million ideas regarding healthcare. Except one," said Sen. Bernie Sanders. "They will never acknowledge that healthcare is a human right—to be guaranteed to ALL."
As President Donald Trump postpones unveiling his supposed plan to tackle soaring US healthcare costs—reportedly after pushback from congressional Republicans—Medicare for All advocates have renewed calls for shifting to a single-payer system.
"Republicans have a million ideas regarding healthcare. Except one," Sen. Bernie Sanders (I-Vt.), who caucuses with Democrats, said on social media Monday afternoon. "They will never acknowledge that healthcare is a human right—to be guaranteed to ALL."
The union National Nurses United also called for Medicare for All on Monday, pointing to a recent West Health/Gallup poll that found 47% of US adults are worried they won't be able to afford healthcare next year, the highest level since they began tracking in 2021.
"The urgency around this is real," West Health president Timothy Lash told NBC News. "When you look at the economic strain that is on families right now, even if healthcare prices didn't rise, the costs are rising elsewhere, which only exacerbates the problem."
Over objections from progressives, including Sanders, a small group of Senate Democrats earlier this month agreed to help GOP lawmakers end the longest federal government shutdown in US history in exchange for just the promise of a mid-December vote on extending Affordable Care Act (ACA) subsidies to help over 20 million Americans who face skyrocketing premiums.
Citing unnamed White House officials, MS NOW reported Sunday that Trump was set to introduce the Healthcare Price Cuts Act to combat what the sources called "surprise premium hikes" as soon as Monday.
"The plan would also eliminate 'zero-premium' subsidies currently offered under the ACA, intending to stop 'ghost beneficiaries,' a frequent Republican concern about alleged fraudulent policy recipients, by requiring a small minimum payment as a means to verify eligibility to receive benefits," according to the outlet.
"The nascent plan also features a deposit program that would incentivize lower-premium options on the ACA exchange," MS NOW continued. "For individuals who downgrade coverage, the difference in coverage costs would be distributed to a 'Health Savings Account' provided with taxpayer dollars."
However, as Politico detailed Monday, also citing unnamed sources, "Trump's healthcare plan is in limbo after pushback from Republicans who were caught off guard by the president's forthcoming proposal—questioning, in particular, whether it would include additional abortion restrictions."
As parts of Trump's proposal continued to leak in the absence of its formal introduction, the American Prospect's Ryan Cooper and David Dayen wrote Tuesday that "all told, there's a good chance that Democrats will accept this offer, or something like it, as the best they're likely to get for the time being."
"If they are ever in power again, they can fix the ACA permanently, and avoid the danger of subsidies expiring (as the Prospect advocated back in 2021). But it's quite revealing as to the total bankruptcy of the Republican Party when it comes to healthcare policy," the duo added. "The GOP will flinch from more than doubling health insurance premiums—at least if middle-class people and up are the most affected—but only if they can also make the insurance worse, and make poor people pay more."
Last week, in a pair of op-eds and a letter to Democratic lawmakers, Sanders argued that "at a time when the Republicans have been forced to finally talk about the healthcare crisis facing our country, it is essential that the Democratic Caucus unify behind a set of commonsense policies that will make healthcare more affordable and accessible."
He called for not only extending the ACA tax credits, but also repealing Trump and congressional Republicans' $1 trillion in cuts to the ACA and Medicaid; expanding Medicare to cover dental, vision, and hearing; cutting prescription drug costs by requiring pharmaceutical companies to charge no more for medications in the United States than they do in Europe or Canada; investing in expanding primary healthcare; and banning stock buybacks and dividends, and restricting CEO compensation.
Although Medicare for All lacks majority support in the Democratic Caucus, Sanders—the ranking member of the Senate Committee on Health, Education, Labor, and Pensions—also emphasized his belief that it remains the ideal long-term solution. He reintroduced the Medicare for All Act in April with Democratic Reps. Pramila Jayapal (Wash.) and Debbie Dingell (Mich.).
Other single-payer advocates have also seized on current concerns and debates about the ACA. In a column for Truthdig last Thursday, Conor Lynch wrote that "with Republicans spotlighting the greed, corruption, and inefficiency of US healthcare, progressive Democrats have an opening to take Medicare for All off the back burner and renew the push for a comprehensive overhaul."
"The fact that Republicans are calling out insurance companies for their profiteering shows how much the national mood has changed since the passage of the ACA," he continued. "With Republicans unable to offer anything but a return to an intolerable status quo ante, Democrats should make the case for moving beyond the broken status quo."
The previous week, CJ Mikkelsen, a retired firefighter and paramedic now leading a small nonprofit in Michigan, made the case in the Midland Daily News that "we need a system like every other country in the developed world has."
Mikkelsen shared some of his and his wife's health struggles and stressed the society-wide benefits: "Medicare for All would mean that everyone is covered for everything at all times. No more losing coverage because you’ve lost your job, want to go back to school, or are starting your own business. The last thing I want you to know about Medicare for All, and pay attention here—IT’S CHEAPER THAN WHAT WE'RE DOING NOW."