Re: RE: Re: RE: Castro on US elections (Britain studies Cuban health care)

["J. Barkley Rosser, Jr." <rosserjb@xxxxxxx>]

Norm,
      One other virtue of completely removing the
embargo would be that it would remove the main
excuse Castro has had for what I personally consider
to be his least defensible policy, the ongoing practice
of imprisoning people for political dissent.
       I happen to share Michael Perelman's concern
that a western style "free election" would be manipulated
by the US to reentrench the folks now in Miami who ran the
economy into the ground under Batista.  However, it has
always surprised me a bit that Castro never had an election
for himself.  Unless I am seriously mistaken, at pretty much
any time in the last 40 years I think he would have won (or
would win now) an election as President of Cuba.
       I am glad to see that you are open to discussing the
facts of the Cuban economy in an objective manner.
Barkley Rosser
-----Original Message-----
From: Mikalac Norman S NSSC <MikalacNS@xxxxxxxxxxxxxxx>
To: 'pen-l@xxxxxxxxxxxxxxxxxxx' <pen-l@xxxxxxxxxxxxxxxxxxx>
Date: Wednesday, November 15, 2000 1:13 PM
>Subject: [PEN-L:4471] RE: Re: RE: Castro on US elections (Britain studies
Cuban health care)


>your stats are consistent withe the UN ones i just posted.
>
>right, maybe the rest of the world, including the US, can learn about
better
>health care from the Cubans!
>
>i think that the US Congress just passed a law easing the Cuban embargo.
>did the Prez sign it too?  if so, that should help Cuban health.
>
>norm
>
>
>-----Original Message-----
>From: Rob Schaap [mailto:carob@xxxxxxxxxxxxxxx]
>Sent: Wednesday, November 15, 2000 9:41 AM
>To: pen-l@xxxxxxxxxxxxxxxxxxx
>Subject: [PEN-L:4457] Re: RE: Castro on US elections.
>
>
>>BRITAIN STUDIES CUBAN HEALTHCARE SYSTEM
>>The Guardian (London), Monday Oct. 2, 2000
>>By Sarah Boseley, health correspondent
>>
>>The NHS [British National Health Service] is turning to Cuba for
>>inspiration on how to improve its services. Officials from the
>>Department of Heath and 100 Gps [general practitioners] visited the
>>Caribbean island which, despite being short of medicines and money after
>>decades of a US-led economic embargo, manages to deliver excellent
>>healthcare at a fraction of our cost. Later this month a delegation of
>>Cuban doctors, led by Cuba's deputy health minister, will arrive in
>>Britain to share the secrets of their success.
>>
>>The interest in Cuba comes at a time when the Labour government is
>>intent on radical reforms of the NHS to make it patient-centered and
>>more cost-effective. Cuba has a stunning record in both regards, with
>>patient representation at every level, helping to organize the way the
>>health service is run.
>>
>>The health secretary, Alan Milburn, has repeatedly said he wants to see
>>GPs take a leading role in the reform of the NHS, and it is the quality,
>>dedication and large numbers of family doctors in Cuba that have
>>contributed most to its impressive health record.
>>
>>When Fidel Castro came to power, Cuba's mortality rates matched many
>>other places in the developing world, with a life expectancy of 48 for
>>men and 54 for women. Now it rivals anywhere in Europe or the US.
>>
>>Male life expectancy is 74 - the same as in the UK. Women can expect to
>>live to 76 years old (79 in the UK) and infant mortality is 7.1 per
>>100,000 births* (see note  below) - not much higher than ours.
>>
>>However, one major difference between Cuba's health statistics and ours
>>has caught the attention of officials: here, healthcare costs £750 a
>>head annually. In Cuba it costs £7.
>>
>>Among those who went on the Cuban trip earlier this year were the
>>principal medical officer of the Department of Health, Phillip Leach,
>>the eminent academic Sir Brian Jarman and the president of the Royal
>>College of GPs, Sir Dennis Pereira Gray.
>>
>>Patrick Pietroni, a dean of postgraduate general practice at London
>>University, who led the visit, said: "What we can learn is how they have
>>managed to produce these healthcare statistics which are sometimes
>>better than ours at 1% of the expenditure. They have more family
>>doctors, who are better trained than our GPs.
>>
>>"When we went to Cuba what was so impressive were the three-story
>>buildings called consultorio. The ground floor was the practice, the
>>first floor was the doctor's flat and the second floor was the nurse's
>>flat. No Cuban lives more than 20 minutes or so from one of these."
>>
>>They also have fewer patients. Cuba has 30,000 GPs, the same number as
>>Britain, but has only a fifth of the population. There is one family
>>doctor per 500 to 700 people in Cuba, compared to one for 1,800 to 2,000
>>here.
>>
>>Cuba has 21 medical schools, but Britain has only 12. Cuba has 37,000
>>practice nurses. The UK, which has a shortage of all nurses, has just
>>10,300.
>>
>>Some of the good health of the Cuban nation is, paradoxically, the
>>product of adversity. Food is rationed and meat is scarce, so much of
>>the diet is fruit and vegetables. Because there is relatively little
>>public or private transport, most people walk or cycle everywhere.
>>
>>Immunization is compulsory and thanks to the interest and investment the
>>state is prepared to make in health, Cuba has a vaccine for meningitis
>>B, which is now being investigated in the UK - although the prevalent
>>strains in Cuba are not the same as here.
>>
>>But despite the success insiders say many Cuban doctors use the
>>opportunities they have in traveling to conferences to make contacts and
>>leave Cuba for more money and better career prospects abroad.
>>
>>----------
>>* Note, actually, the infant mortality rate is now under 7--6.9/1000
>>last year. And the number of doctors who seek employment in other
>>countries is amazingly low considering the large number who work and
>>travel outside the country and the harsh conditions they live in
>>compared to what they could be earning in industrialized countries.
>> Guardian Unlimited © Guardian Newspapers Limited 2000
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