Cuban Health Care Checkup

(p. A17) . . . it’s a good time to check in on the state of the Cuban health-care system. That’s just what Laurie Garrett, a senior fellow at the Council on Foreign Relations, does in the current issue of Foreign Affairs magazine.
. . .
Slightly more than half of all Cuban physicians work overseas; taxed by the Cuban state at a 66% rate, many of them wind up defecting. Doctors who remain in the country earn about $25 a month. As a result, Ms. Garrett writes, they often take “jobs as taxi drivers or in hotels,” where they can make better money. As for the quality of the doctors, she notes that very few of those who manage to reach the U.S. can gain accreditation here, partly because of the language barrier, partly because of the “stark differences” in medical training. Typically, they wind up working as nurses.
As for the quality of medical treatment in Cuba, Ms. Garrett reports that hospital patients must arrive with their own syringes, towels and bed sheets. Women avoid gynecological exams “because they fear infection from unhygienic equipment and practices.” Rates of cervical cancer have doubled in the past 25 years as the use of Pap tests has fallen by 30%.
And while Cuba’s admirers love to advertise the country’s low infant mortality rate (at least according to the Castro regime’s dubious self-reporting) the flip-side has been a high rate of maternal mortality. “Most deaths,” Ms. Garrett writes, “occur during delivery or within the next 48 hours and are caused by uterine hemorrhage or postpartum sepsis.”

For the full commentary, see:
BRET STEPHENS. “Dr. Berwick and That Fabulous Cuban Health Care; The death march of progressive medicine.” The Wall Street Journal (Sat., JULY 13, 2010): A17.
(Note: ellipses added.)

Reference to the Garrett article:
Garrett, Laurie A. “Castrocare in Crisis; Will Lifting the Embargo Make Things Worse?” Foreign Affairs 89, no. 4 (July/August 2010): 61-73.

April 22nd Was Tenth Anniversary of Democrats’ Infamous Betrayal of Elian Gonzalez

GonzalezElianSeizedOn2000-04-22.jpg“In this April 22, 2000 file photo, Elian Gonzalez is held in a closet by Donato Dalrymple, one of the two men who rescued the boy from the ocean, right, as government officials search the home of Lazaro Gonzalez, early Saturday morning, April 22, 2000, in Miami. Armed federal agents seized Elian Gonzalez from the home of his Miami relatives before dawn Saturday, firing tear gas into an angry crowd as they left the scene with the weeping 6-year-old boy.” Source of caption and photo: online version of the Omaha World-Herald article quoted and cited below.

Yesterday (April 22, 2010) was the tenth anniversary of one of the darkest days in American history—when the Clinton Administration seized a six year old child in order to force him back into the slavery that his mother had died trying to escape.

(p. 7A) MIAMI (AP) – When federal agents stormed a home in the Little Havana community, snatched Elian Gonzalez from his father’s relatives and put him on a path back to his father in Cuba, thousands of Cuban-Americans took to Miami’s streets. Their anger helped give George W. Bush the White House months later and simmered long after that.

. . .
Elian was just shy of his sixth birthday when a fisherman found him floating in an inner tube in the waters off Fort Lauderdale on Thanksgiving 1999. His mother and others drowned trying to reach the U.S.
Elian’s father, who was separated from his mother, remained in Cuba, where he and Fidel Castro’s communist government demanded the boy’s return.
Elian was placed in the home of his great-uncle, Lazaro Gonzalez, while the Miami relatives and other Cuban exiles went to court to fight an order by U.S. immigration officials to return him to Cuba. Janet Reno, President Bill Clinton’s attorney general and a Miami native, insisted the boy belonged with his father.
When talks broke down, she ordered the raid carried out April 22, 2000, the day before Easter. Her then-deputy, current U.S. Attorney General Eric Holder, has said she wept after giving the order.
Associated Press photographer Alan Diaz captured Donato Dalrymple, the fisherman who had found the boy, backing into a bedroom closet with a terrified Elian in his arms as an immigration agent in tactical gear inches away aimed his gun toward them. The image won the Pulitzer Prize and brought criticism of the Justice Department to a frenzy.
. . .
The Cuban government, which tightly controls media access to Elian and his father, said neither is willing to give an interview. A government representative agreed to forward written questions from the AP to Elian, but there has been no response.
Pepe Hernandez, president of the Cuban American National Foundation, said his group predicted in 2000 that Elian would become a prop for the Castro government if he were returned. It was one reason, he said, the group fought for him to be kept in the U.S. and would do it again today, although behind the scenes to avoid negative publicity for the Cuban-American community.
“We knew what this kid was going to be subjected to,” Hernandez said. “And time has proven us right.”

For the full story, see:
JENNIFER KAY and MATT SEDENSKY. “10 years later, few stirred by Elian Gonzalez saga.” Omaha World-Herald (Thurs., April 22, 2010): 7A.
(Note: ellipses added.)
(Note: the online version of the article is dated April 21, 2010 and has the title “10 years after Elian, US players mum or moving on.”)

“The Bus — La Guagua — Always Comes for Those Who Wait”

HerreraCarmen2010-01-24.JPG “Carmen Herrera in her Manhattan loft, surrounded by her art. She sold her first work in 2004.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. 1) Under a skylight in her tin-ceilinged loft near Union Square in Manhattan, the abstract painter Carmen Herrera, 94, nursed a flute of Champagne last week, sitting regally in the wheelchair she resents.

After six decades of very private painting, Ms. Herrera sold her first artwork five years ago, at 89. Now, at a small ceremony in her honor, she was basking in the realization that her career had finally, undeniably, taken off. As cameras flashed, she extended long, Giacomettiesque fingers to accept an art foundation’s lifetime achievement award from the director of the Walker Art Center in Minneapolis.
Her good friend, the painter Tony Bechara, raised a glass. “We have a saying in Puerto Rico,” he said. “The bus — la guagua — always comes for those who wait.”
And the Cuban-born Ms. Herrera, laughing gustily, responded, “Well, Tony, I’ve been at the bus stop for 94 years!”
Since that first sale in 2004, collectors have avidly pursued Ms. Herrera, and her radiantly ascetic paintings have entered the permanent collections of institutions like the Museum of Modern Art, the Hirshhorn Museum and the Tate Modern. Last year, MoMA included her in a pantheon of Latin American artists on exhibition. And this summer, during a retro-(p. 29)spective show in England, The Observer of London called Ms. Herrera the discovery of the decade, asking, “How can we have missed these beautiful compositions?”
In a word, Ms. Herrera, a nonagenarian homebound painter with arthritis, is hot. In an era when the art world idolizes, and often richly rewards, the young and the new, she embodies a different, much rarer kind of success, that of the artist long overlooked by the market, and by history, who persevered because she had no choice.
“I do it because I have to do it; it’s a compulsion that also gives me pleasure,” she said of painting. “I never in my life had any idea of money and I thought fame was a very vulgar thing. So I just worked and waited. And at the end of my life, I’m getting a lot of recognition, to my amazement and my pleasure, actually.”
. . .
But Ms. Herrera is less expansive about her own art, discussing it with a minimalism redolent of the work. “Paintings speak for themselves,” she said. Geometry and color have been the head and the heart of her work, she added, describing a lifelong quest to pare down her paintings to their essence, like visual haiku.
Asked how she would describe to a student a painting like “Blanco y Verde” (1966) — a canvas of white interrupted by an inverted green triangle — she said, “I wouldn’t have a student.” To a sweet, inquiring child, then? “I’d give him some candy so he’d rot his teeth.”
When pressed about what looks to some like a sensual female shape in the painting, she said: “Look, to me it was white, beautiful white, and then the white was shrieking for the green, and the little triangle created a force field. People see very sexy things — dirty minds! — but to me sex is sex, and triangles are triangles.”
. . .
Ms. Herrera’s late-in-life success has stunned her in many ways. Her larger works now sell for $30,000, and one painting commanded $44,000 — sums unimaginable when she was, say, in her 80s. “I have more money now than I ever had in my life,” she said.
Not that she is succumbing to a life of leisure. At a long table where she peers out over East 19th Street “like a French concierge,” Ms. Herrera, because she must, continues to draw and paint. “Only my love of the straight line keeps me going,” she said.

For the full story, see:
DEBORAH SONTAG. “At 94, She’s the Hot New Thing in Painting, and Enjoying It.” The New York Times, First Section (Sun., January 20, 2010): 1 & 29.
(Note: the online version of the article has the title “At 94, She’s the Hot New Thing in Painting” and is dated January 19, 2010.)

HerreraCarmenBlancoYVerde2010-01-24.JPG
HerreraCarmenRedStar2010-01-24.JPG

Ms. Herrara’s “”Blanco y Verde” (1966-7).”

“Ms. Herrera’s “Red Star” from 1949.”

Source of captions and photos: online version of the NYT article quoted and cited above.

Castro Agents Beat Up Cuban Blogger

SanchezYoaniCubanBlogger2009-12-19.jpg“Blogger Yoani Sánchez speaks at home in Havana on Monday, days after she says she was beaten by Cuban agents.” Source of caption and photo: online version of the WSJ article quoted and cited below.

(p. A14) Yoani Sánchez, Cuba’s most prominent dissident blogger, was walking along a Havana street last Friday along with two other bloggers and a friend when two men she says were Cuban agents in civilian clothes forced her inside an unmarked black car and beat her, telling her to stop criticizing the government.

The assault, believed to be the first against the growing blogger movement on the island, has cast a spotlight on the country’s record of repression, highlighting how little change there has been in political freedoms during the nearly three years since Raúl Castro took over as president from retired dictator Fidel Castro.
A decline in tourism revenues from the global recession and damage from several hurricanes last year have prompted the island’s government to clamp down even harder on dissent and freedom of speech, according to a recent report by the Inter American Press Association, a watchdog group.
The group said Cuba currently has 26 journalists in jail, and it cited 102 incidents against Cuban journalists in the past year, including beatings, arbitrary arrests and death threats.

For the full story, see:
DAVID LUHNOW. “Beating Rattles Cuban Bloggers.” The Wall Street Journal (Weds., NOVEMBER 11, 2009): A14.
(Note: the online version of the article is dated NOVEMBER 12, 2009.)

Castro’s “Absolute Personal Dictatorship” Denounced By Former Member of Cuban Inner Circle

AutobiographyOfFidelCastroBK.jpg

Source of book image:
http://farm3.static.flickr.com/2575/4095461227_09463c5680.jpg

(p. C1) The plethora of dictators, despots and revolutionaries-turned-authoritarians south of the border has spawned a genre of literature that might be called the Latin American Strongman Novel — a genre that includes harrowing novels based on real historical figures, like Mario Vargas Llosa’s dazzling “Feast of the Goat” (which depicted Rafael Trujillo’s devastating rule over the Dominican Republic) and more mythic creations, like Gabriel García Márquez’s “Autumn of the Patriarch,” that have employed the sorcery of magical realism to conjure larger-than-life fictional tyrants in a panoply of ruthlessness, audacity and corruption.

The latest in this tradition of books is Norberto Fuentes’s fascinating new novel, “The Autobiography of Fidel Castro,” which purports to tell the longtime Cuban leader’s story in his own words. The “self-portrait” that emerges from these pages is that of a Machiavellian survivor: an egomaniac who identifies himself with the revolution but who is loyal not to a cause, not to an ideology, not to his compatriots, but only to his own ambition.
This Fidel is narcissistically longwinded, like his real-life counterpart. He is also a self-mythologizing change agent who succeeds in making himself “the neurological center of an entire nation” — a wily Nietzschean operator who believes in the force of his own will, while sensing that “the chameleon is going to last longer under his rock than the lion, despite its roaring and lean muscles.” He is a cynical master of manipulation and strategic maneuvering, a skilled practitioner of the black arts of propaganda and gamesmanship who always wants “to keep people guessing.”
A journalist and Hemingway (p. C7) scholar, Mr. Fuentes was once a cheerleader of the revolution and part of Mr. Castro’s inner circle himself. He grew disillusioned with the Cuban leader, however, after two army officers were executed in 1989 on what many believe were trumped-up charges. Mr. Fuentes fell out of favor, came under government surveillance and was detained after a failed attempt to flee Cuba by boat. After a hunger strike and the intervention of Mr. García Márquez, he was allowed to leave the country in 1994, and has since denounced Mr. Castro for his “absolute personal dictatorship” and willingness “to do anything necessary to stay in power.”

For the full story, see:
MICHIKO KAKUTANI. “Books of The Times; Fiction Trying for Truth in Novel’s View of Dictator.” The New York Times (Tues., December 15, 2009): C1 & C7.
(Note: the online version of the article is dated Mon., December 14, 2009.)

FuentesNorberto2009-12-19.jpg

“Norberto Fuentes” Source of caption and photo: online version of the NYT article quoted and cited above.

Vicente Locay, Rest in Peace

My friend Luis called yesterday (11/24/09) to tell me that his father, Vicente Locay had passed away.
Vicente was not a tall man, but he stood tall at key moments in his life.
Over the years, Luis told many stories about what Vicente said and did in Cuba. One of my favorites was that Vicente, not being particularly religious, had no plans to have Luis christened. But when Castro outlawed public displays of Catholicism, Vicente changed his mind, and made sure that Luis had the benefits of a public christening.
When it became increasingly clear what was in store for Cuba under Castro’s dictatorship, Vicente managed to get his family on a rickety plane, and escape.
In Cuba, Vicente had owned several small businesses. In the U.S., he started over, without ever mastering English. He worked hard remodeling houses to support his family.
For many years, I had hoped that Vicente would outlast Fidel, and would return in triumph to a post-Fidel Havana.
It’s too late for that to happen. The best we can do is to acknowledge and salute a man of courage and strength, who chose freedom.

Cubans Skeptical of Their Government

CubanCellPhone.jpg “Cubans used a cellphone to take photos in Havana recently after Cuba’s government lifted some restrictions on consumer items.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. A16) MEXICO CITY — A rare study conducted surreptitiously in Cuba found that more than half of those interviewed considered their economic woes to be their chief concern while less than 10 percent listed lack of political freedom as the main problem facing the country.

“Almost every poll you ever see, even those in the U.S., goes to bread-and-butter issues,” said Alex Sutton, director of Latin American and Caribbean programs at the International Republican Institute, which conducted the study. “Everybody everywhere is interested in their purchasing power.”
The results showed deep anxiety about the state of the country, with 35 percent of respondents saying things were “so-so” and 47 percent saying they were going “badly” or “very badly.” As for the government’s ability to turn things around, Cubans were skeptical, with 70 percent of those interviewed saying they did not believe that the authorities would resolve the country’s biggest problem in the next few years.
The study, to be released on Thursday, was conducted from March 14 to April 12, after Raúl Castro officially took over the presidency.

For the full story, see:

MARC LACEY. “In Rare Study, Cubans Put Money Worries First.” The New York Times (Thurs., June 5, 2008): A16.

(Note: the order of some of the article content differed in the print and online versions; the version above is consistent with the print version.)

Castro’s Legacy Is Fear

CastroPhotosOnWall.jpg “A NATION’S PHOTO ALBUM. The prospect of life without Fidel Castro is unsettling to many Cubans, who are wary of drastic change.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. 1) We arrived not at the fine new airport in Havana I’ve used many times as a correspondent, but at a smaller, more crowded one that Cuba uses for these family visits, as if to rebuke exiles for having left.

Our reunion was delayed, however, by the surprise announcement last Tuesday that Fidel Castro — whose revolution had torn the family apart — was too ill to return to power. Suddenly, I was at work.
. . .
Still, what most surprised us was how little Cubans clamored for drastic change. Dictator or hero, Mr. Castro’s grip on power was ending, and no one seemed to care. Miriam was disappointed that the streets of Matanzas, Havana, San Agustín and Guanabacoa, the working class city across Havana Bay where she grew up, were tranquil, as if nothing at all had happened.
Of course we understood that things are not always as they seem, and that became clear when the maid in our 133-year-old hotel came to mop up the mess caused by a leaking pipe. Hearing the lilt of Miriam’s Spanish put her at ease. After chatting for a few minutes, she poked her head into the hallway to check for supervisors and shut the door. Only then did she speak from the heart.
“Nobody says it, but everybody knows that someone new could be worse than what we have now,” she whispered. It was the kind of dec-(p. 8)laration I’ve learned to trust because it stems from neither fear nor a desire to curry favor.
Despite having plenty of motivation to demand change — the frequent shortages, the decrepit housing, the cruelty of having one currency for tourists and another with far less buying power for Cubans — she said she feared change more than she feared the status quo. Then she checked the hallway again.
. . .
Truth is, things have changed since my first trip to Cuba in 1978. The heavy presence of the Soviet Union then is a faint shadow now, reflected in blue-eyed Cubans named Yuri. There seem to be more new cars on the roads, more fast food on the street, and more buildings undergoing repair. There even seem to be more buses and fewer people waiting for them since Fidel’s younger brother and temporary replacement, Raúl, publicly demanded that something be done about the pitiful mass transit system when I was here just a year ago.
But much has not changed, or has gotten worse. More families live two or three generations in the same cramped apartments. Detention, interrogation and other troubles still descend on people who dissent in ways as small as wearing a plastic wrist band embossed with the word “cambio,” which means change. The press is still controlled, and disloyalty to the Communist Party still raises the suspicion of neighbors that can lead to the loss of a job or a house. Dissidents remain enemies of the state.
. . .
The revolution itself has left many Cubans, including our relatives here, fed up with promises of change. They long ago tired of sacrificing for an ideal tomorrow; when we finally got together, three days after Fidel’s announcement, Miriam’s stepbrothers and sisters told me their main concerns are getting enough to eat, getting shoes for their children and getting to work on time each day.

For the full commentary, see:
ANTHONY DePALMA. “Future to Wince At.” The New York Times, Week in Review Section (Sun., February 24, 2008): 1 & 8.
(Note: ellipses added.)

Raúl Castro Decrees that Cubans May Now Buy DVD Players, Computers, and Cell Phones

HavanaDVDplayer.jpg “Cubans in Havana recently bought DVD players, among newly available appliances.” Source of caption and photo: online version of the NYT article quoted and cited below.

(p. A1) HAVANA — Can a rice maker possibly be revolutionary?
There they were, piled up one atop another, Chinese-made rice makers selling for $70 each. Beside them, sleek DVD players. Across the well-stocked electronics store were computers and televisions and other household appliances that President Raúl Castro recently decreed ought to be made available to average Cubans, or at least those who could afford them.
Since finally succeeding his ailing 81-year-old brother, Fidel, in February, Mr. Castro, 76, who appeared before hundreds of thousands of Cubans at a May Day rally on Thursday here in the capital, has been busy with a flurry of changes. In the last eight weeks he has also opened access to cellphones, lifted the ban on Cubans using tourist hotels and granted farmers the right to manage unused land for profit.
More is on the horizon, government officials say, like easing restrictions on traveling abroad and the possibility of allowing Cubans to buy and sell their own cars, and perhaps even their homes. Each of these changes may be microscopic in contrast to the outsize problems facing Cuba. But taken together, they are shaking up this stoic, time-warped place.

For the full story, see:
MARC LACEY. “Stores Hint at Change Under New Castro.” The New York Times (Fri., May 2, 2008): A1 & A8.

Cubans Salute General Eléctrico

      “Two artists, Alejandro Leyva, left, and Esteban Leyva, with their “General Eléctrico,” found a new use for an old appliance.”  Source of caption and photo:  online version of the NYT article quoted and cited below. 

 

(p. 3)  In their decades of isolation from the American economy and from global prosperity, Cubans have been taught to take pride in the way they have kept grandiose old mechanical marvels running — ancient Cadillacs and Russian-built Ladas included.

“They took away my señor and replaced him with a little guy,” said a 47-year-old cook who lives in the Reparto Zamora district in western Havana. Welcoming a visitor to her kitchen, she pointed to the slim, white Chinese-made Haier that had taken the place of the bulky, pink Frigidaire that had been in her family for 24 years.

She called herself Moraima Hernández, but indicated with a wink that she was concealing her real name — the only way she felt able to speak without fear of retaliation. Well, up to a point. She declined to say why she felt Mr. Castro was casting a shadow over items as banal as household appliances.

Instead, she simply opened the Haier to reveal its meager contents: bottles of tap water, a few eggs, mustard, half an avocado and some “textured picadillo,” soy protein mixed with a bit of ground beef.

Her old refrigerator was so big, she said nostalgically, that two legs of pork could fit inside.

. . .

Inspired by the ingenuity it took to keep American refrigerators working so long, a group of Cuban artists last year transformed 52 of them into art. They put on a show called “Instruction Manual” that was a big hit in Cuba and is making the rounds in Europe this year.

In the show, the artists Alejandro and Esteban Leyva pinned medals on an old G.E. refrigerator, painted it olive drab and named it “General Eléctrico.” Another artist, Alexis Leyva, installed oars on his refrigerator, drawing on the politically loaded symbol of the homemade boats Cubans use to leave the island illegally. Others were made into cars, skyscrapers a Trojan horse and a jail cell.

Ernesto García Peña, a painter, turned his into an eroticized female image. “In this heat,” he explained, “the refrigerator is almost worshiped for its role as an absolute necessity of modern life. We treat it with very special affection.”

 

For the full story, see: 

SIMON ROMERO.  “THE WORLD; In Cuba, a Politically Incorrect Love of the Frigidaire.”  The New York Times , Week in Review Section  (Sun., September 2, 2007):  3.

(Note:  ellipses added.)

 

  “Cold War Relic.   A 1950s-era American refrigerator dominates one woman’s Havana apartment.”  Source of caption and photo:  online version of the NYT article quoted and cited above. 

 

Cuba’s Best Doctors Not Blind to Incentives Offered by “Communist” Government

 

   "Patients at the Ramón Pando Ferrer eye hospital in Havana."  Source of caption and photo:  online version of the NYT article quoted and cited below.

 

(p. A4)  Cuban doctors abroad receive much better pay than in Cuba, along with other benefits from the state, like the right to buy a car and get a relatively luxurious house when they return. As a result, many of the finest physicians have taken posts abroad.

The doctors and nurses left in Cuba are stretched thin and overworked, resulting in a decline in the quality of care for Cubans, some doctors and patients said.

 

For the full story, see:   

JAMES C. McKINLEY Jr.  "Havana Journal;  A Health System’s ‘Miracles’ Come With Hidden Costs."  The New York Times   (Tues., November 20, 2007):  A4.