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	<title>Comments on: Cuba&#8217;s Healthcare Revolution&#8230; for the rest of us</title>
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	<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/</link>
	<description>Christopher Lydon in conversation on arts, ideas and politics</description>
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		<title>By: talkingcuba</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162793</link>
		<dc:creator>talkingcuba</dc:creator>
		<pubDate>Sun, 22 Feb 2009 04:14:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162793</guid>
		<description>Th fact that things are bad here in the US related to health care is no help for the bad conditions in Cuba.  I know that Cubans who come to the US are often angered that they can&#039;t walk into a clinic and get free care. But I&#039;ve also seen the condition in Cuban hospitals, many are dirty and understaffed unless you have money or position. http://talkingcuba.wordpress.com/</description>
		<content:encoded><![CDATA[<p>Th fact that things are bad here in the US related to health care is no help for the bad conditions in Cuba.  I know that Cubans who come to the US are often angered that they can&#8217;t walk into a clinic and get free care. But I&#8217;ve also seen the condition in Cuban hospitals, many are dirty and understaffed unless you have money or position. <a href="http://talkingcuba.wordpress.com/" rel="nofollow">http://talkingcuba.wordpress.com/</a></p>
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		<title>By: homunq</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162752</link>
		<dc:creator>homunq</dc:creator>
		<pubDate>Fri, 30 Jan 2009 16:34:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162752</guid>
		<description>John-gunther, about whether the authoritarian elite has &quot;enriched&quot; itself: I&#039;ve been to Cuba. I don&#039;t know the country deeply at all, and am no expert, but I can share what I&#039;ve seen. I&#039;ve seen cushy conferences, where the lifestyle was a funny amalgalm of luxury and scarcity that, on average, would barely scrape the lower echelons of the American upper-class lifestyle - say, an equivalent to $150K/year family income at best. And I&#039;ve seen rural lifestyles which, though truly austere, don&#039;t approach the level of degradation of US homelessness; say, an equivalent of $12K/year family income at worst, with little of the social ills that make it much worse in the US. Of course, I haven&#039;t seen the prisons, but then I don&#039;t think that the US has much to brag about in that regard. Overall, there is no question that there is a class in Cuba that lives well off the revolution (and on the backs of their fellow-citizens), so don&#039;t idealize them. But the inequality in the US is at least several times steeper, so you must also acknowledge that Cuba has made a real accomplishment.</description>
		<content:encoded><![CDATA[<p>John-gunther, about whether the authoritarian elite has &#8220;enriched&#8221; itself: I&#8217;ve been to Cuba. I don&#8217;t know the country deeply at all, and am no expert, but I can share what I&#8217;ve seen. I&#8217;ve seen cushy conferences, where the lifestyle was a funny amalgalm of luxury and scarcity that, on average, would barely scrape the lower echelons of the American upper-class lifestyle &#8211; say, an equivalent to $150K/year family income at best. And I&#8217;ve seen rural lifestyles which, though truly austere, don&#8217;t approach the level of degradation of US homelessness; say, an equivalent of $12K/year family income at worst, with little of the social ills that make it much worse in the US. Of course, I haven&#8217;t seen the prisons, but then I don&#8217;t think that the US has much to brag about in that regard. Overall, there is no question that there is a class in Cuba that lives well off the revolution (and on the backs of their fellow-citizens), so don&#8217;t idealize them. But the inequality in the US is at least several times steeper, so you must also acknowledge that Cuba has made a real accomplishment.</p>
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		<title>By: homunq</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162751</link>
		<dc:creator>homunq</dc:creator>
		<pubDate>Fri, 30 Jan 2009 16:20:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162751</guid>
		<description>Babalu, it would be nice if things were always so black and white. It is absolutely true that freedom of expression is far more limited in Cuba than in most of the world; but by telling these women that they have foregone all right to free thought, in response to their own considered (though admittedly conditioned) self-expression, you are helping to silence them, not helping to free them.

As for the &quot;slave&quot; system of Cuban doctor&#039;s first assignments, I fail to see how it is one iota more oppressive than the all-night internships and crushing debt that US-trained doctors are subjected to. And living in Guatemala, I have seen first-hand how often Cuban doctors are, by far, the best medical care available for people who really need it. 

So before you talk about propaganda, take a look in the mirror. If helping people who need it is propaganda, then the Peace Corps is an arm of the CIA. Me, I&#039;d rather believe in the possibility for good, even in overall evil systems like the Cuban government or the US State Department.</description>
		<content:encoded><![CDATA[<p>Babalu, it would be nice if things were always so black and white. It is absolutely true that freedom of expression is far more limited in Cuba than in most of the world; but by telling these women that they have foregone all right to free thought, in response to their own considered (though admittedly conditioned) self-expression, you are helping to silence them, not helping to free them.</p>
<p>As for the &#8220;slave&#8221; system of Cuban doctor&#8217;s first assignments, I fail to see how it is one iota more oppressive than the all-night internships and crushing debt that US-trained doctors are subjected to. And living in Guatemala, I have seen first-hand how often Cuban doctors are, by far, the best medical care available for people who really need it. </p>
<p>So before you talk about propaganda, take a look in the mirror. If helping people who need it is propaganda, then the Peace Corps is an arm of the CIA. Me, I&#8217;d rather believe in the possibility for good, even in overall evil systems like the Cuban government or the US State Department.</p>
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		<title>By: chris</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162710</link>
		<dc:creator>chris</dc:creator>
		<pubDate>Wed, 14 Jan 2009 16:43:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162710</guid>
		<description>Our friend the cardiologist &lt;a href=&quot;http://www.radioopensource.org/bernard-lowns-prescription-for-survival/&quot; rel=&quot;nofollow&quot;&gt;Bernard Lown&lt;/a&gt; listened and commented by email:

Your broadcast happily confirmed what I had observed more than a decade ago in Havana. These young articulate women got the essence. If impoverished Cuba can provide first class health care for its people so can other developing countries. Perhaps it is even possible for rich USA, if only it ceases viewing medicine as a marketable commodity.

Your broadcast impressed me how much hidden talent and bursting idealism exists in this country. It was a mere accident that Keesha Guerrier, Kereese Gayle and Akua Brown discovered the possibility of gaining a medical education without burdensome expense.

For me very striking was the difference between fourth year American med students and the black women you interviewed. By the time students here reach the end of med school, their idealism is largely tarnished. This is shown in a concrete way. Nearly none wish to enter primary care. The preferred choices are dermatology, ophthalmology, orthopedic surgery and cardiology. These are astronomic money making specialties. For example in cardiology the starting salary is about $400,000 annually.

It would be interesting to repeat the interview after these young doctors return to the USA. How do they uphold their intense idealism against the tsunami force buffeting of market medicine?

Ever thanks for the inside view of Cuban medicine.</description>
		<content:encoded><![CDATA[<p>Our friend the cardiologist <a href="http://www.radioopensource.org/bernard-lowns-prescription-for-survival/" rel="nofollow">Bernard Lown</a> listened and commented by email:</p>
<p>Your broadcast happily confirmed what I had observed more than a decade ago in Havana. These young articulate women got the essence. If impoverished Cuba can provide first class health care for its people so can other developing countries. Perhaps it is even possible for rich USA, if only it ceases viewing medicine as a marketable commodity.</p>
<p>Your broadcast impressed me how much hidden talent and bursting idealism exists in this country. It was a mere accident that Keesha Guerrier, Kereese Gayle and Akua Brown discovered the possibility of gaining a medical education without burdensome expense.</p>
<p>For me very striking was the difference between fourth year American med students and the black women you interviewed. By the time students here reach the end of med school, their idealism is largely tarnished. This is shown in a concrete way. Nearly none wish to enter primary care. The preferred choices are dermatology, ophthalmology, orthopedic surgery and cardiology. These are astronomic money making specialties. For example in cardiology the starting salary is about $400,000 annually.</p>
<p>It would be interesting to repeat the interview after these young doctors return to the USA. How do they uphold their intense idealism against the tsunami force buffeting of market medicine?</p>
<p>Ever thanks for the inside view of Cuban medicine.</p>
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		<title>By: cocopuffs</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162706</link>
		<dc:creator>cocopuffs</dc:creator>
		<pubDate>Mon, 12 Jan 2009 20:55:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162706</guid>
		<description>What a trio of well-spoken young women.  I just hope they don&#039;t come back to the U.S. and lose their idealism on the shoals of the American health care disaster ...</description>
		<content:encoded><![CDATA[<p>What a trio of well-spoken young women.  I just hope they don&#8217;t come back to the U.S. and lose their idealism on the shoals of the American health care disaster &#8230;</p>
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		<title>By: enkerli</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162705</link>
		<dc:creator>enkerli</dc:creator>
		<pubDate>Sat, 10 Jan 2009 18:10:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162705</guid>
		<description>Eloquent, stylish, mature, fun, profound, playful, outspoken: Keasha Guerrier, Kereese Gayle, and Akua Brown representing something deep.

Of course, a lot of this isn&#039;t specific to Cuba. Some of the things discussed had more to do with distinctions to US specificity or even with Anglo-American neoliberalism.  Some of the experiences these women are describing happen all around the world, including in some communities in the US. And much of their discussion had to do with a truly Global attitude, which doesn&#039;t rely on government politics but does have a lot to do with social politics.

I hope we&#039;ll hear from these three women in the future. As long as their voices are heard, there is hope for cultural awareness.</description>
		<content:encoded><![CDATA[<p>Eloquent, stylish, mature, fun, profound, playful, outspoken: Keasha Guerrier, Kereese Gayle, and Akua Brown representing something deep.</p>
<p>Of course, a lot of this isn&#8217;t specific to Cuba. Some of the things discussed had more to do with distinctions to US specificity or even with Anglo-American neoliberalism.  Some of the experiences these women are describing happen all around the world, including in some communities in the US. And much of their discussion had to do with a truly Global attitude, which doesn&#8217;t rely on government politics but does have a lot to do with social politics.</p>
<p>I hope we&#8217;ll hear from these three women in the future. As long as their voices are heard, there is hope for cultural awareness.</p>
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		<title>By: john-gunther</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162704</link>
		<dc:creator>john-gunther</dc:creator>
		<pubDate>Sat, 10 Jan 2009 17:16:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162704</guid>
		<description>It&#039;s hard to see an outcome that doesn&#039;t involve Cuba being bought up by international business interests. Cuba&#039;s current quaintness and equality (and I&#039;m not qualified to say how authentic they are) are just two aspects of an artificially imposed isolation that has many other very negative effects. But there&#039;s no good transition to modern life. Once Cuba is opened up to outsiders, everything of value will be controlled or even owned by them as a condition of the flood of money and resources they provide. In the course of this, the investors will demand low taxation and unfettered profit-making potential. The Cubans will spend generations as cogs in the labor machine while simultaneously craving the tidal wave of plastic that modern marketing does such a good job at promoting. The old Cuba will disappear, for better or worse, and it will become another Miami or Kingston or Aruba -- the poor locals serving the rich foreigners and small cadre of rich Cubans who originally enable the process. At least since 1989, there&#039;s been a financial vacuum in Cuba and once punctured, it&#039;s very unlikely to be filled by benevolent, humanitarian investors. What&#039;s unusual about Cuba, as distinct from most other authoritarian regimes, is that the leadership seems (again, I&#039;m no authority) not to have enriched themselves on the backs of the citizens. If true, this is extraordinary -- indeed unique -- and it&#039;s beyond belief that a new regime will show that same restraint in the face of being able to sell the whole nation for personal gain.

With regard to the medical students you interviewed, I sincerely hope they &quot;pay forward&quot; their low cost, quality education by never trading their expertise for a high standard of living but rather devoting themselves fully to providing health care in parts of the world that are in desperate need of it.</description>
		<content:encoded><![CDATA[<p>It&#8217;s hard to see an outcome that doesn&#8217;t involve Cuba being bought up by international business interests. Cuba&#8217;s current quaintness and equality (and I&#8217;m not qualified to say how authentic they are) are just two aspects of an artificially imposed isolation that has many other very negative effects. But there&#8217;s no good transition to modern life. Once Cuba is opened up to outsiders, everything of value will be controlled or even owned by them as a condition of the flood of money and resources they provide. In the course of this, the investors will demand low taxation and unfettered profit-making potential. The Cubans will spend generations as cogs in the labor machine while simultaneously craving the tidal wave of plastic that modern marketing does such a good job at promoting. The old Cuba will disappear, for better or worse, and it will become another Miami or Kingston or Aruba &#8212; the poor locals serving the rich foreigners and small cadre of rich Cubans who originally enable the process. At least since 1989, there&#8217;s been a financial vacuum in Cuba and once punctured, it&#8217;s very unlikely to be filled by benevolent, humanitarian investors. What&#8217;s unusual about Cuba, as distinct from most other authoritarian regimes, is that the leadership seems (again, I&#8217;m no authority) not to have enriched themselves on the backs of the citizens. If true, this is extraordinary &#8212; indeed unique &#8212; and it&#8217;s beyond belief that a new regime will show that same restraint in the face of being able to sell the whole nation for personal gain.</p>
<p>With regard to the medical students you interviewed, I sincerely hope they &#8220;pay forward&#8221; their low cost, quality education by never trading their expertise for a high standard of living but rather devoting themselves fully to providing health care in parts of the world that are in desperate need of it.</p>
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		<title>By: babalu</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162702</link>
		<dc:creator>babalu</dc:creator>
		<pubDate>Fri, 09 Jan 2009 17:21:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162702</guid>
		<description>While it&#039;s great that these three Americans were afforded a medical &quot;education&quot; in Cuba they could otherwise not have paid for in the States, for the average Cuban student, the medical education is, by far, the most expensive in the world. they pay for said education with their right to think freely, with their right to express those thoughts freely, with their right to choose where they live, where they work, what they eat, who they can associate with, with their right to live as individuals, their right to do just about anything like all free human beings. Not to mention years of indentured servitude after graduating, where the Cuban government sends them abroad as slaves, using their new education as either propaganda or an outright business, charging said governments for imported healthcare. 

And these three ladies&#039; education hasnt been free either, their propaganda value for the Cuban government is priceless, especially with &quot;reports&quot; like these that absolutely whitewash the true realities of Cuba and Cuban life.

Perhpas, Chris, had you truly wanted to learn about a real Cuban doctor, one borne of the system, you would have tried to interview Dr. Oscar Elias Biscet, a true graduate of this vaunted healthcare education system. I suppose, however, the cuban government wouldnt have allowed you to interview the good doctor at his prison cell.</description>
		<content:encoded><![CDATA[<p>While it&#8217;s great that these three Americans were afforded a medical &#8220;education&#8221; in Cuba they could otherwise not have paid for in the States, for the average Cuban student, the medical education is, by far, the most expensive in the world. they pay for said education with their right to think freely, with their right to express those thoughts freely, with their right to choose where they live, where they work, what they eat, who they can associate with, with their right to live as individuals, their right to do just about anything like all free human beings. Not to mention years of indentured servitude after graduating, where the Cuban government sends them abroad as slaves, using their new education as either propaganda or an outright business, charging said governments for imported healthcare. </p>
<p>And these three ladies&#8217; education hasnt been free either, their propaganda value for the Cuban government is priceless, especially with &#8220;reports&#8221; like these that absolutely whitewash the true realities of Cuba and Cuban life.</p>
<p>Perhpas, Chris, had you truly wanted to learn about a real Cuban doctor, one borne of the system, you would have tried to interview Dr. Oscar Elias Biscet, a true graduate of this vaunted healthcare education system. I suppose, however, the cuban government wouldnt have allowed you to interview the good doctor at his prison cell.</p>
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		<title>By: hurley</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162700</link>
		<dc:creator>hurley</dc:creator>
		<pubDate>Fri, 09 Jan 2009 14:52:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162700</guid>
		<description>Bravo ladies, bravo Cuba, bravo Chris.</description>
		<content:encoded><![CDATA[<p>Bravo ladies, bravo Cuba, bravo Chris.</p>
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		<title>By: ELIAS HUSSONET</title>
		<link>http://www.radioopensource.org/cubas-healthcare-revolution-for-the-rest-of-us/comment-page-1/#comment-162697</link>
		<dc:creator>ELIAS HUSSONET</dc:creator>
		<pubDate>Fri, 09 Jan 2009 01:40:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.radioopensource.org/?p=1983#comment-162697</guid>
		<description>Chris, I&#039;ve been listening to your show since the time when you did an interview with Edward Said  (actually, I found your site searching for Said material) and used quite a few of your shows as my audio/listening comprehension aids in quite a few of my college English/ESL classes. So this is what I want to contribute to your Cuba exploration project: you should organize all your Cuba shows into one series, just like you did with Global Warming, Race &amp; Class and others, so that it&#039;s easier for educators around the world to make their classes more captivating, ... more &quot;cognitively efficient&quot;, and so we – in our hyper-instant-gratification era can &quot;spread the word&quot;, one powerful word at that, by just one-clicking the &quot;Send  Link&quot; button.
 
Many upon many thanks for your devoutness to your vocation, your exemplary professionalism, your ingenuity in carving out stories and themes for journalistic research. Elias, Russia.</description>
		<content:encoded><![CDATA[<p>Chris, I&#8217;ve been listening to your show since the time when you did an interview with Edward Said  (actually, I found your site searching for Said material) and used quite a few of your shows as my audio/listening comprehension aids in quite a few of my college English/ESL classes. So this is what I want to contribute to your Cuba exploration project: you should organize all your Cuba shows into one series, just like you did with Global Warming, Race &amp; Class and others, so that it&#8217;s easier for educators around the world to make their classes more captivating, &#8230; more &#8220;cognitively efficient&#8221;, and so we – in our hyper-instant-gratification era can &#8220;spread the word&#8221;, one powerful word at that, by just one-clicking the &#8220;Send  Link&#8221; button.</p>
<p>Many upon many thanks for your devoutness to your vocation, your exemplary professionalism, your ingenuity in carving out stories and themes for journalistic research. Elias, Russia.</p>
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