In all the negativity of the article, you could easily miss the fact that Cuba has higher life expectancy than all the countries you mention except Chile, and lower violent crime rates by far, universal health care, and universal education.
They also have suffered 50 years of a trade embargo by their main natural customer (they were a huge Sugar exporter to the United States before we cut them off).
I think a very interesting question is "why does Cuba have higher life expectancy?"
It might be due to universal healthcare, or it might be that people simply can't afford "bad" food and mostly eat what they're given by the government. And the government doesn't give them fast food, it gives them traditional staples like rice, beans, etc.
The main criticisms are that the government has the power to first game the statistics or outright manufacture them. And because journalists don't have the freedom to report honestly (repeat negative exposure means no more visas) we don't actually know if the stats are gamed a little or a lot.
Or it could be because it's propaganda [1]. Nah can't be that dictitorial communist states have always been known for being extremely honest. I hear they also have a low infant mortality rate.. [2]
There is propaganda on both sides, it is obvious by now that communism sucks. However, to say that everything about communism sucks and that nothing can be learned from it is intellectually lazy.
That's probably not due to their health care, since their outcomes for major health incidents are poor. A major contributor to life expectancy is infant mortality, and two major contributors to "poorer" infant mortality statistics are aggressive prenatal care (bringing more children to term) and rigorous reporting.
Additionally, if you're trying to compare Cuba to the US, you need to keep in mind that the US has a abnormally high and statistically powerful incidence of car crash fatalities (we drive everywhere), and Cuba has an anomalously low level of accidental death.
> That's probably not due to their health care, since their outcomes for major health incidents are poor.
The idea that the only important contribution of a health care system is through the outcomes it produces to major health incidents is bizarre; if that was the case, then preventive care would have no value.
Can you flesh that argument out more? Is there a statistic we can find to validate it? Nothing is jumping out at me to suggest that Cuban preventative care is the reason Cuba ranks as well as it does on life expectancy.
The idea that life expectancy statistics do a poor job of capturing the quality of health care systems isn't mine; it's a pretty popular one among economists.
The argument is that the observation "worse outcomes to major health events" does not justify the conclusion "better life expectancy is not due to health care system", because a health care system can be better at reducing the probability of major health events, while having worse outcomes from the health events that still do occur, and still have the net effect of those differences bet better life expectancies when all other factors are equal.
> Is there a statistic we can find to validate it?
I'm not arguing that Cuba's health care system is the reason for the better life expectancy numbers, I'm pointing out that the premise from which you drew the conclusion that it was not does not lead to that conclusion. (It supports the conclusion that Cuba's health care system's ability to respond to major health events is not the reason, which is a much narrower conclusion.)
I'd personally be surprised if the health care system alone was the explanation (whether through preventive care or otherwise.)
I followed what your argument was, but would be interested in seeing you pursue it. From what I can tell, there isn't much evidence that an advantage in preventative care makes up for the gap between Cuba and (say) Spain on major health event outcomes. For example: you're roughly as likely to die of CVD in the US as in Cuba, with CVD being seemingly a pretty good proxy for preventative care overall.
If it's not preventative care that Cuba does particularly well, what is the thing it does well? There would need to be something, right? One of the major tasks of the health care system is to prevent people with CVD, stroke, and cancer from dying. Cuba doesn't do a particularly good job of that. I'm sure there are other things a health care system needs to do well. What are they? Then we can go find out how well Cuba does them.
Why does not trading with one country have such a negative effect on Cuba? I dont think if Japan were unable to trade with Russia if would find itself in the same predicament.
They have Europe and all of their natural" trading partners in Latin America.
The us is not the only place they can sell sugar tobacco and bananas. Also why not buy cars from europe or Japan etc? Why must it be american cars?
I am likely to get ripped a new one, but i have the impression that US trading was not just aimed directly at Cuba but also at any entity found to be trading with Cuba.
Meaning that if you traded with Cuba, and then attempted to trade with USA, and USA found out about your Cuba trading, it was pretty much game over.
So nobody trades with Cuba for fear of being banned from the US market.
> Why does not trading with one country have such a negative effect on Cuba?
Because like much of the Carribean, one of the prime industries in Cuba prior to the embargo was tourism, and distance is a factor in tourism, and the main source of tourists with money to spend that would travel to Cuba in the absence of the embargo is the United States.
And, perhaps most importantly, because as big of a real effect that it has, those clear real effects that are hard to quantify exactly provide a convenient and plausible cover for any harms that are really due to the economic policies of the government.
> The us is not the only place they can sell sugar tobacco and bananas.
No, its just one of the places (and the most affluent one) that they have the best position compared to other sources for doing so (without the embargo) because of transport cost per unit of goods.
> Also why not buy cars from europe or Japan etc? Why must it be american cars?
As the article here notes, those with the money to afford it are buying cars from elsewhere (Korea and China are mentioned specifically.)
Tourism is a good point but tourism is unpredictable, seasonal, etc. So, even Greece tries to make an effort at diversification. Cuba had how many years to diversify and find another economic engine.
They could have been the main manufacturers or skilled labor for the caribbean, if they had tried to. Unfortunately, collectivization doesn't seem to have been conductive producing any significant industry, other than healthcare and education as an export.
Because like much of the Carribean, one of the prime industries in Cuba prior to the embargo was tourism, and distance is a factor in tourism
There are 550m people in south america, central america, and mexico with a combined $6.5 trillion GDP.
If Cuba is unable to convince any of the 550m people near them to visit, maybe it's not a tourist attraction and they should find something else to do.
Actually, lots of them do. Its still a lot less money coming in from when the same people did and it was a popular destination with much wealthier US tourists.
I also think you completely missed the second (original, not quoted) paragraph in the past you responded too.
Because Cuba needs a boogy man for all of its economic woes. Europeans and Canadians have not had travel or trade restrictions like in the United States and routinely go there for vacation yet the Cuban economy is still in ruins.
I think the industry that would/will benefit massively from the end of the embargo would be tourism. The US is just so much closer than the other big rich economies.
They also have suffered 50 years of a trade embargo by their main natural customer (they were a huge Sugar exporter to the United States before we cut them off).