14ymedio/EFE, Havana, 14 November 2018 — Cuba’s Ministry of Public Health (Minsap) reported on Wednesday in an official statement that it is withdrawing from the Mais Medicos social program in Brazil due to the “derogatory and threatening” words of president-elect Jair Bolsonaro, who announced modifications to this project that the Cuban Government considers “unacceptable.”
Minsap has also circulated a message among Cuban doctors who work in Brazil to continue working until their transportation is organized for their return to the island. The message specifies that doctors must “avoid provocations” and maintain “self-care and protection.”
In the official note published on Facebook on Wednesday, Minsap emphasizes that in the five years of work in that country “about 20,000 Cuban employees performed 113,359,000 patient consultation” serving a population of “up to 60 million Brazilians,” (out of a total population of about 209 million), at a time when the Cuban brigade represented 80 percent of all doctors participating in the program.
“It is not acceptable to question the dignity, professionalism and altruism of the Cuban collaborators who, with the support of their families, currently provide services in 67 countries,” the Cuban health authorities added.
Jair Bolsonaro’s reaction was immediate. In his Twitter account he said that Brazil had conditioned the continuation of the program on a validation of the credentials of the more than 8,500 Cuban doctors in the country according to Brazilian standards, along with a change that would allow them to personally receive the full salaries Brazil pays for them. He also demanded that they be free to bring their family members with them. “Unfortunately, Cuba did not accept,” he added.
Minsap affirms that the collaborators “have stayed at their jobs at all times and receive 100 percent of their salaries in Cuba,” without mentioning that the Cuban Government keeps at least three quarters of the amount received from Brazil for the services of Cuban health professionals.
“Those who come here from other countries earn the full salary [that Brazil pays for them]. The Cubans earn approximately 25% of the salary [Brazil pays for them]. Does the rest go to fuel the Cuban dictatorship?” Bolsonaro asked on November 3.
Before being elected president, Bolsonaro had been very critical of the agreement signed in 2013, under which more than 18,000 Cuban doctors were sent to Brazil under the government of Dilma Rousseff. At that time, the Workers Party, an ally of Havana, agreed that through the intermediation of the Pan American Health Organization, Cuba would keep about 75% of the 3,300 dollars a month that Brazil pays for each Cuban doctor.
After the impeachment of Dilma Rousseff, the Cuban government pressured the Brazilian authorities to renegotiate the contract for its doctors and obtained an increase of 9% in the payments for them. The Plaza of the Revolution also achieved an increase of 10% for feeding the doctors in indigenous areas. None of that money went to the doctors, according to several testimonies obtained by this newspaper.
In Cuba, where the average state salary barely exceeds $30 a month, a mission abroad is one of the most common legal channels for qualified professionals to increase their income, despite not receiving the full salary paid for their services.
The Cuban State has declared that it receives more than 11.5 billion dollars annually in income from professional services abroad, and that this income is the country’s main source of foreign currency.
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