Jeovany Jimenez Vega, 3 April 2015 — The gods of Olympus have spoken. In their eyes we, miserable creatures, must simply obey and resign ourselves to complying with their divine whims. I will try to translate into the language of mortals the outrageous coercive measures ordered by the Cuban government, through the Minister of Public Health, to try to stem the current exodus of healthcare professionals. In the same order in which they were set out, it would read something like this:
4. Stop the increase of individual contracts* in Angola: Because the African country is forever indebted to Cuba since the 1980s war, it goes without saying that it is obligated to comply with everything that Havana orders. In other words: Cubans in Angola as cannon fodder, yes; Cubans in Angola to work honestly, without being exploited by the Cuban government, never.
5. Confiscate the official passports of all employees upon their arrival at the airport: Here we have the Ministry of Health taking measures that, apart from their obvious illegality, really belong under the jurisdiction of the Directorate of Immigration of the Interior Ministry, in Cuban Customs. This shows, if anyone still doubted, that in this little country everything converges in a single, centralized, and despotic power, which has no qualms about treating all of us, without distinction, as common criminals.
6. Promote agreements with private clinics: Here we have that slavery-promoting monster, the Distributor of Medical and Health Services, trying to wrap its tentacles of control around each private clinic in every country where Cuban doctors have decided to emancipate themselves from its networks. This shows how sick and delusional its obsession is to block the personal success of our professionals.
7. Review the interministerial agreements so they don’t allow freedom of contract: This proposal, which the leaders of Havana hope to establish in half the world, covering both public and private institutions, is nothing more than a subconscious reflection of what Cuban medical missions have always been: a lucrative method of emotional blackmail. That is, if I provide you with doctors at bargain prices, who are willing to go into those dreaded favelas (off-limits even to the police), exposed to dangers that your own doctors would never accept, you are obligated to comply when I “renegotiate” with you the terms of the contract.
8. Explicitly reflect the commitment of no individual hiring in the individual agreement with the employee: This is actually nothing new. Until now it has always been an uncompromising principle that not only is individual hiring prohibited, but even something as simple as an employee in a foreign country just talking with someone who is an actual or suspected opponent of the “regime friend.” Cuban employees will never be allowed freedom of movement, such that they are prohibited from leaving their assigned place even for something as nearby and ordinary as shopping, for example, without the consent of their bosses—meaning the political hitmen, who are officially and completely in control, placed there by Cuban State Security.
10. Disqualify those who dare to disobey Caesar from practicing their profession: The professionals who today work abroad, for wages far more appropriate than they received in Cuba—including those on official medical missions—are not willing to be used like toilet paper. It is ridiculous to claim that there are only 211 cases countrywide of those who decided to work outside Cuba “without authorization,” when in fact the number is in the thousands.
12. Deem the failure to comply with the requirement of giving advance notice to terminate the employment relationship as a serious disciplinary infraction: If there is some reason in this, then common sense dictates that timely notice should be given of any decision to abandon a certain place in order to timely look for a substitute. But that raises the question—why have thousands of professionals refused to comply with something so basic? Are we Cuban doctors so irresponsible? Or is it that ultimately we cannot rely at all on the “goodwill” of our leaders, after being subjected for many decades to all kinds of arbitrariness, abuse, and despotism, and to our most basic needs being ignored? Aren’t these the same ministerial and governmental authorities who for more than a decade applied the unprecedented policy that required us to wait for more than five years if we wanted to travel abroad, waiting for the “release” from our minister? Finally could it be that these authorities no longer have any credibility in the eyes of their workers? Here I recall the old saying of grandfather Liborio: when there is revenge, there are no grievances.
13. Issue disqualification notices to workers who violate procedures for leaving the country: Professionals who take the irrevocable personal decision to work temporarily or permanently abroad, for wages far more appropriate than those they receive in Cuba including those on official medical missions—are not willing to be used like toilet paper.
14. Relocate those returning to Cuba after working abroad under an individual contract to a lower-status position—never to the position they originally occupied: The punishment, not as a vindicating end, but as an inviolable fundamental principle, as the cardinal sign that never fails in the mind of the despots. This section shows that those who today are exporting as authentic their pretensions of “change” and sweetened “reforms” remain the same miserable characters as always.
16 and 17. Organize, in conjunction with the Foreign Ministry, meetings with the relevant foreign ambassadors in Havana, and direct the team leaders and Cuban ambassadors in their respective countries to discourage individual contracts: Once again they reveal the long tentacles of the political mafia of Havana. Here we have the incredible act of the Cuban government, through its Ministry of Health, taking an openly interventionist position, dictating measures inside other countries, trying to impose decisions about their healthcare policies. It’s a good thing that, with evil US imperialism interfering in the internal politics of other countries, the immaculate Cuban Revolution is there to stop it! Where would these poor people be without this greatest Revolution of ours?
*Translator’s note: A contract made directly between a host country and a Cuban doctor, without payment to the Cuban government.