14YMEDIO, Havana, 19 August 2014 – The Portuguese National Health Service spent about 12 million euros (about $16 million dollars) in the last six years to recruit Cuban doctors, the local newspaper Jornal I reported Tuesday.
In June 2009, the Government of the Socialist José Sócrates signed its first agreement with Cuba to address the shortage of family doctors. The first protocols provided for payment of a monthly payment of 5,900 euros for every Cuban professional, a base salary above the pay of the Portuguese healthcare provides, although the figure was reduced to 4,230 euros at the end of 2011.
Between August 2009 and 2011, Portugal disbursed 259,600 euros a month for a team of 44 Cuban doctors. Spending in 2012 and 2013 was 164,970 per month for 39 professionals. Following the changes in the latest revision of the agreement last April, the monthly cost is currently 219,960 euros, according to information published by Jornal I.
Payments are made every three months to the Cuban Medical Services Company, which is responsible for paying for healthcare workers, although each of them receives less than a quarter of the total disbursed by Portugal for their services. Cuban authorities justify these deductions to finance training and for the National Public Health Service.
In addition, Portugal has assumed the cost of travel between the two countries, including during the holidays, so that doctors can travel once a year to their country of origin.
The workers on this mission are subject to Cuba’s code of ethics and disciplinary rules. They cannot participate in political activities or make statements to the press, and must inform the authorities if they want to marry. The agreement also provides that in case of abandonment of the mission or violation of the contract, the doctors cannot return to Cuba for a period of eight years.