“Except for the blood for surgery, I had to buy everything else out here among the bread and jam”
14ymedio, Matanzas, Julio César Contreras, November 15, 2025 — As soon as the sun warms the pavement in front of the Faustino Pérez hospital in Matanzas, the sidewalk begins to fill with medical students, patients’ families and curious people who roam among the blue and red kiosks lined up on the street. The scene is familiar: a small hive where the smell of freshly made pizzas mixes with the noise of the mototaxis waiting for customers and the conversations of those looking for something to eat… or something much more urgent.
Sandra is one of them. After hours of trying to get from the hospital pharmacy tablets of paracetamol prescribed for her joint discomfort, she came out empty-handed. This Thursday she can be seen among the kiosks, adjusting her shoulder bag, breathing with exhaustion. “They are only giving some of the medicines to the hospitalized patients,” she says without imagining that, next to a juice and fries counter, she would find the solution that the public health system could not give her.
In one of these stalls, barely noticeable behind the poster for smoothies and pizzas, an employee holds a large bag where refreshments coexist with bottles of pills, blister packs and several packets of syringes. “She has vitamins, antibiotics and even needles,” says Sandra, while showing the 500 mg pack of paracetamol that she just bought for 900 pesos. “If I don’t do it like this, the pain kills me.”
Sandra also needs Captopril for her mother, who has been unable to purchase it at the state pharmacy for more than six months. “I don’t have enough money to pay the 350 pesos that it costs there; otherwise I would have bought it.”
“Along with a malt I bought the suture thread for my wife’s operation,” says Leonardo, a butcher who knows the informal circuit well. “The surgeon himself told me where to go and who I had to see.” His words do not surprise anyone: many in that area have gone through the same thing. “Except for the blood for surgery, I had to buy everything else out here. Among the bread and jam, if you have the money anything appears.”
El costo total de los insumos para la cirugía de su esposa rondó los 5.000 pesos: seis pares de guantes desechables –“a 250 pesos cada uno, vendidos por un tipo que hace pan con minuta de pescado”–, más antibióticos, más soluciones salinas, más suturas. “El colmo”, cuenta, “después de ser operada, mi esposa tenía fiebre. Como en la sala no había un termómetro, vine directo para acá y compré uno en 2.300 pesos”.
The total cost of supplies for his wife’s surgery was around 5,000 pesos: six pairs of disposable gloves — “at 250 pesos each, sold by a guy who makes bread with fish fillets” — plus antibiotics, more saline solutions, more sutures. “Then,” he says, “after being operated on, my wife had a fever. Since there was no thermometer in the room, I came straight here and bought one for 2,300 pesos.”
Laura, a third-year medical student, takes advantage of a break between patients to get her father’s urgently needed Amoxicillin. The young woman, in her white coat, converses with other students and carries a folded bill between her fingers. “I’m going to wait for some people to leave. I know who sells it. I always check the expiration date before buying,” she says.
She herself explains what sells in those kiosks: “You can find aspirins made in Cuba and antidepressants from the United States.” Nothing appears on the price boards: neither Loratadina, nor Cefalexina, nor Rosefin, but everyone knows that they are available… at the price of the day. “The medicines go up as much or more than the food. Many come to eat a pizza and end up buying pills. It’s an option.”
As Laura discreetly walks away, more students arrive, more family members wait, more salesmen arrange boxes or discreetly check inside their backpacks. Between pizzas, soft drinks and endless lines, there is everything here that the state pharmacies cannot offer.
Translated by Regina Anavy
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