The complaint comes from the authorities themselves, who also admit a “significant decrease” in national production

14ymedio, Havana, December 22, 2025 — Cuban health authorities pointed to a new culprit yesterday for the shortage of medications in Cuban pharmacies: the illegal market generated from within the public health system itself. “Prestigious institutions” are involved, as well as pharmacy workers “from other areas and other activities of the sector,” said Maylin Beltrán Delgado, head of the Department of Pharmacies and Optics of the Ministry of Public Health, on Monday.
The official pointed out on the television program Mesa Redonda that, in view of the “growing phenomenon of the illegal market,” a nationwide surveillance ”plan of measures” was implemented. “We have done more than 5,000 inspections this year, about 13 per day, on average,” said Beltrán Delgado. These joint operations, she added, made it possible to gauge “the severity of control problems in the network.”
By the end of October, “authorities had identified 33 extraordinarily serious incidents” in the pharmacy system. Of these, 18 were “forcible thefts committed by persons outside the health sector who broke into pharmacies to steal the scarce medications available.” She specified that of those thefts, “about 10 were related to controlled substances (drugs, narcotic drugs, psychotropic and substances with similar effects)” and reminded viewers that selling these products “is a drug trafficking offense.”
“Today, the industry has also stopped responding routinely to medication orders”
The shortage, which last year was already at 70% in pharmacies, is also due to the “significant decline in national drug production.” Today, the industry has also stopped responding routinely to medication orders,” admitted continue reading
Regardless of the fact that China and India are by far the main producers of pharmaceutical raw materials, the official blamed the “US blockade” for difficulties in importing active and inactive ingredients and for the “technological obsolescence in some plants, interruptions in the energy supply and limitations on performing proper industrial maintenance.”
Poor domestic production has a major impact, given that the country’s basic list includes 651 medications, of which 62% – 403 products – correspond to medications that are supposed to be produced by the national pharmaceutical industry. The remaining 38% are imported, and at least 60% of these are unavailable.
The breaking point, said Lara Bastanzuri, was the rupture in 2019 with Brazil, which was ruled at that time by Jair Bolsonaro, resulting in the loss of an “important source of supplies, inputs and revenues for the sector.”
There is “an almost total shortage in pharmacies. It’s real, the drugs are not there”
This has led to “an almost total shortage of supplies in pharmacies. It is real, the drugs are not there,” acknowledged the official. She added that it is not even possible to guarantee the continuation of card-controlled medications, which are intended for patients with chronic diseases such as hypertension, diabetes mellitus and epilepsy. They constitute the highest priority within the outpatient care system.”
“Practically, the funding that goes to the industry is allocated to saving lives with drugs and serums,” she said, which sometimes leaves community pharmacies by the wayside, with several days of delay in receiving supplies.
The wait can be long, up to 60 days, when the original design of the supply system operated on a replenishment “every 12 to 15 days.” This delay has increased pressure on the organized sales system “and has inevitably intensified public dissatisfaction.”
Irregular distribution has also affected prescribing practices, “because people are practical and will take whatever medications are available.” Family doctors and specialists are “often forced to adapt their treatments to the momentary availability of drugs.”
Doctors are “often forced to adapt their treatments to the availability of drugs”
Without medicine and with a collapsed health system, Cuba is currently facing an “epidemic phase” due to viruses that plague the island, which have so far left 55 people dead.
However, despite the lack of supplies and electricity to operate certain medical equipment, the government announced with great fanfare that as of Monday it has been attending patients suffering from the sequelae of viral fever. According to Cubadebate, specialized consultations, “unprecedented in Cuba,” offer patients access to diagnostic tests such as CT scans and ultrasound.
“For those with severe pain, specialized anesthetic treatments will be available. In addition, personalized physiotherapy programs will be designed to promote rehabilitation and rapid reintegration into daily and work activities,” said the media. The consultations are being held at the Institute of Neurology and Neurosurgery.
Translated by Regina Anavy
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