“The 1,000 pesos I had saved to buy a piece of meat are going to be spent on medicine,” says a retired woman in San José de las Lajas.

14ymedio, Julio César Contreras, San José de las Lajas — At seven in the morning, the green gate of the pharmacy in the La Micro neighborhood already had a line that stretched around the corner. There was no sign announcing the arrival of medicine, nor an official announcement, but in San José de las Lajas, important news spreads by word of mouth with the speed of necessity. It only took someone saying “something came in” for many to leave the stove lit, the broom leaning against the wall, or a grandchild in the care of a neighbor, and head out with the folded card in their pocket. The scene, repeated so many times in recent years, took on a particular air of urgency last Monday: it wasn’t about buying, but about not waiting any longer.
“It’s been over four months since we last got captopril,” says Mabel, a second-grade teacher, referring to a blood pressure medicine, as she fanned herself with a notebook she carries in her purse. During that time, she’s been buying it on the street for 500 pesos per blister pack, an amount that eats up a good chunk of her salary. To be in line at the pharmacy, she left her students with a teaching assistant and practically ran out. “This isn’t about getting ahead of ourselves, it’s about not running out,” she explains. In front of her, a couple of women check their prescriptions again and again, as if the paper might vanish before reaching the counter.
The pharmacy in La Micro is a small shop with worn walls and lighting that barely dispels the gloom. Sales proceed with the usual slowness, and each customer seems to take longer to be served than the last. Outside, those waiting make themselves comfortable as best they can: sitting on the wall, standing under the asbestos roof, or leaning against the rusted window bars. Most are middle-aged and elderly, carrying that accumulated weariness that not even continue reading
“I even brought a prescription for amoxicillin, although they told me no antibiotics were allowed in,” Mabel says in a low voice.
“I even have a prescription for amoxicillin, although they told me no antibiotics were delivered,” Mabel remarks quietly. The complaint is echoed among those present: “Other establishments in town get their supplies first; we get what’s left over.” The usual suspicions of favoritism and cronyism also hang in the air, a constant murmur that no one can quite confirm but that is part of the scene. The distrust, like the queue, is now ingrained.
Zenaida, a 67-year-old retired architect, got her place in line at five in the morning and is still number seven. “The 1,000 pesos I had saved to buy a little piece of meat are going to go toward medicine,” she says without raising her voice. She suffers from several chronic illnesses and knows the cruel arithmetic of these times all too well: either she eats better or she sleeps without pain. “I thought nothing would come in until January. I’d rather spend the 31st with just rice and beans than spend the night awake because of my joints,” she confesses as she takes two 500-peso bills, crumpled from being kept for so long, out of her purse.
Inside the pharmacy, an employee rigorously controls access to the counter. Looking out the barred window, he repeats the directive: three prescriptions per person, no more. “As long as I’m here, there won’t be any disorder,” he warns, aware that some see each shipment of medication as a business opportunity. His vigilance contrasts sharply with the precariousness of the system he’s trying to maintain: few medications, too many needs, and a distribution chain plagued by theft, diversion, and lack of oversight, as documented in recent months by investigations into the deterioration of the public health system.
The scene becomes almost ritualistic. Every time someone leaves with a bag in hand, the others ask what they managed to buy, how much there was, what’s already gone. The inventory is rebuilt in real time: captopril, some clonazepam, a few painkillers. Nowhere near enough for everyone waiting, nor anything that will last long. “This is a respite, not a solution,” a retiree remarks, adjusting his cap and looking at the ground. “Now they might bring it back in March or April. That’s why I came running.”
The approach of the end of the year is the topic of every conversation. No one is talking about celebrations, but about survival.
The approach of the end of the year is the topic of every conversation. No one talks about celebrations, but about survival. In the queue, stories of expired prescriptions, months without treatment, and exorbitant prices on the black market intertwine. Some remember when the pharmacy was a place for quick errands and not a test of physical endurance. Others prefer not to remember.
In San José de las Lajas, as in the rest of the country, the shortage of medications has forced chronically ill patients to reorganize their lives around the scarcity. The pharmacy becomes a meeting point, a social barometer, a stage where the strain is measured. This Monday, the arrival of “a few” medications did not solve the problem, but it did raise a small, almost defensive hope: that of not being left completely unprotected.
As midday approaches and the queue begins to dwindle, some return home with the essentials; others, with empty hands.
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