- PII
- S3034557XS0044748X25080036-1
- DOI
- 10.7868/S3034557X25080036
- Publication type
- Article
- Status
- Published
- Authors
- Volume/ Edition
- Volume / Issue number 8
- Pages
- 31-45
- Abstract
- The article examines medical diplomacy as a cornerstone of Cuba’s foreign policy. It characterizes the development of Cuban medical internationalism in the 20th century and reveals the changes in the 21st century, when the health services exports are becoming a driver of economic growth and a key tool of soft power, bringing political dividends. Assessments of Cuban medical diplomacy are systematized. Possible options for Havana’s further actions in the context of the ongoing confrontation with Washington are discussed.
- Keywords
- медицинская дипломатия кубинский интернационализм международная солидарность эмбарго США медицинские услуги пандемия COVID-19
- Date of publication
- 15.03.2026
- Year of publication
- 2026
- Number of purchasers
- 0
- Views
- 42
References
- 1. Almeida С. Global Health Diplomacy: A Theoretical and Analytical Review. Available at: https://oxfordre.com/publichealth/display/10.1093/acrefore/9780190632366.001.0001/acrefore-9780190632366-e-25 (accessed 05.03.2024).
- 2. Fazal T.M. Health Diplomacy in Pandemical Times. International Organization. 2020, vol. 74, N 1, pp. 78-97. DOI: https://doi.org/10.1017/S0020818320000326
- 3. Fauci A. The Expanding Global Health Agenda: A Welcome Development. Nature Medicine. 2007, vol. 13, pp. 1169-1171. DOI: https://doi.org/10.1038/nm1646
- 4. De Vos P., De Ceukelaire W., Bonet M., Van der Stuyftet P. Cuba’s International Cooperation in Health: An Overview. International Journal of Health Services. 2007, vol. 37, N 4, pp. 761-776. DOI: https://doi.org/10.2190/HS.37.4.k
- 5. Feinsilver J.M. Fifty Years of Cuba’s Medical Diplomacy: From Idealism to Pragmatism. Cuban Studies. 2010, vol. 41, pp. 85-104. DOI: https://doi.org/10.1353/cub.2010.0015
- 6. Huish R. Why Does Cuba ‘Care’ So Much? Understanding the Epistemology of Solidarity in Global Health Outreach. Public Health Ethics. 2014, vol. 7, N 3, pp. 261-276. DOI: https://doi.org/10.1093/phe/phu033
- 7. Morales H. Ayuda oficial al desarrollo de Cuba en el mundo. Guatemala, Latindadd, 2017, 194 p.
- 8. Пятаков А.Н. Международная деятельность Кубы в сфере здравоохранения. Латинская Америка. М., 2012, № 11, cc. 54-64 @@Pyatakov A.N. Mezhdunarodnaya deyatel'nost' Kuby v sfere zdravookhraneniya @@Cuba’s International Activities in the Public Health Area. Latinskaya Amerika. Moscow, 2012, N 11, pp. 54-64 (In Russ.).
- 9. Борейко А.В. Эволюция кубинской медицинской дипломатии. Ибероамериканские тетради. М., 2020, т. 8, № 4, cc. 92-104 @@Boreyko A.V. Evolyutsiya kubinskoi meditsinskoi diplomatii @@The Evolution of Cuban Medical Diplomacy. Cuadernos Iberoamericanos. Moscow, 2020, vol. 8, N 4, pp. 92-104. DOI: https://doi.org/10.46272/2409-3416-2020-8-4-92-104 (In Russ.).
- 10. Huish R., Kirk J.M. Cuban Medical Internationalism and the Development of the Latin American School of Medicine. Latin American Perspectives. 2007, vol. 34, N 6, pp.77-92. DOI: https://doi.org/10.1177/0094582X07308119
- 11. Kirk J.M., Erisman H. Cuban Medical Internationalism: Origins, Evolution, and Goals. New York, Palgrave Macmillan, 2009, 228 p.
- 12. Blue S.A. Cuban Medical Internationalism: Domestic and International Impacts. Journal of Latin American Geography. 2010, vol. 9, N 1, pp. 31-49. DOI: https://doi.org/10.1353/lag.0.0071
- 13. Kirk J.M. Healthcare Without Borders: Understanding Cuban Medical Internationalism. Gainesvill, University Press of Florida, 2015, 376 p.
- 14. Perez J.O., Reis da Silva A.L. Cuban Medical Internationalism through a Feminist Perspective. Contexto International. 2019, vol. 41, N 1, pp. 65-87. DOI: https://doi.org/10.1590/S0102-8529.2019410100004
- 15. Yaffe H. Cuban Medical Internationalism: A Paradigm for South-South Cooperation. International Journal of Cuban Studies. 2023, vol. 15, N 2, pp. 203-234. DOI: https://doi.org/10.13169/intejcubastud.15.2.0203
- 16. Kelman I. Disaster Diplomacy How Disasters Affect Peace and Conflict. New York, Routledge, 2011, 184 p.
- 17. Whittaker et al. A Disaster Diplomacy Perspective of Acute Public Health Events. Disasters. 2018, vol. 42, pp. 173-195. DOI: https://doi.org/10.1111/disa.12306
- 18. Che Guevara. On Revolutionary Medicine. Monthly Review. 2005, vol. 56, N8. Available at: https://monthlyreview.org/2005/01/01/on-revolutionary-medicine/ (accessed 28.03.2025).
- 19. Хейфец В.Л., Хейфец Л.С. Традиция интернационализма в идеологии и практике кубинской революции. Латинская Америка. М., 2020, № 8, cc. 60-76 @@Jeifets V.L., Jeifets L.S. Traditsiya internatsionalizma v ideologii i praktike kubinskoi revolyutsii @@The Internationalist Tradition in Ideology and Practice of Cuban Revolution. Latinskaya Amerika. Moscow, 2020, N 8, pp. 60-76. DOI: https://doi.org/10.31857/s0044748x0010346-9 (In Russ.).
- 20. Gleijeses P. Conflicting Missions: Havana, Washington, and Africa, 1959-1976. Chapel Hill, University of North Carolina Press, 2002, 576 p.
- 21. Hatzky C. Cubans in Angola: South-South Cooperation and Transfer of Knowledge, 1976-1991. Madison, University of Wisconsin Press, 2015, 404 p.
- 22. Brotherton P.S. Revolutionary Medicine: Health and the Body in Post-Soviet Cuba. Durham, Duke University Press, 2012, 256 p.
- 23. Duro E.A. et al. Distribucion desigual de medicos, migracion profesional y problemas sanitarios que se generan en el contexto regional. La humanizacion de la salud y el humanismo medico en Latinoamerica. Santiago de Chile, Facultad de ciencias de la salud de la Universidad Central de Chile, 2018, pp. 64-79.
- 24. Kirk J.M., Kirk E.J., Walker C. Mais Medicos: Cuba’s Medical Internationalism Programme in Brazil. Bulletin of Latin American Research. 2016, vol. 35, N4, pp. 467-480. DOI: https://doi.org/10.1111/blar.12418
- 25. Hone T. et al. Impact of the Programa Mais Medicos (More Doctors Programme) on Primary Care Doctor Supply and Amenable Mortality: Quasi Experimental Study of 5565 Brazilian Municipalities. BMC Health Services Research. 2020, vol. 20, pp. 1-14. DOI: https://doi.org/10.1186/s12913-020-05716-2
- 26. Jiwa A. The Latin American School of Medicine (ELAM): Admissions, Academics and Attitudes. International Journal of Cuban Studies. 2017, vol. 9, N 1, pp. 142-154. DOI: https://doi.org/10.13169/intejcubastud.9.1.0142
- 27. Хейфец В.Л., Хейфец Л.С. Куба: переосмысление роли страны в мировом сообществе. Мировая экономика и международные отношения. M., 2017, т. 61, № 2, cc. 94-103 @@Kheifets V.L., Kheifets L.S. Kuba: pereosmyslenie roli strany v mirovom soobshchestve @@Cuba: Rethinking the Country’s Role in World Community. Mirovaya ekonomika i mezhdunarodnye otnosheniya. Moscow, 2017, vol. 61, N 2, pp. 94-103. DOI: https://doi.org/10.20542/0131-2227-2017-61-2-94-103 (In Russ.).
- 28. Bustamante M., Sweig J. Buena Vista Solidarity and the Axis of Aid: Cuban and Venezuelan Public Diplomacy. The Annals of the American Academy of Political and Social Science. 2008, vol. 616, pp. 223-256. DOI: https://doi.org/10.1177/0002716207311865
- 29. Contingente internacional de medicos especializados en situaciones de desastres y graves epidemias Henry Reeve. Available at: https://www.ecured.cu/Contingen-te_Internacional_de_Medicos_Especializados_en_Situaciones_de_Desastres_y_Graves_Epidemia s_Henry_Reeve (accessed 28.03.2025).
- 30. Los lineamientos de la politica economica y social del partido y la revolucion. Available at: https://www.pcc.cu/index.php/lineamientos-de-la-politica-economica-y-social-del-partido-y-la-revolucion (accessed 30.01.2025).
- 31. Lineamientos para la actualizacion del modelo economico y social cubano para el periodo 2016-2021. Available at: https://www.pcc.cu/sites/default/files/documentos/2024-02/actulizacion-lineamientos.pdf (accessed 30.01.2025).
- 32. Anuario Estadistico de Cuba 2019. Available at: https://www.onei.gob.cu/anuario-estadistico-de-cuba-2019 (accessed 05.04.2024).
- 33. Cuba’s Doctors are in High Demand. Available at: https://www.economist.com/the-americas/2020/04/04/cubas-doctors-are-in-high-demand (accessed 05.04.2024).
- 34. La cruzada de Estados Unidos contra la cooperacion medica international de Cuba. Declaration del Ministerio de Relaciones Exteriores. Available at: https://cubaminrex.cu/es/la-cruzada-de-estados-unidos-contra-la-cooperacion-medica-internacional-de-cuba (accessed 06.01.2025).
- 35. Sin fronteras: La cooperacion medica cubana en el contexto de la COVID-19. Available at: http://www.cubadebate.cu/especiales/2020/09/15/sin-fronteras-la-cooperacion-medica-cubana-en-el-contexto-de-la-covid-19/ (accessed 06.04.2024).
- 36. Hood L. How Cuban Medical Training Has Helped Pacific Nations Face the Pandemic Challenge. Available at: https://theconversation.com/how-cuban-medical-training-has-helped-pacific-nations-face-the-pandemic-challenge-167631 (accessed 07.04.2024).
- 37. Secretary-General’s Remarks to the Officials at Latin American School of Medicine. Available at: https://www.un.org/sg/en/content/sg/statement/2014-01-28/secretary-generals-remarks-the-officials-latin-american-school-of-medicine-%28escuela-latinoamericana-de-medicinaelam%29-prepared-for-delivery (accessed 07.05.2024).
- 38. Directora de OMS reconocio labor de Cuba en materia de salud. Available at: http://www.comandanteenjefe.org/es/noticia/directora-de-oms-reconocio-labor-de-cuba-en-mate-ria-de-salud (accessed 08.01.2025).
- 39. Premio Nobel de Quimica destacar posibilidades cientifica en Cuba. Available at: http://www.cubadebate.cu/noticias/2011/12/13/premio-nobel-de-quimica-destaca-posibilidades-cientificas-en-cuba/ (accessed 10.05.2024).
- 40. Stone J. Cuba’s Surprisingly Cost-Effective Healthcare. Available at: https://www.forbes.com/sites/judystone/2014/12/22/cuba-cost-effective-healthcare/ (accessed 10.05.2024).
- 41. Lamrani S. El sistema de salud en Cuba: Origen, doctrina y resultados. Etudes caribeennes. 2021, N 7. DOI: https://doi.org/10.4000/etudescaribeennes.21413
- 42. Brouwer St. The Cuban Revolutionary Doctor: The Ultimate Weapon of Solidarity. Monthly Review. 2009, vol. 60, N 8, pp. 28-42. DOI: https://doi.org/10.14452/MR-060-08-2009-01_3
- 43. Brouwer St. Revolutionary Doctors: How Venezuela and Cuba Are Changing the Worlds Conception of Health Care. New York, Monthly Review Press, 2011,256 p.
- 44. Chomsky on COVID-19: The Latest Massive Failure of Neoliberalism. Available at: https://chomsky.info/20200425/ (accessed 11.05.2024).
- 45. Wenham C., Kittlesen S. Cuban Healthcare Offers Many Lessons for Global Health Security. Available at: https://blogs.lse.ac.uk/latamcaribbean/2019/02/27/cuban-healthcare-offers-many-lessons-for-global-health-security/ (accessed 12.05.2024).
- 46. Mandates de la Relatora Especial sobre las formas contemporaneas de la esclavitud, incluidas sus causas y consecuencias; y de la Relatora Especial sobre la trata de personas, especialmente mujeres y ninos. Available at: https://spcommreports.ohchr.org/TMRe-sultsBase/DownLoadPublicCommunicationF ile?gId=24868 (accessed 15.05.2024).
- 47. Casey N. ‘It Is Unspeakable’: How Maduro Used Cuban Doctors to Coerce Venezuela Voters. Available at: https://www.nytimes.com/2019/03/17/world/americas/venezuela-cuban-doctors.html (accessed 16.05.2024).
- 48. O’Grady M.A. Cuban Medical Brigades to Mexico. Available at: https://www.wsj.com/articles/cuban-medical-brigades-to-mexico-11592164194 (accessed 17.05.2024).
- 49. Cuba: Repressive Rules for Doctors Working Abroad. Available at: https://www.hrw.org/news/2020/07/23/cuba-repressive-rules-doctors-working-abroad (accessed 18.01.2025).
- 50. Raisbeck D., Osterhoudt J. The Myth of Cuban Health Care. Available at: https://cubacenter.org/cuba-brief-archives/2022/04/18/cubabrief-myth-of-cuban-health-care-event-cuba-will-be-free-i-already-am-remembering-reinaldo-arenas-and-a-vigil-for-detained-artists-in-cuba/ (accessed 20.05.2024).
- 51. Committee Approves Fy24 State, Foreign Operations, and Related Programs Bill. Available at: https://appropriations.house.gov/news/press-releases/committee-approves-fy24-state-foreign-operations-and-related-programs-bill (accessed 21.01.2025).
- 52. Latner T.A. The Campaign to Discredit Cuban Medical Internationalism. NACLA Report on the Americas. 2020, vol. 52, N 3, pp. 332-338. DOI: https://doi.org/10.1080/10714839.2020.1809103
- 53. Ackerman S. Future of Public Diplomacy Unsettled at State. Available at: https://mountainrunner.us/2009/02/ackerman_future_of_public_diplomacy_unsettled/ (accessed 22.01.2025).