Cuba leads the world in providing top-quality 
medical care for all it's citizens, and it does 
this at no differential cost to individuals 
living there. In other words, it's free when you need it.

For a relatively poor country, this is an amazing 
achievement -- same as with education! -- and 
follows from Che Guevara's great speech:

Except for Haiti and Santo Domingo, I have 
visited, to some extent, all the other Latin 
American countries. Because of the circumstances 
in which I traveled, first as a student and later 
as a doctor, I came into close contact with 
poverty, hunger, and disease; with the inability 
to treat a child because of lack of money; with 
the stupefication provoked by continual hunger 
and punishment, to the point that a father can 
accept the loss of a son as an unimportant 
accident, as occurs often in the downtrodden 
classes of our American homeland. And I began to 
realize that there were things that were almost 
as important to me as becoming a famous 
scientist or making a significant contribution to 
medical science: I wanted to help those people.
How does one actually carry out a work of social 
welfare? How does one unite individual endeavor with the needs of society?
For this task of organization, as for all 
revolutionary tasks, fundamentally it is the 
individual who is needed. The revolution does 
not, as some claim, standardize the collective 
will and the collective initiative. On the 
contrary, it liberates one's individual talent. 
What the revolution does is orient that talent. 
And our task now is to orient the creative 
abilities of all medical professionals toward the tasks of social medicine.

The life of a single human being is worth a 
million times more than all the property of the 
richest man on earth. ... Far more important than 
a good remuneration is the pride of serving one's 
neighbor. Much more definitive and much more 
lasting than all the gold that one can accumulate 
is the gratitude of a people.

We must begin to erase our old concepts. We 
should not go to the people and say, `Here we 
are. We come to give you the charity of our 
presence, to teach you our science, to show you 
your errors, your lack of culture, your ignorance 
of elementary things.' We should go instead with 
an inquiring mind and a humble spirit to learn at 
that great source of wisdom that is the people.
Later we will realize many times how mistaken we 
were in concepts that were so familiar they 
became part of us and were an automatic part of 
our thinking. Often we need to change our 
concepts, not only the general concepts, the 
social or philosophical ones, but also sometimes our medical concepts.

We shall see that diseases need not always be 
treated as they are in big-city hospitals. We 
shall see that the doctor has to be a farmer also 
and plant new foods and sow, by example, the 
desire to consume new foods, to diversify the 
nutritional structure which is so limited, so poor.
If we plan to redistribute the wealth of those 
who have too much in order to give it to those 
who have nothing; if we intend to make creative 
work a daily, dynamic source of all our 
happiness, then we have goals towards which to work.(1)

(1) This is an edited and abbreviated extract 
from a 1960 speech by Che Guevara, "On 
Revolutionary Medicine." The entire speech can be 
found in John Gerassi, Venceremos, pp 112-119.  A 
discussion of these issues can be found in 
Mitchel Cohen's pamphlets, "At the Risk of 
Seeming Ridiculous, a true revolutionary is 
Guided by Great Feelings of Love: The 
Revolutionary Legacy of Che Guevara (June 14, 
1928  October 9, 1967)";  "An American in 
Cuba";  "The Capitalist Infesto"; and especially 
"A Talk in Havana, 2013", all currently available.

So Jim could have framed his concern about 
ultrasound and its effect on fetuses -- which, 
from what I've read, is a serious concern -- 
within that context (and he could add 
amniocentesis as another potential disruptor of 
fetal development). Cuba is steeped within the 
Western medical model despite the amazing 
advances it has made and access it has provided, 
and it would be worthwhile for Jim to appreciate 
all of that while offering his critiques.


At 10:08 AM 6/2/2016, you wrote:
>You are a consipracy theorist who has a couple 
>of very narrow "interests" and on every chance 
>repeat your gosple truths.  You do not 
>contribute to the discussion on this list but 
>simply repeat these "truth" at every occasion. 
>Frankly, it is becoming tiresome.
>In this case, you insulted an entire people, 
>Cubans, who take pride in their medical 
>achievements and are international recognized 
>for these achievements by stating this gringoist 
>ignorant statement that is not based on ANY 
>scientific basis but simply on you compulsive 
>desire to preach evils of ultrasound as the cause for autism.
>Here is your statement: "Cuba's greatest medical 
>contribution was being too poor to afford ultrasound machines."
>You have NO SOURCE for your claim that autism in 
>Cuba is caused by ultrasound use during 
>pregnancy. I am willing to bet that you even do 
>not have any statistics on when ultrasound was 
>introduced in Cuba, when its use became widespread.
>Further, I am willing to bet that you have never 
>ever studies medical progress in Cuba.
>If you were genuinely interested in the issue 
>you could start by a simple Internet search or 
>even better a library search. Here is a short 
>list of what I found on one blog: Our Place in the World which I edit.
>Has a Lung Cancer VaccineAnd America Wants It<
>Firms to Capitalize on Cuba’s Wealth of Scientific Expertise
>Medical Breakthroughs Have Caught U.S. Attention
>Is a Medical Power
>the Medical Response to Ebola, Cuba Leads the World Governments
>Next time you speak, consider thinking first: Do 
>you know what you are talking about.
>On Wed, Jun 1, 2016 at 9:58 PM, Jim West 
><<mailto:[log in to unmask]>[log in to unmask]> wrote:
>Kamran, I must remind you, the topic is Cuba's medical achievements.
>Why isn't Cuba applauded for its near-zero autism incidence?
>That is truly Cuba's most amazing achievement -- 
>when the much of the world is suffering under 
>the weight of this incredible epidemic of neurological disease?
>The reason for ignoring Cuba's greatest achievement?
>Cuba's history, of no ultrasound and no autism, 
>supports most modern ultrasound science. That 
>science (dose/response studies, in utero) 
>describes ultrasound as an extreme prenatal risk.
>For example, note the attached image of DNA 
>Fragmentation caused by low intensity clinical 
>ultrasound. This is a gel electrophoresis plate 
>image. Source: "A New Bibliography", 
>This is a snide and ignorant comment.  Cuban 
>health care system is recognized for its many 
>achievement throughout the world. Where is your 
>source for the claim that autism in Cuba is caused by the use of ultrasound?
> > On May 31, 2016, at 9:37 PM, Jim West 
> <<mailto:[log in to unmask]>[log in to unmask]> wrote:
> >
> > Cuba's greatest medical contribution was 
> being too poor to afford ultrasound machines.
> >
> > Result: No autism despite full vaccine compliance.
> >
> > More recently, machines are being donated and autism is rising.
> >
> > Jim West
> > <>
> >
> > ===
> > On Fri, May 27, 2016 at 4:44 PM, S. E. 
> Anderson <<mailto:[log in to unmask]>[log in to unmask]> wrote:
> > The 3,000 Cuban Doctors Who Stayed After the Revolution
> >
> > by Don Fitz- <>
> > Don Fitz is the editor of 
> Synthesis/Regeneration: A Magazine of Green 
> Social Thoughtand co-coordinator of the Green Party of St. Louis.
> >
> > The author would like to thank Candace Wolf 
> for making her interview with Dr. José 
> Gilberto Fleites Batista available; Hedelberto 
> López Blanch for arranging interviews with Dr. 
> Julio López Benítez, Dr. Felipe Cárdenas 
> Gonzáles, and Dr. Ezno Dueñas Gómez; and 
> Rebecca Fitz for translation. Thanks also to 
> Steve Brouwer, John Kirk, and Joan Roelofs for 
> their helpful comments on an earlier draft of this article.
> > ————


    * <>NEW 
Ring the bells that still can ring, Forget your perfect offering.
There is a crack, a crack in everything, That's how the light gets in.
~ Leonard Cohen