Douglas, I am aware of what Cuba and some others claim about their healthcare system. Two points: 1) Cuba does not allow verification of their statistics; that means there is something to hide. 2) given what you already seem to know about their economy, does it seem likely their training, facilities, equipment, medication and outcomes are all they say? If you do even a little research, you will find far different perspectives and even video that disprove much of what you contend and raise serious question about the rest. I will give them credit for doing much with few resources, for being resilient in the face of great difficulties, and even for the level of very basic care they provide. Cubans also probably have a healthier diet and eat less than Americans, meaning less obesity. They do train many doctors but send most of them to other countries and take much of their wages to support their basket case economy. The rich and foreigners get the good care. The poor get poor care.