LETTER: Viral Trumpism Cannot Infect the Cuban Internationalism

The enduring legacy of Cuban internationalism, rooted in the revolutionary principles of 1959, continues to shape global healthcare diplomacy despite unprecedented economic challenges. Following the revolution that overthrew the Batista regime, Cuba confronted severe healthcare disparities and mass emigration of medical professionals reluctant to serve under a socialized system. This crisis prompted the revolutionary government to initiate massive medical training programs, transforming the nation into an unexpected medical powerhouse.

The internationalist vision, championed by revolutionary figures like Argentinian physician Ernesto ‘Che’ Guevara, evolved into systematic policy through decades of consistent implementation. Guevara’s sacrifice in Bolivia and medical missions across Africa exemplified Cuba’s commitment to global liberation struggles beyond mere symbolic solidarity. Today, this tradition manifests through extensive medical education programs hosting thousands of international students—particularly from developing nations—and the deployment of Cuban healthcare professionals to over 60 countries worldwide.

Remarkably, these achievements occur despite the continuous economic and financial blockade that has constrained Cuba’s resources for generations. The nation’s ability to maintain both domestic healthcare excellence and international medical assistance represents a extraordinary case study in resilience and ideological commitment.

Recent criticisms from the Trump administration regarding Cuba’s medical missions have been met with strong rebuttals from beneficiaries of Cuban medical internationalism. The contrast between Cuba’s COVID-19 response—including the deployment of medical brigades to pandemic hotspots—and the struggles of wealthier nations has highlighted the continuing relevance of Cuba’s alternative model of international cooperation. This ongoing commitment to medical solidarity continues to define Cuba’s unique position in global health diplomacy, challenging conventional paradigms of international development assistance.