The country is a biotech industry leader and does state-of-the-art research at the Cuban Genetic Engineering and Biotechnology Center. The government also encourages small retail and light manufacturing enterprises, fosters joint ventures in tobacco, citrus and other homegrown products, invested in advanced computer science schools, and developed a thriving tourism industry after it changed its constitution in 1995 to encourage it through offshore private investment.
Then consider Cuba's social services, especially its education and health care ones. These alone, institutionalized the revolution in the hearts and minds of the people who never before had a government that provided them and much more.
Take health care for example. It's world-class, and Article 50 of the 1976 Constitution mandates it for all Cubans. They get free medical, hospital and dental care including prophylactic services with emphasis on public health, preventive care, health education, programs for periodic medical examinations, immunizations and other preventive measures. The Constitution also guarantees worker health and safety, help for the elderly and pregnant working women, and paid leave before and after childbirth. In addition, Cuba's Public Health Law obligates the state to assure, improve and protect the health of all citizens, including providing rehabilitation services for physical and mental disabilities.
Compare this to World Health Organization's (WHO) rankings for America - 37th in the world in "overall health performance," 54th in health care fairness, worst of all western countries overall, and only developed nation besides South Africa with no single-payer national health insurance system. Except for seniors under Medicare, the indigent under Medicaid, veterans through the Veterans Administration (VA), no national program exists and benefits under existing ones are dramatically eroding.
The US spends more than twice as much on health care on average as other industrialized states. Yet, it's performance is poor by comparison - on life expectancy, infant mortality, immunization rates and more. In addition, over 47 million Americans are uninsured and over 80 million are without coverage during some portion of every year.
Then consider education. In Cuba, it's first-rate because the Constitution's Article 51 assures it free for everyone to the highest level. It's Latin America's best, and it outdoes most parts of America's public school system. It stresses math, reading, the sciences, arts, humanities, social responsibility, civics, and participatory citizenship. It virtually eliminated illiteracy and compare it to America where US Department of Education figures show a 20% functional illiteracy rate that, in fact, is much higher based on inner-city math and english achievement test scores.
Consider Cuba's other achievements as well. Major US media won't report them, but James Petras does - low rents and utility costs, worker pensions at retirement, food subsidies for the needy combined with rationing that's never desirable but needed to assure adequate distribution to all, and an emphasis on "cultural, sports and recreational activities (in spite of) sharp cutbacks in funding." Impressively, "despite general scarcities and social deprivation, crimes rates (are) far below Latin American and US levels."
Petras observes that: "Even more noteworthy" is Cuba's transition to a mixed economy that aids its growth and provides jobs for its people. Unlike Eastern Europe, including Russia, however, "Cuba did not suffer the massive outward transfer of profits, rents and illegal earnings from large-scale networks of prostitution, narcotics and arms sales." Nor have there been crime syndicates that corrupted the economies of Bulgaria, Poland, Romania, Albania, NATO-occupied Kosovo, and other emergent "capitalist democracies." And most impressively, Cuba is growing its economy, if modestly, while remaining a vibrant social state that delivers essential services and remains committed to its revolutionary principles. That won't change under a new cadre of leaders after Castro.
So far, Petras explains that Cuba's survival, economic gains and "formidable national defense" are largely the result of "popular perseverance, loyalty to revolutionary leaders (and their dedication to) common values of egalitarianism, solidarity, national dignity and independence." Some dictatorship, but at the same time Cuba's no paradise. Its problems are huge, and as Petras puts it, it faces new "challenges and contradictions:"
-- less skilled tourism-related jobs pay better than ones for doctors, scientists and many others in the country;
-- new tourist enterprises created inequality and an unrevolutionary "nouveau riche bourgeoisie;"
-- "hustlers," prostitutes, drugs trafficking and other enterprise-related fallout; and
-- tourist infrastructure investments divert funds from essentials like agriculture; output thus declined, and Cuba now depends on imports.
On the plus side is the hard currency Cuba needs for everything it imports outside its ALBA-related trade. Cuba and Venezuela founded the system in 2004, Bolivia and Nicaragua joined it, and it stands for the Bolivarian Alternative for the Americas. It's an integrative, cooperative system of goods and services exchanges outside the exploitive WTO-international banking one. So it lets Cuba get Venezuelan oil, for example, by providing doctor services and literacy programs to teach Venezuelans to read and write.
Looking Ahead
In spite of five decades of achievements, Cuba's problems are huge, and its new leaders must address them. They include growing inequality, corruption and public theft, a flourishing black market, productivity-sapping inefficiencies, an imbalance between an educated population and enough skilled jobs, its agriculture in decline, and more.
I am a 72 year old, retired, progressive small businessman concerned about all the major national and world issues, committed to speak out and write about them.