RIP Fidel Castro

It wasn’t long after Castro came to power that police began rounding up gay men. In 1965, the regime established prison work camps known as Military Units to Aid Production (UMAP), into which it deposited homosexuals, Jehovah’s Witnesses, and other “undesirable” elements.

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Though the Cuban regime closed down the UMAPs in the late 1960s, it continued to repress gay men as ideologically subversive elements. Openly homosexual people were prevented from joining the Communist Party and fired from their jobs. One of the country’s most distinguished writers, Reinaldo Arenas, recounted the prison experience he and countless other gay men endured in his memoir Before Night Falls. “It was a sweltering place without a bathroom,” he wrote. “Gays were not treated like human beings, they were treated like beasts. They were the last ones to come out for meals, so we saw them walk by, and the most insignificant incident was an excuse to beat them mercilessly.”

Then there is the real Cuban system, the one that ordinary people must use — and it is wretched. Testimony and documentation on the subject are vast. Hospitals and clinics are crumbling. Conditions are so unsanitary, patients may be better off at home, whatever home is. If they do have to go to the hospital, they must bring their own bedsheets, soap, towels, food, light bulbs — even toilet paper. And basic medications are scarce. In Sicko, even sophisticated medications are plentiful and cheap. In the real Cuba, finding an aspirin can be a chore. And an antibiotic will fetch a fortune on the black market.

A nurse spoke to Isabel Vincent of Canada’s National Post. “We have nothing,” said the nurse. “I haven’t seen aspirin in a Cuban store here for more than a year. If you have any pills in your purse, I’ll take them. Even if they have passed their expiry date.” The equipment that doctors have to work with is either antiquated or nonexistent. Doctors have been known to reuse latex gloves — there is no choice. When they travel to the island, on errands of mercy, American doctors make sure to take as much equipment and as many supplies as they can carry. One told the Associated Press, “The [Cuban] doctors are pretty well trained, but they have nothing to work with. It’s like operating with knives and spoons.”

The regime is very keen on keeping infant mortality down, knowing that the world looks to this statistic as an indicator of the general health of a country. Cuban doctors are instructed to pay particular attention to prenatal and infant care. A woman’s pregnancy is closely monitored. (The regime manages to make the necessary equipment available.) And if there is any sign of abnormality, any reason for concern — the pregnancy is “interrupted.” That is the going euphemism for abortion. The abortion rate in Cuba is sky-high, perversely keeping the infant-mortality rate down.