17 May 2025
In March 2025, the U.S. government, under Secretary of State Marco Rubio, announced visa restrictions targeting officials involved in Cuba’s international medical missions. The U.S. alleges that these programs constitute “forced labor,” citing concerns over wage retention and restrictions on Cuban medical professionals.
Caribbean nations, heavily reliant on Cuban medical personnel, have strongly opposed these measures. Leaders from countries like Barbados, Trinidad and Tobago, and Saint Vincent and the Grenadines emphasize the critical role Cuban doctors play in their healthcare systems, especially in underserved areas. They argue that the U.S. stance undermines their sovereignty and the well-being of their citizens.
Voices from the Caribbean
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Mia Mottley, Prime Minister of Barbados: Described the U.S. actions as “unfair and unjustified,” highlighting the indispensable service provided by Cuban medical staff during crises like the COVID-19 pandemic.
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Keith Rowley, Prime Minister of Trinidad and Tobago: Expressed willingness to forgo his U.S. visa rather than compromise on healthcare services provided by Cuban professionals.
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Ralph Gonsalves, Prime Minister of Saint Vincent and the Grenadines: Stated he would “prefer to lose my visa than to have 60 poor and working people die,” referencing the vital dialysis treatments administered by Cuban doctors.
The Broader Impact
Cuba has over 24,000 medical professionals working in 56 countries, many of which are in the Caribbean. These missions are crucial for nations facing healthcare worker shortages and limited resources. The potential withdrawal of Cuban medical staff due to U.S. policies could severely disrupt healthcare services in these regions .
