Blemishes in Calixto Hospital / Fernando Damaso

A few weeks ago I was “driven” to Calixto García General Hospital by a doctor friend who, like the Orisha deity Elegguá, opened doors for me. The purpose of my visit was to receive medical attention. I have no complaints about the professionalism of the medical staff who, in spite of the difficulties and shortages with which they must deal, work hard to provide a good service to their patients, whom they treat with kindness and concern. This experience allowed me to see first-hand the current state of the above-mentioned hospital, which for some years now has been subjected to a prolonged series of unending repairs after decades of neglect.

Construction activity is evident everywhere: dilapidated medical wings, demolitions in-progress, building materials stored outdoors and inside the hospital, mechanical equipment being moved, construction workers going back and forth without doing anything, people shouting and other signs of activity. In the few areas that have been completed, one can see details such as sloppy plaster work on the walls and crooked tiles on the floors, signs that the repairs will not last long.

I do not know who came up with the brilliant idea of putting the various medical departments’ outpatient clinics in the basements of their respective wards, both the ruined and the repaired. Access to these clinics is either along broken sidewalks and pathways, or through steep, narrow exterior stairs. There are no ramps provided for the physically handicapped so wheelchairs cannot be used, forcing families of the patients to cart them up and down in a dangerous and embarrassing display.

The clinics’ waiting rooms, which are without air-conditioning or good ventilation, are veritable saunas, making them unbearable for the patients seeking treatment.  It would be better to not even mention the older buildings, which suffer from roof leaks, flooded floors, peeling walls and broken doors. Dirt and decay abound and seem be be everywhere in the health service’s facilities. It is hard to imagine how services can continue to be offered in such wretched and unsanitary conditions.

Physicians lack even the most basic clinical tools such as light panels to view X-rays and computers to read test results. They often have no more than a table, two chairs and, at best, a stretcher, all in a state of deterioration.

One can observe a shortage of specialists to treat patients, which causes significant backlogs and wasted time for the clinics’ medical and nursing staffs, who carry on long conversations about problems in their personal lives, often using inappropriate language, while patients wait to be treated.

Those who manage to get into the waiting rooms quickly become bored reading the extensive propaganda slogans lining the walls, which remind them of the fallacy that “medical care is provided free at the expense of the State.” (In reality it is provided at the expense of its citizens.) They seem like commands, ordering everyone to accept it all with resignation. Meanwhile, others mill around outside, sitting on the sidewalks, fences and even the grass while awaiting their turns.

If there is an operation planned, then the process stretches out interminably. First there are various tests and analyses to be performed. Waiting for test results drags it out further. Then there is the wait to be admitted to the hospital, which can take months and often ends in bitter disappointment if tests have to be repeated because they are out of date.

Operating rooms show signs of an advanced state of decay. In recently renovated wings where post-operative patients are held, there is an obvious absence of a responsible administration as evidenced by a shortage of sanitary fixtures. Only one out three sinks is operable and showers lack their necessary hardware.

The situation is no better when it comes to janitorial services, which are performed by unqualified staff, who simply spread the dirt around by trying to clean an entire wing with one bucket of water. Even then, everything is done reluctantly, accompanied by constant complaining.

It should also be noted that those working in food service, which in general is badly prepared, do so in their street clothes, without using gowns, masks, hair coverings or gloves. During the day food vendors proliferate throughout the hallways, selling sandwiches, peanuts, coffee, chocolates, cookies and other items in clear violation of the regulations that should govern a health facility.

It seems that, in spite of all the construction activity and resources invested, there are still some blemishes in Calixto. Despite good medical care, in the end its hospital services leave that patients with bad memories. They are forced to put up with them because, unlike foreigners and VIP patients, they do not to have access to the specialized centers which are featured in news reports and shown to visitors who still believe in the myth of “Cuban medical prowess.”

8 March 2014

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The Holes in the Belt / Fernando Damaso

Photo: Rebeca

Two upsetting phenomena have occurred in the last few weeks: some products have disappeared from the market stalls, both those selling in Cuban pesos and those selling in hard currency, and prices overall have gone up. Cleaning products on sale for Cuban pesos don’t exist or are scarce, and personal hygiene products are even available in hard currency. In the farmers markets a pound of onions, lemons, or a small cabbage cost fifteen Cuban pesos or more.

It seems that the announced upcoming monetary unification and the new mechanisms of established trade, plus the reduced production, have been the principal causes.

In our commerce, supply and demand are unresolved issues: they seem to be locked in due to many years of absence. A product costs the same from the time it arrives at the market until it goes bad, and discounts don’t exist, while the ordinary citizen finds his pension or wages are less every day, able to stretch to less and less, without any real prospects of an increase. He finds himself between a rock and a hard spot, hoping some family member “out there” will help him out by sending some money or that there will be a miracle, at a time when these seem ever more rare.

The discomfort this creates is palpable in the street, and there are few who don’t express it: you just have to listen to what people say at the bus stops and on the buses, in the stores, and wherever two or more people get together. In these conversations the authorities don’t come out very well. For now, it is only this, but no one can be sure that this will always be the case and that tomorrow, those who today only talk, might not begin to act. Everything is possible: it just depends on how many holes are left for tightening our belts.

13 March 2014

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By Their Own Right / Fernando Damaso

School courtyard

In its campaign to restore lost ethical, civil and moral values, the government is emphasizing the important role to be played by educators and the family. While it is good that responsibility for this is being returned to the latter, it is something that should never have been taken away in the first place. In its desire to monopolize everything, including conscience, the state took upon itself the ridiculous task of creating a “New Man,” a being that would respond to its ideology and policies. It was task in which, like so many others, it has failed.

When discussing teachers, it is difficult to know where to start. First of all, what teachers are we talking about? Most of our educators were trained in the same system, one which could hardly preserve values since it relied on those who, with rare exceptions, did not themselves possess them.

These are people who practice double standards, who participate in forced promotions, who sell test results and grades, who use the classroom to teach official dogma.

This contributes to the formation of human beings who are easily manipulated, people without appropriate standards, who feel obligated to think and behave in accordance with the majority in order to avoid getting themselves or their parents into trouble.

This is made worse by the politicization of the classroom and by schools which allow students to be used in despicable acts, known as “repudiation rallies,” against citizens who do not agree with government policy, evidence of which is all too common.

Education is not one of the sectors that enjoy financial advantages, which causes many teachers to leave to find work in tourism, joint ventures and self-employment, all of which offer better working conditions and lifestyles.

Additionally, few students choose careers in teaching. When they do, it is often because they have no other options. The fact that a policeman receives a much higher monthly salary than an educator speaks volumes about the absurdities that exist in our society.

While it is true that it is essential to restore these lost values, in a situation with widespread poverty and difficulty — one without a clear pathway out — it becomes a very difficult and time consuming task.

The family and the school should once again occupy the positions they had always held in their own right. But, in order to fulfill their responsibilities, they must overcome the disastrous state in which we now find ourselves.

4 March 2014

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Five Minus Three Is Two / Fernando Damaso

Photo Peter Deel

On the 27th, after serving his sentence, one of the “Cuban Five” spies was released and subsequently deported to Cuba. For several days, the official press and the authorities have launched a media circus, which starting today will grow. There are only three now serving sentences in U.S. prisons. I am sure, however, the manipulative media campaign will continue to talk about five. They have a lot invested in it and it would be like renaming an already known product.

This, ultimately, is nothing more than a publicity campaign like any other. In addition, it’s always cost the Cuban authorities time and work to react to reality. If once, many years ago, they were considered revolutionary, for decades now they have been profoundly reactionary.

It seems that time doesn’t pass in vain, and the old men of today find it hard to change something, fearing they will lose everything. It’s understandable: age no longer allows them to start over.

The issue of the spies, rather than an act of humanism, is a way to entertain a part of the population, so they forget their everyday problems, and to make some sense of the absurd protests and demands of the “government’s friends” abroad, which also assures paying tourists for the Cuban people, and feeling like they star in something, the more to the left the better, to be different to most.

There’s someone else who, I’m sure, contrary to their natural feelings, would prefer for the situation to continue, so that they don’t lose their “little goodies,” which they’ve been enjoying for years: their families. From ordinary unknown citizens, by the work and grace of the authorities, they have become public figures, who travel, dress well, give lectures, participate in events, receive awards, and who have resolved their problems of housing, transport, food and clothing, all at the expense of our pockets, because their “merits” shine by their absence, a non-being who on a new scale of values, is considered a “merit” to be a family member of a confessed spy.

These are some of the absurdities that persist in Cuba and that have disrupted our society, making the young and not so young people prefer to emigrate, and the old, condemned to their misfortune, dream of better days in the years they have left to live.

1 March 2014

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Economic Independence? / Fernando Damaso

According to official propaganda — intended to validate the experimental economic measures taken during his early years in power and which is repeated incessantly — nationalizations and interventions were aimed at returning the wealth held by foreigners, mostly American, to the people.

Statistics show, however, that this was not exactly the case. Those most affected were in fact Cubans, who held between 82% and 85% of the nation’s wealth. This included the entrepreneurial and successful middle class, the principal generator of wealth and employment, most of which was liquidated during the early years. What little remained was finished off during the ludicrous “Revolutionary Offensive” of the 1970s.

In his book, The Owners of Cuba 1958, Guillermo Jiménez focuses on the island’s 551 most influential and powerful families. He notes that only 102 were foreign; the rest were Cuban. In most instances the foreigners were based in Cuba and had Cuban families, including all 65 from Spain. There were 24 Americans, some of whom had Cuban wives and lived in Cuba. At the time the nationalizations took place, the economy was largely in Cuban hands. Some 61.1% of bank deposits were held in Cuban banks, while Cuban-owned sugar processors accounted for 62.2 of daily production, with Americans accounting for 38.4%.

I bring this up because now much is being said and written about the importance of attracting foreign investment to shake the moribund Cuban economy out of its coma. The same government responsible for expelling Cuban investors (who were the majority) and foreign investors (who were the minority), now calls for their return. And what about Cubans? Priority should first be given to Cubans living in Cuba, then to Cubans scattered around the world, and finally to foreigners. Or is it that the authorities do not care about the vaunted economic independence?

It is true that in today’s globalized world no one can pursue economic development on his own, that capital is necessary, no matter where it comes from. But there must be some respect shown to one’s own nationals. At least that is what one expects of intelligent governments which actually look out for the interests of their citizens.

26 February 2014

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Bureaucratic Absurdities / Fernando Damaso

Photo: Rebeca

Government bureaucrats like to complicate things and, in turn, the lives of citizens. From their privileged positions of power, they do and undo at whim.

With the matter of cooperatives, the form of work preferred by the State for the self-employed, they have formed a terrible entanglement: they began with the so-called agricultural cooperatives of different types, and when they decided to leave the rural framework, they found no better name for the new ones than non-agricultural cooperatives.  They even now have their abbreviation: CNoA. Why not call them simply cooperatives?

Another spawn is the first denominated Wholesale Market of Agricultural Supply Products the Wheat Field, located somewhat distant from the center of the city, with the inconveniences that that entails. In reality it is no more than a simple Hub Market since its structure lacks the adequate spatial arrangement for buying and selling, besides which supply and demand do not work there: you pay the same per pound if you buy 20 or if you buy 200.

Before the Chinese merchants sold cheaper than the Spanish and Cuban grocers, because they formed a group and bought in bulk at lower prices, which permitted them to give discounts to their clients. The advantage of a wholesale market is precisely that of offering a variety of products at lower prices than in the retail market, depending on the volume of the purchase.

This is what permits the retail merchants, after deducting their expenses, from not having to raise their prices for the consumer in order to earn profits.  A question: Why not equip the old central Mercado Unico on Cristina Street, today in a state of abandon, as the Wholesale Market?

Another: Why in the state businesses, given beneficially to individuals, is all the attention of the supervisors from the Integral Management Oversight (DIS) centered in each territory? When they were state-run, in spite of their poor functionality, they were never controlled with regards to comfort, the presence of workers, hygiene, quality of services and their offers, as well as other aspects.

Now, like inquisitors, they fall on the individuals, handing out fines right and left, with fees of 1200, 700 and 200 pesos, and, if they think there is a recurrence, withdrawing the license. No one suggests that they not control and ensure compliance with established regulations, although these are exaggerated and sometimes even absurd, but it has to be the same for everyone, both individual as well as state businesses. Or is it that the state businesses enjoy carte blanche?

If you want the updating, although slow and limited, to introduce some small improvement in the difficult lives of the citizens, you have to, at least, eliminate the bureaucratic absurdities.

Translated by mlk.

22 February 2014

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An Old Method / Fernando Damaso

Photo Peter Deel

In relation to the ongoing tense situation in Venezuela, the Cuban government and its Government Organisations unceasingly make declarations of support and solidarity with the government and the people of that country, bundling them up together, as if those who are protesting and joining in demonstrations are not a part of that people. It is worth remembering that in the last elections, 5,300,000 voters endorsed the official candidate and 5,000,000 the opposition candidate.

What’s more, our official communication media only show one side of the coin; the Chavista*. The opposition demonstrations, as numerous as the government ones, are hidden. This distorts the reality of a country in crisis, and creates confusion.

It’s an old method which the Cuban authorities don’t stop repeating: in the old Czechoslovakia, they supported the Soviet invaders and the Treaty of Warsaw, in Poland, the Communist coup d’etat, in the old USSR those who opposed Gorbachev, in Iraq against Saddam, in Libya against Gaddafi and now in Syria against Assad and the pro-Soviet government in the Ukraine.

The opposition, without any kind of distinction, are referred to as mercenaries, employees of the Western powers, antisocials, delinquents, etc. It’s a cracked record, which we always hear in Cuba. For many years the Cuban government has only known how to ally itself with similar governments and to support the worst causes: the reactionary and anti-democratic.

Now, with Venezuela, you have to be able to read between the lines and find the censored pictures, in order that what might happen does not catch us by surprise, as happened when the notorious Berlin Wall fell and pulled European socialism down with it.

An old song goes: God creates them and the devil brings them together. Sometimes it isn’t necessary for the devil to unite them: they do it all by themselves.

*Translator’s note: Chavista refers to supporters of the late Hugo Chavez and his party, which remains in power.

Translated by GH

18 February 2014

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