Cuba’s health infrastructure is in shambles thanks to extreme under-investment by the socialist state, which controls almost 100% of the centrally-planned economy and has a monopoly on health. Many hospitals are filthy and falling apart, lack even running water, air conditioning even in ICU units, and bed sheets; ambulances are scarce luxuries few can count on. In 2020, with the pandemic underway, Cuba spent just $28.1 million on public health and social assistance (0.8% of total investment) as it invested $4.1 billion on hotel and rental property real estate. Meanwhile, the investment in repression, propaganda, a huge diplomatic corps, and an indulged intelligence service is not reported but known to be very high.
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