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EDITOR
In 1992 we participated in a study tour of Cuba's health
system. We witnessed a service that was the pride of the developing world and that, in the way it was organised, offered many examples for
our own service. During our stay the then American president, George
Bush, signed the Cuban Democracy Act. At a stroke Cuba was denied
access to foodstuffs and medicines produced by any subsidiary of any
American multinational company anywhere in the world (direct sales of
anything from the United States to Cuba having been barred since 1961).
The impact on the health and nutrition of the Cuban people has now been
well documented.1-3 The report of the American Association for World Health states: "A humanitarian catastrophe has been averted
only because the Cuban government has maintained a high level of
budgetary support for a health care system designed to deliver primary
and preventative health