Cuba Imposes Travel Permit for Doctors to Limit Brain Drain

Cuba Imposes Travel Permit for Doctors to Limit Brain Drain
By MICHAEL WEISSENSTEIN, ASSOCIATED PRESS HAVANA — Dec 1, 2015, 8:53 AM

The Cuban government announced Tuesday that it is reimposing a hated
travel permit requirement on many doctors, requiring them to get
permission to leave the country in an attempt to counter a brain drain
that it blames on the United States.

It is the first major reverse in Cuba's policy of allowing unrestricted
travel for its citizens, put in place in 2013 as President Raul Castro
allowed new freedoms as part of a broad set of social and economic reforms.

The government announced on the front page of state media that health
professionals in specialties that have been drained by large-scale
emigration in recent years will now be required to get permission from
Health Ministry officials in order to leave the country.

The new policy was announced hours after the end of a meeting Monday
between U.S. and Cuban negotiators in Washington to address a crisis in
Cuban migration, which has reached its highest levels in at least two
decades. Cuba complained that the U.S. said it had no plans to change
Cold War-era policies that give automatic legal residency to Cuban
immigrants.

Many Cuban doctors cite low pay, poor working conditions and the
possibility of well-compensated jobs in other countries as their primary
reasons for emigrating. The Cuban government places the blame on the
U.S. policy of granting automatic legal residency to Cuban immigrants,
with special fast-track benefits for doctors who abandon government
medical missions overseas.

The government announcement cited anaesthesiology, neurosurgery,
obstetrics and gynecology and neonatal care as among the specialities
worst-hit by emigration of doctors in recent years.

"The migration of Cuban health professionals is a concern for the
country," the government announcement read, blaming U.S. laws that aid
Cuban medical emigration for having "the perverse objective of pushing
Cuban health professionals to abandon their missions in other countries."

The Cuban government cites free, universal health care system as one of
the crowning achievements of its socialist revolution. Medical missions
abroad are one of the most important sources of foreign exchange for the
Cuban government, which receives tens of thousands of dollars a year in
cash or commodities for each doctor it sends overseas.

Inside Cuba, many doctors and nurses complain that their profession has
been devastated by waves of departures, with vital specialists now
absent in many clinics and hospitals.

Over the past two years, at least 100,000 Cubans have emigrated to the
United States, the majority making a treacherous land journey from
Ecuador through South and Central America and Mexico. The pace has
quickened dramatically this year, with many Cubans fearing that the
detente announced nearly a year ago between the United States and Cuba
will mean the end to special migration privileges.

Left-leaning Latin American allies of Cuba began cracking down on Cuban
migration last month. Nicaragua closed its border to Cuban migrants,
leaving at least 3,000 trapped in emergency shelters in northern Costa
Rica. And Ecuador last week imposed a visa requirement for Cuban
travelers in an attempt to end its role as the starting point for most
Cuban migration.

The Ecuadorean move set off two days of angry protests outside the
country's embassy in Havana, a highly unusual event in a country where
the government unleashes swift crackdowns on unauthorized street
demonstrations.

—————

Michael Weissenstein on Twitter: https://twitter.com/mweissenstein

Source: Cuba Imposes Travel Permit for Doctors to Limit Brain Drain -
ABC News -
http://abcnews.go.com/Health/wireStory/cuba-imposes-travel-permit-doctors-limit-brain-drain-35507336