Cuba's elderly adrift on the streets

Cuba's elderly adrift on the streets
By: Mario J. Penton and Luz Escobar
Posted: 04/2/2017 4:00 AM
Miami Herald/Tribune News Service

HAVANA — At 67, struggling against the challenges that come with aging
and a meagre pension, Raquel — an engineer who in her own words was
"formed by the Revolution" — survives by sifting through garbage every
day in search of recyclable products.

Hands that at one time drew plans and measured distances now pick up
cardboard, cans and other discarded containers.

"My life is a struggle from the moment I wake up," Raquel said.

"My last name? For what? And I don't want any photos. I have children,
and I once had a life. I don't want people talking about me," she said
after agreeing to tell her story.

Digging through garbage as a way to make a living was not part of
Raquel's plan, but she is not alone. Many within the island's growing
aging population are struggling with survival in their twilight years.

Cuba has become the oldest country in the Western Hemisphere, according
to official figures, amid an accelerated process that has even surprised
specialists who had not expected the phenomenon to become apparent until
2025.

Facing a pension system that is increasingly nonviable, a harsh economic
recession and an expected impact on social services as a result of the
aging population, the island is confronting one of the biggest
challenges of its history, experts say.

Almost 20 per cent of Cubans are older than 60 and the fertility rate
stands at 1.7 children per woman of child-bearing age.

To counter the aging population, the fertility rate would have to rise
to 2.4 children per woman of child-bearing age. Cuba's economically
active population shrank for the first time in 2015, by 126,000 people.

"The population aging that is affecting the country leads to a
significant increase in public spending as well as a drop in the
population of the fertile age, which in turn leads to a decrease in the
fertility rate," said Juan Valdes Paz, a Cuban sociologist who has
written several books on the issue.

Valdes said no government can be prepared for the kinds of demographic
problems Cuba has.

"If there's no harmony between demographic progress and economic
development, the latter is impacted," he said.

Government spending on public health per capita in 1999 was 21 per cent
lower than in 1989, economist Carmelo Mesa-Lago said. Official Cuban
figures show that category of spending dropped from 11.3 per cent of the
country's gross domestic product in 2009 to eight per cent in 2012.

Although Raquel is retired, government pharmacies do not subsidize the
medicine she needs for her diabetes and hypertension. State social
service programs do not serve elderly Cubans who live with relatives or
other presumed caretakers.

"I get a pension of 240 pesos a month," said Raquel, the equivalent of
less than US$10. "From that money, I have to pay 50 pesos for the Haier
refrigerator the government forced me to buy and 100 pesos to buy my
medicines."

Cuba has about 300 daytime centres for the elderly and 144 nursing
homes, with a total capacity of about 20,000 clients. Officials have
acknowledged a significant portion are in terrible shape and many
elderly prefer to go into one of the 11 homes across the country run by
religious orders.

They operate thanks to foreign assistance, such as the Santovenia asylum
in the Cerro neighbourhood of Havana.

The state-run daycare centres charge 180 pesos per month and the nursing
homes charge about 400 pesos. Social security subsidizes the payments
when social service workers determine the clients cannot afford to pay
those fees.

Cuba once had one of the most generous and broadest social security
systems in Latin America. But that was largely possible because of the
massive subsidies from the Soviet Union, calculated by Mesa-Lago at
about US$65 billion over 30 years.

"Although the pensions were never high, there was an elaborate system
established by the state to facilitate access to food and other products
at subsidized prices," the economist said.

"After the Soviet subsidies ended in the early '90s, pensions remained
at about the same level, but their purchasing power collapsed. In 1993,
a retired Cuban could barely buy 16 per cent of what he could afford in
1989.

By the end of 2015, the purchasing power of retirees remained at barely
half of what it was when the Soviet Union collapsed and Cuba entered
into the so-called Special Period."

Raquel is a product of that reality.

"It bothers me when I hear talk of the good services for the elderly,"
she said. "I don't get any subsidies because I live with my son, his
wife and my two grandchildren. But they have their own expenses and
can't afford to also pick up all of mine.

"I need new dentures," she added, "and if you don't give the dentist a
little gift, they take months or come out bad."

Other elderly residents on the island echoed Raquel's sentiments.

"We are two old people living alone, we have no one overseas, so we
receive no remittances," said Andres, a former cartographer who lives
with his wife Silvia in the central city of Cienfuegos, and now sells
homemade vinegar and other products to make ends meet. "It's very hard
to get old and live off a US$10 pension when four drumsticks of chicken
cost US$5.

"Last year, I was awarded with a lifetime achievement recognition at
work and then I was laid off," he said. "I was already retired but
continued to work because we could not live on my pension."

After Fidel Castro left power in 2006, following a health emergency, the
Raul Castro government began drastic cutbacks in social security
benefits under the rubric of "the elimination of gratuities."

From the 582,060 Cubans who were receiving social assistance benefits
in 2006, such as disability or special diet funds, the number was
slashed to 175,106 by 2015.

Castro also removed several products from the highly subsidized ration
card, such as soap, toothpaste and matches, forcing everyone to pay far
more for those products when they bought them on the open market.

The government has launched some new programs for the elderly. The
Sistema de Atencion a la Familia (System to Help the Family), for
example, allows more than 76,000 low-income elderly to obtain food at
subsidized prices. That's a tiny number compared to Cuba's elderly
population, estimated at more than 2 million in a nation of about 11
million.

Some elderly Cubans also receive assistance from churches and
non-governmental organizations.

"People see me picking up cans, but they don't know I was a
prize-winning engineer and that I even travelled to the Soviet Union in
1983," Raquel said.

After retirement, she had to find other ways of making ends meet. She
cleaned the common areas of buildings where military officers lived near
the Plaza of the Revolution until she got too old to handle the work.

"They wanted me to wash the windows of a hallway on the ninth floor.
That was dangerous and I was afraid of falling. I preferred to leave,
even though they paid well," she said.

Raquel was earning 125 pesos (about US$5) per week — more than half her
monthly pension of 240 pesos.

Raquel said she sells the empty recyclable containers she collects to
state enterprises but would love to be able to sell them to a private
company, instead, to avoid bureaucratic problems and delays.

In the patio of her home, she has created a homemade tool to crush the
empty cans she finds on the streets.

The work can be profitable but competition is stiff and physically
tougher for the elderly and disabled who have to wait in long lines to
sell their products at state enterprises or pay someone else to hold
their spot in line.

"In January, I made 3,900 pesos on beer bottles. But I paid 500 pesos to
hold my spot in line because I can't just lay down on the floor while I
wait," she said. "Aluminum also pays well. They pay 40 pesos for a sack
of cans. It's eight pesos per kilogram."

Cuba does not have official statistics on poverty.

A 1996 government study concluded 20.1 per cent of the two million
people in Havana were "at risk of not being able to afford a basic
necessity."

A poll in 2000 found 78 per cent of the country's elderly complained
their income was not enough to cover their expenses.

The majority of the elderly polled said their main sources of income
were their pension benefits, assistance from relatives on the island and
remittances sent by relatives and friends abroad.

Many elderly now walk the streets in Havana and other cities, selling
homemade candy or peanuts to make ends meet.

Others resell newspapers or pick through garbage for items to sell. The
number of beggars on the streets of Cuba's main cities has visibly
increased.

For Raquel, the daily struggle is but another chapter of her life.

"I have always been a hard worker because the most important thing is my
family," she said. "It doesn't bother me to wear old clothes while I
collect the cans. The one who has to look good is my grandson, who just
started high school.

"The kids in school sometimes make fun of him, but my grandson is very
good and he's not ashamed of me, at least not that he shows," she said.
"He always defends me against the mockery."

— Miami Herald

Source: Cuba's elderly adrift on the streets - Winnipeg Free Press -
http://www.winnipegfreepress.com/world/cubas-elderly-adrift-on-the-streets-417886713.html