8 Americans have graduated from Cuba. Very interesting interviews about
their preparation, awareness of various differences in populations, desire
to serve, and no debt.

http://www.iht.com/articles/ap/2007/07/24/news/CB-GEN-Cuba-US-Students.php


About the school  included projected economic impact on other nations from
the graduates
http://en.wikipedia.org/wiki/Latin_American_School_of_Medicine_(Cuba)

Immersion in another culture, bilingual, versatility born of adapting to
and from, maturity with age, commitment to the underserved, a cohort effect
of commitment to the underserved, significant interactions with a wide
variety of people, freedom from the slavery of debt, no tendency to rebound
to recover costs later as a physician....

The pathway has not been easy and will not get any easier, but the pathway
and the students will remind us that the pathway and those encountered on
the pathway from birth to training to retirement are the most important
parts of becoming a physician.


This eventually will need a response from organized medical education and
government (hopefully better solutions for debt and tuition).

It will also require a response from a nation that badly needs to address
the serious drain of human resources from other nations. If the Cuban
effort parallels the geometric growth of Caribbean schools, it will only
take a few years to highlight serious inequities all around.

A mutual effort with Mexico involving medical schools, top technology
colleges (solar and wind energy), education colleges, and nursing schools
with border locations inside Mexico and sharing the production and
development on both sides of the border would be a very good idea, a much
better idea than a wall, and would likely work better to address
immigration problems through child development, education, and improved
economic opportunity and reduction of the differentials that drive
immigration.

Robert C. Bowman, M.D.
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