Defiant Caribbean leaders dismiss trafficking accusations as US targets Cuba’s doctor diplomacy

Trinidad and Tobago’s Prime Minister Keith Rowley addresses the audience during the opening day of the T&T Energy Conference in Port of Spain, Trinidad and Tobago, Feb. 10, 2025. (Reuters)
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Updated 13 March 2025
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Defiant Caribbean leaders dismiss trafficking accusations as US targets Cuba’s doctor diplomacy

  • Trinidad and Tobago PM Keith Rowley: ‘Out of the blue now, we have been called human traffickers because we hire technical people who we pay top dollar’
  • Jamaican FM Kamina Johnson Smith: ‘Their (Cuban medics) presence here is of importance to our health care system’

Caribbean leaders this week rejected US accusations of Cuban labor exploitation after the United States announced it will restrict the visas of officials tied to a Cuban government program that sends medics abroad.
The US announced the measure late last month, arguing that the labor export programs run by Cuba’s government, which include many medics, “enrich the Cuban regime.” It further argued that those involved are complicit in the “exploitation and forced labor of Cuban workers.”
Cuba’s leaders, however, reject the US stance as Secretary of State Marco Rubio’s “personal agenda... based on falsehoods” and said the measure could affect millions of health care beneficiaries.
Rubio is the son of Cuban immigrants who fled the island to Florida, where President Donald Trump’s top diplomat would later win a Senate seat.
Since Cuba’s 1959 revolution, its medics have been dispatched to countries around the world, treating diseases that wreak havoc on poor countries, from cholera in Haiti to Ebola in West Africa. The program is also a key source of hard cash as the island nation endures its latest deep economic crisis.
Cuba says a decades-long US embargo, opposed by the vast majority of the United Nations, is the key driver of the crisis.
“Out of the blue now, we have been called human traffickers because we hire technical people who we pay top dollar,” said Trinidad and Tobago Prime Minister Keith Rowley at a hospital event.
Rowley added that he was prepared to lose his US visa.
Saint Vincent and the Grenadines Prime Minister Ralph Gonsalves noted at least 60 people in the small island nation are on a Cuban-run haemodialysis program used to treat kidney failure.
“If the Cubans are not there, we may not be able to run the service,” he said, adding Cuban personnel are paid the same as locals. “I will prefer to lose my visa than to have 60 poor and working people die.”
Last week, Jamaican Foreign Minister Kamina Johnson Smith told reporters that her government views Cuban medics as important.
“Their presence here is of importance to our health care system,” she said, pointing to 400 doctors, nurses and medical technicians currently working in the country.
In a social media post, Bahamian Foreign Minister Fred Mitchell also vouched for the program, saying his government “follows all international best practices in the recruitment of labor.”


New Trump strategy vows shift from global role to regional

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New Trump strategy vows shift from global role to regional

WASHINGTON: President Donald Trump’s administration said in a long-awaited new strategy document Friday that the United States will shift from its historic global role toward increasing dominance in Latin America and vigorously fighting migration.
The national security paper, meant to flesh out Trump’s norms-shattering “America First” worldview, signals a sharp reorientation from longstanding US calls to refocus on Asia, although it still identifies China as a top competitor.
The strategy also brutally criticized allies in Europe and said that the United States will champion opponents to European Union-led values, including on immigration.
Breaking with decades of attempts to be the sole superpower, the strategy said that the “United States rejects the ill-fated concept of global domination for itself.”
It said that the United States would also prevent other powers from dominating but added: “This does not mean wasting blood and treasure to curtail the influence of all the world’s great and middle powers.”
The strategy called for a “readjustment of our global military presence to address urgent threats in our Hemisphere, and away from theaters whose relative import to American national security has declined in recent decades or years.”
The strategy speaks in bold terms of pressing US dominance in Latin America, where the Trump administration has been striking alleged drug traffickers at sea, intervening to bring down leftist leaders including in Venezuela, and loudly seeking to take charge of key resources such as the Panama Canal.
The strategy cast Trump as modernizing the two-century-old Monroe Doctrine, in which the then young United States declared Latin America off-limits to rival powers, then from Europe.
“We will assert and enforce a ‘Trump Corollary’ to the Monroe Doctrine,” it said.

- Championing Europe ‘resistance’ -

Trump has sharply reversed many longstanding US principles since returning to office in January.
He rose to political prominence demanding sweeping curbs on immigration to the United States, fanning fears that the white majority was losing its status, and since taking office has ordered drastic and high-profile raids to deport undocumented people.
“The era of mass migration must end. Border security is the primary element of national security,” the strategy said.
The strategy made clear that the United States under Trump would aggressively pursue similar objectives in Europe, in line with far-right parties that have made strong gains in much of the continent.
In extraordinary language in speaking of close allies, the strategy said: “Cultivating resistance to Europe’s current trajectory within European nations.”
Germany quickly hit back, saying that it does not need “outside advice.”
The strategy pointed to Europe’s lower share of the global economy — which is the result largely of the rise of China and other emerging powers — and said: “This economic decline is eclipsed by the real and more stark prospect of civilizational erasure.
“Should present trends continue, the continent will be unrecognizable in 20 years or less.”
As Trump seeks an end to the Ukraine war that would likely favor Russia gaining territory, the strategy accused Europeans of weakness and said the United States should focus on “ending the perception, and preventing the reality, of NATO as a perpetually expanding alliance.”

- Less on Middle East and Africa -

The strategy paid comparatively little attention to the Middle East, which has long consumed Washington.
Pointing to US efforts to increase energy supply at home and not in the oil-rich Gulf, the strategy said: “America’s historic reason for focusing on the Middle East will recede.”
The paper said it was a US priority for Israel to be secure, but stopped short of the fulsome language on Israel used even in the first Trump administration.
On China, the strategy repeated calls for a “free and open” Asia-Pacific region but focused more on the nation as an economic competitor.
After much speculation on whether Trump would budge on Taiwan, the self-ruling democracy claimed by Beijing, the strategy made clear that the United States supports the decades-old status quo, but called on allies Japan and South Korea to contribute more to ensure Taiwan’s defense from China.
The strategy predictably puts little focus on Africa, saying the United States should transition away from “liberal ideology” and an “aid-focused relationship” and emphasize goals such as securing critical minerals.